Question 1

Which vitamin supplements are necessary for children with cystic fibrosis?

Accepted Answer

A)  Vitamin C and calcium 
B)  Vitamins B6 and B12 
C)  Magnesium 
D)  Vitamins A, D, E, and K 
A)  Vitamin C and calcium 
B)  Vitamins B6 and B12 
C)  Magnesium 
D)  Vitamins A, D, E, and K D

Question 2

What distinguishing manifestation of spasmodic croup should parents be taught to identify?

Accepted Answer

A)  Wheezing is heard audibly 
B)  It has a harsh, barky cough 
C)  It is bacterial in nature 
D)  The child has a high fever 
A)  Wheezing is heard audibly 
B)  It has a harsh, barky cough 
C)  It is bacterial in nature 
D)  The child has a high fever B

Question 3

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB)to stay at the bedside as much as possible.What is the nurse's primary rationale for this action?

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. B

Question 4

A parent whose two school-age children diagnosed with exercise-induced bronchospasm (EIB)asks the nurse in what sports,if any,they can participate.The nurse should recommend which sport?

Accepted Answer

A)  Soccer 
B)  Running 
C)  Swimming 
D)  Basketball 
A)  Soccer 
B)  Running 
C)  Swimming 
D)  Basketball

Question 5

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-Caucasian population groups. 
D)  There is a 50% chance that siblings of an affected child also will 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-Caucasian population groups. 
D)  There is a 50% chance that siblings of an affected child also will be affected.

Question 6

When caring for an infant with an upper respiratory tract infection and elevated temperature,which appropriate nursing intervention should the nurse implement?

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 7

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

Accepted Answer

A)  Administer antibiotics 
B)  Administer cough syrup 
C)  Encourage infant to drink 8 ounces of formula every 4 hours 
D)  Institute cluster care to encourage adequate rest 
E)  Place on noninvasive oxygen monitoring 
A)  Administer antibiotics 
B)  Administer cough syrup 
C)  Encourage infant to drink 8 ounces of formula every 4 hours 
D)  Institute cluster care to encourage adequate rest 
E)  Place on noninvasive oxygen monitoring

Question 8

Parents have understood teaching about prevention of childhood otitis media if they make which statement?

Accepted Answer

A)  "We will only prop the bottle during the daytime feedings." 
B)  "Breastfeeding will be discontinued after 4 months of age." 
C)  "We will place the child flat right after feedings." 
D)  "We will be sure to keep immunizations up to date." 
A)  "We will only prop the bottle during the daytime feedings." 
B)  "Breastfeeding will be discontinued after 4 months of age." 
C)  "We will place the child flat right after feedings." 
D)  "We will be sure to keep immunizations up to date."

Question 9

b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack for what resulting action?

Accepted Answer

A)  Liquefaction of secretions 
B)  Dilation of the bronchioles 
C)  Reduction of inflammation of the lungs 
D)  Reduction of existing infection 
A)  Liquefaction of secretions 
B)  Dilation of the bronchioles 
C)  Reduction of inflammation of the lungs 
D)  Reduction of existing infection

Question 10

An 18-month-old child is seen in the clinic is diagnosed with acute otitis media (AOM).Oral amoxicillin is prescribed.Which statement made by the parent indicates a correct understanding of the instructions?

Accepted Answer

A)  "I should administer all the prescribed medication." 
B)  "I should continue medication until the symptoms subside." 
C)  "I will immediately stop giving medication if I notice a change in hearing." 
D)  "I will stop giving medication if fever is still present in 24 hours." 
A)  "I should administer all the prescribed medication." 
B)  "I should continue medication until the symptoms subside." 
C)  "I will immediately stop giving medication if I notice a change in hearing." 
D)  "I will stop giving medication if fever is still present in 24 hours."

Question 11

Which information should the nurse stress to workers at a day care center about respiratory syncytial virus (RSV)?

Accepted Answer

A)  RSV is transmitted through particles in the air. 
B)  RSV can live on skin or paper for up to a few seconds after contact. 
C)  RSV can survive on nonporous surfaces for about 60 minutes. 
D)  Frequent hand washing can decrease the spread of the virus. 
A)  RSV is transmitted through particles in the air. 
B)  RSV can live on skin or paper for up to a few seconds after contact. 
C)  RSV can survive on nonporous surfaces for about 60 minutes. 
D)  Frequent hand washing can decrease the spread of the virus.

Question 12

Why do infants and young children quickly have respiratory distress in acute and chronic alterations of the respiratory system?

Accepted Answer

A)  They have a widened, shorter airway. 
B)  There is a defect in their sucking ability. 
C)  The gag reflex increases mucus production. 
D)  Mucus and edema obstruct small airways. 
A)  They have a widened, shorter airway. 
B)  There is a defect in their sucking ability. 
C)  The gag reflex increases mucus production. 
D)  Mucus and edema obstruct small airways.

Question 13

A nurse is conducting an in-service on asthma.Which statement is the most descriptive of bronchial asthma?

Accepted Answer

A)  There is heightened airway reactivity. 
B)  There is decreased resistance in the airway. 
C)  The single cause of asthma is an allergic hypersensitivity. 
D)  It is inherited. 
A)  There is heightened airway reactivity. 
B)  There is decreased resistance in the airway. 
C)  The single cause of asthma is an allergic hypersensitivity. 
D)  It is inherited.

Question 14

A child has a chronic,nonproductive cough and diffuse wheezing during the expiratory phase of respiration.This suggests which respiratory condition?

Accepted Answer

A)  Asthma 
B)  Pneumonia 
C)  Bronchiolitis 
D)  Foreign body in the trachea 
A)  Asthma 
B)  Pneumonia 
C)  Bronchiolitis 
D)  Foreign body in the trachea

Question 15

The nurse is caring for a child diagnosed with acute respiratory distress syndrome (ARDS)associated with sepsis.What nursing intervention should be included in the plan of 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 16

Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?

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.

Question 17

An infant's parents ask the nurse about preventing otitis media (OM).What intervention 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 18

What nursing intervention should be included in the plan of care for a young child diagnosed with pneumonia?

Accepted Answer

A)  Monitor for abdominal pain 
B)  Encourage the child to lie on the unaffected side 
C)  Administer analgesics 
D)  Place the child in the Trendelenburg position 
A)  Monitor for abdominal pain 
B)  Encourage the child to lie on the unaffected side 
C)  Administer analgesics 
D)  Place the child in the Trendelenburg position

Question 19

When it is generally recommended that a child being treated for acute streptococcal pharyngitis may 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 20

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

Exam 40: The Child With Respiratory Dysfunction

Which vitamin supplements are necessary for children with cystic fibrosis?

What distinguishing manifestation of spasmodic croup should parents be taught to identify?

The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB)to stay at the bedside as much as possible.What is the nurse's primary rationale for this action?

A parent whose two school-age children diagnosed with exercise-induced bronchospasm (EIB)asks the nurse in what sports,if any,they can participate.The nurse should recommend which sport?

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

When caring for an infant with an upper respiratory tract infection and elevated temperature,which appropriate nursing intervention should the nurse implement?

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

Parents have understood teaching about prevention of childhood otitis media if they make which statement?

b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack for what resulting action?

An 18-month-old child is seen in the clinic is diagnosed with acute otitis media (AOM).Oral amoxicillin is prescribed.Which statement made by the parent indicates a correct understanding of the instructions?

Which information should the nurse stress to workers at a day care center about respiratory syncytial virus (RSV)?

Why do infants and young children quickly have respiratory distress in acute and chronic alterations of the respiratory system?

A nurse is conducting an in-service on asthma.Which statement is the most descriptive of bronchial asthma?

A child has a chronic,nonproductive cough and diffuse wheezing during the expiratory phase of respiration.This suggests which respiratory condition?

The nurse is caring for a child diagnosed with acute respiratory distress syndrome (ARDS)associated with sepsis.What nursing intervention should be included in the plan of care?

Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?

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

What nursing intervention should be included in the plan of care for a young child diagnosed with pneumonia?

When it is generally recommended that a child being treated for acute streptococcal pharyngitis may return to school?

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?

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum 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 and Physical Assessment of the Child and Family

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

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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