INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 229
Chapter 25: The Child with a Respiratory Disorder
MULTIPLE CHOICE
1. What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus
that the treatment is most likely to be?
a. Acetaminophen and plenty of fluids
b. Oral penicillin for 10 days
c. Penicillin until his sore throat is gone
d. Streptococcus immunization
ANS: B
When a throat culture is positive for group A beta-hemolytic streptococcus, penicillin is administered for 10
days even if symptoms are alleviated before the medication is finished.
DIF: Cognitive Level: Comprehension REF: Page 596
TOP: Acute Pharyngitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
a. Take the child outside in the cool air.
b. Bring the child directly to the emergency department.
c. Take the child to the bathroom and turn on a hot shower.
d. Have the child drink plenty of fluids.
ANS: C
The child experiencing laryngeal spasm should be placed in a high-humidity environment, such as the
bathroom with a hot shower running. The humidity liquefies secretions and reduces spasm.
DIF: Cognitive Level: Application REF: PageNURSINGTB.COM
598
TOP: Croup Syndromes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A).
What might this indicate?
a. Bleeding from the surgical site
b. Pain at the incision area
c. Sore throat from postnasal drip
d. Potential vomiting
ANS: A
Hemorrhage is the most common postoperative complication. Blood trickling down the back of the childs
throat could cause frequent swallowing.
DIF: Cognitive Level: Comprehension REF: Page 604
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. What is the best choice for fluid replacement that the nurse can offer a child who has just had a
tonsillectomy?
a. A popsicle
b. Chocolate milk
c. Orange juice
d. Cola drink
ANS: A
Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural
juices. A popsicle is usually well-tolerated.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:49 GMT -05:00
https://www.coursehero.com/file/63488812/TB-Chapter-25-The-Child-with-a-Respiratory-Disorderpdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 230
DIF: Cognitive Level: Application REF: Page 604
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the
nurse immediately report?
a. Respiration rate decrease from 40 to 32 breaths/min
b. Heart rate decrease from 110 to 100 beats/min
c. Quiet chest from previous assessment of wheezing
d. Oxygen saturation of 90%
ANS: C
A quiet chest after assessment of wheezing indicates occlusion of air pathways and impending respiratory
arrest. All other options are within normal range for infants undergoing oxygen administration.
DIF: Cognitive Level: Analysis REF: Page 600
TOP: Respiratory Syncytial Virus (RSV)
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma
attack, expect to find?
a. Fine crackles
b. Coarse rhonchi
c. Expiratory wheezing
d. Decreased breath sounds at lung bases
ANS: C
The child experiencing an acute asthma attack wheezes as air moves in and out of the narrowed airways. The
expiratory wheeze is most pronounced. NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 605
OBJ: 12 TOP: Asthma KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
a. Offer plenty of fluids, particularly carbonated beverages.
b. Place the child in a humidified cool mist tent with oxygen.
c. Administer sedatives as ordered to decrease anxiety.
d. Position the child with arms resting on the overbed table.
ANS: D
This position is comfortable and allows maximum use of the accessory muscles for breathing. Sedatives would
mask symptoms of increasing air hunger. Carbonated beverages are contraindicated in persons with dyspnea.
DIF: Cognitive Level: Comprehension REF: Page 609
TOP: Asthma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
8. What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale
Cromolyn?
a. Before exercise to prevent attacks
b. At the initial onset of the attack
c. During the attack to relieve symptoms
d. As often as 4 times a day
ANS: A
Anti-inflammatory inhalants are taken before exercise to prevent attacks. These drugs can do nothing for the
attack in progress. They are meant to be used as prophylactic therapies.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:49 GMT -05:00
https://www.coursehero.com/file/63488812/TB-Chapter-25-The-Child-with-a-Respiratory-Disorderpdf/
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 229
Chapter 25: The Child with a Respiratory Disorder
MULTIPLE CHOICE
1. What will the nurse tell parents of a child with a positive throat culture for group A hemolytic streptococcus
that the treatment is most likely to be?
a. Acetaminophen and plenty of fluids
b. Oral penicillin for 10 days
c. Penicillin until his sore throat is gone
d. Streptococcus immunization
ANS: B
When a throat culture is positive for group A beta-hemolytic streptococcus, penicillin is administered for 10
days even if symptoms are alleviated before the medication is finished.
DIF: Cognitive Level: Comprehension REF: Page 596
TOP: Acute Pharyngitis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. Which initial intervention will the nurse suggest to the parents of a child experiencing laryngeal spasm?
a. Take the child outside in the cool air.
b. Bring the child directly to the emergency department.
c. Take the child to the bathroom and turn on a hot shower.
d. Have the child drink plenty of fluids.
ANS: C
The child experiencing laryngeal spasm should be placed in a high-humidity environment, such as the
bathroom with a hot shower running. The humidity liquefies secretions and reduces spasm.
DIF: Cognitive Level: Application REF: PageNURSINGTB.COM
598
TOP: Croup Syndromes KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. The nurse would observe a child for frequent swallowing after a tonsillectomy and adenoidectomy (T&A).
What might this indicate?
a. Bleeding from the surgical site
b. Pain at the incision area
c. Sore throat from postnasal drip
d. Potential vomiting
ANS: A
Hemorrhage is the most common postoperative complication. Blood trickling down the back of the childs
throat could cause frequent swallowing.
DIF: Cognitive Level: Comprehension REF: Page 604
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. What is the best choice for fluid replacement that the nurse can offer a child who has just had a
tonsillectomy?
a. A popsicle
b. Chocolate milk
c. Orange juice
d. Cola drink
ANS: A
Small amounts of clear liquids can be offered to the child. Synthetic fruit juices are not as irritating as natural
juices. A popsicle is usually well-tolerated.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:49 GMT -05:00
https://www.coursehero.com/file/63488812/TB-Chapter-25-The-Child-with-a-Respiratory-Disorderpdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 230
DIF: Cognitive Level: Application REF: Page 604
TOP: Tonsillitis and Adenoiditis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
5. When auscultating breath sounds of an infant with respiratory syncytial virus, which assessment would the
nurse immediately report?
a. Respiration rate decrease from 40 to 32 breaths/min
b. Heart rate decrease from 110 to 100 beats/min
c. Quiet chest from previous assessment of wheezing
d. Oxygen saturation of 90%
ANS: C
A quiet chest after assessment of wheezing indicates occlusion of air pathways and impending respiratory
arrest. All other options are within normal range for infants undergoing oxygen administration.
DIF: Cognitive Level: Analysis REF: Page 600
TOP: Respiratory Syncytial Virus (RSV)
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. What classic sign would the nurse, auscultating the breath sounds of a child hospitalized for an acute asthma
attack, expect to find?
a. Fine crackles
b. Coarse rhonchi
c. Expiratory wheezing
d. Decreased breath sounds at lung bases
ANS: C
The child experiencing an acute asthma attack wheezes as air moves in and out of the narrowed airways. The
expiratory wheeze is most pronounced. NURSINGTB.COM
DIF: Cognitive Level: Knowledge REF: Page 605
OBJ: 12 TOP: Asthma KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. What is the best intervention for the nurse caring for a child experiencing an acute asthma attack?
a. Offer plenty of fluids, particularly carbonated beverages.
b. Place the child in a humidified cool mist tent with oxygen.
c. Administer sedatives as ordered to decrease anxiety.
d. Position the child with arms resting on the overbed table.
ANS: D
This position is comfortable and allows maximum use of the accessory muscles for breathing. Sedatives would
mask symptoms of increasing air hunger. Carbonated beverages are contraindicated in persons with dyspnea.
DIF: Cognitive Level: Comprehension REF: Page 609
TOP: Asthma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
8. What should the nurse explain to the parent of a child with exercise-induced asthma about when to inhale
Cromolyn?
a. Before exercise to prevent attacks
b. At the initial onset of the attack
c. During the attack to relieve symptoms
d. As often as 4 times a day
ANS: A
Anti-inflammatory inhalants are taken before exercise to prevent attacks. These drugs can do nothing for the
attack in progress. They are meant to be used as prophylactic therapies.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:05:49 GMT -05:00
https://www.coursehero.com/file/63488812/TB-Chapter-25-The-Child-with-a-Respiratory-Disorderpdf/
NURSINGTB.COM
