Test Bank Chapter 30 Child With A Respiratory Condition - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 30: Child With a Respiratory Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which statement by the nurse accurately describes the difference between the respiratory systems of a child and an adult?
1) | The nares in children are larger in size, shallow in depth, underdeveloped, and less easily occluded. |
2) | The larynx and the glottis are lower in the younger child’s neck, which makes the child more prone to aspiration. |
3) | The epiglottis in the younger child is longer and flaccid, making it more susceptible to swelling that may lead to airway occlusion. |
4) | There are fewer functional muscles in the neck, and the decreased amount of soft tissue makes the child more susceptible to infection and edema. |
____ 2. A pediatric nurse is performing a respiratory assessment on an 18-month-old child. The nurse most likely uses which recommended techniques?
1) | Assess breath sounds by listening to all lung fields and alternating sides for comparison. |
2) | Assess the resonance of the lungs and underlying organs by using auscultation. |
3) | Assess the child’s respiratory status when fully awake and active. |
4) | Assess for normal breath sounds using palpation. |
____ 3. Which of the following differences in anatomy makes children more susceptible to ear infections than adults?
1) | The eustachian tube is wider and shorter in children than adults. |
2) | The throat is longer and narrower in children than adults. |
3) | A child’s nose contains no cilia (small hairs). |
4) | A child’s lungs are less compliant than an adult’s. |
____ 4. Which of the following is the correct method for performing direct percussion?
1) | Listening with the diaphragm side of the stethoscope |
2) | Placing the middle finger of the nondominant hand in the intercostal space and tapping with the fingers of the other hand |
3) | Tapping with the fingertips |
4) | Touching the patient with open palms and outstretched fingers |
____ 5. Which pattern of breathing is characterized by slow, deep, labored respirations?
1) | Cheyne-Stokes breathing |
2) | Kussmaul’s breathing |
3) | Bradypnea |
4) | Hyperventilation |
____ 6. Which information should the nurse include when teaching information regarding peak flow to a child diagnosed with severe asthma?
1) | The test should be conducted at least once a week. |
2) | The yellow zone is considered the danger zone and indicates the need for immediate intervention. |
3) | The red zone is a caution zone indicating the need to slow down and have a rescue inhaler available. |
4) | The green zone indicates that the child should continue to take prescribed medication and participate in normal activity. |
____ 7. A pediatric nurse explains discharge instructions to the parents of a child who is postoperative from a tonsillectomy. Which instruction does the nurse stress?
1) | Recommend vigorous toothbrushing. |
2) | Avoid highly seasoned and “sharp” foods. |
3) | Encourage coughing and clearing the throat. |
4) | Avoid popsicles the first day postoperative because of aspiration risk. |
____ 8. The mother of a toddler-aged patient states, “My daughter seems to be at an increased risk for complications associated with respiratory infections.” Which response by the nurse is accurate?
1) | “You are incorrect in your assessment.” |
2) | “Younger children do not breathe as deeply as do older children.” |
3) | “The younger child’s airway is smaller and more easily occluded.” |
4) | “Air passages are more likely to become blocked with mucus because younger children make more mucus than older children.” |
____ 9. A toddler-aged patient presents to the emergency department with a sore throat and difficulty swallowing. The nurse suspects acute epiglottitis. Which nursing action is avoided based on the current assessment data?
1) | Vital signs |
2) | Throat culture |
3) | Medical history |
4) | Auscultation of breath sounds |
____ 10. The nurse walks into a pediatric patient’s room and notices that the child is standing and leaning forward with the arms resting on the knees. The nurse knows that this position assists in breathing by doing which of the following?
1) | Expanding the diaphragm so that the child can take deeper breaths |
2) | Tilting the head back to maximize the effort to draw air into the lungs via the nose |
3) | Depressing the lower sternum, which causes a decrease in anteroposterior diameter |
4) | Increasing the ability to use the thoracic and neck muscles to draw air into the lungs |
____ 11. The nurse notices that a child’s lips are bluish in color and the child’s skin appears pale. What is the nurse’s priority action?
1) | Call the provider. |
2) | Administer oxygen. |
3) | Begin CPR. |
4) | Obtain vital signs. |
____ 12. Which oxygenation device provides a transparent, plastic-enclosed, humidified, oxygen-rich environment for a pediatric patient who is too large for a hood?
1) | Simple face mask |
2) | Blow-by oxygen |
3) | Nasal cannula |
4) | Oxygen tent |
____ 13. Which of the following is not a chest physiotherapy technique?
1) | Percussion via cupped hands |
2) | Extracting oropharyngeal secretions |
3) | Percussion with a vibratory device |
4) | Repositioning from side-to-side |
____ 14. The nurse is teaching a pediatric patient and the patient’s parents how to expectorate secretions and promote respiratory activity. Which instruction should the nurse include?
1) | Take several short breaths and then cough. |
2) | Cough forcefully and then take a deep breath and hold it. |
3) | Take a few deep breaths and then cough forcefully several times. |
4) | Breathe out and then cough forcefully. |
____ 15. The nurse is reviewing the treatment plan for a child diagnosed with nasopharyngitis with the child’s parent. Which statement by the parent requires correction?
1) | “I should give my child antipyretics as needed.” |
2) | “My child will need to take antibiotics for 5 to 7 days.” |
3) | “I can give my child an antihistamine if my child has itchy eyes.” |
4) | “I should encourage my child to rest.” |
____ 16. The nurse is caring for a patient who has been diagnosed with tonsillitis. What medication should the nurse expect to administer?
1) | Amoxycillin |
2) | Penicillin |
3) | Steroids |
4) | Cephalosporin |
____ 17. While assessing a child who presented with a sore throat, the nurse notices that the child has begun drooling. What is the nurse’s priority action?
1) | Call the provider. |
2) | Assess the child’s airway with a tongue blade. |
3) | Administer oxygen. |
4) | Begin CPR. |
____ 18. A child presents with a barking cough and, when auscultating the lungs, the nurse notes stridor upon inspiration. The nurse suspects that the child has which respiratory infection?
1) | Epiglottitis |
2) | Tonsillitis |
3) | Croup |
4) | Asthma |
____ 19. The nurse is educating the parent of a child diagnosed with croup about return precautions. What symptom should the nurse include?
1) | Productive cough |
2) | Increased respiratory rate |
3) | Nosebleeds |
4) | Tiredness |
____ 20. The nurse is observing a student nurse who is educating the parents of a child with asthma about how to reduce triggers at home. Which statement by the student nurse requires correction?
1) | “You can smoke around your child as long as you’re outside.” |
2) | “Replace heating and cooling appliance filters on a regular basis.” |
3) | “Check the local weather report for mold, pollen, pollution, and high ozone levels. |
4) | “Be sure to use insect traps instead of spraying pesticides.” |
____ 21. The nurse is attempting to relieve the fear of a parent whose child was just diagnosed with asthma. Which of the following statements is the best example of therapeutic communication?
1) | “Why are you so afraid?” |
2) | “I will go over the procedures for administering the inhaler with you.” |
3) | “You probably have someone else with asthma in your family whom you can talk to.” |
4) | “Make sure you watch your child carefully when the child exercises.” |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. Which data collected during the pediatric respiratory assessment require further action by the nurse? (Select all that apply.)
1) | Stridor |
2) | Strong cry |
3) | Nasal flaring |
4) | Substernal retractions |
5) | Lung sounds clear to auscultation |
____ 23. When assisting with the respiratory assessment of a pediatric patient, which should the nurse include to determine oxygenation? (Select all that apply.)
1) | Skin |
2) | Sclera |
3) | Cornea |
4) | Nailbeds |
5) | Mucous membranes |
____ 24. Which prescribed medications should the nurse educate the parents of a child with asthma to administer on a daily basis? (Select all that apply.)
1) | Albuterol |
2) | Ipratropium |
3) | Theophylline |
4) | Racemic epinephrine |
5) | Leukotriene modifiers |
____ 25. Which nursing actions are essential for safety when providing care to a pediatric patient at risk for respiratory compromise? (Select all that apply.)
1) | Identifying distress |
2) | Documenting the care provided |
3) | Supporting a compromised airway |
4) | Keeping the parents abreast of changes |
5) | Choosing the appropriate method of oxygen |
Chapter 30: Child With a Respiratory Condition
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer