Question 1

Which statement made by parents of a child with cystic fibrosis indicates that they understood the nurse's teaching on pancreatic enzyme replacement?

Accepted Answer

A)  "Enzymes will improve my child's breathing." 
B)  "I should give the enzymes 1 hour after meals." 
C)  "Enzymes should be given with meals and snacks." 
D)  "The enzymes are stopped if my child begins wheezing." 
A)  "Enzymes will improve my child's breathing." 
B)  "I should give the enzymes 1 hour after meals." 
C)  "Enzymes should be given with meals and snacks." 
D)  "The enzymes are stopped if my child begins wheezing." C

Question 2

The nurse should assess a child who has had a tonsillectomy for which of the following as the priority?

Accepted Answer

A)  Frequent swallowing 
B)  Inspiratory stridor 
C)  Swelling of the throat 
D)  Abnormal lung sounds 
A)  Frequent swallowing 
B)  Inspiratory stridor 
C)  Swelling of the throat 
D)  Abnormal lung sounds A

Question 3

An infant's parents ask the nurse about preventing OM.What should be recommended?

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. A

Question 4

A 5-year-old child is brought to the emergency department with copious drooling and a croaking sound on inspiration.Her mother states that the child is very agitated and only wants to sit upright.What action by the nurse takes priority?

Accepted Answer

A)  Prepare intubation equipment and call the provider. 
B)  Examine the child's oropharynx and call the provider. 
C)  Obtain a throat culture for respiratory syncytial virus (RSV). 
D)  Obtain vital signs and listen to breath sounds. 
A)  Prepare intubation equipment and call the provider. 
B)  Examine the child's oropharynx and call the provider. 
C)  Obtain a throat culture for respiratory syncytial virus (RSV). 
D)  Obtain vital signs and listen to breath sounds.

Question 5

Which classification of drugs is used to relieve an acute asthma episode?

Accepted Answer

A)  Short-acting beta2-adrenergic agonist 
B)  Inhaled corticosteroids 
C)  Leukotriene blockers 
D)  Long-acting bronchodilators 
A)  Short-acting beta2-adrenergic agonist 
B)  Inhaled corticosteroids 
C)  Leukotriene blockers 
D)  Long-acting bronchodilators

Question 6

What explanation should the nurse give to the parent of a child with asthma about using a peak flow meter?

Accepted Answer

A)  It is used to monitor the child's breathing capacity. 
B)  It measures the child's lung volume. 
C)  It will help the medication reach the child's airways. 
D)  It measures the amount of air the child breathes in. 
A)  It is used to monitor the child's breathing capacity. 
B)  It measures the child's lung volume. 
C)  It will help the medication reach the child's airways. 
D)  It measures the amount of air the child breathes in.

Question 7

The parent of a toddler calls the nurse,asking about croup.What is a distinguishing manifestation of spasmodic croup?

Accepted Answer

A)  Wheezing is heard audibly. 
B)  It has a harsh, barky cough. 
C)  It is bacterial in nature. 
D)  The child has a high fever. 
A)  Wheezing is heard audibly. 
B)  It has a harsh, barky cough. 
C)  It is bacterial in nature. 
D)  The child has a high fever.

Question 8

What information should the nurse teach families about reducing exposure to pollens and dust? (Select all that apply.)

Accepted Answer

A)  Replace wall-to-wall carpeting with wood and tile floors. 
B)  Use an air conditioner. 
C)  Put dust-proof covers on pillows and mattresses. 
D)  Keep humidity in the house above 60%. 
E)  Keep pets outside. 
A)  Replace wall-to-wall carpeting with wood and tile floors. 
B)  Use an air conditioner. 
C)  Put dust-proof covers on pillows and mattresses. 
D)  Keep humidity in the house above 60%. 
E)  Keep pets outside.

Question 9

A nurse is caring for four infants.Which one should the nurse assess first?

Accepted Answer

A)  Nasal flaring 
B)  Respiratory rate of 55 breaths/min 
C)  Irregular respiratory pattern 
D)  Abdominal breathing 
A)  Nasal flaring 
B)  Respiratory rate of 55 breaths/min 
C)  Irregular respiratory pattern 
D)  Abdominal breathing

Question 10

A child has had cold symptoms for more than 2 weeks,a headache,nasal congestion with purulent nasal drainage,facial tenderness,and a cough that increases during sleep.The nurse plans to teach the parents about which treatment regime?

Accepted Answer

A)  Antihistamine use 
B)  Cold washcloths on the face for comfort 
C)  Antibiotic treatment with amoxicillin 
D)  Referral for a sinuplasty 
A)  Antihistamine use 
B)  Cold washcloths on the face for comfort 
C)  Antibiotic treatment with amoxicillin 
D)  Referral for a sinuplasty

Question 11

A parent of a child with asthma asks if his child can still participate in sports.What response by the nurse is best?

Accepted Answer

A)  "Children with asthma are usually restricted from physical activities." 
B)  "Children can usually play any type of sport if their asthma is well controlled." 
C)  "Avoid swimming because exhaling underwater is dangerous for people with asthma." 
D)  "Even with good asthma control, I would advise limiting the child to one athletic activity per school year." 
A)  "Children with asthma are usually restricted from physical activities." 
B)  "Children can usually play any type of sport if their asthma is well controlled." 
C)  "Avoid swimming because exhaling underwater is dangerous for people with asthma." 
D)  "Even with good asthma control, I would advise limiting the child to one athletic activity per school year."

Question 12

A small child with cystic fibrosis cannot swallow pancreatic enzyme capsules.The nurse should teach parents to mix enzymes with which food?

Accepted Answer

A)  Macaroni and cheese 
B)  Tapioca 
C)  Applesauce 
D)  Hot chocolate 
A)  Macaroni and cheese 
B)  Tapioca 
C)  Applesauce 
D)  Hot chocolate

Question 13

Which intervention is appropriate for the infant hospitalized with bronchiolitis?

Accepted Answer

A)  Position on the side with neck slightly flexed. 
B)  Administer antibiotics as ordered. 
C)  Restrict oral and parenteral fluids if tachypneic. 
D)  Give cool, humidified oxygen. 
A)  Position on the side with neck slightly flexed. 
B)  Administer antibiotics as ordered. 
C)  Restrict oral and parenteral fluids if tachypneic. 
D)  Give cool, humidified oxygen.

Question 14

What intervention can be taught to the parents of a 3-year-old child with pneumonia who is not hospitalized?

Accepted Answer

A)  Offer the child only cool liquids. 
B)  Offer the child favorite warm liquid drinks. 
C)  Use a warm mist humidifier. 
D)  Report a respiratory rate less than 28 breaths/min. 
A)  Offer the child only cool liquids. 
B)  Offer the child favorite warm liquid drinks. 
C)  Use a warm mist humidifier. 
D)  Report a respiratory rate less than 28 breaths/min.

Question 15

For which problem should the child with chronic otitis media with effusion be evaluated?

Accepted Answer

A)  Brain abscess 
B)  Meningitis 
C)  Hearing loss 
D)  Perforation of the tympanic membrane 
A)  Brain abscess 
B)  Meningitis 
C)  Hearing loss 
D)  Perforation of the tympanic membrane

Question 16

Which finding confirms a diagnosis of cystic fibrosis?

Accepted Answer

A)  Chest radiograph shows alveolar hyperinflation. 
B)  Stool analysis indicates significant amounts of fecal fat. 
C)  Sweat chloride is greater than 60 mEq/L. 
D)  Liver function levels are abnormal. 
A)  Chest radiograph shows alveolar hyperinflation. 
B)  Stool analysis indicates significant amounts of fecal fat. 
C)  Sweat chloride is greater than 60 mEq/L. 
D)  Liver function levels are abnormal.

Question 17

Which statement indicates that a parent of a toddler needs more education about preventing foreign body aspiration?

Accepted Answer

A)  "I keep objects with small parts out of reach." 
B)  "My toddler loves to play with balloons." 
C)  "I won't permit my child to have peanuts." 
D)  "I never leave coins where my child could get them." 
A)  "I keep objects with small parts out of reach." 
B)  "My toddler loves to play with balloons." 
C)  "I won't permit my child to have peanuts." 
D)  "I never leave coins where my child could get them."

Question 18

The nurse expects the initial plan of care for a 9-month-old child with an acute otitis media infection to include

Accepted Answer

A)  symptomatic treatment and observation for 48 to 72 hours after diagnosis. 
B)  an oral antibiotic, such as amoxicillin, five times a day for 7 days. 
C)  pneumococcal conjugate vaccine. 
D)  myringotomy with tympanoplasty tubes. 
A)  symptomatic treatment and observation for 48 to 72 hours after diagnosis. 
B)  an oral antibiotic, such as amoxicillin, five times a day for 7 days. 
C)  pneumococcal conjugate vaccine. 
D)  myringotomy with tympanoplasty tubes.

Question 19

A child has allergies to animal dander but is distraught at having to give away the family dog.What actions could the nurse suggest that might avoid this? (Select all that apply.)

Accepted Answer

A)  Choose a dander-free pet like a lizard. 
B)  Keep the dog outside as much as possible. 
C)  Install air cleaners in the house. 
D)  Use dust-proof pillow covers. 
E)  Keep the windows closed in the summer. 
A)  Choose a dander-free pet like a lizard. 
B)  Keep the dog outside as much as possible. 
C)  Install air cleaners in the house. 
D)  Use dust-proof pillow covers. 
E)  Keep the windows closed in the summer.

Question 20

A home health care nurse is doing a home assessment for a family whose child is oxygen dependent.What finding by the nurse requires intervention?

Accepted Answer

A)  Tanks are stored only in an upright position. 
B)  Oxygen tank is placed 3 feet away from the heater. 
C)  Smoking is not allowed in the house. 
D)  Fire extinguisher expires at the end of the month. 
A)  Tanks are stored only in an upright position. 
B)  Oxygen tank is placed 3 feet away from the heater. 
C)  Smoking is not allowed in the house. 
D)  Fire extinguisher expires at the end of the month.

Exam 45: The Child with a Respiratory Alteration

Which statement made by parents of a child with cystic fibrosis indicates that they understood the nurse's teaching on pancreatic enzyme replacement?

The nurse should assess a child who has had a tonsillectomy for which of the following as the priority?

An infant's parents ask the nurse about preventing OM.What should be recommended?

A 5-year-old child is brought to the emergency department with copious drooling and a croaking sound on inspiration.Her mother states that the child is very agitated and only wants to sit upright.What action by the nurse takes priority?

Which classification of drugs is used to relieve an acute asthma episode?

What explanation should the nurse give to the parent of a child with asthma about using a peak flow meter?

The parent of a toddler calls the nurse,asking about croup.What is a distinguishing manifestation of spasmodic croup?

What information should the nurse teach families about reducing exposure to pollens and dust? (Select all that apply.)

A nurse is caring for four infants.Which one should the nurse assess first?

A child has had cold symptoms for more than 2 weeks,a headache,nasal congestion with purulent nasal drainage,facial tenderness,and a cough that increases during sleep.The nurse plans to teach the parents about which treatment regime?

A parent of a child with asthma asks if his child can still participate in sports.What response by the nurse is best?

A small child with cystic fibrosis cannot swallow pancreatic enzyme capsules.The nurse should teach parents to mix enzymes with which food?

Which intervention is appropriate for the infant hospitalized with bronchiolitis?

What intervention can be taught to the parents of a 3-year-old child with pneumonia who is not hospitalized?

For which problem should the child with chronic otitis media with effusion be evaluated?

Which finding confirms a diagnosis of cystic fibrosis?

Which statement indicates that a parent of a toddler needs more education about preventing foreign body aspiration?

The nurse expects the initial plan of care for a 9-month-old child with an acute otitis media infection to include

A child has allergies to animal dander but is distraught at having to give away the family dog.What actions could the nurse suggest that might avoid this? (Select all that apply.)

A home health care nurse is doing a home assessment for a family whose child is oxygen dependent.What finding by the nurse requires intervention?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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