Nclex-Rn Practice Questions-Care Of The Child - Respiratory Disorders Part 1
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Question 1 |
Following the death of an infant from sudden infant death syndrome (SIDS), which response by a nurse to the grieving parents is most appropriate?
A | “You didn’t cause your infant’s death.” |
B | “An autopsy will confirm the cause of your infant’s death.” |
C | “Don’t worry, you’ll have more children.” |
D | “Be sure to place your next infant on his back to sleep.” |
Question 2 |
The nurse is assessing a child recently brought to the emergency department. Which observations would cause the nurse to suspect epiglottitis?
A | Decreased secretions |
B | Drooling |
C | Low-grade fever |
D | Spontaneous cough |
Question 3 |
During the recovery stages of croup, a nurse should explain which intervention to parents?
A | Limiting oral fluid intake |
B | Recognizing signs of respiratory distress |
C | Providing three nutritious meals per day |
D | Allowing the child to go to the playground |
Question 4 |
The nurse is reviewing orders for the assigned clients. A nebulizer treatment has been ordered for a child with croup. What is the best time for the nurse to administer the treatment?
A | During naptime |
B | During playtime |
C | After the child eats |
D | After the parents leave |
Question 5 |
The student nurse asks if any precaution is necessary when caring for children with respiratory infections such as croup. What is the best information for the nurse to provide?
A | Enforce hand washing. |
B | Place the child in isolation. |
C | Teach children to use tissues. |
D | Keep siblings in the same room. |
Question 6 |
Which sign is most characteristic of a child with croup?
A | Barking cough |
B | Fever |
C | High heart rate |
D | Respiratory distress |
Question 7 |
The parents of a child ask the nurse what the best intervention is if their child is experiencing an episode of “midnight croup,” or acute spasmodic laryngitis. What is the best response by the nurse?
A | Give warm liquids. |
B | Raise the heat on the thermostat. |
C | Provide humidified air with cool mist. |
D | Take the child into the bathroom with a warm running shower. |
Question 8 |
What is the most important goal for a child with ineffective airway clearance?
A | Reducing the child’s anxiety |
B | Maintaining a patent airway |
C | Providing adequate oral fluids |
D | Administering medications as ordered |
Question 9 |
Which activity should the nurse recommend for long-term support of parents with an infant who has died of sudden infant death syndrome (SIDS)?
A | Attending support groups |
B | Attending church regularly |
C | Attending counseling sessions |
D | Discussing feelings with family and friends |
Question 10 |
An infant is brought to the emergency department (ED) and pronounced dead with the preliminary finding of sudden infant death syndrome (SIDS). Which question to the parents is appropriate?
A | Did you hear the infant cry out? |
B | Was the infant’s head buried in a blanket? |
C | Were any of the siblings jealous of the new baby? |
D | How did the infant look when you found him? |
Question 11 |
The parents of an infant who just died from sudden infant death syndrome (SIDS) are angry at God and refuse to see any member of the clergy. Which nursing diagnosis is most appropriate?
A | Ineffective coping |
B | Spiritual distress |
C | Complicated grieving |
D | Chronic sorrow |
Question 12 |
The nurse is aware that which reaction is usually exhibited by the family of an infant who has died from sudden infant death syndrome (SIDS)?
A | Feelings of blame or guilt |
B | Acceptance of the diagnosis |
C | Requests for the infant’s belongings |
D | Questions regarding the etiology of the diagnosis |
Question 13 |
When giving rescue breathing to an infant under age 1 year, what is the ratio of breaths per second?
A | 1 breath every 2 to 3 seconds |
B | 1 breath every 3 to 5 seconds |
C | 1 breath every 4 to 6 seconds |
D | 1 breath every 5 to 7 seconds |
Question 14 |
Which diagnostic test should be included in the care plan for children with an increased risk of sudden infant death syndrome (SIDS)?
A | Pulmonary function tests at regular intervals |
B | Home apnea monitor |
C | Pulse oximetry while sleeping |
D | Chest X-ray at age 1 month |
Question 15 |
When performing chest compressions on a 2-year-old child, which depth is correct?
A | ½″ to 1″ (1 to 2.5 cm) |
B | 1″ to 1½″ (2.5 to 3.5 cm) |
C | 1½″ to 2″ (3.5 to 5 cm) |
D | 2″ to 2½″ (5 to 6.5 cm) |
Question 16 |
A 2-year-old child is found on the floor next to his toy chest. After first determining unresponsiveness and calling for help, which step should be taken next?
A | Start mouth-to-mouth resuscitation. |
B | Begin chest compressions. |
C | Check for a pulse. |
D | Open the airway. |
Question 17 |
Which nursing intervention is best to help a 2-year-old child adapt to hospitalization?
A | Allow the child to have favorite toys. |
B | Allow the child to play with equipment used on him. |
C | Explain procedures in simple terms. |
D | Ask one or both parents to stay with the child. |
Question 18 |
A 2-year-old child comes to the emergency department with inspiratory stridor and a barking cough. A preliminary diagnosis of croup has been made. What is the most important intervention for the nurse to provide?
A | Administer I.V. antibiotics. |
B | Provide oxygen by facemask. |
C | Establish and maintain the airway. |
D | Ask the mother to go to the waiting room. |
Question 19 |
Which plan is most appropriate for a nurse scheduling a home visit to parents who lost an infant to sudden infant death syndrome (SIDS)?
A | One visit in 2 weeks |
B | No visit is necessary |
C | As soon after death as possible |
D | One visit with parents only, no siblings |
Question 20 |
Which instruction should a nurse give the parents of a 2-year-old child who wakes in the night with a barking cough?
A | Provide humidified air for the child to breath. |
B | Call for an ambulance immediately. |
C | Place the child in a warm, dry room. |
D | Begin rescue breathing at once. |
Question 21 |
A single nurse rescuer knows that chest compressions must be coordinated with ventilations. Which ratio should the nurse rescuer use for a 3-year-old child?
A | 15 compressions to 1 ventilation |
B | 15 compressions to 2 ventilations |
C | 30 compressions to 1 ventilation |
D | 30 compressions to 2 ventilations |
Question 22 |
A 6-week-old infant is brought to the emergency department not breathing; a preliminary finding of sudden infant death syndrome (SIDS) is made to the parents. Which intervention should the nurse take initially?
A | Call their spiritual advisor. |
B | Explain the etiology of SIDS. |
C | Allow them to see their infant. |
D | Collect the infant’s belongings and give them to the parents. |
Question 23 |
An infant is brought into the emergency room after an apneic episode. It is later determined to be an apparent life-threatening event (ALTE). What statement is incorrect regarding ALTE?
A | There is a causal relationship between ALTE and sudden infant death syndrome (SIDS). |
B | Limpness and color change are often features of ALTE. |
C | Stimulation or resuscitation is often required to bring about recovery. |
D | Most ALTE episodes occur between 8 a.m. and 8 p.m. |
Question 24 |
A 10-month-old infant is found in respiratory arrest, and cardiopulmonary resuscitation is started. Which site is best to check for a pulse?
A | Brachial |
B | Carotid |
C | Femoral |
D | Radial |
Question 25 |
Which sign should alert a nurse that an 18-month-old child with croup is experiencing increased respiratory distress?
A | A barking cough |
B | Intercostal retractions |
C | Clubbing of the fingers |
D | Increased anterior-posterior chest diameter |
Question 26 |
A 19-month-old child with croup is crying as a nurse tries to auscultate breath sounds. Which intervention by the nurse would be most appropriate?
A | Ignore the crying and listen to breaths sounds as best as possible. |
B | Tell the parents that they are upsetting the child and to wait outside the room. |
C | Tell the child, in a loud and firm voice, that he must sit still and cooperate. |
D | Hand the stethoscope to the child to examine before auscultating his lungs. |
Question 27 |
The nurse is aware that which position is recommended for placing an infant to sleep?
A | Prone position |
B | Supine position |
C | Side-lying position |
D | With head of bed elevated 30 degrees |
Question 28 |
Which child has an increased risk of sudden infant death syndrome (SIDS)?
A | A neonate born at 32 weeks’ gestation weighing 4 lb (1.8 kg) |
B | A 2-year old with a broken arm |
C | An infant hospitalized with a temperature of 103.4° F (39.7° C) |
D | A first-born child |
Question 29 |
The family of an infant that died from sudden infant death syndrome (SIDS) asks the nurse what risk factors could have predisposed their child to SIDS. Which response would be the most accurate?
A | Breastfeeding the infant |
B | Gestational age of 42 weeks |
C | Immunizations |
D | Low birth weight |
Question 30 |
Which strategy is the best plan of care for a child with acute epiglottitis?
A | Encourage oral fluids for hydration. |
B | Maintain the client in semi-Fowler’s position. |
C | Administer I.V. antibiotic therapy. |
D | Maintain respiratory isolation for 48 hours. |
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