MARYVILLE UNIVERSITY NUR 306 PEDIATRIC NURSING
— FINAL EXAM 4|QUESTION AND VERIFIED
ANSWERS|2026 UPDATE|GRADED A+
1. Most common pediatric respiratory infection:
A) Upper respiratory infection
B) Pneumothorax
C) Asthma
D) Croup
Answer: A
(URIs are frequent in children due to immature immune systems.)
2. Early signs of respiratory distress:
A) Tachypnea, nasal flaring, retractions
B) Cyanosis only
C) Bradycardia only
D) Lethargy only
Answer: A
(Appear before severe hypoxia develops.)
3. Late signs of respiratory distress:
A) Cyanosis, bradycardia, altered consciousness
B) Cough only
C) Fever only
D) Sneezing only
Answer: A
(Indicate imminent respiratory failure.)
4. Croup hallmark:
A) Barking cough, inspiratory stridor
B) Wheezing only
C) Drooling only
D) Cyanosis only
Answer: A
(Classic upper airway obstruction symptom.)
5. Croup first-line management:
A) Cool mist, humidified air
, B) Antibiotics
C) Bronchodilators only
D) Corticosteroids only
Answer: A
(Mild cases are treated symptomatically.)
6. Epiglottitis hallmark:
A) Drooling, tripod posture, stridor
B) Barking cough only
C) Fever only
D) Runny nose only
Answer: A
(Airway emergency requiring immediate attention.)
7. Priority intervention for epiglottitis:
A) Maintain airway, avoid throat inspection
B) Suction aggressively
C) Give oral fluids
D) Administer cough syrup
Answer: A
(Inspection may worsen obstruction.)
8. Bronchiolitis causative agent:
A) RSV
B) Influenza virus
C) Streptococcus
D) Adenovirus
Answer: A
(Most common lower respiratory infection in infants.)
9. Bronchiolitis management:
A) Oxygenation, hydration
B) Antibiotics
C) Bronchodilators only
D) Antivirals only
Answer: A
(Supportive care is mainstay.)
10. Asthma triggers:
A) Allergens, exercise, infections
, B) Only stress
C) Only diet
D) Only cold
Answer: A
(Multiple precipitating factors.)
11. Long-term asthma control:
A) Inhaled corticosteroids
B) Short-acting beta-agonist only
C) Antibiotics only
D) Antihistamines only
Answer: A
(Reduces airway inflammation.)
12. Acute asthma attack treatment:
A) Short-acting bronchodilator (albuterol)
B) Oral fluids only
C) Antibiotics
D) Antihistamines
Answer: A
(Relieves bronchospasm immediately.)
13. Pediatric CHF signs:
A) Tachypnea, poor feeding, edema
B) Cough only
C) Rash only
D) Fever only
Answer: A
(Early recognition prevents complications.)
14. Tetralogy of Fallot hallmark:
A) Cyanotic “tet spells”
B) Diarrhea
C) Fever only
D) Rash only
Answer: A
(Acute hypoxemia episodes.)
15. Kawasaki disease hallmark:
A) Fever >5 days, strawberry tongue, conjunctivitis
— FINAL EXAM 4|QUESTION AND VERIFIED
ANSWERS|2026 UPDATE|GRADED A+
1. Most common pediatric respiratory infection:
A) Upper respiratory infection
B) Pneumothorax
C) Asthma
D) Croup
Answer: A
(URIs are frequent in children due to immature immune systems.)
2. Early signs of respiratory distress:
A) Tachypnea, nasal flaring, retractions
B) Cyanosis only
C) Bradycardia only
D) Lethargy only
Answer: A
(Appear before severe hypoxia develops.)
3. Late signs of respiratory distress:
A) Cyanosis, bradycardia, altered consciousness
B) Cough only
C) Fever only
D) Sneezing only
Answer: A
(Indicate imminent respiratory failure.)
4. Croup hallmark:
A) Barking cough, inspiratory stridor
B) Wheezing only
C) Drooling only
D) Cyanosis only
Answer: A
(Classic upper airway obstruction symptom.)
5. Croup first-line management:
A) Cool mist, humidified air
, B) Antibiotics
C) Bronchodilators only
D) Corticosteroids only
Answer: A
(Mild cases are treated symptomatically.)
6. Epiglottitis hallmark:
A) Drooling, tripod posture, stridor
B) Barking cough only
C) Fever only
D) Runny nose only
Answer: A
(Airway emergency requiring immediate attention.)
7. Priority intervention for epiglottitis:
A) Maintain airway, avoid throat inspection
B) Suction aggressively
C) Give oral fluids
D) Administer cough syrup
Answer: A
(Inspection may worsen obstruction.)
8. Bronchiolitis causative agent:
A) RSV
B) Influenza virus
C) Streptococcus
D) Adenovirus
Answer: A
(Most common lower respiratory infection in infants.)
9. Bronchiolitis management:
A) Oxygenation, hydration
B) Antibiotics
C) Bronchodilators only
D) Antivirals only
Answer: A
(Supportive care is mainstay.)
10. Asthma triggers:
A) Allergens, exercise, infections
, B) Only stress
C) Only diet
D) Only cold
Answer: A
(Multiple precipitating factors.)
11. Long-term asthma control:
A) Inhaled corticosteroids
B) Short-acting beta-agonist only
C) Antibiotics only
D) Antihistamines only
Answer: A
(Reduces airway inflammation.)
12. Acute asthma attack treatment:
A) Short-acting bronchodilator (albuterol)
B) Oral fluids only
C) Antibiotics
D) Antihistamines
Answer: A
(Relieves bronchospasm immediately.)
13. Pediatric CHF signs:
A) Tachypnea, poor feeding, edema
B) Cough only
C) Rash only
D) Fever only
Answer: A
(Early recognition prevents complications.)
14. Tetralogy of Fallot hallmark:
A) Cyanotic “tet spells”
B) Diarrhea
C) Fever only
D) Rash only
Answer: A
(Acute hypoxemia episodes.)
15. Kawasaki disease hallmark:
A) Fever >5 days, strawberry tongue, conjunctivitis
