Question 1

A parent whose two school-age children have asthma asks the nurse in what sports,if any,they can participate. The nurse should recommend:

Accepted Answer

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

Question 2

Which drug is considered the most useful in 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 3

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 4

b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. What is their action?

Accepted Answer

A) Liquefy secretions. 
B) Dilate the bronchioles. 
C) Reduce inflammation of the lungs. 
D) Reduce infection. 
A) Liquefy secretions. 
B) Dilate the bronchioles. 
C) Reduce inflammation of the lungs. 
D) Reduce infection.

Question 5

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 6

The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant:

Accepted Answer

A) Becomes fussy. 
B) Has a cough. 
C) Has a fever over 99° F. 
D) Shows signs of an earache. 
A) Becomes fussy. 
B) Has a cough. 
C) Has a fever over 99° F. 
D) Shows signs of an earache.

Question 7

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 8

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 9

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 10

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 11

The nurse is caring for a child with carbon monoxide (CO) poisoning associated with smoke inhalation. What is essential in this child's care?

Accepted Answer

A) Monitor pulse oximetry. 
B) Monitor arterial blood gases. 
C) Administer oxygen if respiratory distress develops. 
D) Administer oxygen if child's lips become bright,cherry red. 
A) Monitor pulse oximetry. 
B) Monitor arterial blood gases. 
C) Administer oxygen if respiratory distress develops. 
D) Administer oxygen if child's lips become bright,cherry red.

Question 12

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase). This drug:

Accepted Answer

A) May cause mucus to thicken. 
B) May cause voice alterations. 
C) Is given subcutaneously. 
D) Is not indicated for children younger than 12 years. 
A) May cause mucus to thicken. 
B) May cause voice alterations. 
C) Is given subcutaneously. 
D) Is not indicated for children younger than 12 years.

Question 13

The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include:

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 14

A school-age child has 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. This is 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 15

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 16

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include:

Accepted Answer

A) Avoiding use for more than 3 days. 
B) Keeping drops to use again for nasal congestion. 
C) Administering drops until nasal congestion subsides. 
D) Administering drops after feedings and at bedtime. 
A) Avoiding use for more than 3 days. 
B) Keeping drops to use again for nasal congestion. 
C) Administering drops until nasal congestion subsides. 
D) Administering drops after feedings and at bedtime.

Question 17

Skin testing for tuberculosis (the Mantoux test) is 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 18

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 19

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because they may develop:

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 20

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.

Exam 46: Respiratory Dysfunction

A parent whose two school-age children have asthma asks the nurse in what sports,if any,they can participate. The nurse should recommend:

Which drug is considered the most useful in treating cardiac arrest?

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

b-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. What is their action?

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

The parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant:

Which type of croup is always considered a medical emergency?

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

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

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

The nurse is caring for a child with carbon monoxide (CO) poisoning associated with smoke inhalation. What is essential in this child's care?

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (rhDNase). This drug:

The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include:

A school-age child has 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. This is most suggestive of:

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

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include:

Skin testing for tuberculosis (the Mantoux test) is recommended:

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

It is now recommended that children with asthma who are taking long-term inhaled steroids should be assessed frequently because they may develop:

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:

Contemporary Maternity Nursing

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Labor and Birth at Risk

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic 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

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

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to 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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