Question 1

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 2

The nurse is caring for a child with acute respiratory distress syndrome (ARDS)associated with sepsis.Which of the following nursing actions 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 3

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 4

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 5

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV)bronchiolitis.Which 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 non-invasive oxygen monitoring. 
A)  Place in a mist tent. 
B)  Administer antibiotics. 
C)  Administer cough syrup. 
D)  Place on non-invasive oxygen monitoring.

Question 6

A child has a chronic,non-productive 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 7

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 post-operative 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 8

Which type of croup is always considered a medical emergency?

Accepted Answer

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

Question 9

Chronic otitis media with effusion (OME)is different from acute otitis media (AOM)because OME is usually characterized by which one of the following?

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

Question 10

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 11

b-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 12

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 13

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.

Question 14

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because they may develop which one of the following?

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

Asthma in infants is usually triggered by which of the following?

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

Exam 46: Respiratory Dysfunction

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?

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

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

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

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV)bronchiolitis.Which intervention should be included in the child's care?

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

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 post-operative care plan?

Which type of croup is always considered a medical emergency?

Chronic otitis media with effusion (OME)is different from acute otitis media (AOM)because OME is usually characterized by which one of the following?

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?

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

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

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

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because they may develop which one of the following?

Asthma in infants is usually triggered by which of the following?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

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, disability, 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 and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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