CPN exam – respiratory Questions and Answers
The parents of a 2 year old child with chronic otitis media are concerned that the disorder has affected the child's hearing. Which behavior suggests the child has developed hearing impairment due to OM?
A) stuttering
B)gestures to express desires...
CPN exam – respiratory Questions and
Answers
The parents of a 2 year old child with chronic otitis media are concerned that the
disorder has affected the child's hearing. Which behavior suggests the child has
developed hearing impairment due to OM?
A) stuttering
B)gestures to express desires
C) babbling continuously
D) playing alongside friends without talking - answer C) babbling continuously
at 2, a kid should say 2-3 words; stuttering/gesturing doesn't necessarily indicate
hearing impairment; kids at this age often have parallel play
A 10 month old is brought in with recurrent OM. To help determine the cause, what
question should the nurse ask the parents?
A) "does water get in the ears when shampooing hair?"
B) "do you give the baby a bottle to take to bed?"
C) "have you noticed a lot of wax in the ears?"
D) can the baby combine 2 words when speaking?" - answer B - bottle propping and
drinking in a recumbent position are HUGE causes of OM
A school age child has CF. What sport would be most appropriate for them to try?
A) basketball
B) golf
C) swimming
D) baseball - answer C swimming - promotes deep breathing & pulmonary toilet
When should the nurse instruct the child with CF to take their pancreatic enzymes?
A) 30 minutes before a meal
B) directly after eating their snack
C) immediately before eating a snack
D) in the middle of their meal - answer C) immediately before eating - they help
improve absorption of fats & nutrients
Epiglottitis is caused by what organism
--> haemophilus Influenza B (HiB) - answer *** Good to know**
, since the development of the HiB immunization, the incidence of epiglottis has
drastically decreased (rarely see this)
What are the nursing interventions for a child with epiglottis?
A) panic
B) remain calm
C) suction airway intermittently
D) keep patient calm
E) prep for tracheotomy/intubation - answer B, D, E
have supplies for tracheotomy/intubation at bedside, do NOT suction or assess airway,
keep child & self calm
How long can RSV exist outside the body on surfaces? - answer up to 6 hours
incubation period for RSV - answer 5-8 days
Laryngotracheobronchitis = ? - answer croup
what is LTB most likely caused by? - answer influenza A & B
What is bronchiolitis most likely caused by? - answer RSV
What is epiglottitis most likely caused by? - answer H. influenza
A child comes to the clinic & mom says the kid has been coughing in the middle of the
night. Kid says they are tired & havent been sleeping well. The nurse expects the kid
may have which respiratory disease? - answer asthma - nighttime coughing fits for
newly dx patients
goal # stools / day for a kid with CF?
if kid is stooling over the recommended number, what should the nurse do? - answer
2-3 stools
if having >3 stools/ day, the nurse should give more pancreatic enzymes
males or females become infertile with CF? - answer most males are infertile due to
the blocked vas deferens
females may have conception issues, but arent always infertile
A child chokes on an object. The nurse knows there is a higher likelihood for the object
to be in the R or L bronchus? - answer R bronchus - it is straighter & wider
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