Nclex-Rn Practice Questions-Care Of The Child - Respiratory Disorders Part 4
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Question 1 |
Which nursing intervention is most appropriate for a child with cystic fibrosis who is having difficulty clearing secretions?
A | Perform chest physiotherapy four times per day. |
B | Administer pancreatic enzymes with meals. |
C | Provide oxygen by nasal cannula at all times. |
D | Provide a high-calorie, high-protein diet at each meal. |
Question 2 |
Parents ask the nurse about the cause of their child’s cystic fibrosis. Which statement best describes this autosomal-recessive disorder?
A | The genetic disorder is carried on the X chromosome. |
B | Both parents must pass the defective gene or set of genes. |
C | Only one defective gene or set of genes is passed by one parent. |
D | The child has an extra chromosome, resulting in an XXY karyotype. |
Question 3 |
Which nursing intervention is appropriate for care of the child with cystic fibrosis?
A | Decrease exercise and limit physical activity. |
B | Administer cough suppressants and antihistamines. |
C | Administer chest physiotherapy two to four times per day. |
D | Administer bronchodilator or nebulizer treatments after chest physiotherapy. |
Question 4 |
Which statement concerning pancreatic enzymes for a cystic fibrosis client is correct?
A | Capsules may not be opened. |
B | Microcapsules can be crushed. |
C | Encourage eating throughout the day. |
D | Administer enzymes at each meal and with snacks. |
Question 5 |
The parents of a child with cystic fibrosis ask the nurse which diet is recommended for their child. What is the best response by the nurse?
A | Fat restricted |
B | High calorie |
C | Low protein |
D | Sodium restricted |
Question 6 |
Which intervention would be most appropriate for a nurse to perform when the parents of a child with cystic fibrosis tell her they are having difficulty coping?
A | Tell the parents they shouldn’t expect to have a normal family life. |
B | Refer the parents to a cystic fibrosis support group. |
C | Show the parents how to perform chest physiotherapy at home. |
D | Tell the parents that with good medical care their child can live into adulthood. |
Question 7 |
A nurse is performing an assessment on a newborn with a possible diagnosis of cystic fibrosis. Which of the following is an early sign of the disease?
A | Constipation |
B | Decreased appetite |
C | Hyperalbuminemia |
D | Meconium ileus |
Question 8 |
The nurse is preparing a child for testing for a foreign body aspiration. The nurse explains to the child’s parents that the best diagnostic tool for diagnosis of foreign body aspiration is:
A | bronchoscopy. |
B | chest X-ray. |
C | fluoroscopy. |
D | lateral neck X-ray. |
Question 9 |
Which activity is recommended to prevent foreign body aspiration during meals?
A | Insist that children are seated. |
B | Give children toys to play with. |
C | Allow children to watch television. |
D | Allow children to eat in a separate room. |
Question 10 |
A child is admitted with a possible tracheal foreign body. The nurse anticipates the assessment findings will include which of the following?
A | Cough, dyspnea, and drooling |
B | Cough, stridor, and changes in phonation |
C | Expiratory wheeze and inspiratory stridor |
D | Cough, asymmetrical breath sounds, and wheeze |
Question 11 |
The nurse is assessing a child who has been admitted to the emergency department with a diagnosis of tuberculosis. Which symptom would the nurse expect to observe?
A | Chills |
B | Hyperactivity |
C | Lymphadenitis |
D | Weight gain |
Question 12 |
A client with a suspected case of tuberculosis (TB) asks the nurse what test will confirm the diagnosis. What is the most appropriate response by the nurse?
A | Chest X-ray |
B | Sputum sample |
C | Tuberculin test |
D | Urine culture |
Question 13 |
Parents of a premature infant ask the nurse which medication can help to prevent respiratory syncytial virus (RSV). What is the best response by the nurse?
A | Epinephrine |
B | Bronchodilators |
C | Corticosteroids |
D | Palivizumab |
Question 14 |
The nurse is monitoring a child with a diagnosis of pertussis. The nurse is most concerned when the child develops which of the following?
A | Barking cough |
B | Whooping cough |
C | Abrupt high fever |
D | Inspiratory stridor |
Question 15 |
Which medication is used to treat bronchiolitis in an immunosuppressed client with severe infection caused by respiratory syncytial virus (RSV)?
A | Albuterol |
B | Aminophylline |
C | Cromolyn sodium |
D | Ribavirin (Virazole) |
Question 16 |
Which nursing diagnosis is the priority for an infant with bronchiolitis?
A | Imbalanced nutrition: More than body requirements |
B | Deficient diversional activity |
C | Impaired gas exchange |
D | Social isolation |
Question 17 |
Which organism is the most common causative agent for bacterial pneumonia?
A | Mycoplasma |
B | Parainfluenza virus |
C | Streptococcus pneumoniae |
D | Respiratory syncytial virus (RSV) |
Question 18 |
The nurse is teaching the parents of a child with pneumonia about the condition. Which description is correct?
A | Inflammation of the large airways |
B | Severe infection of the bronchioles |
C | Inflammation of the pulmonary parenchyma |
D | Acute viral infection with maximum effect at the bronchiolar level |
Question 19 |
The nurse is teaching parents how to care for a child with bronchiolitis at home. What is the most important information for the nurse to provide?
A | Place the child in a prone position for comfort. |
B | Use warm mist to replace insensible fluid loss. |
C | Recognize signs of increasing respiratory distress. |
D | Engage the child in many activities to prevent developmental delay. |
Question 20 |
A nurse should include which information on nutrition when teaching the family of a child with cystic fibrosis?
A | Provide a high-calorie, high-protein diet. |
B | Place the child on a daily 1,200-ml fluid restriction. |
C | Restrict daily intake of sodium to 1.5 g/day. |
D | Provide adequate amounts of fat-soluble vitamins |
Question 21 |
The parents of a 2-year-old child who has been started on rifampin (Rifadin) after testing positive for tuberculosis ask the nurse if there is any important information they need to know about the medication. What is the most important information for the nurse to provide?
A | Hyperactivity |
B | Orange body secretions |
C | Decreased bilirubin levels |
D | Decreased levels of liver enzymes |
Question 22 |
Which child would be at increased risk for a respiratory syncytial virus (RSV) infection?
A | A 2-month-old child managed at home |
B | A 2-month-old child with neonatal chronic lung disease (bronchopulmonary dysplasia) |
C | A 3-month-old child requiring low-flow oxygen |
D | A 2-year-old child |
Question 23 |
The school nurse is providing an in-service program about dietary safety to all of the preschool teachers and aides who care for children younger than age 3. What is the most important information for the nurse to provide?
A | Cut hotdogs in half. |
B | Limit popcorn and peanuts. |
C | Cut grapes into small pieces. |
D | Limit hard candy to special occasions. |
Question 24 |
When a nurse enters the room to give an antibiotic elixir to a 3-year-old child, the child says the medication is “yucky” and refuses to take it. Which response by the nurse is best?
A | “Do you want to take the medicine with vanilla ice cream or chocolate ice cream?” |
B | “If you don’t take the medicine, I will tell your mother.” |
C | “The doctor says you must take the medicine.” |
D | “You need to take this medicine to get better.” |
Question 25 |
The nurse is planning care for an infant with bronchiolitis who requires monitoring for dehydration. What is the most important intervention for the nurse to provide?
A | Measurement of intake and output |
B | Blood levels every 4 hours |
C | Urinalysis every 8 hours |
D | Weighing each diaper |
Question 26 |
A nurse is caring for a client with cystic fibrosis. Ranitidine (Zantac) 4 mg/kg/day every 12 hours is ordered. The child weighs 20 kg. How many milligrams are given per dose?
A | 16 |
B | 20 |
C | 40 |
D | 80 |
Question 27 |
The nurse is caring for an 8-year-old child admitted with pneumonia. Based on the child’s age, which type of pneumonia would the nurse suspect?
A | Enteric bacilli |
B | Mycoplasma pneumonia |
C | Staphylococcal pneumonia |
D | Chlamydophila (Chlamydia) pneumonia |
Question 28 |
Which statement by the parent of a 16-month-old child with cystic fibrosis should alert a nurse to investigate further?
A | “My child is not walking yet.” |
B | “My child is saying a few words and short phrases.” |
C | “My child doesn’t interact with other 16-month-olds.” |
D | “My child cries when I leave the room.” |
Question 29 |
A toddler with suspected cystic fibrosis is admitted for testing. The nurse explains that the diagnostic criterion for chloride levels is:
A | below 20 mmol/L. |
B | below 40 mmol/L. |
C | 40 to 60 mmol/L. |
D | above 60 mmol/L. |
Question 30 |
Which statement is appropriate for a nurse to make to the parents of a child with cystic fibrosis who are planning to have a second child?
A | “Genetic counseling is recommended.” |
B | “There’s a 50% chance the child will be normal.” |
C | “There’s a 50% chance of the child being affected.” |
D | “There’s a 25% chance the child will only be a carrier.” |
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