Pediatric Nursing | Respiratory Disorders NCLEX Quiz 7
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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?
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Pulmonary secretions are abnormally thick.
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Elevated levels of potassium are found in the sweat.
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CF is an autosomal dominant hereditary disorder.
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Obstruction of the endocrine glands occurs.
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All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
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- 2.
Veronica’s parents were told that their daughter needs ribavirin (Virazole). This drug is used to treat which of the following?
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Cystic fibrosis
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Otitis media
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Respiratory syncytial virus (RSV)
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Bronchitis
Correct Answer
A. Respiratory syncytial virus (RSV)Explanation
Ribavirin is an antiviral medication used for treating RSV infection and for children with RSV who are compromised (such as children with bronchopulmonary dysplasia or heart disease).Option A,B,D: The drug is not used to treat bronchiolitis, otitis media, or CF.Rate this question:
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- 3.
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?
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Dilate the bronchioles
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Reduce secondary infections
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Decrease postnasal drip
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Reduce airway inflammation
Correct Answer
A. Dilate the bronchiolesExplanation
Beta-adrenergic agonists. such as albuterol. are highly effective bronchodilators and are used to dilate the narrow airways associated with asthma.Option B: Antibiotics are used to prevent secondary infection.Option C: Decongestants may be given to decrease postnasal drip.Option D: Corticosteroids may be used for their anti-inflammatory effect.Rate this question:
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- 4.
Alice is rushed to the emergency department during an acute. severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following?
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Status asthmaticus
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Reactive airway disease
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Intrinsic asthma
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Extrinsic asthma
Correct Answer
A. Status asthmaticusExplanation
Status asthmaticus is an acute. prolonged. severe asthma attack that is unresponsive to usual treatment. Typically. the child requires hospitalization.Option B: Reactive airway disease is another general term for asthma.Option C: Intrinsic is a term used to denote internal precipitating factors. such as viruses.Option D: Extrinsic is a term used to denote external precipitating factors. such as allergens.Rate this question:
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- 5.
Which of the following infants is least probable to develop sudden infant death syndrome (SIDS)?
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Baby Angela who was premature
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A sibling of Baby Angie who died of SIDS
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Baby Gabriel with prenatal drug exposure
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Baby Gabby who sleeps on his back
Correct Answer
A. Baby Gabby who sleeps on his backExplanation
Infants who sleep on their back are least likely to develop SIDS. However. SIDS has been associated with infants who sleep on their abdomens.Option A.B.C: Being premature. having a sibling who died of SIDS. and being prenatally exposed to drugs all place the infant at high risk for developing SIDS.Rate this question:
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- 6.
Fred is a 12-year-old boy diagnosed with pneumococcal pneumonia. Which of the following would Nurse Nica expect to assess?
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Mild cough
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Slight fever
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Chest pain
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Bulging fontanel
Correct Answer
A. Chest painExplanation
Older children with pneumococcal pneumonia may complain of chest pain.Option A.B: A mild cough and slight fever are commonly assessed with viral pneumonia.Option D: A bulging fontanel may be seen in infants with meningitis or increased intracranial pressure.Rate this question:
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- 7.
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?
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Meconium aspiration syndrome
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Bronchopulmonary dysplasia (BPD)
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Respiratory syncytial virus (RSV)
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Respiratory distress syndrome (RDS)
Correct Answer
A. Bronchopulmonary dysplasia (BPD)Explanation
Close monitoring of inspiratory pressure and O2 concentration is necessary to prevent BPD. which is related to the use of high inspiratory pressures and O2 concentrations especially in very low-birth-weight and extremely low-birth-weight neonates with lung disorders.Option A: Meconium aspiration syndrome is a respiratory disorder created by the aspiration of meconium in perinatal period.Option C: RSV is a group of viruses that cause respiratory tract infections. such as bronchiolitis and pneumonia.Option D: RDS. a disorder caused by lack of surfactant. usually is found in premature neonates.Rate this question:
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- 8.
Archie who weighs 44 lb has been given an order for amoxicillin 500 mg b.i.d. The drug text notes that the daily dose of amoxicillin is 50 mg/kg/day in two divided doses. What dose in milligrams is safest for this child?
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1000 mg
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750 mg
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500 mg
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250 mg
Correct Answer
A. 500 mgExplanation
First. calculate the child’s weight in kg: 44/2.2 = 20 kg. Then calculate the appropriate daily dose according to the drug text: 50 mg/kg/day = 50 mg x 20 kg = 1.000 mg/day. the abbreviation b.i.d. means twice daily; therefore 1.000 divided by 2 equals 500 mg.Rate this question:
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- 9.
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?
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“He should increase his fluid intake regularly to thin secretions.”
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“We’ll make sure that he avoids exercise to prevent attacks.”
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“He is to use his bronchodilator inhaler before the steroid inhaler.”
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“We need to identify what things trigger his attacks.”
Correct Answer
A. “We’ll make sure that he avoids exercise to prevent attacks.”Explanation
Additional teaching is needed if the family states that the child with asthma should avoid exercise to prevent attacks. Children with asthma should be encouraged to exercise as tolerated.Option A.C.D: Identifying triggers. using a bronchodilator inhaler before a steroid inhaler. and increasing fluid intake are appropriate measures to be included in a home care teaching program for the child with asthma and his family.Rate this question:
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- 10.
Which of the following instructions should Nurse Cheryl include in her teaching plan for the parents of Reggie with otitis media?
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Placing the child in the supine position to bottle-feed
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Giving prescribed amoxicillin (Amoxil) on an empty stomach
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Cleaning the inside of the ear canals with cotton swabs
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Avoiding contact with people who have upper respiratory tract infections
Correct Answer
A. Avoiding contact with people who have upper respiratory tract infectionsExplanation
Otitis media is commonly precipitated by an upper respiratory tract infection. Therefore. children prone to otitis should avoid people known to have an upper respiratory tract infection.Option A: A bottle-fed child should be fed in an upright position because feeding the child in the supine position may actually precipitate otitis by allowing the formula to pool in the pharyngeal cavity.Option B: Amoxicillin. when prescribed. should be given with food to prevent stomach upset.Option C: Cotton swabs can cause injuries such as tympanic perforation. They may be used to clean the outer ear. but they should never be inserted into the ear canal.Rate this question:
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Current Version
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Mar 22, 2023Quiz Edited by
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Sep 11, 2017Quiz Created by
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