NR 328 PEDS Respiratory Quiz Answers- Chamberlain College of Nursing

NR 328 PEDS Respiratory Quiz Answers- Chamberlain College of Nursing Respiratory Quiz 1. When assessing a child removed from an oxygen tent, a nurse recognizes which of the following signs and symptoms as an early indication of hypoxemia? a. Nonproductive cough b. Hypoventilation c. Nasal flaring d. Nasal stuffiness 2. A child experiencing an acute asthma attack presents to the emergency department. Which of the following medications should a nurse prepare to administer to the child as an interventions for an acute asthma attack? a. Terbutaline (Brethine) b. Beclomethasone dipropionate (QVAR) c. Prednisone (Deltasone) d. Albuterol (Proventil) 3. A nurse is providing discharge teaching for a child and family regarding management of the child’s asthma. Instruction is given on monitoring the child for any adverse reactions to the prescribed medication, fluticasone propionate (Flovent). Which of the following is an adverse reaction or side effect of this medication that the child’s parents should report to the primary care provider? a. Change in mood b. Difficulty speaking, hoarseness, and/or white patches in the mouth c. Tachycardia and tremors d. Fatigue and malaise 4. The primary function of the tonsils is to a. contribute to the functioning of the Eustachian tube b. filter and protect against invading pathogens c. play a role in the formation of antigens d. promote nasal and sinus drainage 5. A nurse is caring for a child in the postoperative period following a tonsillectomy. When assessing the child, the nurse recognizes which of the following as signs and symptoms of postoperative bleeding? a. Hgb of 11.6 and Hct of 37% b. Inflamed and reddened throat c. Frequent swallowing and clearing of the throat d. Blood-tinged mucus 6. Which of the following nursing interventions should be included in the postoperative care for a child following a tonsillectomy? a. Encourage the child to blow nose gently to clear the sinuses b. Notify the primary care provider if clots or blood-tinged mucous are observed in emesis c. Avoid red-colored liquids and milk-based foods initially d. Position the child supine during the initial postoperative period 7. A pediatric respiratory disorder that is considered a medical emergency is a. pharyngitis b. bronchitis c. bacterial epiglottitis d. acute spasmodic laryngitis 8. A child awakens during the night with a dry, barking cough, hoarseness, anxiety, and noisy inspiration. The child’s parents bring the child to the emergency department. When they arrive the child’s symptoms have subsided. Which of the following home care instructions can the ED nurse provide to the family regarding future episodes the child may experience? a. Provide oxygen therapy using a nasal cannula b. Expose the child to mist by running a hot shower c. Treat the child with antipyretics d. Treat the child with antibiotics 9. Diagnosis of respiratory syncytial virus (RSV) is accomplished through a. collection of a sputum specimen b. a throat culture c. nasal aspiration d. obtaining blood for a CBC 10. Which of the following best describes the stools of a child with cystic fibrosis? a. Hard and dry with difficult evacuation b. Dark-colored tarry stools c. Blood-streaked stools with mucus strands d. Fatty and foul-smelling stools 11. Which of the following is an appropriate nursing intervention for a child with cystic fibrosis? a. Administer fat-soluble forms of vitamins A, D, E, and K b. Administer pancreatic enzymes with food and snacks c. Place the child on a low-calorie, low-protein diet d. Limit fluids 12. Asthma is classified into four categories: mild, intermittent, mild persistent, and severe persistent. Clinical features used to determine these categories include all of the following except: a. Lung function b. Associated allergies c. Frequency of symptoms d. Frequency and severity of exacerbations 13. A child with asthma is having pulmonary function tests. Which of the following explains the purpose of the peak expiratory flow rate (PEFR)? a. Confirms the diagnosis of asthma b. Determines the cause of asthma c. Identifies the “triggers” of asthma d. Assesses the severity of asthma 14. An immediate intervention to teach parents for when an infant chokes on a piece of food would be to do which of the following? a. Have infant lie quietly while a call is placed for emergency help b. Position infant in a head-down, face-down position and administer five quick blows between the shoulder blades c. Administer mouth-to-mouth resuscitation d. Give water by cup to relieve the obstruction 15. A humidified atmosphere is recommended for a young child with an upper respiratory tract infection because it does which of the following? a. Liquefies secretions b. Improves oxygenation c. Promotes ventilation d. Soothes inflamed mucous membranes 16. An infant has developed staphylococcal pneumonia. Nursing care of the child with pneumonia includes which of the following? a. Constant observation and activities to keep the child awake b. Round-the-clock administration of antitussive agents c. Strict intake and output to avoid congestive heart failure d. Administration of antibiotics 17. The nurse is caring for a 10-month-old infant with RSV bronchiolitis. All of the following interventions should be included in the child’s care except: a. Encourage to drink 8 ounces of formula every 4 hours b. Cluster care to encourage adequate rest c. Place on noninvasive oxygen monitoring d. Administer antibiotics 18. Which of the following statements is characteristic of acute otitis media? a. The etiology is unknown b. Permanent hearing loss often results c. It can be treated by intramuscular antibiotics d. It is treated with a broad range of antibiotics 19. It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent: a. Otitis media b. Diabetes insipidus c. Nephrotic syndrome d. Acute rheumatic fever 20. The Heimlich maneuver is recommended for airway obstruction in children older than: a. 1 year b. 4 years c. 8 years d. 12 years