Question: A nurse is teaching the parents of a child diagnosed with cystic fibrosis about medication therapy. Which medication will the nurse instruct the parents to administer orally?
Answer Choices:
bronchodilator
pancreatic enzyme
anti-inflammatory agent
recombinant human DNase
Answer: pancreatic enzyme
Question: The nurse is educating the parents of a 7-year-old child with asthma about the medications that have been prescribed. Which drug does the nurse identify as an adjunct to a beta-2-adrenergic agonist for treatment of bronchospasm?
Answer Choices:
Cromolyn
Ipratropium
Montelukast
Theophylline
Answer: Ipratropium
Question: The nurse is performing a neurologic assessment on a child. The previous examination noted the child to be alert but answering questions inappropriately. In this examination, the child only responds to vigorous stimuli. Which action should the nurse take first?
Answer Choices:
Reassess in 1 hour.
Notify the health care provider.
Have another nurse verify the results.
Document the findings on the hourly assessment tool.
Answer: Notify the health care provider.
Question: The parents of a child with cystic fibrosis ask the nurse about genetic implications of the disorder. Which statement, made by the nurse, expresses accurately the genetic implications?
Answer Choices:
It is inherited as an autosomal dominant trait.
If it is present in a child, both parents are carriers of this defective gene.
It is a genetic defect found primarily in non-Caucasian population groups.
There is a 50% chance that siblings of an affected child also will be affected.
Answer: If it is present in a child, both parents are carriers of this defective gene.
Question: The nurse is caring for a 3-year-old child who must receive nebulizing treatment by mask. What type of distraction technique would the nurse utilize to minimize trauma for the child?
Answer Choices:
Play Peek-A-boo for the child.
Play make-believe about the mask.
Demonstrate the treatment on another patient.
Have one of the parents hug and restrain the child.
Answer: Play make-believe about the mask.
Question: A preschooler is brought to the emergency department and is having a “froglike” croaking sound on inspiration. The child is agitated, and drooling copiously. Which of the following nursing actions is most important?
Answer Choices:
Make the child lie down and rest quietly.
Auscultate the child’s lungs and make preparations for placement in a mist tent.
Examine the child’s oropharynx and report the assessment to the healthcare provider.
Notify the healthcare provider immediately and be prepared to assist with a tracheostomy or intubation.
Answer: Notify the healthcare provider immediately and be prepared to assist with a tracheostomy or intubation.
Question: The nurse is discussing discharge instructions with the parents of a 6-year-old child who had a tonsillectomy. What is the most important information to stress on?
Answer Choices:
Administer analgesics.
Apply an ice collar.
Inspect the throat for bleeding.
Encourage the child to drink liquids.
Answer: Inspect the throat for bleeding.
Question: A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. What will the nurse do first?
Answer Choices:
Clamp the chest tube.
Apply an occlusive dressing.
Notify the health care provider.
Perform a respiratory assessment.
Answer: Perform a respiratory assessment.
Question: The nurse is caring for a 10-year-old child with allergic conjunctivitis. The nurse is alert to the child’s increased risk for:
Answer Choices:
atopic dermatitis.
acute otitis media.
insect bite sensitivity.
frequent sore throats.
Answer: atopic dermatitis.
Question: Bacterial pneumonia is suspected in a 4-year-old child with fever, headache, and chest pain. Which assessment finding indicates the need for this child to be hospitalized?
Answer Choices:
fever
pale skin color
tachypnea with retractions
oxygen saturation level of 94%
Answer: tachypnea with retractions
Question: The nurse is caring for a 10-year-old child with allergic conjunctivitis. The nurse is alert to the child’s increased risk for:
Answer Choices:
atopic dermatitis.
acute otitis media.
insect bite sensitivity.
frequent sore throats.
Answer: atopic dermatitis.
Question: The nurse is conducting a teaching session for the parents of children with chronic respiratory disorders. Which of the following psychosocial support will the nurse advise parents to provide to prevent fear and isolation?
Answer Choices:
Teach the chronically ill child to be strong and reasonable.
Teach the child to befriend adults with the same type of disorder.
Teach parents how to balance care of the chronically ill child with other family life.
All the above.
Answer: Teach parents how to balance care of the chronically ill child with other family life.