Exam 2: Practice questions

B. "We'll make sure that he avoids exercise to prevent attacks."

The Andrews family has been taking good care of their youngest, Archie, who was diagnosed with asthma. Which of the following statements indicate a need for further home care teaching? A. "He should increase his fluid intake regularly to thin secretions." B. "We'll make sure that he avoids exercise to prevent attacks." C. "He is to use his bronchodilator inhaler before the steroid inhaler." D. "We need to identify what things trigger his attacks."

B. A 9-year-old who is quiet, is pale in color, has diminished breath sounds, and has an O2 saturation of 92%

There are several children in the ER waiting area who all have asthma. The nurse has only one room left in the ER. Based on the following information, which child should be seen first? A. A 5-year-old who is speaking in complete sentences, is pink in color, is wheezing bilaterally, and has an O2 saturation of 93% B. A 9-year-old who is quiet, is pale in color, has diminished breath sounds, and has an O2 saturation of 92% C. A 12-month-old who has a mild cry, is pale in color, has diminished breath sounds, and has an O2 saturation of 93% D. A 16-year-old who is speaking in short sentences, is wheezing, is sitting upright, and has an O2 saturation of 93%

A. Aspirin 80 to 100 mg/kg/day for antiinflammatory effects

Appropriate pharmacologic treatment for Kawasaki disease includes which of the following? A. Aspirin 80 to 100 mg/kg/day for antiinflammatory effects B. Aspirin 3 to 5 mg/kg/day for antiinflammatory effects C. Acetaminophen for analgesia and fever D. Ibuprofen and acetaminophen alternated to prevent fever

B. Bronchopulmonary dysplasia (BPD)

Baby Melody is a neonate who has a very low-birth-weight. Nurse Josie carefully monitors inspiratory pressure and oxygen (O2) concentration to prevent which of the following? A. Meconium aspiration syndrome B. Bronchopulmonary dysplasia (BPD) C. Respiratory syncytial virus (RSV) D. Respiratory distress syndrome (RDS)

A. Dilate the bronchioles

Beta-adrenergic agonists such as albuterol are given to Reggie, a child with asthma. Such drugs are administered primarily to do which of the following? A. Dilate the bronchioles B. Reduce secondary infections C. Decrease postnasal drip D. Reduce airway inflammation

A. Pulmonary secretions are abnormally thick.

Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must Nurse Archie keep in mind when developing a care plan for the child? A. Pulmonary secretions are abnormally thick. B. Elevated levels of potassium are found in the sweat. C. CF is an autosomal dominant hereditary disorder. D. Obstruction of the endocrine glands occurs.

C. Respiratory syncytial virus (RSV)

Veronica's parents were told that their daughter needs ribavirin (Virazole). This drug is used to treat which of the following? A. Cystic fibrosis B. Otitis media C. Respiratory syncytial virus (RSV) D. Bronchitis

D. The baby is grunting

A 6-month-old is admitted to the hospital with RSV. The nurse is assessing the child. Which of the following physical findings should be of most concern? A. The baby has tachypnea B. The baby has mild retractions C. The baby is wheezing D. The baby is grunting

C. Epiglottitis

Immunization of children with Haemophilus influenzae type B (Hib) vaccine decreases the incidence of which of the following conditions? A. Bronchiolitis B. Laryngotracheobronchitis (LTB) C. Epiglottitis D. Pneumonia

A. Ventricular septal defect

Which is the most frequently occurring congenital heart defect? A. Ventricular septal defect B. Atrial septal defect C. Mitral valve prolapse D. Transposition of great vessels

C. Epiglottiditis

Which of the following respiratory conditions is always considered a medical emergency? A. Asthma B. Cystic fibrosis (CF) C. Epiglottiditis D. Laryngotracheobronchitis (LTB)