Question 1

Why are cool-mist vaporizers rather than steam vaporizers recommended in home treatment of respiratory tract infections?

Accepted Answer

A)  They are safer. 
B)  They are less expensive. 
C)  Steam dries out respiratory secretions. 
D)  A more comfortable environment is produced. 
A)  They are safer. 
B)  They are less expensive. 
C)  Steam dries out respiratory secretions. 
D)  A more comfortable environment is produced. A

Question 2

A parent whose two school-age children have asthma asks the nurse what sports,if any,they can participate in.What sport should the nurse recommend?

Accepted Answer

A)  Soccer 
B)  Running 
C)  Swimming 
D)  Basketball 
A)  Soccer 
B)  Running 
C)  Swimming 
D)  Basketball C

Question 3

What is the earliest recognizable clinical manifestation(s)of cystic fibrosis (CF)?

Accepted Answer

A)  Meconium ileus 
B)  History of poor intestinal absorption 
C)  Foul-smelling,frothy,greasy stools 
D)  Recurrent pneumonia and lung infections 
A)  Meconium ileus 
B)  History of poor intestinal absorption 
C)  Foul-smelling,frothy,greasy stools 
D)  Recurrent pneumonia and lung infections A

Question 4

Which best describes acute otitis media (AOM)?

Accepted Answer

A)  The etiology is unknown. 
B)  Permanent hearing loss often results. 
C)  It can be treated by intramuscular antibiotics. 
D)  It can be treated with antibiotics. 
A)  The etiology is unknown. 
B)  Permanent hearing loss often results. 
C)  It can be treated by intramuscular antibiotics. 
D)  It can be treated with antibiotics.

Question 5

The nurse is caring for a child with acute respiratory distress syndrome (ARDS)associated with sepsis.Which nursing action should be included in the child's care?

Accepted Answer

A)  Force fluids. 
B)  Monitor pulse oximetry. 
C)  Institute seizure precautions. 
D)  Encourage a high-protein diet. 
A)  Force fluids. 
B)  Monitor pulse oximetry. 
C)  Institute seizure precautions. 
D)  Encourage a high-protein diet.

Question 6

Subdiaphragmatic abdominal thrusts are recommended for airway obstruction in children older than which age?

Accepted Answer

A)  1 year 
B)  4 years 
C)  8 years 
D)  12 years 
A)  1 year 
B)  4 years 
C)  8 years 
D)  12 years

Question 7

The nurse is caring for a child with carbon monoxide (CO)poisoning associated with smoke inhalation.What is the most essential part of this child's care?

Accepted Answer

A)  Monitoring pulse oximetry 
B)  Monitoring arterial blood gases 
C)  Administering oxygen if respiratory distress develops 
D)  Administering oxygen if the child's lips become bright cherry red 
A)  Monitoring pulse oximetry 
B)  Monitoring arterial blood gases 
C)  Administering oxygen if respiratory distress develops 
D)  Administering oxygen if the child's lips become bright cherry red

Question 8

Cystic fibrosis (CF)is suspected in a toddler.Which test is essential to confirm this diagnosis?

Accepted Answer

A)  Bronchoscopy 
B)  Serum calcium 
C)  Urine creatinine 
D)  Sweat chloride test 
A)  Bronchoscopy 
B)  Serum calcium 
C)  Urine creatinine 
D)  Sweat chloride test

Question 9

In providing nourishment for a child with cystic fibrosis (CF),which factor should the nurse keep in mind?

Accepted Answer

A)  Diet should be high in carbohydrates and protein. 
B)  Diet should be high in easily digested carbohydrates and fats. 
C)  Most fruits and vegetables are not well tolerated. 
D)  Fats and proteins must be greatly curtailed. 
A)  Diet should be high in carbohydrates and protein. 
B)  Diet should be high in easily digested carbohydrates and fats. 
C)  Most fruits and vegetables are not well tolerated. 
D)  Fats and proteins must be greatly curtailed.

Question 10

What is the appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?

Accepted Answer

A)  Give tepid water baths to reduce fever. 
B)  Encourage food intake to maintain caloric needs. 
C)  Have the child wear heavy clothing to prevent chilling. 
D)  Give small amounts of favourite fluids frequently to prevent dehydration. 
A)  Give tepid water baths to reduce fever. 
B)  Encourage food intake to maintain caloric needs. 
C)  Have the child wear heavy clothing to prevent chilling. 
D)  Give small amounts of favourite fluids frequently to prevent dehydration.

Question 11

An infant's parents ask the nurse about preventing otitis media (OM).What should the nurse recommend?

Accepted Answer

A)  Avoid tobacco smoke. 
B)  Use nasal decongestant. 
C)  Avoid children with OM. 
D)  Bottle-feed or breastfeed in the supine position. 
A)  Avoid tobacco smoke. 
B)  Use nasal decongestant. 
C)  Avoid children with OM. 
D)  Bottle-feed or breastfeed in the supine position.

Question 12

When is skin testing (the Mantoux test)for tuberculosis (TB)recommended?

Accepted Answer

A)  Every year for all children older than 2 years 
B)  Every year for all children older than 10 years 
C)  Every 2 years for all children starting at age 1 year 
D)  Periodically for children who reside in high-prevalence regions 
A)  Every year for all children older than 2 years 
B)  Every year for all children older than 10 years 
C)  Every 2 years for all children starting at age 1 year 
D)  Periodically for children who reside in high-prevalence regions

Question 13

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the child's bedside as much as possible.What is the nurse's primary reason for this suggestion?

Accepted Answer

A)  Mothers of hospitalized toddlers often experience guilt. 
B)  The mother's presence will reduce the child's anxiety and ease respiratory efforts. 
C)  Separation from the mother is a major developmental threat at this age. 
D)  The mother can provide constant observations of the child's respiratory efforts. 
A)  Mothers of hospitalized toddlers often experience guilt. 
B)  The mother's presence will reduce the child's anxiety and ease respiratory efforts. 
C)  Separation from the mother is a major developmental threat at this age. 
D)  The mother can provide constant observations of the child's respiratory efforts.

Question 14

What should be included in nursing care for a child with staphylococcal pneumonia?

Accepted Answer

A)  Nursing care should be supportive and directed at relieving symptoms. 
B)  Nursing care should include round-the-clock administration of antitussive agents. 
C)  Nursing care should include strict intake and output to avoid heart failure. 
D)  Nursing care should include administration of opioids. 
A)  Nursing care should be supportive and directed at relieving symptoms. 
B)  Nursing care should include round-the-clock administration of antitussive agents. 
C)  Nursing care should include strict intake and output to avoid heart failure. 
D)  Nursing care should include administration of opioids.

Question 15

A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry,hacking cough that was worse at night.The cough has become productive in the past 24 hours.What is this description most suggestive of?

Accepted Answer

A)  Bronchitis 
B)  Bronchiolitis 
C)  Viral-induced asthma 
D)  Acute spasmodic laryngitis 
A)  Bronchitis 
B)  Bronchiolitis 
C)  Viral-induced asthma 
D)  Acute spasmodic laryngitis

Question 16

Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?

Accepted Answer

A)  If it is present in a child,both parents are carriers of this defective gene. 
B)  It is inherited as an autosomal dominant trait. 
C)  Seventy percent of individuals with CF in Canada are children. 
D)  There is a 50% chance that siblings of an affected child will also be affected. 
A)  If it is present in a child,both parents are carriers of this defective gene. 
B)  It is inherited as an autosomal dominant trait. 
C)  Seventy percent of individuals with CF in Canada are children. 
D)  There is a 50% chance that siblings of an affected child will also be affected.

Question 17

What is the priority nursing intervention when caring for a child with pneumonia?

Accepted Answer

A)  Encourage rest. 
B)  Encourage the child to lie on the affected side. 
C)  Administer an opioid. 
D)  Place the child in the Trendelenburg position. 
A)  Encourage rest. 
B)  Encourage the child to lie on the affected side. 
C)  Administer an opioid. 
D)  Place the child in the Trendelenburg position.

Question 18

A child has a chronic,nonproductive cough and diffuse wheezing during the expiratory phase of respiration.What do these symptoms suggest?

Accepted Answer

A)  Asthma 
B)  Pneumonia 
C)  Bronchiolitis 
D)  A foreign body in the trachea 
A)  Asthma 
B)  Pneumonia 
C)  Bronchiolitis 
D)  A foreign body in the trachea

Question 19

â-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack.How do these medications act on asthma?

Accepted Answer

A)  They liquefy secretions. 
B)  They dilate the bronchioles. 
C)  They reduce inflammation in the lungs. 
D)  They reduce infection. 
A)  They liquefy secretions. 
B)  They dilate the bronchioles. 
C)  They reduce inflammation in the lungs. 
D)  They reduce infection.

Question 20

Which characteristic regarding chronic otitis media with effusion (OME)differentiates if from acute otitis media (AOM)?

Accepted Answer

A)  Fever as high as 40°C 
B)  Severe pain in the ear 
C)  Nausea and vomiting 
D)  A feeling of fullness in the ear 
A)  Fever as high as 40°C 
B)  Severe pain in the ear 
C)  Nausea and vomiting 
D)  A feeling of fullness in the ear

Exam 45: Respiratory Dysfunction

Why are cool-mist vaporizers rather than steam vaporizers recommended in home treatment of respiratory tract infections?

A parent whose two school-age children have asthma asks the nurse what sports,if any,they can participate in.What sport should the nurse recommend?

What is the earliest recognizable clinical manifestation(s)of cystic fibrosis (CF)?

Which best describes acute otitis media (AOM)?

The nurse is caring for a child with acute respiratory distress syndrome (ARDS)associated with sepsis.Which nursing action should be included in the child's care?

Subdiaphragmatic abdominal thrusts are recommended for airway obstruction in children older than which age?

The nurse is caring for a child with carbon monoxide (CO)poisoning associated with smoke inhalation.What is the most essential part of this child's care?

Cystic fibrosis (CF)is suspected in a toddler.Which test is essential to confirm this diagnosis?

In providing nourishment for a child with cystic fibrosis (CF),which factor should the nurse keep in mind?

What is the appropriate nursing intervention when caring for an infant with an upper respiratory tract infection and elevated temperature?

An infant's parents ask the nurse about preventing otitis media (OM).What should the nurse recommend?

When is skin testing (the Mantoux test)for tuberculosis (TB)recommended?

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the child's bedside as much as possible.What is the nurse's primary reason for this suggestion?

What should be included in nursing care for a child with staphylococcal pneumonia?

A school-age child had an upper respiratory tract infection for several days and then began having a persistent dry,hacking cough that was worse at night.The cough has become productive in the past 24 hours.What is this description most suggestive of?

Which statement expresses accurately the genetic implications of cystic fibrosis (CF)?

What is the priority nursing intervention when caring for a child with pneumonia?

A child has a chronic,nonproductive cough and diffuse wheezing during the expiratory phase of respiration.What do these symptoms suggest?

â-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack.How do these medications act on asthma?

Which characteristic regarding chronic otitis media with effusion (OME)differentiates if from acute otitis media (AOM)?

Contemporary Perinatal and Pediatric Nursing in Canada

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Physiological Adaptations of the Newborn

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