Question 1

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 B

Question 2

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection.Which one of the following instructions 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. A

Question 3

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 congestive heart failure. 
D)  Nursing care should include administration of narcotics. 
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 congestive heart failure. 
D)  Nursing care should include administration of narcotics. A

Question 4

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 5

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase).Which of the following statements 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 6

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 7

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

Question 8

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 9

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 10

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 11

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 lifesaving 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 12

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

Question 13

When is skin testing for tuberculosis (the Mantoux test)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 14

The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant exhibits which one of the following symptoms?

Accepted Answer

A)  Becomes fussy 
B)  Has a cough 
C)  Has a fever for more than 10 days 
D)  Shows signs of an earache 
A)  Becomes fussy 
B)  Has a cough 
C)  Has a fever for more than 10 days 
D)  Shows signs of an earache

Question 15

Which drug is considered to be the most useful for treating cardiac arrest?

Accepted Answer

A)  Bretylium 
B)  Lidocaine hydrochloride 
C)  Epinephrine hydrochloride 
D)  Naloxone (Narcan) 
A)  Bretylium 
B)  Lidocaine hydrochloride 
C)  Epinephrine hydrochloride 
D)  Naloxone (Narcan)

Question 16

The Heimlich manoeuvre is 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 17

Which intervention should be used when providing care to a child diagnosed with Avian influenza?

Accepted Answer

A)  A clear liquid diet for hydration 
B)  Aspirin to control fever 
C)  Amantadine hydrochloride to reduce symptoms 
D)  Antibiotics to prevent bacterial infection 
A)  A clear liquid diet for hydration 
B)  Aspirin to control fever 
C)  Amantadine hydrochloride to reduce symptoms 
D)  Antibiotics to prevent bacterial infection

Question 18

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

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 19

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)  It is a genetic defect found primarily in non-White population groups. 
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)  It is a genetic defect found primarily in non-White population groups. 
D)  There is a 50% chance that siblings of an affected child will also be affected.

Question 20

Which statement 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.

Exam 46: Respiratory Dysfunction

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

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

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

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

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase).Which of the following statements is true about this drug?

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

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?

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?

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

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

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 lifesaving measures are necessary?

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

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

The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant exhibits which one of the following symptoms?

Which drug is considered to be the most useful for treating cardiac arrest?

The Heimlich manoeuvre is recommended for airway obstruction in children older than which age?

Which intervention should be used when providing care to a child diagnosed with Avian influenza?

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

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

Which statement best describes acute otitis media (AOM)?

Contemporary Perinatal Nursing in Canada

The Family and Culture

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Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

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Maternal Physiological Changes

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Transition to Parenthood

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