Question 1

When teaching a parent group about respiratory complications,which symptom should be reported to the health care provider?

Accepted Answer

A)  Becomes fussy 
B)  Has a cough 
C)  Has a fever for more than 3 days 
D)  Shows signs of an earache 
A)  Becomes fussy 
B)  Has a cough 
C)  Has a fever for more than 3 days 
D)  Shows signs of an earache

Question 2

The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours.What action should the nurse include in the child's postoperative care plan?

Accepted Answer

A)  Notify the surgeon if the child swallows frequently. 
B)  Apply a heat collar to the child for pain relief. 
C)  Place the child in prone supine position until fully awake. 
D)  Encourage the child to cough frequently. 
A)  Notify the surgeon if the child swallows frequently. 
B)  Apply a heat collar to the child for pain relief. 
C)  Place the child in prone supine position until fully awake. 
D)  Encourage the child to cough frequently.

Question 3

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection.Which instruction for nose drops should be included when teaching the parent?

Accepted Answer

A)  Avoid using drops for more than 3 days. 
B)  Keep drops to use again for nasal congestion. 
C)  Administer drops until nasal congestion subsides. 
D)  Administer drops after feedings and at bedtime. 
A)  Avoid using drops for more than 3 days. 
B)  Keep drops to use again for nasal congestion. 
C)  Administer drops until nasal congestion subsides. 
D)  Administer drops after feedings and at bedtime.

Question 4

When doing discharge teaching with parents of a 9-year-old child who had a tonsillectomy 10 hours ago,which will the nurse include? Select all that apply.Express answer in small numbers followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Gargle with warm water TID 
B)  Avoid vigorous brushing of the teeth 
C)  Use straws when providing clear fluid drinks 
D)  Use an ice collar for pain 
E)  Drink at least 1 L of fluid per day
F) Offer chewing gum
G) Provide orange juice at least once per day 
A)  Gargle with warm water TID 
B)  Avoid vigorous brushing of the teeth 
C)  Use straws when providing clear fluid drinks 
D)  Use an ice collar for pain 
E)  Drink at least 1 L of fluid per day
F) Offer chewing gum
G) Provide orange juice at least once per day

Question 5

Cardiopulmonary resuscitation is begun on a toddler.Which pulse is usually palpated because it is the most central and accessible?

Accepted Answer

A)  Radial 
B)  Carotid 
C)  Femoral 
D)  Brachial 
A)  Radial 
B)  Carotid 
C)  Femoral 
D)  Brachial

Question 6

Which is a common trigger for the development of asthma in infants?

Accepted Answer

A)  Medications 
B)  A viral infection 
C)  Exposure to cold air 
D)  Allergy to dust or dust mites 
A)  Medications 
B)  A viral infection 
C)  Exposure to cold air 
D)  Allergy to dust or dust mites

Question 7

When do physicians generally recommend that a child with acute streptococcal pharyngitis can return to school?

Accepted Answer

A)  When the sore throat is better 
B)  If no complications develop 
C)  After taking antibiotics for 24 hours 
D)  After taking antibiotics for 3 days 
A)  When the sore throat is better 
B)  If no complications develop 
C)  After taking antibiotics for 24 hours 
D)  After taking antibiotics for 3 days

Question 8

What sentence below best describes why children have fewer respiratory tract infections as they grow older?

Accepted Answer

A)  The amount of lymphoid tissue decreases. 
B)  Repeated exposure to organisms causes increased immunity. 
C)  Viral organisms are less prevalent in the population. 
D)  Secondary infections rarely occur after viral illnesses. 
A)  The amount of lymphoid tissue decreases. 
B)  Repeated exposure to organisms causes increased immunity. 
C)  Viral organisms are less prevalent in the population. 
D)  Secondary infections rarely occur after viral illnesses.

Question 9

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (DNase).Which is true about this drug?

Accepted Answer

A)  It may cause mucus to thicken. 
B)  It may cause voice alterations. 
C)  It is given subcutaneously. 
D)  It is not indicated for children younger than 12 years. 
A)  It may cause mucus to thicken. 
B)  It may cause voice alterations. 
C)  It is given subcutaneously. 
D)  It is not indicated for children younger than 12 years.

Question 10

The mother of a toddler yells to the nurse,"Help! He is choking to death on his food." What finding causes the nurse to determine that life-saving measures are necessary?

Accepted Answer

A)  Gagging 
B)  Coughing 
C)  Pulse over 100 beats/min 
D)  Inability to speak 
A)  Gagging 
B)  Coughing 
C)  Pulse over 100 beats/min 
D)  Inability to speak

Question 11

What should a nurse know when administering pancreatic enzymes to a child with cystic fibrosis?

Accepted Answer

A)  Do not administer pancreatic enzymes if the child is receiving antibiotics. 
B)  Decrease the dose of pancreatic enzymes if the child is having frequent,bulky stools. 
C)  Administer pancreatic enzymes between meals,if at all possible. 
D)  Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal. 
A)  Do not administer pancreatic enzymes if the child is receiving antibiotics. 
B)  Decrease the dose of pancreatic enzymes if the child is having frequent,bulky stools. 
C)  Administer pancreatic enzymes between meals,if at all possible. 
D)  Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.

Question 12

Which type of croup is always considered a medical emergency?

Accepted Answer

A)  Laryngitis 
B)  Epiglottitis 
C)  Spasmodic croup 
D)  Laryngotracheobronchitis (LT
B)  
A)  Laryngitis 
B)  Epiglottitis 
C)  Spasmodic croup 
D)  Laryngotracheobronchitis (LT
B)

Question 13

Which are true in relation to the influenza vaccination? Select all that apply.Express answer in small numbers followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Annual vaccination is recommended for all children age 6 months or older. 
B)  Vaccination is not recommended for immunocompromised children. 
C)  Trivalent vaccines are preferred over quadrivalent vaccines. 
D)  Children with neurological disorders are high risk and should have an annual vaccination. 
E)  Children aged 6 months to 8 years receive their initial vaccine in two doses,4 weeks apart.
F) Indigenous peoples are identified as high risk and should receive annual vaccinations. 
A)  Annual vaccination is recommended for all children age 6 months or older. 
B)  Vaccination is not recommended for immunocompromised children. 
C)  Trivalent vaccines are preferred over quadrivalent vaccines. 
D)  Children with neurological disorders are high risk and should have an annual vaccination. 
E)  Children aged 6 months to 8 years receive their initial vaccine in two doses,4 weeks apart.
F) Indigenous peoples are identified as high risk and should receive annual vaccinations.

Question 14

Which should be frequently assessed in children with asthma who are taking long-term inhaled steroids?

Accepted Answer

A)  Cough 
B)  Osteoporosis 
C)  Slowed growth 
D)  Cushing's syndrome 
A)  Cough 
B)  Osteoporosis 
C)  Slowed growth 
D)  Cushing's syndrome

Question 15

The nurse is caring for a 10-month-old infant with mild acute respiratory distress syndrome (ARDS).Which initial intervention should be included in the child's care?

Accepted Answer

A)  Place in a mist tent. 
B)  Administer antibiotics. 
C)  Administer cough syrup. 
D)  Place on noninvasive oxygen monitoring. 
A)  Place in a mist tent. 
B)  Administer antibiotics. 
C)  Administer cough syrup. 
D)  Place on noninvasive oxygen monitoring.

Exam 45: Respiratory Dysfunction

When teaching a parent group about respiratory complications,which symptom should be reported to the health care provider?

The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours.What action should the nurse include in the child's postoperative care plan?

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection.Which instruction for nose drops should be included when teaching the parent?

When doing discharge teaching with parents of a 9-year-old child who had a tonsillectomy 10 hours ago,which will the nurse include? Select all that apply.Express answer in small numbers followed by a comma and a space-e.g. ,a,b,c

Cardiopulmonary resuscitation is begun on a toddler.Which pulse is usually palpated because it is the most central and accessible?

Which is a common trigger for the development of asthma in infants?

When do physicians generally recommend that a child with acute streptococcal pharyngitis can return to school?

What sentence below best describes why children have fewer respiratory tract infections as they grow older?

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (DNase).Which is true about this drug?

The mother of a toddler yells to the nurse,"Help! He is choking to death on his food." What finding causes the nurse to determine that life-saving measures are necessary?

What should a nurse know when administering pancreatic enzymes to a child with cystic fibrosis?

Which type of croup is always considered a medical emergency?

Which are true in relation to the influenza vaccination? Select all that apply.Express answer in small numbers followed by a comma and a space-e.g. ,a,b,c

Which should be frequently assessed in children with asthma who are taking long-term inhaled steroids?

The nurse is caring for a 10-month-old infant with mild acute respiratory distress syndrome (ARDS).Which initial intervention should be included in the child's care?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological or Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

Filters