Question 1

A toddler must maintain bed rest for the diagnosis of pneumonia.What actions will the nurse implement?

Accepted Answer

A)  Maintain strict bed rest. 
B)  Consider age. 
C)  Assess developmental level. 
D)  Implement light play activities. 
E)  Provide hypnotic medication as ordered. 
A)  Maintain strict bed rest. 
B)  Consider age. 
C)  Assess developmental level. 
D)  Implement light play activities. 
E)  Provide hypnotic medication as ordered. B,C,D

Question 2

The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely.What does the nurse recognize as the cause of these symptoms?

Accepted Answer

A)  Severe asthma attack 
B)  Allergic response to theophylline 
C)  Onset of bronchitis 
D)  Drug toxicity 
A)  Severe asthma attack 
B)  Allergic response to theophylline 
C)  Onset of bronchitis 
D)  Drug toxicity D

Question 3

The nurse reports which assessments that suggest a meconium ileus in a newborn?

Accepted Answer

A)  Abdominal distention 
B)  Vomiting 
C)  Hiccoughing 
D)  Jaundice 
E)  Absence of stool 
A)  Abdominal distention 
B)  Vomiting 
C)  Hiccoughing 
D)  Jaundice 
E)  Absence of stool A,B,E

Question 4

What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?

Accepted Answer

A)  Acetaminophen and plenty of fluids 
B)  Oral penicillin for 10 days 
C)  Penicillin until his sore throat is gone 
D)  Streptococcus immunization 
A)  Acetaminophen and plenty of fluids 
B)  Oral penicillin for 10 days 
C)  Penicillin until his sore throat is gone 
D)  Streptococcus immunization

Question 5

An infant is hospitalized with RSV bronchiolitis.What is the priority nursing diagnosis?

Accepted Answer

A)  Fatigue related to increased work of breathing 
B)  Ineffective breathing pattern related to airway inflammation and increased secretions 
C)  Risk for fluid volume deficit related to tachypnea and decreased oral intake 
D)  Fear and/or anxiety related to dyspnea and hospitalization 
A)  Fatigue related to increased work of breathing 
B)  Ineffective breathing pattern related to airway inflammation and increased secretions 
C)  Risk for fluid volume deficit related to tachypnea and decreased oral intake 
D)  Fear and/or anxiety related to dyspnea and hospitalization

Question 6

Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?

Accepted Answer

A)  Provide chest physiotherapy before meals every day. 
B)  Assess weight monthly. 
C)  Administer pancrease with protein food at mealtime. 
D)  Ensure high-protein, high-calorie diet. 
A)  Provide chest physiotherapy before meals every day. 
B)  Assess weight monthly. 
C)  Administer pancrease with protein food at mealtime. 
D)  Ensure high-protein, high-calorie diet.

Question 7

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS).What significant information would the nurse include?

Accepted Answer

A)  Wrapping the infant snugly for rest periods 
B)  Positioning the infant prone for sleep 
C)  Sitting the infant up in an infant seat 
D)  Placing infants on their backs or sides for sleep 
A)  Wrapping the infant snugly for rest periods 
B)  Positioning the infant prone for sleep 
C)  Sitting the infant up in an infant seat 
D)  Placing infants on their backs or sides for sleep

Question 8

What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include?

Accepted Answer

A)  Inhale deeply through nose with mouth closed. 
B)  Make exhalation twice as long as inhalation. 
C)  Use medicated inhaler prior to performing breathing exercise. 
D)  Exhale through mouth as if whistling. 
E)  Exhale forcefully. 
A)  Inhale deeply through nose with mouth closed. 
B)  Make exhalation twice as long as inhalation. 
C)  Use medicated inhaler prior to performing breathing exercise. 
D)  Exhale through mouth as if whistling. 
E)  Exhale forcefully.

Question 9

Which statement indicates that the child's parents understand how to perform respiratory therapy?

Accepted Answer

A)  "We do her postural drainage before the aerosol therapy." 
B)  "We give her respiratory treatments when she is coughing a lot." 
C)  "We give the aerosol followed by postural drainage before meals." 
D)  "She needs respiratory therapy every day when she has an infection." 
A)  "We do her postural drainage before the aerosol therapy." 
B)  "We give her respiratory treatments when she is coughing a lot." 
C)  "We give the aerosol followed by postural drainage before meals." 
D)  "She needs respiratory therapy every day when she has an infection."

Question 10

After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications,the nurse explains that routine immunizations will need to be delayed for _______ months.

Accepted Answer

9
After a protocol of antivira

Question 11

What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?

Accepted Answer

A)  Before exercise to prevent attacks 
B)  At the initial onset of the attack 
C)  During the attack to relieve symptoms 
D)  As often as 4 times a day 
A)  Before exercise to prevent attacks 
B)  At the initial onset of the attack 
C)  During the attack to relieve symptoms 
D)  As often as 4 times a day

Question 12

The nurse is caring for a 4-year-old child diagnosed with H.influenzae type B.Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis?

Accepted Answer

A)  Harsh cough 
B)  Restlessness 
C)  Edematous epiglottis 
D)  Child insists on lying down 
E)  Drooling 
A)  Harsh cough 
B)  Restlessness 
C)  Edematous epiglottis 
D)  Child insists on lying down 
E)  Drooling

Question 13

What will the nurse discourage when providing education to parents of a child with asthma?

Accepted Answer

A)  Stuffed toys 
B)  Pet ownership 
C)  Gymnastics 
D)  Basketball 
E)  Cotton blankets 
A)  Stuffed toys 
B)  Pet ownership 
C)  Gymnastics 
D)  Basketball 
E)  Cotton blankets

Question 14

The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.

Accepted Answer

chemoreceptors
Chemoreceptors can sense

Question 15

The nurse reviews Accolate and Zyflo,which are _______________ _______________; they are capable of blocking the inflammatory response as well as providing bronchodilation.

Accepted Answer

leukotriene modifiers
The leuk

Question 16

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

Accepted Answer

A)  Pancreatic enzymes 
B)  Water-soluble minerals 
C)  Fat-soluble vitamins 
D)  Salt supplements 
A)  Pancreatic enzymes 
B)  Water-soluble minerals 
C)  Fat-soluble vitamins 
D)  Salt supplements

Question 17

When auscultating breath sounds of an infant with respiratory syncytial virus,which assessment would the nurse immediately report?

Accepted Answer

A)  Respiration rate decrease from 40 to 32 breaths/min 
B)  Heart rate decrease from 110 to 100 beats/min 
C)  "Quiet chest" from previous assessment of wheezing 
D)  Oxygen saturation of 90% 
A)  Respiration rate decrease from 40 to 32 breaths/min 
B)  Heart rate decrease from 110 to 100 beats/min 
C)  "Quiet chest" from previous assessment of wheezing 
D)  Oxygen saturation of 90%

Question 18

Place the three stages of smoke inhalation injury in the correct order (first to last).Put a comma and space between each answer choice (a,b,c,d,etc.)

Accepted Answer

A)  Bronchopneumonia 
B)  Pulmonary insufficiency 
C)  Pulmonary edema 
A)  Bronchopneumonia 
B)  Pulmonary insufficiency 
C)  Pulmonary edema

Question 19

The parents of a 3-month-old infant with cystic fibrosis (CF)want to know how their child got this disease,because no one in either of their families has CF.What is the nurse's best response based on the understanding of CF?

Accepted Answer

A)  Only one parent carries the CF gene. 
B)  Both parents are carriers of the CF gene. 
C)  The inheritance pattern is multifactorial. 
D)  The result is probably a genetic mutation. 
A)  Only one parent carries the CF gene. 
B)  Both parents are carriers of the CF gene. 
C)  The inheritance pattern is multifactorial. 
D)  The result is probably a genetic mutation.

Question 20

The nurse describes the "allergic salute" as a cluster of what signs related to chronic allergy?

Accepted Answer

A)  Mouth breathing 
B)  Transverse nasal crease 
C)  Dark circles under the eyes 
D)  Productive cough 
E)  Reddened conjunctiva 
A)  Mouth breathing 
B)  Transverse nasal crease 
C)  Dark circles under the eyes 
D)  Productive cough 
E)  Reddened conjunctiva

Exam 25: The Child with a Respiratory Disorder

A toddler must maintain bed rest for the diagnosis of pneumonia.What actions will the nurse implement?

The asthmatic child who has been taking theophylline complains of stomachache and tachycardia and is sweating profusely.What does the nurse recognize as the cause of these symptoms?

The nurse reports which assessments that suggest a meconium ileus in a newborn?

What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus that the treatment is most likely to be?

An infant is hospitalized with RSV bronchiolitis.What is the priority nursing diagnosis?

Which is the most appropriate nursing action when planning care for a child with cystic fibrosis?

The nurse is planning to teach parents about preventing sudden infant death syndrome (SIDS).What significant information would the nurse include?

What would the nurse teaching an asthmatic child the technique of pursed-lip breathing include?

Which statement indicates that the child's parents understand how to perform respiratory therapy?

After the 3-month-old child with respiratory syncytial virus is given a protocol of antiviral medications,the nurse explains that routine immunizations will need to be delayed for _______ months.

What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale Cromolyn?

The nurse is caring for a 4-year-old child diagnosed with H.influenzae type B.Which signs and symptoms exhibited by the child would alert the nurse to suspect epiglottitis?

What will the nurse discourage when providing education to parents of a child with asthma?

The nurse explains that the ____________________ can sense the oxygen concentration in the blood and signal the brainstem to increase respiration.

The nurse reviews Accolate and Zyflo,which are _______________ _______________; they are capable of blocking the inflammatory response as well as providing bronchodilation.

What will the nurse teach the child with cystic fibrosis to take in order to facilitate digestion and absorption of nutrients?

When auscultating breath sounds of an infant with respiratory syncytial virus,which assessment would the nurse immediately report?

Place the three stages of smoke inhalation injury in the correct order (first to last).Put a comma and space between each answer choice (a,b,c,d,etc.)

The parents of a 3-month-old infant with cystic fibrosis (CF)want to know how their child got this disease,because no one in either of their families has CF.What is the nurse's best response based on the understanding of CF?

The nurse describes the "allergic salute" as a cluster of what signs related to chronic allergy?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Cardiovascular Disorder

The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

The nurse reviews Accolate and Zyflo,which are _ _; they are capable of blocking the inflammatory response as well as providing bronchodilation.