Question 1

An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)

Accepted Answer

A)  Cluster care to conserve energy 
B)  Round-the-clock administration of antitussive agents 
C)  Strict intake and output to avoid congestive heart failure 
D)  Administration of antibiotics 
A)  Cluster care to conserve energy 
B)  Round-the-clock administration of antitussive agents 
C)  Strict intake and output to avoid congestive heart failure 
D)  Administration of antibiotics

Question 2

Parents of two school-age children with asthma ask the nurse, "What sports can our children participate in?" 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 3

Pancreatic enzymes are administered to the child with cystic fibrosis (CF). What nursing considerations should be included?

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 4

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 5

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 6

A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?

Accepted Answer

A)  Nonproductive cough, wheezing 
B)  Fever, general malaise 
C)  Productive cough, rales 
D)  Stridor, substernal retractions 
A)  Nonproductive cough, wheezing 
B)  Fever, general malaise 
C)  Productive cough, rales 
D)  Stridor, substernal retractions

Question 7

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 8

A nurse is caring for a child in acute respiratory failure. Which blood gas analysis indicates the child is still in respiratory acidosis?

Accepted Answer

A)  pH 7.50, CO2 48 
B)  pH 7.30, CO2 30 
C)  pH 7.32, CO2 50 
D)  pH 7.48, CO2 33 
A)  pH 7.50, CO2 48 
B)  pH 7.30, CO2 30 
C)  pH 7.32, CO2 50 
D)  pH 7.48, CO2 33

Question 9

Which frequency is recommended for childhood skin testing for tuberculosis (TB) using the Mantoux test?

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 10

Which explains why cool-mist vaporizers rather than steam vaporizers are recommended in home treatment of childhood respiratory tract infections?

Accepted Answer

A)  They are safer. 
B)  They are less expensive. 
C)  Respiratory secretions are dried. 
D)  A more comfortable environment is produced. 
A)  They are safer. 
B)  They are less expensive. 
C)  Respiratory secretions are dried. 
D)  A more comfortable environment is produced.

Question 11

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

Accepted Answer

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

Exam 21: The Child with Respiratory Dysfunction

An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which interventions? (Select all that apply.)

Parents of two school-age children with asthma ask the nurse, "What sports can our children participate in?" The nurse should recommend which sport?

Pancreatic enzymes are administered to the child with cystic fibrosis (CF). What nursing considerations should be included?

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

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

A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?

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

A nurse is caring for a child in acute respiratory failure. Which blood gas analysis indicates the child is still in respiratory acidosis?

Which frequency is recommended for childhood skin testing for tuberculosis (TB) using the Mantoux test?

Which explains why cool-mist vaporizers rather than steam vaporizers are recommended in home treatment of childhood respiratory tract infections?

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

Perspectives of 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

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

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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