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Respiratory

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

A child with bronchiolitis has SpO₂ of 89% on room air. What is the best initial oxygen therapy?

a)

A. Non-rebreather mask

b)

B. Low-flow nasal cannula

c)

C. High-flow nasal cannula

d)

D. Simple face mask

2.

Which finding in pediatric respiratory distress requires immediate escalation of care?

a)

A. Mild to moderate subcostal retractions

b)

B. Tachypnea

c)

C. Head bobbing and grunting

d)

D. Nasal congestion

3.

Which child is at highest risk for hospitalization for bronchiolitis?

a)

A. 2-year-old with mild symptoms

b)

B. 9-month-old with a history of asthma

c)

C. 6-month-old born full-term

d)

D. 2-month-old with decreased feeding

4.

What term describes difficult or labored breathing ?

a)

A. Apnea

b)

B. Bradypnea

c)

C. Hyperpnea

d)

D. Dyspnea

5.

Which assessment best differentiates bronchiolitis from asthma in infants?

a)

A. Presence of wheezing

b)

B. Poor response to bronchodilators

c)

C. History of atopy

d)

D. Hyperinflated lungs on X-ray

6.

A VBG on a child with bronchiolitis reads:

  • pH: 7.38

  • pCO₂: 52 mmHg

  • HCO₃⁻: 31 mEq/L

How should the nurse interpret this?

a)

A. Fully compensated respiratory acidosis

b)

B. Uncompensated respiratory acidosis

c)

C. Partially compensated metabolic acidosis

d)

D. Normal gas

7.

A 4-year-old with croup develops inspiratory stridor at rest. What is the PRIORITY intervention?

a)

A. Give oral fluids

b)

B. Administer nebulized epinephrine

c)

C. Give albuterol

d)

D. Suction the airway

8.

In infants, which sign MOST strongly predicts impending respiratory arrest?

a)

A. Tachycardia

b)

B. Nasal flaring

c)

C. Apnea or irregular breathing

d)

D. Tachypnea

9.

A previously tachypneic infant with bronchiolitis suddenly shows a decrease in respiratory rate from 72 to 38, becomes quiet, and shows minimal chest rise. What does this indicate?

a)

A. Clinical improvement

b)

B. Sedation effect

c)

C. Normal variability in infants

d)

D. Respiratory muscle fatigue

10.

A 3-year-old with pneumonia is breathing rapidly, using accessory muscles. After 20 minutes, retractions become less pronounced, but breath sounds decrease. What is the priority?

a)

A. Prepare for airway support

b)

B. Encourage coughing

c)

C. Continue monitoring

d)

D. Administer an antipyretic