Respiratory For Final Pediatric Quiz
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This is a quiz on Respiratory Material in the Complex Family Nursing Course at Ivy Tech. �
- 1.A 10 year old child who is developmentally delayed and blind must be fed all meals. The child has problems swallowing and frequently chokes and coughs during the feeding. When feeding this child, the nurse should:
- A.
Hold the child in an upright position and use a soft-tip bulb syringe
- B.
Place the child in the supine position and turn the head to the right
- C.
Prop the child in a semisitting position, chop up the food and place it in the child's mouth with plastic tableware
- D.
Seat the child in the wheelchair, give small bites of food with metal tableware, and encourage the child's participation.
- 2.A 10 year old student comes to the school nurse's office. He says he is unable to breathe. The first action is to:
- A.
Take vital signs
- B.
Call the student's mother
- C.
Give an aerosol treatment
- D.
Listen to the student's lungs
- 3.A 10 year old with a history of asthma is diagnosed with status asthmaticus. This child:
- A.
Has severe wheezing
- B.
Hasn't responded to treatment
- C.
Requires emergency intubation
- D.
Has underlying pneumonia
- 4.A 15-month old with croup is admitted to the pediatric unit. The nurse is most concerned that:
- A.
An inspiratory stridor is heard
- B.
The mother cannot calm the child
- C.
The toddler has a barking cough
- D.
The toddler is restless while sleeping
- 5.A 2 year old is admitted with croup and 1/4L oxygen vea nasal canula is administered because it:
- A.
Congeals the mucous secretions and relieves the dyspnea
- B.
Decreases the effort required for breathing and also allows for rest. Decreases the effort required for breathing and also allows for rest
- C.
Triggers the cough reflex and facilitates expectoration of mucus
- D.
Liquifies the mucous secretions and makes them easier to expectorate
- 6.A 2 year old is suffering from poor oxygenation due to streptococcal pneumonia and requires an endotracheal (ET) tube. Which outcome indicates that ET intubation is successful?
- A.
Bilateral breath sounds on auscultation are heard
- B.
Oxygen saturation is 80%
- C.
An audible cry is heard on inspiration
- D.
The tip of the ET tube is in the right mainstem bronchus.
- 7.A 4 year old is brought to the emergency department by his parents, who report that he swallowed a small toy. What symptom suggests complete airway obstruction by a foreign body?
- A.
Gagging
- B.
Coughing
- C.
Inability to speak
- D.
Rapid respirations
- 8.A 5 year old child is brought into the emergency department with drooling, strident cough, and lethargy. Epiglottitis is suspected. The priority intervention for this child is to:
- A.
Take vital signs
- B.
Secure the child's airway
- C.
Visualize the child's throat with a tongue depressor
- D.
Obtain throat cultures
- 9.A 7 year old undergoes tonsillectomy for recurrent tonsillitis. Twenty-four hours after surgery, the child vomits material that resembles coffee grounds. What action by the nurse is most appropriate?
- A.
Notify the physician immediately.
- B.
Maintain nothing-by-mouth status for the next 24 hours
- C.
Maintain nothing-by-mouth status for the next 30 minutes and then resume clear liquids.
- D.
Place the child in a supine position.
- 10.A child experiencing an acute asthma attack presents to the emergency department. Which of the following medications should a nurse prepare to administer to the childe as an intervention for an acute asthma attack?
- A.
Terbutaline (Brethine)
- B.
Beclomethasone dipropionate (QVAR)
- C.
Prednisone (Deltasone)
- D.
Albuterol (Proventil)
- 11.A child who had been admitted for status asthmaticus appears to be improving. The most objective way for the nurse to evaluate the child's response to therapy is to:
- A.
Auscultate the child's breath sounds
- B.
Monitor the child's respiratory pattern
- C.
Assess the child's lips for a decrease in cyanosis
- D.
Evaluate the child's current peak expiratory flow rate.
- 12.A child who has just returned to the unit after surgery is drowsy and not alert to commands. To maintain an airway the nurse should:
- A.
Have a tongue blade available
- B.
Keep the child in a supine position
- C.
Use nasotracheal suction as needed
- D.
Place the child in a lateral Sims' position
- 13.A child who was rescued from a burning building is brought to the hospital via emergency medical services. Smoke inhalation has caused the child's condition to deteriorate within 24 hours. The nurse should be particularly alert for signs of:
- A.
Infection
- B.
Tracheobronchial edema
- C.
Posttraumatic stress disorder
- D.
Generalized adaptions to stress
- 14.A child with cystic fibrosis has early signs of an upper respiratory tract infection, including a cough and runny nose. The nurse should teach the child's mother to:
- A.
Make sure the child eats a good diet
- B.
Take the child's temperature twice a day
- C.
Offer the child lots of orange juice to drink
- D.
Increase chest physiotherapy to four times per day
- 15.A clear mucus may indicates that the infection is most likely...
- A.
Bacterial
- B.
Viral
- C.
Fungal
- 16.A nurse is caring for a 10 year old with CF. The child reports that he feels like he isn't getting enough air. Which finding indicates that the child is compensating for decreased serum oxygen levels?
- A.
Sunken abdomen
- B.
Distended Jugular Veins
- C.
Edema in the upper extremities
- D.
Clubbing of the fingers and toes
- 17.
- A.
Breast development is commonly delayed
- B.
The adolescent is at risk for developing diabetes
- C.
Pregnancy and child-bearing aren't affected
- D.
Normal sexual relationships can be expected
- E.
Only males carry the gene for the disease.
- F.
By age 20, the frequency of respiratory treatment should be possible to decrease
- 18.A nurse is caring for a child with a burn injury sustained in a house fire. Which assessment finding suggests that the child has suffered smoke inhalation?
- A.
Hoarseness
- B.
Hypotension
- C.
Burns over the chest and abdomen
- D.
Decreased sputum
- 19.A nurse is working a 0700 to 1500 shift of a pediatric floor, and her duties include giving the morning dose of pancreatic enzyme to a 12 year old with cystic fibrosis. This medication should be administered:
- A.
With breakfast
- B.
After breakfast
- C.
With antibiotics
- D.
2 hours before breakfast
- 20.A nurse is working with a group of parents whose infants have died from sudden infant death syndrome (SIDS). Which statement by a parent indicates the need for further teaching?
- A.
"I feel so guilty because my baby died"
- B.
"If I'd checked on my baby in the middle of the night he wouldn't have died"
- C.
"Parents should take all pillows and stuffed animals out of a baby's crib"
- D.
"it would probably be a good idea if I learned CPR"
- 21.A result of repeated infections in children with cystic fibrosis is:
- A.
Increased irritability
- B.
Bone marrow depression
- C.
Enhanced academic ability
- D.
Being prone to developing type 1 diabetes
- 22.Absence of breath sounds accompanied by a sudden rise in respiratory rate is an ominous sign in Status Asthmaticus.
- A.
True
- B.
False
- 23.An 8-month old is admitted is admitted to the pediatric unit with a history of multiple respiratory infections and suspected cystic fibrosis. Which symptom suggests cystic fibrosis?
- A.
Fatty Stools
- B.
Decreased Appetite
- C.
Decreased Respiratory Rate
- D.
Early passage of meconium in the neonatal period
- 24.
- A.
A round face
- B.
Audible wheezing
- C.
Regular use of inhalers
- D.
A respiratory rate of 30 per minute.
- 25.An important nursing measure for a 6-month old infant with bronchiolitis is:
- A.
Promoting stimulating activities that meet the infant's developmental needs
- B.
Making regular assessments of the infant's skin color, anterior fontanel, and vital signs
- C.
Discouraging visits from the parents during the acute phase to conserve the infant's energy
- D.
Maintaining airborne precautions including wearing a gown, cap, mask, and gloves when giving care to the infant.
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