CGF Unit 7 Practice Questions- Respiratory

Which child is at highest risk for requiring hospitalization to treat respiratory syncytial virus (RSV)? A. A 2-month-old who was born at 32 weeks. B. A 16-month-old with a tracheostomy. C. A 3-year-old with a congenital heart defect. D. A 4-year-old who was born at 30 weeks

A

Which breathing exercises should the nurse have an asthmatic 3-year-old child do to increase her expiratory phase? A: Use an incentive spirometer. B: Breathe into a paper bag. C: Blow a pinwheel. D: Take several deep breaths

C

Which is the nurse's best response to the parent of an infant diagnosed with the first otitis media who wonders about long-term effects? A. "The child could suffer hearing loss." B. "The child could suffer some speech delays." C. "The child could suffer recurrent ear infections." D. "The child could require ear tubes."

C

Which should be included in instructions to the parent of a child prescribed amoxicillin to treat an ear infection? A. "Continue the amoxicillin until the child's symptoms subside." B. "Administer an over-the-counter antihistamine with the antibiotic." C. "Administer the amoxicillin until all the medication is gone." D. "Allow your child to administer his own dose of amoxicillin."

C

Which statement by the parents of a toddler with repeated otitis media indicates they need additional teaching? A: "If I quit smoking, my child may have a decreased chance of getting an ear infection." B. "As my child gets older, he should have fewer ear infections, because his immune system will be more developed." C. "My child will have fewer ear infections if he has his tonsils removed." D. "My child may need a speech evaluation."

C

Which intervention is most appropriate to teach the mother of a child diagnosed with a URI and a dry hacking cough that prevents him from sleeping? A. Give cough suppressants at night. B. Give an expectorant every 4 hours. C. Give cold and flu medication every 8 hours. D. Give 1/2 teaspoon of honey four to five times per day

D

Which signs and symptoms would the nurse expect to assess in a child with rheumatic fever? A. Ankle and knee joint pain. B. Negative group A beta streptococcal culture. C. Large red "bulls eye"-appearing rash. D. Stiff neck with photophobia

A

Which assessment is of greatest concern in a 15-month-old? A. The child is lying down, has moderate retractions, low-grade fever, and nasal congestion. B. The child is in the tripod position, has diminished breath sounds, and a muffled cough. C. The child is sitting up and has coarse breath sounds, coughing, and fussiness. D. The child is restless and crying, has bilateral wheezes, and is feeding poorly.

B

Which would be appropriate nursing care management of a child with the diagnosis of mononucleosis? A: Only family visitors. B: Bed rest. C: Clear liquids. D: Limited daily fluid intake.

A

A parent asks the nurse what will need to be done to relieve the constipation of her child who also has cystic fibrosis (CF). Which is the nurse's best response? A: "Your child likely has an obstruction and will require surgery." B: "Your child will likely be given IV fluids." C: "Your child will likely be given MiraLAX." D: "Your child will be placed on a clear liquid diet.

C

A school-age child is admitted to the hospital for a tonsillectomy. During the nurse's post-operative assessment, the child's parent tells the nurse that the child is in pain.Which of the following observations would be of most concern to the nurse? A: The child's heart rate and blood pressure are elevated. B: The child complains of having a sore throat. C: The child is refusing to eat solid foods. D: The child is swallowing excessively.

D

Expected nursing assessments of a newborn with suspected cystic fibrosis would include: A. Observe frequency and nature of stools. B. Provide chest physical therapy. C. Observe for weight gain. D. Assess parent's compliance with fluid restrictions.

A

Which is the nurse's best response to a parent who asks what can be done at home to help a child with upper respiratory infection (URI) symptoms and a fever get better? A. "Give your child small amounts of fluid every hour to prevent dehydration." B. "Give your child Robitussin at night to reduce his cough and help him sleep." C. "Give your child a baby aspirin every 4 to 6 hours to help reduce the fever." D. "Give your child an over-the-counter cold medicine at night."

A

Which physical findings would be of most concern in an infant with respiratory distress? A. Tachypnea. B. Mild retractions. C. Wheezing. D. Grunting.

D

Which would the nurse explain to parents about the inheritance of cystic fibrosis? A: CF is an autosomal-dominant trait passed on from the child's mother B: CF is an autosomal dominant trait passed on from the child's father C: The child of parents who are both carriers of the gene for CF has a 50% chance of acquiring CF D: The child of a mother who has CF and a father who is a carrier of the gene for CF has a 50% chance of acquiring CF

D

The nurse is reviewing discharge instructions with the parents of a child who had a tonsillectomy 24 hours ago. The parents tell the nurse that the child is a big eater,and they want to know what foods to give the child for the next 24 hours. What is the nurse's best response? A: "The child's diet should not be restricted at all." B: "The child's diet should be restricted to clear liquids." C: "The child's diet should be restricted to ice cream and cold liquids." D: "The child's diet should be restricted to soft foods."

D

The parents of a 5 week old have just been told their child has CF. The mother had a sister who died of CF when she was 19 years old. The parents are sad and ask the nurse about the current projected life expectancy. What is the nurse's best response? A: The life expectancy for CF patients has improved in recent years B: Your child might not follow the same course that the mother's sister did C: The physician will come to speak to you about treatment options D: The nurse answers their questions briefly, listens to their concerns, and is available later after they've processed the info

D

The parents of a 6-year-old who has a new diagnosis of asthma ask the nurse what to do to make their home a more allergy-free environment. Which is the nurse's best response? A: "Use a humidifier in your child's room." B: "Have your carpet cleaned chemically once a month." C: "Wash household pets weekly." D: "Avoid purchasing upholstered furniture.

D

What is the most important piece of information that the nurse must ask the parent of a child in status asthmaticus? A: "What time did your child eat last?" B: "Has your child been exposed to any of the usual asthma triggers?" C: "When was your child last admitted to the hospital for asthma?" D: "When was your child's last dose of medication?"

D

What should be the nurse's first action with a child who has a high fever, dysphagia,drooling, tachycardia, and tachypnea? A. Immediate IV placement. B. Immediate respiratory treatment. C. Thorough physical assessment. D. Lateral neck radiographs.

D

Which is the nurse's best response to the parent of a child diagnosed with epiglottitis who asks what the treatment will be? A. Complete a course of intravenous antibiotics. B. Surgery to remove the tonsils. C. 10 days of aerosolized ribavirin. D. No intervention.

A

What does the therapeutic management of cystic fibrosis (CF) patients include? Select all that apply. A. Providing a high-protein, high-calorie diet. B. Providing a high-fat, high-carbohydrate diet. C. Encouraging exercise. D. Minimizing pulmonary complication. E. Encouraging medication compliance.

A, C, D, E

How does the nurse interpret the lab analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis? A: Not compliant with taking her vitamins B: Not compliant with taking her enzymes C: Eating too many foods high in fat D: Eating too many foods high in fiber

B

The parent of a child with frequent ear infections asks the nurse if there is anything that can be done to help avoid future ear infections. Which is the nurse's best response? A. "Your child should be put on a daily dose of Singulair (montelukast)." B. "Your child should be kept away from tobacco smoke." C. "Your child should be kept away from other children with otitis media." D. "Your child should always wear a hat when outside."

B

Which laboratory result will provide the most important information regarding the respiratory status of a child with an acute asthma exacerbation? 1. CBC. 2. ABG. 3. BUN. 4. PTT.

B

A 7 month old has a low grade fever, nasal congestion, and a mild cough. What should the nursing care management of this child include? A: Maintaining strict bed rest B: Avoiding contact with family members C: Instilling saline nose drops and bulb suctioning D: Keeping the head of bed flat

C

The parent of an infant with CF asks the nurse how to meet the child's increased nutritional needs. Which is the nurse's best suggestion? A: You may need to increase the number of fresh fruits and vegetables you give your child B: You may need to advance your child's diet to whole cow's milk because it is higher in fat than formula C: You may need to change your child to higher caloric formula D: You may need to increase your child's carb intake

C

What information should the nurse provide the parent of a child diagnosed with nasopharyngitis? A. Complete the entire prescription of antibiotics. B. Avoid sending the child to day care. C. Use comfort measures for the child. D. Restrict the child to clear liquids for 24 hours.

C

Which is diagnostic for epiglottitis? A: Blood test. B: Throat swab. C. Lateral neck x-ray of the soft tissue. D. Signs and symptoms

C

Which should the nurse administer to provide quick relief to a child with asthma who is coughing, wheezing, and having difficulty catching her breath? A: Prednisone. B: Singulair (montelukast). C: Albuterol. D: Flovent (fluticasone)

C

A 2 year old has just been diagnosed with CF. The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse's best response? A: You can expect your child to develop a barrel chest B: You can expect your child to develop a chronic productive cough C: You can expect your child to develop bronchiectasis D: You can expect your child to develop wheezing respirations

D

A child is complaining of throat pain. Which statement by the mother indicates that she needs more education regarding the care and treatment of her daughter's pharyngitis? A: "I will have my daughter gargle with salt water three times a day." B: "I will offer my daughter ice chips several times a day." C: "I will give my daughter Tylenol every 4 to 6 hours as needed D: I will ask the nurse practitioner for some amoxicillin

D

The parent of a 4-month old with cystic fibrosis asks the nurse what time to begin the child's first CPT each day. Which is the nurse's best response? A: Thirty minutes before feeding the child breakfast B: After deep suctioning the child each morning C: Thirty minutes after feeding the child breakfast D: Only when the child has congestion or coughing

A

What would the nurse advise the parent of a child with a barky cough that gets worse at night? A. Take the child outside into the more humid night air for 15 minutes. B. Take the child to the ER immediately. C. Give the child an over-the-counter cough suppressant. D. Give the child warm liquids to soothe the throat.

A

A chloride level greater than _____________________ is a positive diagnostic indicator of cystic fibrosis (CF).

60 mEq/L

A 5-year-old is brought to the ER with a temperature of 99.5°F (37.5°C), a barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for? A. Immediate IV placement. B. Respiratory treatment of racemic epinephrine. C. A tracheostomy set at the bedside. D. Informing the child's parents about a tonsillectomy

B

A school age child has been diagnosed with nasopharyngitis. The parent is concerned because the child has had little or no appetite for the last 24 hours. Which is the nurse's best response? A:Do not be concerned; it is common for children to have a decreased appetite during a respiratory illness B: Be sure your child is taking an adequate amount of fluids. The appetite should return soon. C: Try offering the child some favorite food. Maybe that will improve the appetite. D: You need to force your child to eat

B

A school-age child has been diagnosed with strep throat. The parent asks the nurse when the child can return to school. Which is the nurse's best response? A: "Forty-eight hours after the first documented normal temperature." B: "Twenty-four hours after the first dose of antibiotics." C: "Forty-eight hours after the first dose of antibiotics." D: "Twenty-four hours after the first documented normal temperature.

B

Which child would benefit most from having ear tubes placed? A. A 2-month-old who has had one ear infection. B. A 2-year-old who has had five previous ear infections. C. A 3-year-old whose sibling has had four ear infections. D. A 7-year-old who has had two ear infections this year.

B

Which would be an early sign of respiratory distress in a 2-month-old? A: Breathing shallowly. B: Tachypnea. C: Tachycardia. D: Bradycardia

B

An infant is not sleeping well, crying frequently, has yellow drainage from the ear,and is diagnosed with an ear infection. Which nursing objective is the priority for the family? A. Educating the parents about signs and symptoms of an ear infection. B. Providing emotional support for the parents. C. Providing pain relief for the child. D. Promoting the flow of drainage from the ear

C

How will a child with respiratory distress and stridor and who is diagnosed with RSV be treated? A. Intravenous antibiotics. B. Intravenous steroids. C. Nebulized racemic epinephrine. D. Alternating doses of Tylenol and Motrin.

C

A child's parent asks the nurse what treatment the child will need for the diagnosis of strep throat. Which is the nurse's best response? A: "Your child will be sent home on bed rest and should recover in a few days without any intervention." B: "Your child will need to have the tonsils removed to prevent future strep infections." C: "Your child will need oral penicillin for 10 days and should feel better in a few days." D: "Your child will need to be admitted to the hospital for 5 days of IV antibiotics

C

A parent asks how to care for a child at home who has the diagnosis of viral tonsillitis.Which is the nurse's best response? A: "You will need to give your child a prescribed antibiotic for 10 days." B: "You will need to schedule a follow-up appointment in 2 weeks." C: "You can give your child Tylenol every 4 to 6 hours as needed for pain." D: "You can place warm towels around your child's neck for comfort.

C

Which child with asthma should the nurse see first? A: A 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an oxygen saturation of 93%. B: A 5-year-old who is speaking in complete sentences, is pink in color, is wheezing bilaterally, and has an oxygen saturation of 93%. C: A 9-year-old who is quiet, is pale in color, and is wheezing bilaterally with an oxygen saturation of 92% D: A 16-year-old who is speaking in short sentences, is wheezing, is sitting upright,and has an oxygen saturation of 93%

A

Which statement by the parent of a child using an albuterol inhaler leads the nurse to believe that further education is needed on how to administer the medication? A: "I should administer two quick puffs of the albuterol inhaler using a spacer." B: "I should always use a spacer when administering the albuterol inhaler." C: "I should be sure that my child is in an upright position when administering the inhaler." D: "I should always shake the inhaler before administering a dose."

A

A parent asks the nurse how it will be determined if their child has respiratory syncytial virus (RSV). Which is the nurse's best response? A. "We will do a simple blood test to determine whether your child has RSV." B. "There is no specific test for RSV. The diagnosis is made based on the child's symptoms." C. "We will swab your child's nose and send that specimen for testing." D. "We will have to send a viral culture to an outside lab for testing.

C

Which is the nurse's best response to parents who ask what impact asthma will have on the child's future in sports? A: "As long as your child takes prescribed asthma medication, the child will be fine." B: "The earlier a child is diagnosed with asthma, the more significant the symptoms." C: "The earlier a child is diagnosed with asthma, the better the chance the child has of growing out of the disease." D: "Your child should avoid playing contact sports and sports that require a lot of running.

B

The parent of a child with CF is excited about the possibility of the child receiving a double lung transplant. What should the parent understand? A: The transplant will cure the child of CF and allow the child to lead a long and healthy life B: The transplant will not cure the child of CF but will allow the child to have a longer life C: The transplant will help to reverse the multisystem damage that has been caused by CF D: The transplant will be the child's only chance at surviving long enough to graduate college

B

Which child is in the greatest need of emergency medical treatment? A. 3-year-old who has a barky cough, is afebrile, and has mild intercostal retractions. B. 6-year-old who has high fever, no spontaneous cough, and frog-like croaking. C. 7-year-old who has abrupt onset of moderate respiratory distress, a mild fever, and a barky cough. D. 13-year-old who has a high fever, stridor, and purulent secretions.

B