Nclex-Rn Practice Questions-Care Of The Child - Respiratory Disorders Part 3
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Question 1 |
Which outcome should be anticipated of parental care of a child with neonatal chronic lung disease (bronchopulmonary dysplasia)?
A | Reports increased levels of stress |
B | Makes safe decisions with professional assistance only |
C | Participates in routine, but not complex, caretaking activities |
D | Verbalizes the causes, risks, therapy options, and nursing care |
Question 2 |
The nurse teaches parents that which test is used to diagnose respiratory syncytial virus (RSV)?
A | Blood test |
B | Nasopharyngeal washings |
C | Sputum culture |
D | Throat culture |
Question 3 |
A nurse is explaining bronchiolitis to the parents of an infant admitted with the condition. Which explanation by the nurse would be the most accurate?
A | Acute inflammation and obstruction of the bronchioles |
B | Airway obstruction from aspiration of a solid object |
C | Inflammation of the pulmonary parenchyma |
D | Acute highly contagious croup-like syndrome |
Question 4 |
Which nursing diagnosis is appropriate for a client with acute asthma?
A | Imbalanced nutrition: More than body requirements |
B | Excess fluid volume |
C | Activity intolerance |
D | Constipation |
Question 5 |
Which intervention by the parents is appropriate to “allergy proof” the home?
A | Cover floors with carpeting. |
B | Designate the basement as the play area. |
C | Dust and clean the house thoroughly twice a month. |
D | Use foam rubber pillows and synthetic blankets. |
Question 6 |
The nurse is caring for a client with atelectasis. What is the most important nursing intervention for the nurse to provide?
A | Perform chest physiotherapy. |
B | Give increased I.V. fluids. |
C | Administer oxygen. |
D | Obtain arterial blood gas (ABG) levels. |
Question 7 |
During the assessment of a client, the nurse distinguishes that a client has status asthmaticus, instead of asthma, when the client has which characteristic?
A | Several attacks per month |
B | Less than six attacks per year |
C | Little or no response to bronchodilators |
D | Constant and unrelieved by bronchodilators |
Question 8 |
Which finding should a nurse expect on a typical X-ray of a child with asthma?
A | Atelectasis |
B | Hemothorax |
C | Infiltrates |
D | Pneumothoraces |
Question 9 |
Neonatal chronic lung disease (bronchopulmonary dysplasia) can be classified into four categories. Which characteristic is noted during the early or first stage of the disease?
A | Interstitial fibrosis |
B | Signs of emphysema |
C | Hyperexpansion on chest X-ray |
D | Resemblance to respiratory distress syndrome |
Question 10 |
Neonatal chronic lung disease (bronchopulmonary dysplasia) can cause increased fluid in the lungs due to disruption of the alveolar-capillary membrane, and the client may begin receiving furosemide (Lasix). Which adverse effect is possible?
A | Hypercalcemia |
B | Hyperkalemia |
C | Hypernatremia |
D | Irregular heart rhythm |
Question 11 |
The nurse is assessing breath sounds of a child admitted with asthma. The nurse would anticipate hearing which sound?
A | Stridor |
B | Rhonchi |
C | Rales |
D | Wheezing |
Question 12 |
Which reason necessitates tracheostomy tube placement in long-term care of infants with neonatal chronic lung disease (bronchopulmonary dysplasia)?
A | Increased risk of tracheomalacia |
B | Inability to wean from the ventilator |
C | Need to allow for gastrostomy tube feedings |
D | Increased signs of respiratory distress |
Question 13 |
The nurse is aware that a child is at increased risk for an asthma-related death when there has been:
A | use of an inhaler at home. |
B | one admission for asthma last year. |
C | prior admission to the general pediatric floor. |
D | prior admission to an intensive care unit for asthma. |
Question 14 |
A parent asks the nurse which characteristic distinguishes allergies from colds. What is the best response by the nurse?
A | Skin tests can diagnose a cold. |
B | Allergies are accompanied by fever. |
C | Colds cause itching of the eyes and nose. |
D | Allergies trigger constant and consistent bouts of sneezing. |
Question 15 |
A 1-year-old infant with neonatal chronic lung disease (bronchopulmonary dysplasia) has just received a tracheostomy. What is the most appropriate nursing intervention?
A | Keep extra tracheostomy tubes at the bedside. |
B | Secure ties at the side of the neck for easy access. |
C | Change the tracheostomy tube 2 weeks after surgery. |
D | Secure the tracheostomy ties tightly to prevent dislodgment of the tube. |
Question 16 |
Which nursing intervention is appropriate when suctioning a tracheostomy tube?
A | Hypoventilate the child before suctioning. |
B | Repeat the suctioning process for two intervals. |
C | Insert the catheter 1 to 2 cm below the tracheostomy tube. |
D | Inject a small amount of normal saline solution into the tube before suctioning. |
Question 17 |
A 2-year-old child with neonatal chronic lung disease (bronchopulmonary dysplasia) is placed on furosemide (Lasix) once per day. The parents are being educated on foods that are rich in potassium. Which food should the nurse recommend?
A | Apples |
B | Oranges |
C | Peaches |
D | Raisins |
Question 18 |
A student nurse asks the nurse if any precautions are needed when caring for a 2-month-old infant with respiratory syncytial virus (RSV) to prevent the spread of infection. What is the best response by the nurse?
A | Gloves only |
B | Gown, gloves, and mask |
C | No precautions required; the virus isn’t contagious |
D | Proper hand washing between clients |
Question 19 |
A 2-month-old infant is brought to the emergency department, and a preliminary diagnosis of bronchiolitis is given. During assessment of the infant, the nurse would expect to find which of the following?
A | Bradycardia |
B | Increased appetite |
C | Wheezing on auscultation |
D | No signs of an upper respiratory infection |
Question 20 |
A nurse is caring for a 2-year-old client with asthma. What is the most appropriate nursing intervention for this client?
A | Give warm liquids. |
B | Give cold juice or ice pops. |
C | Provide three meals and three snacks. |
D | Give I.V. fluid boluses. |
Question 21 |
The nurse is caring for a child with asthma who is being treated with aminophylline after failing to respond to other treatment strategies. The nurse reviews the child’s aminophylline level and interprets it as normal when the results show which level?
A | 2 to 4 mcg/ml |
B | 5 to 15 mcg/ml |
C | 10 to 20 mcg/ml |
D | 20 to 30 mcg/ml |
Question 22 |
A 2-year-old child has been diagnosed with asthma. The parents ask about the most common asthma triggers. What is the best response by the nurse?
A | Weather |
B | Peanut butter |
C | The cat next door |
D | One parent with asthma |
Question 23 |
A 2-year old with pneumonia is placed in an oxygen tent with mist. Which nursing action is a priority?
A | Change the child’s bed linens and pajamas frequently. |
B | Maintain a steady body temperature. |
C | Avoid the use of equipment or toys that can produce sparks. |
D | Keep the plastic sides of the tent tucked in. |
Question 24 |
A 2-year-old child with status asthmaticus is admitted to the pediatric unit and begins to receive continuous treatment with albuterol (Proventil), given by nebulizer. The nurse should observe for which of the following?
A | Bradycardia |
B | Lethargy |
C | Tachycardia |
D | Tachypnea |
Question 25 |
A pediatric client is to receive furosemide (Lasix) 4 mg/kg/day in one daily dose. The client weighs 20 kg. How many milligrams should be administered in each dose?
A | 20 |
B | 40 |
C | 80 |
D | 160 |
Question 26 |
In most cases, bronchiolitis is caused by a viral agent, most commonly respiratory syncytial virus (RSV). The nurse should keep in mind which statement regarding RSV infection?
A | It’s more prevalent in the summer and fall months. |
B | It’s most likely to attack the respiratory tract mucosa. |
C | It’s more commonly seen in children older than age 5. |
D | It’s not particularly contagious. |
Question 27 |
The parents of a 10-year-old child recently diagnosed with asthma ask if the child can continue to play sports. What is the best response by the nurse?
A | Sports don’t cause asthma attacks. |
B | You should limit activities to quiet play. |
C | It’s okay to play some sports, but swimming isn’t recommended. |
D | Physical activity and sports are encouraged, provided the asthma is under control. |
Question 28 |
A 10-year-old client with asthma has recently started receiving oral methylprednisolone. He begins to vomit and complains of his stomach hurting. Which nursing intervention is appropriate?
A | Check the methylprednisolone level. |
B | Decrease the dose. |
C | Take no action; methylprednisolone can cause nausea. |
D | Place an I.V. and call the physician. |
Question 29 |
A 10-year-old child is admitted with asthma. The physician orders a methylprednisolone loading dose of 3 mg/kg. The client weighs 30 kg. How much methylprednisolone is contained in the dose?
A | 60 mg |
B | 90 mg |
C | 120 mg |
D | 180 mg |
Question 30 |
An 11-month-old infant with neonatal chronic lung disease (bronchopulmonary dysplasia) and a tracheostomy experiences a decline in oxygen saturation from 97% to 88%. He appears anxious, and his heart rate is 180 beats/minute. Which nursing intervention is most appropriate?
A | Change the tracheostomy tube. |
B | Suction the tracheostomy tube. |
C | Obtain an arterial blood gas (ABG) level. |
D | Increase the oxygen flow rate. |
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