Respiratory and Health Promotion Knowledge Checks

Sinking in of soft tissue relative to the cartilaginous and bony thorax

Retraction

A common cause of accidental death in children ages 1 to 19 years involves motor vehicle crashes. Evidence from test crashes indicates that the safest action to prevent accidental deaths in toddlers includes: a. Placing the child in a rear-facing weight appropriate car restraint seat until the child has outgrown the car seat manufacturer's height and weight recommendations. b. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid emotional outbursts. c. Allowing the child to ride in a forward-facing booster restraint seat after 12 months of age. d. Placing the child in the regular seat using the lap-shoulder belt if the child weighs at least 45 lbs.

a

At the clinic appointment, a 4-year-old's mother wants to discuss several concerns. Which statements require more teaching by the nurse? Select all that apply. a. My husband feels that TV is okay if it is educational. b. I think it is okay for my son to play dress-up with the girls c. My mother-in-law thinks I should be working around the house all the time, but I believe playing with my son is very important. d. My son has an imaginary friend and I think that is normal.

a

One of the key factors in addressing the health concerns and needs of the adolescent in a clinic or primary care office setting is to: a. Provide confidentiality b. Include the parents in a discussion about the adolescent's sexual health. c. Ask the adolescent if she or he is sexually active. d. Discuss the negative effects of tobacco use.

a

The incidence of injury during middle childhood is significantly higher in school age _________ than in school age _______. a. Boys; girls b. Girls; boys

a

Which one of these medications is not typically used to treat asthma? a. Metered-dose inhaler b. Corticosteroids c. Albuterol d. all of the above

d

Respiratory syncytial virus (RSV) peaks during what season? a. Fall b. Winter c. Spring d. Summer

b

Which intervention is appropriate for a 6-month-old with acute viral nasopharyngitis ("common cold")? a. Administering a decongestant to alleviate nasal congestion. b. Giving an over the counter cough suppressant prior to bedtime to help the infant sleep. c. Using saline nose drops and gentle suction prior to feeding. d. Giving an over the counter liquid cold medicine mixed in with formula.

c

serves to increase end-respiratory pressure

Grunting

sign of dyspnea in a sleeping/exhausted child, head bobs forward with each inspiration

Head bobbing

enlargement of the nostrils helps reduce nasal resistance and maintains airway patency

Nasal flaring

High pitched, noise respiration, a result of edema/inflammation or an upper airway obstruction

Stridor

The nurse is taking a health history for a 3-year-old girl suspected of having pneumonia who presents with a fever, chest pain, and cough. Which information places the child at risk for pneumonia? a. the child is a triplet b. the child was a post maturity date infant c. the child has diabetes d. the child attends daycare

d

When examining a 16-month-old child which action is most appropriate? a. Taking the infant from the mother and placing her/him on the exam table. b. Start by looking in the patients ears with an otoscope. c. Begin by talking with the parents and ignoring the child until they begin to engage with you. d. Complete the assessment with a systematic approach, from head to toe.

c

How can the nurse prepare the child for a painful procedure? a. Be honest and use correct medical terminology so the child trusts the nurse. b. Involve the child in the use of distraction, such as using bubbles, music, or playing a game. c. Kindly ask parents to leave the room so they don't have to watch the procedure. d. Remove all familiar objects and toys from the room so the child doesn't associate the painful procedure with the objects.

b

A nurse looks over her assignment for the day that includes an infant, a preschool-age child, a third grader, and a sophomore in high school. Which techniques take into consideration developmental stages when working with pediatric patients? a. Being aware that infants will become agitated due to stranger anxiety around age 4 months b. When a preschooler is getting blood drawn, giving a detailed explanation will be helpful c. Explaining and demonstrating what the blood pressure machine does to the 3rd grader before taking her blood pressure d. Using a single consistent approach with the adolescent will help allay anger and hostility

c

An important milestone in the infant's life is the development of object permanence. This milestone is represented by which of these statements? a. The infant smiles at the mother when she talks to him. b. The infant repeatedly flexes and extends his arms and legs when the mother picks him up. c. The infant turns and looks for the mother when she walks out of his view. d. The infant cries when the mother hands him to a babysitter.

c

In what age range are foreign body ingestions/aspirations most common? a. 15-18 years old b. 0-6 months old c. 1-3 years old d. 6-10 years old.

c

When caring for their infant, a parent asks you, "Is Emily in a lot of pain? How would you know since she can't really tell you?" The best answer to this question is: a. "Infants don't feel pain as we do because their pain receptors are not fully developed." b. "The nurses give pain medication before she really feels pain." c. "We assess her pain using an infant pain assessment tool and give the medicine as needed." d. "Although we try to give her medicine before she feels pain, we watch her very closely and use different techniques to help relieve the pain."

c