Question 1

Which statement 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. B

Question 2

It is generally recommended 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. C

Question 3

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. A

Question 4

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

Question 5

A nurse is interpreting the results of a tuberculin skin test (TST)on an adolescent who is human immunodeficiency virus (HIV)positive.Which induration size indicates a positive result for this child 48 to 72 hours after the test?

Accepted Answer

A) 5 mm 
B) 10 mm 
C) 15 mm 
D) 20 mm 
A) 5 mm 
B) 10 mm 
C) 15 mm 
D) 20 mm

Question 6

A child with cystic fibrosis (CF)receives aerosolized bronchodilator medication.When should this medication be administered?

Accepted Answer

A) Before chest physiotherapy (CPT) 
B) After CPT 
C) Before receiving 100% oxygen 
D) After receiving 100% oxygen 
A) Before chest physiotherapy (CPT) 
B) After CPT 
C) Before receiving 100% oxygen 
D) After receiving 100% oxygen

Question 7

The mother of a toddler yells to the nurse,"Help! He is choking to death on his food." The nurse determines that lifesaving measures are necessary based on:

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 8

Which consideration is the most important in managing tuberculosis (TB)in children?

Accepted Answer

A) Skin testing annually 
B) Pharmacotherapy 
C) Adequate nutrition 
D) Adequate hydration 
A) Skin testing annually 
B) Pharmacotherapy 
C) Adequate nutrition 
D) Adequate hydration

Question 9

Cystic fibrosis (CF)is suspected in a toddler.Which test is essential in establishing 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 10

The nurse is assessing a child with acute epiglottitis.Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?

Accepted Answer

A) Inspiratory stridor 
B) Complete obstruction 
C) Sore throat 
D) Respiratory tract infection 
A) Inspiratory stridor 
B) Complete obstruction 
C) Sore throat 
D) Respiratory tract infection

Question 11

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 12

An appropriate nursing intervention when caring for a child with pneumonia is to:

Accepted Answer

A) Encourage rest. 
B) Encourage the child to lie on the unaffected side. 
C) Administer analgesics. 
D) Place the child in the Trendelenburg position. 
A) Encourage rest. 
B) Encourage the child to lie on the unaffected side. 
C) Administer analgesics. 
D) Place the child in the Trendelenburg position.

Question 13

When caring for an infant with an upper respiratory tract infection and elevated temperature,an appropriate nursing intervention is to:

Accepted Answer

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

Question 14

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 15

A nurse is charting that a hospitalized child has labored breathing.Which describes labored breathing?

Accepted Answer

A) Dyspnea 
B) Tachypnea 
C) Hypopnea 
D) Orthopnea 
A) Dyspnea 
B) Tachypnea 
C) Hypopnea 
D) Orthopnea

Question 16

Which intervention for treating croup at home should be taught to parents?

Accepted Answer

A) Have a decongestant available to give the child when an attack occurs. 
B) Have the child sleep in a dry room. 
C) Take the child outside. 
D) Give the child an antibiotic at bedtime. 
A) Have a decongestant available to give the child when an attack occurs. 
B) Have the child sleep in a dry room. 
C) Take the child outside. 
D) Give the child an antibiotic at bedtime.

Question 17

Which information should the nurse teach families about reducing exposure to pollens and dust (Select all that apply)?

Accepted Answer

A) Replace wall-to-wall carpeting with wood and tile floors. 
B) Use an air conditioner. 
C) Put dust-proof covers on pillows and mattresses. 
D) Keep humidity in the house above 60%. 
E) Keep pets outside. 
A) Replace wall-to-wall carpeting with wood and tile floors. 
B) Use an air conditioner. 
C) Put dust-proof covers on pillows and mattresses. 
D) Keep humidity in the house above 60%. 
E) Keep pets outside.

Question 18

Which statement is characteristic of 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 is treated with a broad range of antibiotics. 
A) The etiology is unknown. 
B) Permanent hearing loss often results. 
C) It can be treated by intramuscular antibiotics. 
D) It is treated with a broad range of antibiotics.

Question 19

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible.The nurse's rationale for this action is primarily that:

Accepted Answer

A) Mothers of hospitalized toddlers often experience guilt. 
B) The mother's presence will reduce anxiety and ease the child's 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 anxiety and ease the child's 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 20

Pancreatic enzymes are administered to the child with cystic fibrosis.Nursing considerations should include:

Accepted Answer

A) Do not administer pancreatic enzymes if the child is receiving antibiotics. 
B) Decrease 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 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.

Exam 40: Respiratory Dysfunction

Which statement best describes why children have fewer respiratory tract infections as they grow older?

It is generally recommended that a child with acute streptococcal pharyngitis can return to school:

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

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

A nurse is interpreting the results of a tuberculin skin test (TST)on an adolescent who is human immunodeficiency virus (HIV)positive.Which induration size indicates a positive result for this child 48 to 72 hours after the test?

A child with cystic fibrosis (CF)receives aerosolized bronchodilator medication.When should this medication be administered?

The mother of a toddler yells to the nurse,"Help! He is choking to death on his food." The nurse determines that lifesaving measures are necessary based on:

Which consideration is the most important in managing tuberculosis (TB)in children?

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

The nurse is assessing a child with acute epiglottitis.Examining the child's throat by using a tongue depressor might precipitate which symptom or condition?

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

An appropriate nursing intervention when caring for a child with pneumonia is to:

When caring for an infant with an upper respiratory tract infection and elevated temperature,an appropriate nursing intervention is to:

Which type of croup is always considered a medical emergency?

A nurse is charting that a hospitalized child has labored breathing.Which describes labored breathing?

Which intervention for treating croup at home should be taught to parents?

Which information should the nurse teach families about reducing exposure to pollens and dust (Select all that apply)?

Which statement is characteristic of acute otitis media (AOM)?

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible.The nurse's rationale for this action is primarily that:

Pancreatic enzymes are administered to the child with cystic fibrosis.Nursing considerations should include:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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