RSV NCLEX Questions and answers 2022 with complete solutions

During a home​ visit, the nurse assesses a​ 2-year-old child. Which factor should the nurse identify as putting the child at risk for contracting respiratory syncytial virus​ (RSV)? (Select all that​ apply.) A. Both parents are unemployed. B. Both parents smoke cigarettes. C. The toddler shares a drinking cup with older brother. D. There is an absence of soap at the kitchen sink. E. The toddler wears clean but rumpled pants and shirt. Answer: A, B, C, D Which intervention should the nurse identify as a preventive measure for​ bronchiolitis? A. Antibiotic therapy B. Immunization C. Sputum culture D. Palivizumab Answer: D 00:17 02:03 Which factor should the nurse identify as a risk factor for the development of​ bronchiolitis? (Select all that​ apply.) A. Cigarette smoke exposure B. Chronic lung disease C. Attends daycare D. Premature birth E. Age 4 or older Answer: A, B, C, D The nurse is examining a child with bronchiolitis. Which symptom should the nurse interpret as a sign of​ dehydration? (Select all that​ apply.) A. Intercostal muscle retractions B. Weak peripheral pulses C. Decreased urine output D. Dry, sticky mucous membranes E. Delayed capillary refill Answer: B, C, D, E The nurse is caring for an infant who is recovering from bronchiolitis. The parents ask if there will be any future risk for the child. Which condition should the nurse​ describe? A. Decreased lung capacity B. Asthma C. Chronic respiratory infections D. Chronic obstructive pulmonary disease​ (COPD) Answer: B The nurse is teaching the parents of a​ 9-month-old client with respiratory syncytial virus​ (RSV) about ways to help the child recover quickly from the disorder. Which information should the nurse​ include? (Select all that​ apply.) A. Provide​ frequent, small meals throughout the day. B. Use a bulb syringe to clear the nose before giving a bottle. C. Help the child to blow the nose to clear the airway. D. Wash hands thoroughly after caring for the child. E. Permit the child to rest and nap throughout the day. Answer: A, B, E The nurse is speaking with a parent who is sharing that her child has not been eating well at home since being sick with respiratory syncytial virus​ (RSV). Which should be the reason for consulting with a dietitian to work with this​ family? (Select all that​ apply.) A. Provide healthy snacks. B. Place a nasogastric tube. C. Assess fluid intake. D. Discuss the importance of​ frequent, small meals. E. Assess the caloric intake. Answer: C, D, E The nurse is working with a mother and discussing the process of keeping the airway clear for a child diagnosed with respiratory syncytial virus​ (RSV). Which should the nurse teach the parent to do at​ home? A. Use a catheter to suction the airway B. Perform chest percussion C. Use a bulb syringe to suction the nose D. Auscultate lung sounds Answer: C The nurse is working with a group of new nurses and discussing the importance of maintaining fluid balance in an infant with respiratory syncytial virus​ (RSV). Which statement demonstrates an understanding of maintaining fluid balance in​ infants? A. "We should encourage the parents to monitor​ sleeping." B. "We should encourage the parents to add proteins into the​ diet." C. "We should encourage the parents to force​ fluids." D. "We should encourage the parents to count​ diapers." Answer: D The nurse is discussing with a parent the signs of dehydration to look for in a child with respiratory syncytial virus​ (RSV). Which manifestation should the nurse​ include? (Select all that​ apply.) A. Bluish tint to skin B. Poor skin elasticity C. Decreased urinary output D. Dry mucous membranes E. Labored cough Answer: B, C, D Which should be the reasoning behind prescribing antibiotics to a child with respiratory syncytial virus​ (RSV)? A. To thin secretions B. To treat a concurrent virus C. To break up congestion D. To treat a concurrent bacterial infection Answer: D A parent tells the nurse​ "When my older child had RSV years​ ago, the doctor prescribed a bronchodilator. Why has my child not been prescribed one this​ time?" When describing why bronchodilators are no longer routinely​ prescribed, which side effect of bronchodilators should the nurse​ describe? A. Muscle cramps B. Dehydration C. Tachycardia D. Increases blood pressure Answer: C