WorksheetsPediatric Respiratory
Total questions: 34
Worksheet time: 22mins
A nurse is teaching an adolescent to self-administer a corticosteroid medication using a metered-dose inhaler (MDI). Which of the following instructions should the nurse include? (Select all that apply)
Shake the device prior to use
Rinse and expectorate after administration.
Inhale slowly with medication administration
Exhale quickly after medication administration
Wait 30 seconds between puffs.
A nurse caring for a child who is receiving oxygen therapy and is on a continuous oxygen saturation monitor that is reading 89%. Which of the following actions should the nurse take first?
Increase the oxygen flow rate.
Encourage the child to take deep breaths.
Ensure proper placement of the sensor probe.
Place the child in the Fowler's position.
A nurse in the emergency department is assessing a newly-admitted infant. Which of the following findings is an early indication of hypoxemia?
Nonproductive cough
Hypoventilation
Tachypnea
Nasal stuffiness
A nurse is caring for a child who is receiving oxygen. Which of the following findings indicates oxygen toxicity?
Increase blood pressure
Hyperventilation
Decreased PaCO2
Unconsciousness
A nurse is caring for a child who is receiving a bronchodilator medication by nebulized aerosol therapy. Which of the following actions should the nurse take? (Select all that apply)
Instruct the child that the treatment will last 30 min.
Obtain vital signs prior to the procedure
Tell the child to take slow deep breaths
Determine if the child should use a mask
Attach the device to an air source
A nurse is caring for a child who has bronchiolitis. Which of the following actions should the nurse take? (Select all that apply)
Administer oral prednisone
Initiate chest percussion and postural drainage
Administer humidified oxygen
Suction the nasopharynx as needed
Administer oral penicillin
A nurse is teaching a group of parents about influenza. Which of the following information should the nurse include in the teaching?
"Amantidine will prevent the illness"
"Rimantadine is administered intramuscularly"
"Zanamivir can be given to children 1 year and older."
"Oseltamivir should be given within 48 hours of onset of symptoms"
A nurse is caring for a child who is in the postoperative period following a tonsillectomy. Which of the following is a clinical finding of postoperative bleeding?
Hgb 11.6 and Hct 37%
Inflammed and reddened throat
Frequent swallowing and clearing of the throat.
Blood-tinged mucus
A nurse is caring for a child in the postoperative period following a tonsillectomy. Which of the action should the nurse take?
Encourage the child to blow her nose gently
Administer analgesics on a schedule
Offer orange juice
Position the child supine
A nurse is assessing a child who has epiglottitis. Which of the following findings should the nurse expect? (Select all that apply)
Hoarseness and difficulty speaking
Difficulty swallowing
Low-grade fever
Drooling
Stridor
A nurse is assessing a child who has asthma. Which of the following are indications of deterioration in the child's respiratory status? (Select all that apply)
Oxygen saturation 95%
Wheezing
Retraction of sternal muscles
Warm extremities
Nasal flaring
A nurse is teaching an adolescent about the appropriate use of his asthma medications. Which of the following medications should the nurse instruct the client to use as needed before exercise?
Fluticasone/salmeterol
Montelukast
Prednisone
Albuterol
A nurse is planning care for a child who has asthma. Which of the following interventions should the nurse include in the plan of care ? (Select all that apply)
Perform chest percussion
Place the child in an upright position
Monitor oxygen saturation
Administer bronchodilators
Administer dornase alfa daily
A nurse is teaching a child who has asthma how to use a peak flow meter. Which of the following information should the nurse include in the teaching? (Select all that apply)
Zero the meter before each use
Record the average of the attempts
Perform three attempts
Deliver a long, slow breath into the meter
Sit in a chair with feet on the floor
A nurse is discussing risk factors for asthma with a group of newly licensed nurses. Which of the following conditions should the nurse include in the teaching? (Select all that apply)
Family history of asthma
Family history of allergies
Exposure to smoke
Low birth weight
Being underweight
A nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. Which of the following findings should the nurse identify as an indication of cystic fibrosis?
Sweat chloride content 85 mEq/L
Increased serum levels of fat-soluble vitamins
72 hour stool analysis sample indicating hard, packed stools
Chest x-ray negative for atelectasis
A nurse is admitting a child who has cystic fibrosis. Which of the following medications should the nurse anticipate including in the plan of care? (Select all that apply)
Tobramycin
Loperamide
Fat-soluble vitamins
Albuterol
Dornase alfa
A nurse is performing an admission assessment for a child with cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply)
Wheezing
Clubbing of fingers and toes
Barrel-shaped chest
Thin, watery mucus
Rapid growth spurts
A nurse is providing discharge teaching for a child who has cystic fibrosis. Which of the following instructions should the nurse include?
Provide a low-calorie, low-protein diet
Administer pancreatic enzymes with meals and snacks
Implement a fluid restriction during times of infection
Restrict physical activity
A 5-month-old infant with RSV bronchiolitis is in respiratory distress. The baby has copious secretions, increased work of breathing, cyanosis, and a respiratory rate of 78. What is the most appropriate initial nursing intervention?
Attempt to calm the infant by placing him in his mother's lap and offering him a bottle.
Alert the physician or nurse practitioner to the situation and ask for an order for a stat chest x-ray
Suction secretions, provide 100% oxygen via mask, and anticipate respiratory failure
Bring the emergency equipment into the room and begin bag-valve-mask ventilation
A toddler has moderate respiratory distress, is mildly cyanotic, and has increased work of breathing, with a respiratory rate of 40. What is the priority nursing intervention?
Airway maintenance and 100% oxygen by mask
100% oxygen and pulse oximetry monitoring
Airway maintenance and continued reassessment
100% oxygen and provision of comfort
The nurse is caring for a child with cystic fibrosis who receives pancreatic enzymes. Which statement by the child's mother indicates an understanding of how to administer the supplemental enzymes?
"I will stop the enzymes if my child is receiving antibiotics"
"I will decrease the dose by half if my child is having frequent, bulk stools."
"Between meals is the best time for me to give the enzymes."
"The enzymes should be given at the beginning of each meal and snack"
Which of these factors contributes to infants' and children's increased risk for upper airway obstruction as compared with adults?
Underdeveloped cricoid cartilage and narrow nasal passages.
Small tonsils and narrow nasal passages
Cylinder-shaped larynx and underdeveloped sinuses
Underdeveloped cricoid cartilage and smaller tongue
Which is the most appropriate treatment for epistaxis?
With the child lying down and breathing through the mouth, apply pressure to the bridge of the nose.
With child lying down and breathing through the mouth, pinch the lower third of the nose closed
With the child sitting up and leaning forward, apply pressure to the bridge of the nose.
With the child sitting up and leaning forward, pinch the lower third of the nose closed.
True/False. Clubbing is the enlargement of the terminal phalanx of the fingers resulting from chronic hypoxemia.
True
False
True/False. Tachypnea is a late-stage sign of respiratory distress in children.
True
False
True/False. Rales are crackling sounds, heard during auscultation, that are the result of the alveoli becoming filled with fluid.
True
False
True/False. Suctioning is an important intervention for an infant with a common cold.
True
False
True/False. Stridor is a term used to refer to the characteristic coughing sound of croup.
True
False
Alveolar collapse or loss of lung volume, referred to as (a) , can cause grunting on expiration.
Hypoventilation occurs secondary to markedly (a) work of breathing.
Usually a thin watery nasal discharge, (a) is commonly called runny nose.
A sign of respiratory distress, (a) may be observed on inhalation.
Seen as a blue or gray coloration of the skin, (a) is a sign of poor oxygenation.
