Question 1

Effective cardiopulmonary resuscitation (CPR) on a 5-year-old child should include what technique?

Accepted Answer

A)  Provide one breath to every five chest compressions. 
B)  Provide two breaths to every 30 chest compressions. 
C)  Reassess the child every 10 minutes while CPR continues. 
D)  Evaluate the child after 50 cycles of compression and ventilation. 
A)  Provide one breath to every five chest compressions. 
B)  Provide two breaths to every 30 chest compressions. 
C)  Reassess the child every 10 minutes while CPR continues. 
D)  Evaluate the child after 50 cycles of compression and ventilation. B

Question 2

The nurse is evaluating arterial blood gas results. What condition can cause an increase in PCO2?

Accepted Answer

A)  Hypoxia 
B)  Hyperventilation 
C)  Pulmonary embolism 
D)  Obstructive lung disease 
A)  Hypoxia 
B)  Hyperventilation 
C)  Pulmonary embolism 
D)  Obstructive lung disease D

Question 3

What test should the nurse do as a precautionary measure before doing an arterial puncture to obtain an arterial blood sample?

Accepted Answer

A)  Allen test 
B)  Smith test 
C)  Venipuncture 
D)  Cold compress 
A)  Allen test 
B)  Smith test 
C)  Venipuncture 
D)  Cold compress A

Question 4

A child is in uncompensated respiratory acidosis. What should the nurse expect the arterial blood gas to be?

Accepted Answer

A)  O2, 95; CO2, 45; pH, 7.40 
B)  O2, 88; CO2, 55; pH, 7.30 
C)  O2, 88; CO2, 35; pH, 7.28 
D)  O2, 92; CO2, 54; pH, 7.35 
A)  O2, 95; CO2, 45; pH, 7.40 
B)  O2, 88; CO2, 55; pH, 7.30 
C)  O2, 88; CO2, 35; pH, 7.28 
D)  O2, 92; CO2, 54; pH, 7.35

Question 5

The nurse is analyzing an arterial blood gas of pH, 7.29; PCO2, 30; and HCO3, 20. What result should the nurse document for this blood gas?

Accepted Answer

A)  Fully compensated respiratory acidosis 
B)  Partially compensated respiratory acidosis 
C)  Fully compensated metabolic acidosis 
D)  Partially compensated metabolic acidosis 
A)  Fully compensated respiratory acidosis 
B)  Partially compensated respiratory acidosis 
C)  Fully compensated metabolic acidosis 
D)  Partially compensated metabolic acidosis

Question 6

A child is in uncompensated respiratory alkalosis. What should the nurse expect the arterial blood gas to be?

Accepted Answer

A)  CO2, 30; pH, 7.50 
B)  CO2, 55; pH, 7.30 
C)  CO2, 35; pH, 7.28 
D)  CO2, 54; pH, 7.35 
A)  CO2, 30; pH, 7.50 
B)  CO2, 55; pH, 7.30 
C)  CO2, 35; pH, 7.28 
D)  CO2, 54; pH, 7.35

Question 7

The nurse is caring for a 4-year-old child who is receiving 2 L of oxygen per nasal cannula. What disadvantage should the nurse consider when planning care for the child?

Accepted Answer

A)  The child may need to have high humidity administered with the oxygen. 
B)  The child may not be able to eat and drink comfortably. 
C)  A nasal cannula may cause an accumulation of moisture on the face. 
D)  A nasal cannula may cause abdominal distention. 
A)  The child may need to have high humidity administered with the oxygen. 
B)  The child may not be able to eat and drink comfortably. 
C)  A nasal cannula may cause an accumulation of moisture on the face. 
D)  A nasal cannula may cause abdominal distention.

Question 8

Cardiopulmonary resuscitation is begun on a toddler. What 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 9

What intervention is necessary when weaning a child from the ventilator?

Accepted Answer

A)  Light sedation before scheduled extubation 
B)  No suctioning before scheduled extubation 
C)  Cool mist begun immediately after extubation 
D)  Vigorous chest physiotherapy and suctioning performed immediately after extubation 
A)  Light sedation before scheduled extubation 
B)  No suctioning before scheduled extubation 
C)  Cool mist begun immediately after extubation 
D)  Vigorous chest physiotherapy and suctioning performed immediately after extubation

Question 10

During a respiratory assessment, the nurse notes a sinking in of soft tissues relative to the cartilaginous and bony thorax. What is the term for this finding?

Accepted Answer

A)  Grunting 
B)  Tachypnea 
C)  Retractions 
D)  Nasal flaring 
A)  Grunting 
B)  Tachypnea 
C)  Retractions 
D)  Nasal flaring

Question 11

When is bronchial (postural) drainage generally performed?

Accepted Answer

A)  Before meals and at bedtime 
B)  Right before all aerosol therapy 
C)  Immediately on arising and at bedtime 
D)  Thirty minutes after meals and at bedtime 
A)  Before meals and at bedtime 
B)  Right before all aerosol therapy 
C)  Immediately on arising and at bedtime 
D)  Thirty minutes after meals and at bedtime

Question 12

The nurse is participating in a code blue on a 12-year-old child in a full respiratory arrest. The child weighs 110 lb. The health care provider has ordered an initial dose of epinephrine hydrochloride (1:10,000) given intravenously. Calculate the correct initial dose of epinephrine in mg. Record your answer using one decimal place.
_____________

Accepted Answer

0.5
The correct calculation is

Question 13

A series of subdiaphragmatic abdominal thrusts (the Heimlich maneuver) 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 14

The nurse is planning home care for a 2-year-old child with a tracheostomy. What recommendation should be included?

Accepted Answer

A)  Sterile technique is essential in home care of the tracheostomy. 
B)  Parents are able to change the tracheostomy tube when needed. 
C)  Play activities must be sedentary such as listening to music and working on puzzles. 
D)  The child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma. 
A)  Sterile technique is essential in home care of the tracheostomy. 
B)  Parents are able to change the tracheostomy tube when needed. 
C)  Play activities must be sedentary such as listening to music and working on puzzles. 
D)  The child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma.

Question 15

The nurse is reviewing factors that affect lung development. What factor delays surfactant production and maturation of alveolar cells?

Accepted Answer

A)  Thyroxine 
B)  Prolactin 
C)  Glucocorticosteroids 
D)  Excess of endogenous insulin 
A)  Thyroxine 
B)  Prolactin 
C)  Glucocorticosteroids 
D)  Excess of endogenous insulin

Question 16

The nurse must suction a 6-month-old infant with a tracheostomy. What intervention should be included?

Accepted Answer

A)  Encourage the child to cough to raise the secretions before suctioning. 
B)  Perform each pass of the suction catheter for no longer than 5 seconds. 
C)  Allow the child to rest after every five times the suction catheter is passed. 
D)  Select a catheter with a diameter three quarters of the diameter of the tracheostomy tube. 
A)  Encourage the child to cough to raise the secretions before suctioning. 
B)  Perform each pass of the suction catheter for no longer than 5 seconds. 
C)  Allow the child to rest after every five times the suction catheter is passed. 
D)  Select a catheter with a diameter three quarters of the diameter of the tracheostomy tube.

Question 17

A child is in uncompensated metabolic alkalosis. What should the nurse expect the arterial blood gas to be?

Accepted Answer

A)  HCO3, 24; pH, 7.35 
B)  HCO3, 28; pH, 7.50 
C)  HCO3, 20; pH, -7.30 
D)  HCO3, 26; pH, 7.40 
A)  HCO3, 24; pH, 7.35 
B)  HCO3, 28; pH, 7.50 
C)  HCO3, 20; pH, -7.30 
D)  HCO3, 26; pH, 7.40

Question 18

The nurse is calculating the amount of expected urinary output for a 24-hour period on an intubated young child who weighs 22 lb. The nurse recognizes the formula to be used is 2 ml/kg/hr. What is the expected 24-hour urinary output for this child in milliliters? Record your answer below in a whole number.
_____________

Accepted Answer

4840
Perform the cal

Question 19

What medication is considered to be the most useful in treating cardiac arrest?

Accepted Answer

A)  Bretylium tosylate (Bretylium) 
B)  Xylocaine (lidocaine) 
C)  Adrenaline (epinephrine) 
D)  Naloxone (Narcan) 
A)  Bretylium tosylate (Bretylium) 
B)  Xylocaine (lidocaine) 
C)  Adrenaline (epinephrine) 
D)  Naloxone (Narcan)

Question 20

The nurse is analyzing an arterial blood gas of pH, 7.50; PCO2, 30; and HCO3, 20. What result should the nurse document for this blood gas?

Accepted Answer

A)  Fully compensated metabolic alkalosis 
B)  Partially compensated metabolic alkalosis 
C)  Fully compensated respiratory alkalosis 
D)  Partially compensated respiratory alkalosis 
A)  Fully compensated metabolic alkalosis 
B)  Partially compensated metabolic alkalosis 
C)  Fully compensated respiratory alkalosis 
D)  Partially compensated respiratory alkalosis

Exam 27: Overview of Oxygen and Carbon Dioxide Exchange

Effective cardiopulmonary resuscitation (CPR) on a 5-year-old child should include what technique?

The nurse is evaluating arterial blood gas results. What condition can cause an increase in PCO2?

What test should the nurse do as a precautionary measure before doing an arterial puncture to obtain an arterial blood sample?

A child is in uncompensated respiratory acidosis. What should the nurse expect the arterial blood gas to be?

The nurse is analyzing an arterial blood gas of pH, 7.29; PCO2, 30; and HCO3, 20. What result should the nurse document for this blood gas?

A child is in uncompensated respiratory alkalosis. What should the nurse expect the arterial blood gas to be?

The nurse is caring for a 4-year-old child who is receiving 2 L of oxygen per nasal cannula. What disadvantage should the nurse consider when planning care for the child?

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

What intervention is necessary when weaning a child from the ventilator?

During a respiratory assessment, the nurse notes a sinking in of soft tissues relative to the cartilaginous and bony thorax. What is the term for this finding?

When is bronchial (postural) drainage generally performed?

A series of subdiaphragmatic abdominal thrusts (the Heimlich maneuver) is recommended for airway obstruction in children older than which age?

The nurse is planning home care for a 2-year-old child with a tracheostomy. What recommendation should be included?

The nurse is reviewing factors that affect lung development. What factor delays surfactant production and maturation of alveolar cells?

The nurse must suction a 6-month-old infant with a tracheostomy. What intervention should be included?

A child is in uncompensated metabolic alkalosis. What should the nurse expect the arterial blood gas to be?

What medication is considered to be the most useful in treating cardiac arrest?

The nurse is analyzing an arterial blood gas of pH, 7.50; PCO2, 30; and HCO3, 20. What result should the nurse document for this blood gas?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

Filters

The nurse is evaluating arterial blood gas results. What condition can cause an increase in PCO₂?

The nurse is analyzing an arterial blood gas of pH, 7.29; PCO₂, 30; and HCO₃, 20. What result should the nurse document for this blood gas?

The nurse is analyzing an arterial blood gas of pH, 7.50; PCO₂, 30; and HCO₃, 20. What result should the nurse document for this blood gas?