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WorksheetsNUR113 Exam4 Practice
Total questions: 72
Worksheet time: 58mins
Where does stenosis occur in Tetrology of Fallot?
Tricuspid stenosis
Mitral stenosis
Pulmonary stenosis
Aortic stenosis
Which is not a part of tetrology of fallot?
Ventricular Septal Defect
Overriding Aorta
Right Ventricular Hypertrophy
Left Ventricular Hypertrophy
To detect a PDA, listen for leaking noise
True
False
What issues could arise from Patent Ductus Arteriosus?
Calcified Aorta
Overworked heart and respiratory issues
Pulmonary regortitation
ASD
____________ of _______ is where there's extra pressure on the left side of heart, thickens the muscle and overtime forces more blood to seep through ASD to right ventricle.
Transposition of greater arteries
Hypoplastic Left Heart Syndrum
Coarctation of aorta
Truncus arteriosus
What are some signs of a "blue baby"?
Blue eyes, lips and tip of tongue
Blue earlobes and eyes
Blue finger tips, eyes and nails
Blue nose tip
VSD occurs between ventricles
True
False
increased pulmonary blood flow?
tablets. Which of the following instructions should the nurse provide the parents regarding administration of this
medication?
increased pulmonary blood flow?
anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses
should the nurse make?
In addition to assessing nutritional status, the patient's weight may be used to determine:
activity levels.
developmental stage.
medication dosage.
cardiac abnormalities.
chronologic age.
The most frequently obtained measurement in the pediatric office is:
height
weight
temperature
pulse
respiration rate.
from common physical features of down syndrome
short neck
small ears
small hands
strong muscle tone
How many types of down syndrome are there..
2 types
3 types
4 types
non of the above
Select 2 symptoms you would most likely see in a patient with a severe case of bronchiolitis.
Barking or wheezing cough
Loose bowels
Swollen ankles
Cyanosis
Bradycardia
What makes up the lower respiratory tract?
Pharynx, trachea and Bronchi, bronchioles
Nasal cavity, Pharynx, Larynx and trachea
Trachea, bronchi, bronchioles and alveoli
Pharynx, larynx, trachea and alveoli
Respiratory syncytial virus (RSV) infection upper and sometimes lower respiratory tract infections. In which of the following ages groups is RSV a very common cause of respiratory tract infections?
Adolescents ages 12 to 19 years
Adults ages 40 to 60 years
Infants and young children
Adults ages 65 years and older
Which of the following may be the first symptom in infants younger than 6 months old with RSV infection?
Apnea (a period of not breathing)
Bronchiolitis (an infection of the lower respiratory tract)
Pneumonia
Runny nose
A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse plans to teach the parents about which anticipated treatment plan?
Antihistamine use
Cold washcloths on the face for comfort
Antibiotic treatment with amoxicillin
Referral for a sinuplasty
For which potential problem should the child with chronic otitis media with effusion be evaluated?
Brain abscess
Meningitis
Perforation of the tympanic membrane
Hearing loss
The nurse is assessing a child for epiglottitis. What findings are consistent with this condition? (Select all that apply)
Drooling
Dysphagia
Dysphonia
Distressed inspiratory efforts
Decreased oxygenation
The nurse should implement which interventions for an infant experiencing apnea? (Select all that apply.)
Stimulate the infant by gently tapping the foot.
Shake the infant vigorously.
Have resuscitative equipment available.
Suction the infant.
Maintain a neutral thermal environment.
The nurse is caring for a child with acute respiratory distress syndrome (ARDS) associated with sepsis. Nursing actions should include which of the following?
Monitoring pulse oximetry
Forcing fluids
Instituting seizure precautions
Encouraging a high-protein diet
The parent of a toddler calls the nurse, asking about croup. What is a distinguishing manifestation of spasmodic croup?
Wheezing is heard audibly.
It has a harsh, barky cough.
It is bacterial in nature.
The child has a high fever.
A nurse is caring for four infants. Which one should the nurse assess first?
Nasal flaring
Respiratory rate of 55 breaths/min
Irregular respiratory pattern
Abdominal breathing
What information should the nurse teach workers at a daycare center about RSV?
RSV is transmitted through airborne particles upon inhalation.
RSV can live on skin or paper for up to a few seconds after contact.
RSV can survive on nonporous surfaces for about 60 minutes.
Frequent handwashing can decrease the spread of the virus.
Which assessment finding after tonsillectomy should be reported to the surgeon?
Vomiting bright red blood
Pain at surgical site
Pain on swallowing
The ability to only take small sips of liquids
Which of the following is part of the Pediatric Assessment Triangle?
Blood Pressure
Lung Sounds
Work of Breathing
BGL
Which of the following is a sign of respiratory failure in a pediatric patient?
Tachypnea
Nasal Flaring
ALOC
Retractions
What is the most common cause of pediatric cardiac arrest?
Vascular Emergencies
Long QT Syndrome
Trauma
Hypoxia
Children have a ____________ metabolic demand then adults.
higher
lower
Croup is a(n) __________ respiratory infection.
Lower
Upper
Which of the following is NOT a sign of respiratory distress in the pediatric patient?
Tachypnea
Central Cyanosis
Grunting
Tachycardia
As the pediatric patient progresses from respiratory distress to respiratory failure, which of the following occurs?
Increased arterial carbon dioxide tension
Peripheral cyanosis
Muscular rigidity
Hyperactivity
Interpret the following ABG: pH 7.48, Pa02 56, PaC02 30, HC03 25, Fi02 45
uncompensated respiratory alkalosis
uncompensated metabolic acidosis
uncompensated respiratory acidosis
compensated respiratory acidosis
What is the primary goal for a patient with ARDS?
increase respiratory rate
achieve adequate oxygenation
volume control
keep C02 within normal range
Interpret the following ABG: pH 7.34, Pa02 90, PaC02 70, HC03 36, Fi02 45
compensated respiratory alkalosis
uncompensated respiratory alkalosis
compensated respiratory acidosis
uncompensated respiratory acidosis
A client with acute respiratory distress syndrome (ARDS) is showing signs of increased dyspnea. The nurse notes the following ABGs: pH 7.35, PaCO2 25, HCO3 22, PaO2 95. Which finding is abnormal?
pH
PaCO2
HCO3
PaO2
Which condition manifest with hypoventilation?
Respiratory acidosis
respiratory alkalosis
metabolic acidosis
metabolic alkalosis
What is the normal range value for PaCO2
30 to 40 mmHg
22-26 mmHg
35-45 mmHg
33-43 mmHg
An unconscious baby is receiving mechanical ventilation.
Which nursing diagnosis takes priority?
Self-care deficit related to unconsciousness.
Risk for impaired skin integrity related to immobility.
Ineffective airway clearance related to the inability to expectorate.
Imbalanced nutrition: less than body requirements related to inability to swallow.
Indications for assisting ventilations in a child include:
a respiratory rate of less than 12 breaths/min
respiratory rate of greater than 60 breaths/min
inadequate tidal volume
all of the above
Death caused by shaken baby syndrome is usually the result of:
multiple open fx
bleeding in the brain
fx of the cervical spine
intra-abdominal hemorrhage
True statement regarding postextubation stridor in pediatric patients:
It is less common in children with recent URTIs and Down syndrome.
Heliox has not been shown to be effective in reducing the work of breathing.
Usually results from swelling of the tongue after the endotracheal tube has been removed
Treatment includes humidified oxygen, intravenous dexamethasone and nebulized racemic epinephrine.
Otitis media (OM)
•It refers to any ................... of the middle ear, without reference to etiology or parthenogenesis
infection
pain
inflammation
disease
the most important Acute otitis media-Causing Pathogen is...........
Staphylococcusaureus
Streptococcus pneumoniae
Moraxella catarrhalis
Haemophilusinfluenzae
Acute otitis media symptoms are .............
ear pain
hear weakness
vomiting
all answers are right
What is/are the complication/s of acute otitis media?
acute mastoiditis
facial nerve palsy
meningitis
Labyrinthitis
A 23 year old man presents to you with two days history of left ear pain which associated with pruritus, scanty discharge, and has mild hearing loss.
On physical examination, there is tenderness with tragal pressure.
What is the possible diagnosis?
You may choose more than one answer.
acute otitis media
acute otitis external
furunculosis
foreign body
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?
Place a bedside humidifier at the head of the client's bed.
Suction the nasopharynx as needed.
Withhold fluids until the client demonstrates a gag reflex.
Perform chest physiotherapy.
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?
Keep the child home for 1 week.
Give the child acetaminophen for discomfort.
Offer the child clear liquids for the first 24 hr.
Assist the child to take a tub bath for the first 3 days.
Which of the following is the heart rate range of children 1 to 3 years old?
120–150 bpm
98-140 bpm
70–110 bpm
60–100 bpm
How many seconds are counted when assessing an older child’s respirations?
15 seconds
30 seconds
60 seconds
120 seconds
Which of the following statement concerning the anatomy of the infant airway compared with the adult airway is true?
The glottic opening is more anterior in infants than in adults
The epiglottis is relatively small in infants compared with adult
The larynx is at the C5-C6 level in infants and C6-C7 level in adults
The vocal cords are in a more horizontal position within the larynx in infants than in adults
The vocal cords are the narrowest part of the larynx in infants, whereas the cricoid cartilage is the narrowest part in adults
The nurse has identified a problem of anxiety for a 4-year-old preparing for a tonsillectomy. The nurse should tell the child:
"You will not have so many sore throats after your tonsils are removed.”
"The doctor will put you to sleep so you do not feel anything.”
"Show me how to give the doll an IV.”
"When it is done, you will get to see your mommy and get an ice pop.”
An 11-year-old is admitted for treatment of an asthma attack. Which finding indicates immediate intervention is needed?
thin, copious mucous secretions
productive cough
intercostal retractions
respiratory rate of 20 breaths/min
A nurse is teaching the parents of a preschooler about the possibility of postoperative hemorrhage after a tonsillectomy and adenoidectomy. When should the nurse explain that the risk of bleeding is the greatest?
1 to 3 days after surgery
4 to 6 days after surgery
7 to 10 days after surgery
11 to 14 days after surgery
The triage nurse in the emergency department must prioritize the children waiting to be seen. Which child is in the greatest need of emergency medical treatment?
a 6-year-old with a fever of 104°F (40°C), a muffled voice, no spontaneous cough, and drooling
a 3-year-old with a fever of 100°F (37.8°C), a barky cough, and mild intercostal retractions
a 4-year-old with a fever of 101°F (38.3°C), a hoarse cough, inspiratory stridor, and restlessness
a 13-year-old with a fever of 104°F (40°C), chills, and a cough with thick yellow secretions
A charge nurse is making assignments for a group of children on a pediatric unit. The nurse should most avoid assigning the same nurse to care for a 2-year-old with respiratory syncytial virus (RSV) and:
an 18-month-old with RSV.
a 9-year-old 8 hours postappendectomy.
a 1-year-old with a heart defect.
a 6-year-old with sickle cell crisis.
A toddler who has been treated for a foreign body aspiration begins to fuss and cry when the parents attempt to leave the hospital for an hour. As the nurse tries to take the child out of the crib, the child pushes the nurse away. The nurse interprets this behavior as indicating which stage of separation anxiety?
protest
despair
regression
Detachment
