Question 1

When teaching a parent group about respiratory complications,which symptom should be reported to the health care provider?

Accepted Answer

A)  Becomes fussy 
B)  Has a cough 
C)  Has a fever for more than 3 days 
D)  Shows signs of an earache

Question 2

The nurse is caring for a 5-year-old child who is scheduled for a tonsillectomy in 2 hours.What action should the nurse include in the child's postoperative care plan?

Accepted Answer

A)  Notify the surgeon if the child swallows frequently. 
B)  Apply a heat collar to the child for pain relief. 
C)  Place the child in prone supine position until fully awake. 
D)  Encourage the child to cough frequently.

Question 3

Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection.Which instruction for nose drops should be included when teaching the parent?

Accepted Answer

A)  Avoid using drops for more than 3 days. 
B)  Keep drops to use again for nasal congestion. 
C)  Administer drops until nasal congestion subsides. 
D)  Administer drops after feedings and at bedtime.

Question 4

When doing discharge teaching with parents of a 9-year-old child who had a tonsillectomy 10 hours ago,which will the nurse include? Select all that apply.Express answer in small numbers followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Gargle with warm water TID 
B)  Avoid vigorous brushing of the teeth 
C)  Use straws when providing clear fluid drinks 
D)  Use an ice collar for pain 
E)  Drink at least 1 L of fluid per day
F) Offer chewing gum
G) Provide orange juice at least once per day

Question 5

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

Accepted Answer

A)  Radial 
B)  Carotid 
C)  Femoral 
D)  Brachial

Question 6

Which is a common trigger for the development of asthma in infants?

Accepted Answer

A)  Medications 
B)  A viral infection 
C)  Exposure to cold air 
D)  Allergy to dust or dust mites

Question 7

When do physicians generally recommend that a child with acute streptococcal pharyngitis can return to school?

Accepted Answer

A)  When the sore throat is better 
B)  If no complications develop 
C)  After taking antibiotics for 24 hours 
D)  After taking antibiotics for 3 days

Question 8

What sentence below best describes why children have fewer respiratory tract infections as they grow older?

Accepted Answer

A)  The amount of lymphoid tissue decreases. 
B)  Repeated exposure to organisms causes increased immunity. 
C)  Viral organisms are less prevalent in the population. 
D)  Secondary infections rarely occur after viral illnesses.

Question 9

A child with cystic fibrosis is receiving recombinant human deoxyribonuclease (DNase).Which is true about this drug?

Accepted Answer

A)  It may cause mucus to thicken. 
B)  It may cause voice alterations. 
C)  It is given subcutaneously. 
D)  It is not indicated for children younger than 12 years.

Question 10

The mother of a toddler yells to the nurse,"Help! He is choking to death on his food." What finding causes the nurse to determine that life-saving measures are necessary?

Accepted Answer

A)  Gagging 
B)  Coughing 
C)  Pulse over 100 beats/min 
D)  Inability to speak

Question 11

What should a nurse know when administering pancreatic enzymes to a child with cystic fibrosis?

Accepted Answer

A)  Do not administer pancreatic enzymes if the child is receiving antibiotics. 
B)  Decrease the 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 12

Which type of croup is always considered a medical emergency?

Accepted Answer

A)  Laryngitis 
B)  Epiglottitis 
C)  Spasmodic croup 
D)  Laryngotracheobronchitis (LT
B)

Question 13

Which are true in relation to the influenza vaccination? Select all that apply.Express answer in small numbers followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Annual vaccination is recommended for all children age 6 months or older. 
B)  Vaccination is not recommended for immunocompromised children. 
C)  Trivalent vaccines are preferred over quadrivalent vaccines. 
D)  Children with neurological disorders are high risk and should have an annual vaccination. 
E)  Children aged 6 months to 8 years receive their initial vaccine in two doses,4 weeks apart.
F) Indigenous peoples are identified as high risk and should receive annual vaccinations.

Question 14

Which should be frequently assessed in children with asthma who are taking long-term inhaled steroids?

Accepted Answer

A)  Cough 
B)  Osteoporosis 
C)  Slowed growth 
D)  Cushing's syndrome

Question 15

The nurse is caring for a 10-month-old infant with mild acute respiratory distress syndrome (ARDS).Which initial intervention should be included in the child's care?

Accepted Answer

A)  Place in a mist tent. 
B)  Administer antibiotics. 
C)  Administer cough syrup. 
D)  Place on noninvasive oxygen monitoring.

Exam 45: Respiratory Dysfunction