Pedi Quizzes

A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery device would the nurse MOST likely expect to be used? - Simple mask - Oxygen hood - Venturi mask - Nasal cannula

Simple mask

A 4-year-old child is brought to the emergency department experiencing severe respiratory distress. The health care provider has diagnosed epiglottitis. What nursing intervention(s) should the nurse include in this child's plan of care? Select all that apply. - Keep the child quiet - Administer oxygen - Have intubation equipment readily available - Start a peripheral IV

- Keep the child quiet - Have intubation equipment readily available

A nurse is assessing a 3-month-old infant during a pediatric clinic visit. The nurse believes the infant is demonstrating EARLY manifestations of respiratory distress. Which clinical manifestation(s) should the nurse document? Select all that apply. - Nasal congestion - Acrocyanosis - Intercostal retractions - Tachypnea

- Nasal congestion - Tachypnea

QUIZ 1

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QUIZ 2

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A child is in the emergency department with an asthma exacerbation. Upon auscultation the nurse is unable to hear air movement in the lungs. What action should the nurse take FIRST? - Administer oxygen - Administer corticosteroids - Start a peripheral IV - Administer a beta-2 adrenergic agonist

Administer a beta-2 adrenergic agonist

A nurse is preparing to assess a preschool aged child. Which of the following actions should the nurse take to prepare for the assessment? - Allow the child to role play using miniature equipment - Use medical terminology with the child to explain what will happen - Keep medical devices such as needles and reflex hammers visible and open in front of the child - Take the child from the caregiver and set them on the assessment table by themselves

Allow the child to role play using miniature equipment

A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which finding? - Children develop hypoxemia more rapidly than adults do - An increase in oxygen saturation leads to a much larger decrease in pO2 - Children's demand for oxygen is lower than that of adults - Children's bronchi are wider in diameter than those of an adult

Children develop hypoxemia more rapidly than adults do

The nurse is discussing discharge instructions with the parents of a 6-year-old who had a tonsillectomy. What is the MOST important thing to stress? - Administer analgesics - Encourage the child to drink liquids - Inspect the throat for bleeding - Apply an ice collar

Inspect the throat for bleeding

The nurse is preparing to perform a physical examination of a child with asthma. Which technique would the nurse be LEAST likely to perform? - Percussion - Palpation - Inspection - Auscultation

Palpation

Which action by a nurse demonstrates proper technique for assessment of chest expansion? - Place the stethoscope on the posterior chest wall, ask the client to take a deep breath, and observe chest rise and fall - Use the ball of both hands to feel for vibrations in a symmetrical pattern across the posterior chest - Place both hands on the posterior chest at T9, press thumbs together, and then ask client to take a deep breath - Beginning at the scapular line, percuss the intercostal spaces along both sides of the posterior chest

Place both hands on the posterior chest at T9, press thumbs together, and then ask client to take a deep breath

Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would MOST likely indicate the need for medical care? - Fever - Oxygen saturation level of 96% - Tachypnea with retractions - Pale skin color

Tachypnea with retractions

Infants younger than 12 months are more at risk for respiratory distress because: - They have occasional pauses in breathing - They have an initially high hemoglobin-F factor in their blood - They have fewer alveoli as an infant - There is a neurological reflex of sucking during infancy

They have fewer alveoli as an infant

The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see FIRST? - A preschool child with crackles in the right lower lobe and chest pain - A toddler with a temperature of 100.1 °F (38°C), and a harsh, barking cough - An infant with rhinorrhea, coughing, and oxygen saturation of 92% - A school-age child with dysphagia, drooling, and a hoarse voice

A school-age child with dysphagia, drooling, and a hoarse voice

A new mother of a two-day old is concerned that her baby's feet appear bluish and dusky. You tell the mother: - This is due to the baby's higher levels of Hemoglobin-A factor - Acrocyanosis is common in newborns for the first few days - That it is of grave concern, and you will alert the doctor right away - The baby's respiration rate is irregular and can cause that effect

Acrocyanosis is common in newborns for the first few days

A nurse performs a respiratory assessment on a client and notes the respiratory rate to be 6 breaths per minute. The nurse knows the proper term for this rate is what? - Hypoventilation - Tachypnea - Hyperventilation - Bradypnea

Bradypnea

When caring for children, how does the nurse best incorporate the concept of family-centered care? - Encourage the family to allow the physician to make all the health care decisions for the child - Applying restraints for any procedure that could be uncomfortable - Advising the family to choose a pediatric provider who is on the child's health care plan - By using concepts of respect, family strengths, diversity, and collaboration with the family

By using concepts of respect, family strengths, diversity, and collaboration with the family

The nurse is caring for a child following a tonsillectomy. The child requests something to drink. Which action by the nurse is BEST? - Provide the child with a red popsicle to eat -Inform the child he or she can have nothing to drink for a few hours - Give the child a few ice chips to consume - Assess the child's gag reflex before giving oral fluids

Give the child a few ice chips to consume

A child is hospitalized with pneumonia. The nurse assesses an increase in the work of breathing and in the respiratory rate. What intervention should the nurse do FIRST to help this child? - Elevate the head of the bed - Administer oxygen - Obtain oxygen saturation levels - Notify the health care provider

Elevate the head of the bed

The nurse is examining a 5-year-old. Which sign and symptom is a reliable FIRST indication of respiratory illness in children? - A bluish tinge to the lips - Slow, irregular breathing - Increasing lethargy - Rapid, shallow breathing

Rapid, shallow breathing

The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, what would be LEAST appropriate for the nurse to perform? - Providing 100% oxygen - Visualizing the throat - Having the child sit forward - Auscultating for lung sounds

Visualizing the throat