Question 1

What statement is the most descriptive of asthma?

Accepted Answer

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

Question 2

A 3-year-old child is experiencing pain after a tonsillectomy.The child has not taken in any fluids and does not want to drink anything,saying,"My tummy hurts." The following health care prescriptions are available: acetaminophen (Tylenol)PO (orally)or PR (rectally)PRN,ice chips,clear liquids.What should the nurse implement to relieve the child's pain?

Accepted Answer

A)  Ice chips 
B)  Tylenol PO 
C)  Tylenol PR 
D)  Popsicle 
A)  Ice chips 
B)  Tylenol PO 
C)  Tylenol PR 
D)  Popsicle C

Question 3

A tonsillectomy or adenoidectomy is contraindicated in what conditions?

Accepted Answer

A)  Cleft palate 
B)  Seizure disorders 
C)  Blood dyscrasias 
D)  Sickle cell disease 
E)  Acute infection at the time of surgery 
A)  Cleft palate 
B)  Seizure disorders 
C)  Blood dyscrasias 
D)  Sickle cell disease 
E)  Acute infection at the time of surgery A,C,E

Question 4

A child has a streptococcal throat infection and is being treated with antibiotics.What should the nurse teach the parents to prevent infection of others?

Accepted Answer

A)  The child can return to school immediately. 
B)  The organism cannot be transmitted through contact. 
C)  The child can return to school after taking antibiotics for 24 hours. 
D)  The organism can only be transmitted if someone uses a personal item of the sick child. 
A)  The child can return to school immediately. 
B)  The organism cannot be transmitted through contact. 
C)  The child can return to school after taking antibiotics for 24 hours. 
D)  The organism can only be transmitted if someone uses a personal item of the sick child.

Question 5

The nurse is preparing to admit a 7-year-old child with pulmonary edema.What clinical manifestations should the nurse expect to observe?

Accepted Answer

A)  Fever 
B)  Bradycardia 
C)  Diaphoresis 
D)  Pink frothy sputum 
E)  Respiratory crackles 
A)  Fever 
B)  Bradycardia 
C)  Diaphoresis 
D)  Pink frothy sputum 
E)  Respiratory crackles

Question 6

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

Accepted Answer

A)  Avoid tobacco smoke. 
B)  Use nasal decongestants. 
C)  Avoid children with OM. 
D)  Bottle- or breastfeed in a supine position. 
A)  Avoid tobacco smoke. 
B)  Use nasal decongestants. 
C)  Avoid children with OM. 
D)  Bottle- or breastfeed in a supine position.

Question 7

A 5-year-old child is admitted with bacterial pneumonia.What signs and symptoms should the nurse expect to assess with this disease process?

Accepted Answer

A)  Fever, cough, and chest pain 
B)  Stridor, wheezing, and ear infection 
C)  Nasal discharge, headache, and cough 
D)  Pharyngitis, intermittent fever, and eye infection 
A)  Fever, cough, and chest pain 
B)  Stridor, wheezing, and ear infection 
C)  Nasal discharge, headache, and cough 
D)  Pharyngitis, intermittent fever, and eye infection

Question 8

A 6-year-old child is in the hospital for status asthmaticus.Nursing care during this acute period includes which prescribed interventions?

Accepted Answer

A)  Prednisolone (Pediapred) PO every day, IV fluids, cromolyn (Intal) inhaler bid 
B)  Salmeterol (Serevent) PO bid, vital signs every 4 hours, spot check pulse oximetry 
C)  Triamcinolone (Azmacort) inhaler bid, continuous pulse oximetry, vital signs once a shift 
D)  Methylprednisolone (Solumedrol) IV every 12 hours, continuous pulse oximetry, albuterol nebulizer treatments every 4 hours and prn 
A)  Prednisolone (Pediapred) PO every day, IV fluids, cromolyn (Intal) inhaler bid 
B)  Salmeterol (Serevent) PO bid, vital signs every 4 hours, spot check pulse oximetry 
C)  Triamcinolone (Azmacort) inhaler bid, continuous pulse oximetry, vital signs once a shift 
D)  Methylprednisolone (Solumedrol) IV every 12 hours, continuous pulse oximetry, albuterol nebulizer treatments every 4 hours and prn

Question 9

A school-age child has asthma.The nurse should teach the child that if a peak expiratory flow rate is in the yellow zone,this means that the asthma control is what?

Accepted Answer

A)  80% of a personal best, and the routine treatment plan can be followed. 
B)  50% to 79% of a personal best and needs an increase in the usual therapy. 
C)  50 % of a personal best and needs immediate emergency bronchodilators. 
D)  Less than 50% of a personal best and needs immediate hospitalization. 
A)  80% of a personal best, and the routine treatment plan can be followed. 
B)  50% to 79% of a personal best and needs an increase in the usual therapy. 
C)  50 % of a personal best and needs immediate emergency bronchodilators. 
D)  Less than 50% of a personal best and needs immediate hospitalization.

Question 10

The nurse is calculating the amount of expected urinary output for a 24-hour period on a child with laryngotracheobronchitis who weighs 33 lb.The nurse recognizes the formula to be used is 1 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

360
Perform the calc

Question 11

A term infant is delivered,and before delivery,the medical team was notified that a congenital diaphragmatic hernia (CDH)was diagnosed on ultrasonography.What should be done immediately at birth if respiratory distress is noted?

Accepted Answer

A)  Give oxygen. 
B)  Suction the infant. 
C)  Intubate the infant. 
D)  Ventilate the infant with a bag and mask. 
A)  Give oxygen. 
B)  Suction the infant. 
C)  Intubate the infant. 
D)  Ventilate the infant with a bag and mask.

Question 12

A 6-year-old child has had a tonsillectomy.The child is spitting up small amounts of dark brown blood in the immediate postoperative period.The nurse should take what action?

Accepted Answer

A)  Notify the health care provider. 
B)  Continue to assess for bleeding. 
C)  Give the child a red flavored ice pop. 
D)  Position the child in a Trendelenburg position. 
A)  Notify the health care provider. 
B)  Continue to assess for bleeding. 
C)  Give the child a red flavored ice pop. 
D)  Position the child in a Trendelenburg position.

Question 13

A child is in the hospital for cystic fibrosis.What health care provider's prescription should the nurse clarify before implementing?

Accepted Answer

A)  Dornase alfa (Pulmozyme) nebulizer treatment bid 
B)  Pancreatic enzymes every 6 hours 
C)  Vitamin A, D, E, and K supplements daily 
D)  Proventil (albuterol) nebulizer treatments tid 
A)  Dornase alfa (Pulmozyme) nebulizer treatment bid 
B)  Pancreatic enzymes every 6 hours 
C)  Vitamin A, D, E, and K supplements daily 
D)  Proventil (albuterol) nebulizer treatments tid

Question 14

What medication is contraindicated in children post tonsillectomy and adenoidectomy?

Accepted Answer

A)  Codeine 
B)  Amoxil (amoxicillin) 
C)  Ondansetron (Zofran) 
D)  Acetaminophen (Tylenol) 
A)  Codeine 
B)  Amoxil (amoxicillin) 
C)  Ondansetron (Zofran) 
D)  Acetaminophen (Tylenol)

Question 15

Pancreatic enzymes are administered to the child with cystic fibrosis.What nursing consideration should be included in the plan of care?

Accepted Answer

A)  Give pancreatic enzymes between meals if at all possible. 
B)  Do not administer pancreatic enzymes if the child is receiving antibiotics. 
C)  Decrease the dose of pancreatic enzymes if the child is having frequent, bulky stools. 
D)  Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal. 
A)  Give pancreatic enzymes between meals if at all possible. 
B)  Do not administer pancreatic enzymes if the child is receiving antibiotics. 
C)  Decrease the dose of pancreatic enzymes if the child is having frequent, bulky stools. 
D)  Pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.

Question 16

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

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 17

The parent of a child with cystic fibrosis (CF)calls the clinic nurse to report that the child has developed tachypnea,tachycardia,dyspnea,pallor,and cyanosis.The nurse should tell the parent to bring the child to the clinic because these signs and symptoms are suggestive of what condition?

Accepted Answer

A)  Pneumothorax 
B)  Bronchodilation 
C)  Carbon dioxide retention 
D)  Increased viscosity of sputum 
A)  Pneumothorax 
B)  Bronchodilation 
C)  Carbon dioxide retention 
D)  Increased viscosity of sputum

Question 18

The nurse is giving discharge instructions to the parents of a 5-year-old child who had a tonsillectomy 4 hours ago.What statement by the parent indicates a correct understanding of the teaching?

Accepted Answer

A)  "I can use an ice collar on my child for pain control along with analgesics." 
B)  "My child should clear the throat frequently to clear the secretions." 
C)  "I should allow my child to be as active as tolerated." 
D)  "My child should gargle and brush teeth at least three times per day." 
A)  "I can use an ice collar on my child for pain control along with analgesics." 
B)  "My child should clear the throat frequently to clear the secretions." 
C)  "I should allow my child to be as active as tolerated." 
D)  "My child should gargle and brush teeth at least three times per day."

Question 19

A preschool child has asthma,and a goal is to extend expiratory time and increase expiratory effectiveness.What action should the nurse implement to meet this goal?

Accepted Answer

A)  Encourage increased fluid intake. 
B)  Recommend increased use of a budesonide (Pulmicort) inhaler. 
C)  Administer an antitussive to suppress coughing. 
D)  Encourage the child to blow a pinwheel every 6 hours while awake. 
A)  Encourage increased fluid intake. 
B)  Recommend increased use of a budesonide (Pulmicort) inhaler. 
C)  Administer an antitussive to suppress coughing. 
D)  Encourage the child to blow a pinwheel every 6 hours while awake.

Question 20

A 3-year-old is brought to the emergency department with symptoms of stridor,fever,restlessness,and drooling.No coughing is observed.Based on these findings,the nurse should be prepared to assist with what action?

Accepted Answer

A)  Throat culture 
B)  Nasal pharynx washing 
C)  Administration of corticosteroids 
D)  Emergency intubation 
A)  Throat culture 
B)  Nasal pharynx washing 
C)  Administration of corticosteroids 
D)  Emergency intubation

Exam 28: The Child With Respiratory Dysfunction

What statement is the most descriptive of asthma?

A tonsillectomy or adenoidectomy is contraindicated in what conditions?

A child has a streptococcal throat infection and is being treated with antibiotics.What should the nurse teach the parents to prevent infection of others?

The nurse is preparing to admit a 7-year-old child with pulmonary edema.What clinical manifestations should the nurse expect to observe?

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

A 5-year-old child is admitted with bacterial pneumonia.What signs and symptoms should the nurse expect to assess with this disease process?

A 6-year-old child is in the hospital for status asthmaticus.Nursing care during this acute period includes which prescribed interventions?

A school-age child has asthma.The nurse should teach the child that if a peak expiratory flow rate is in the yellow zone,this means that the asthma control is what?

A term infant is delivered,and before delivery,the medical team was notified that a congenital diaphragmatic hernia (CDH)was diagnosed on ultrasonography.What should be done immediately at birth if respiratory distress is noted?

A 6-year-old child has had a tonsillectomy.The child is spitting up small amounts of dark brown blood in the immediate postoperative period.The nurse should take what action?

A child is in the hospital for cystic fibrosis.What health care provider's prescription should the nurse clarify before implementing?

What medication is contraindicated in children post tonsillectomy and adenoidectomy?

Pancreatic enzymes are administered to the child with cystic fibrosis.What nursing consideration should be included in the plan of care?

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

The parent of a child with cystic fibrosis (CF)calls the clinic nurse to report that the child has developed tachypnea,tachycardia,dyspnea,pallor,and cyanosis.The nurse should tell the parent to bring the child to the clinic because these signs and symptoms are suggestive of what condition?

The nurse is giving discharge instructions to the parents of a 5-year-old child who had a tonsillectomy 4 hours ago.What statement by the parent indicates a correct understanding of the teaching?

A preschool child has asthma,and a goal is to extend expiratory time and increase expiratory effectiveness.What action should the nurse implement to meet this goal?

A 3-year-old is brought to the emergency department with symptoms of stridor,fever,restlessness,and drooling.No coughing is observed.Based on these findings,the nurse should be prepared to assist with what action?

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

Overview of Oxygen and Carbon Dioxide Exchange

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

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