Question 1

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 C

Question 2

The nurse is caring for a child on oxygen being delivered by a nasal cannula.What is the advantage of delivering oxygen in this manner?

Accepted Answer

A)  It can deliver mist if desired. 
B)  It is less likely to cause abdominal distention. 
C)  The child is able to eat and talk while getting oxygen. 
D)  This method can deliver a higher concentration of oxygen. 
A)  It can deliver mist if desired. 
B)  It is less likely to cause abdominal distention. 
C)  The child is able to eat and talk while getting oxygen. 
D)  This method can deliver a higher concentration of oxygen. C

Question 3

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 C

Question 4

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 5

What is the best explanation for using pulse oximetry on young children to determine oxygen saturation?

Accepted Answer

A)  Pulse oximetry is noninvasive. 
B)  Pulse oximetry is better than capnography. 
C)  Pulse oximetry is more accurate than arterial blood gases. 
D)  Pulse oximetry provides intermittent measurements of oxygen. 
A)  Pulse oximetry is noninvasive. 
B)  Pulse oximetry is better than capnography. 
C)  Pulse oximetry is more accurate than arterial blood gases. 
D)  Pulse oximetry provides intermittent measurements of oxygen.

Question 6

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 7

The nurse is analyzing an arterial blood gas of pH,7.30; PCO2,50; and HCO3,29.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 8

What respiratory condition or disease results in both increased compliance and increased resistance?

Accepted Answer

A)  Asthma 
B)  Atelectasis 
C)  Surfactant deficiency 
D)  Bronchopulmonary dysplasia 
A)  Asthma 
B)  Atelectasis 
C)  Surfactant deficiency 
D)  Bronchopulmonary dysplasia

Question 9

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 10

The nurse is caring for a child in respiratory distress.What is an early but less obvious sign of respiratory failure?

Accepted Answer

A)  Stupor 
B)  Headache 
C)  Bradycardia 
D)  Somnolence 
A)  Stupor 
B)  Headache 
C)  Bradycardia 
D)  Somnolence

Question 11

What test measures the amount of air inhaled and exhaled during any respiratory cycle?

Accepted Answer

A)  Tidal volume 
B)  Vital capacity 
C)  Dynamic compliance 
D)  Pulmonary resistance 
A)  Tidal volume 
B)  Vital capacity 
C)  Dynamic compliance 
D)  Pulmonary resistance

Question 12

How much oxygen is contained in ambient air (room air)?

Accepted Answer

A)  15% 
B)  21% 
C)  30% 
D)  42% 
A)  15% 
B)  21% 
C)  30% 
D)  42%

Question 13

Respiratory failure can result from many causes.What condition is a specific primary cause of inefficient gas transfer?

Accepted Answer

A)  Anemia 
B)  Pneumothorax 
C)  Cystic fibrosis 
D)  Laryngospasm 
A)  Anemia 
B)  Pneumothorax 
C)  Cystic fibrosis 
D)  Laryngospasm

Question 14

A 3-year-old child with a tracheostomy will soon be discharged.What recommendation should the nurse share with the family?

Accepted Answer

A)  Tub baths cannot be given. 
B)  The child cannot be allowed to play outdoors. 
C)  Avoid exposure to noxious fumes such as paint or varnish. 
D)  Cover the tracheostomy with a plastic bib when exposed to cold air. 
A)  Tub baths cannot be given. 
B)  The child cannot be allowed to play outdoors. 
C)  Avoid exposure to noxious fumes such as paint or varnish. 
D)  Cover the tracheostomy with a plastic bib when exposed to cold air.

Question 15

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 16

The continuous administration of mist,or aerosolized water,for the treatment of inflammatory conditions of the airways is a common practice that functions in which manner?

Accepted Answer

A)  Has no proven benefit 
B)  Decreases the viscosity of mucus 
C)  Decreases bronchoconstriction 
D)  Reduces the inflammation of the lower airways 
A)  Has no proven benefit 
B)  Decreases the viscosity of mucus 
C)  Decreases bronchoconstriction 
D)  Reduces the inflammation of the lower airways

Question 17

A 5-month-old infant is in respiratory distress.What should the nurse expect to find?

Accepted Answer

A)  Nasal flaring 
B)  Bradycardia 
C)  Abdominal breathing 
D)  Capillary refill of 2 seconds 
A)  Nasal flaring 
B)  Bradycardia 
C)  Abdominal breathing 
D)  Capillary refill of 2 seconds

Question 18

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 which finding?

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

Question 19

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 20

The nurse is caring for an intubated child on mechanical ventilation.What interventions should the nurse implement to prevent ventilator-assisted pneumonia (VAP)?

Accepted Answer

A)  Routine oral hygiene 
B)  Appropriate hand hygiene 
C)  Limit oropharyngeal suctioning of secretions 
D)  Elevating the head of the bed 30 to 45 degrees 
E)  Wearing gloves to handle respiratory secretions 
A)  Routine oral hygiene 
B)  Appropriate hand hygiene 
C)  Limit oropharyngeal suctioning of secretions 
D)  Elevating the head of the bed 30 to 45 degrees 
E)  Wearing gloves to handle respiratory secretions

Exam 27: Overview of Oxygen and Carbon Dioxide Exchange

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

The nurse is caring for a child on oxygen being delivered by a nasal cannula.What is the advantage of delivering oxygen in this manner?

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?

What is the best explanation for using pulse oximetry on young children to determine oxygen saturation?

The nurse is analyzing an arterial blood gas of pH,7.30; PCO2,50; and HCO3,29.What result should the nurse document for this blood gas?

What respiratory condition or disease results in both increased compliance and increased resistance?

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

The nurse is caring for a child in respiratory distress.What is an early but less obvious sign of respiratory failure?

What test measures the amount of air inhaled and exhaled during any respiratory cycle?

How much oxygen is contained in ambient air (room air)?

Respiratory failure can result from many causes.What condition is a specific primary cause of inefficient gas transfer?

A 3-year-old child with a tracheostomy will soon be discharged.What recommendation should the nurse share with the family?

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

The continuous administration of mist,or aerosolized water,for the treatment of inflammatory conditions of the airways is a common practice that functions in which manner?

A 5-month-old infant is in respiratory distress.What should the nurse expect to find?

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 which finding?

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

The nurse is caring for an intubated child on mechanical ventilation.What interventions should the nurse implement to prevent ventilator-assisted pneumonia (VAP)?

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 analyzing an arterial blood gas of pH,7.30; PCO₂,50; and HCO₃,29.What result should the nurse document for this blood gas?