Question: Child with tachycardia and tachypnea — best test to evaluate hypoxia?
Answer Choices:
Pulse oximetry
Chest x-ray
Peak expiratory flow
Pulmonary function test
Answer: A — Pulse oximetry
Question: ABG values pH 7.30, CO₂ 50, HCO₃ 25 indicate what?
Answer Choices:
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Answer: C — Respiratory acidosis
Question: RSV bronchiolitis infant with distress — initial intervention?
Answer Choices:
Start resuscitation
Call provider for chest x-ray
Offer bottle
Suction secretions and give oxygen
Answer: D — Suction secretions and provide oxygen
Question: Acute epiglottitis suspected in a 5-year-old. Which interventions?
Answer Choices:
Throat culture
Administer blow-by oxygen
Assessment of breath sounds
Perform complete physical assessment
Emergency airway equipment available
Answer: B — Administer blow-by oxygen
C — Assessment of breath sounds
E — Emergency airway equipment readily available
Question: Teaching a 17-year-old with tuberculosis — priority information?
Answer Choices:
Monthly chest x-rays
Complete the full antibiotic course
Avoid health care visits unless symptoms occur
Avoid strenuous exercise
Answer: B — Completing the full course of antibiotics
Question: Medication for acute asthma bronchospasm?
Answer Choices:
Cromolyn
Albuterol
Salmeterol
Ipratropium
Answer: B — Albuterol
Question: Which is the first reliable sign of respiratory illness in a 5-year-old?
Answer Choices:
Increasing lethargy
Bluish tinge to lips
Slow irregular breathing
Rapid shallow breathing
Answer: D — Rapid, shallow breathing
Question: Child requiring 8 L/min oxygen — delivery device?
Answer Choices:
Simple mask
Venturi mask
Nasal cannula
Oxygen hood
Answer: A — Simple mask
Question: The nurse encourages the mother of a toddler with acute laryngotracheobronchitis (LTB) to stay at the bedside. What is the rationale?
Answer Choices:
Mothers of hospitalized toddlers often experience guilt
Separation from mother is a major developmental threat at this age
The mother’s presence will reduce anxiety and ease child’s respiratory efforts
The mother can provide constant observation of respiratory effort
Answer: C — The mother’s presence will reduce anxiety and ease child’s respiratory efforts
Question: Teaching parents of child with strep throat — which instructions?
Answer Choices:
Use cool mist humidifier
Encourage fluids
Complete antibiotic course
Discard toothbrush after 24 hr antibiotics
Answer: B — Encourage fluids
C — Complete antibiotic course
D — Discard toothbrush after 24 hr antibiotics
Question: The nurse suspects sinusitis in which child?
Answer Choices:
3-year-old child with sneezing and coughing
7-year-old child with halitosis and thick, yellow nasal discharge
5-year-old child with nasal congestion and sore throat
Answer: B — 7-year-old child with halitosis and thick, yellow nasal discharge