Paeds Unit 2

Which of the following is most indicative of an upper airway obstruction?

• A. Low-pitched snoring sounds

• B. High-pitched stridor during inhalation

• C. Wheezing heard on exhalation

• D. Silent lungs with no breath sou

A 2-year-old child presents with a harsh, high‑pitched sound during inspiration and a barking cough. This presentation is most consistent with:

• A. Bronchiolitis (lower airway obstruction)

• B. Epiglottitis (upper airway obstruction)

• C. Croup (upper airway obstruction)

• D. Asthma (lower airway obstruction)

Which symptom most likely indicates lower airway obstruction in a child?

• A. Expiratory wheezing

• B. Inspiratory stridor

• C. Drooling with muffled voice

• D. Barky cough

A toddler with upper airway obstruction may present with all EXCEPT:

• A. Drooling and dysphagia

• B. Inspiratory stridor, possible stertor

• C. Barking cough and hoarse voice

• D. Bilateral expiratory wheezing with crackles

Which finding indicates significant respiratory distress in pediatric airway obstruction (upper or lower)?

• A. Nasal flaring and intercostal retractions alone

• B. Barky cough only

• C. Silent chest on auscultatio

• D. Inspiratory stridor on

A deeply unresponsive child requires assisted ventilation. Which statement regarding OPA use is correct?

• A. Always insert an OPA in any breathing child

• B. Insert only if there is no gag reflex

• C. Use in conscious children to tone down airway resistance

• D. Never use OPA in pediatric patients

A semiconscious child with tongue obstruction needs airway support. Which adjunct is best?

• A. Oropharyngeal airway

• B. Nasopharyngeal airway

• C. Bag-valve-mask ventilation without adjunct

• D. Immediate endotracheal intubation

A 4-year-old with respiratory distress is admitted. The nurse’s priority intervention is:

• A. Administer albuterol

• B. Elevate the head of the bed to 30

• C. Begin chest physiotherapy

• D. Encourage pursed-lip breathing

A child with bronchiolitis exhibits coarse breath sounds and shallow breathing. The nurse should:

• A. Suction airway as needed and encourage coughing

• B. Administer oxygen, but avoid suctioning

• C. Rely on position and fluids only

• D. Start chest physio without assessment

A child on mechanical ventilation has increasing PIP (peak inspiratory pressure). What should the nurse do first?

• A. Increase sedation

• B. Check ET tube patency and circuit connections

• C. Administer bronchodilator

• D. Remove the ET tube