CPN exam - respiratory
The parents of a 2 year old child with chronic otitis media are concerned that the
disorder has affected the child's hearing. Which behavior suggests the child has
developed hearing impairment due to OM?
A) stuttering
B)gestures to express desires
C) babbling continuously
D) playing alongside friends without talking - CORRECT ANSWER-C) babbling
continuously
at 2, a kid should say 2-3 words; stuttering/gesturing doesn't necessarily indicate
hearing impairment; kids at this age often have parallel play
A 10 month old is brought in with recurrent OM. To help determine the cause,
what question should the nurse ask the parents?
A) "does water get in the ears when shampooing hair?"
B) "do you give the baby a bottle to take to bed?"
C) "have you noticed a lot of wax in the ears?"
D) can the baby combine 2 words when speaking?" - CORRECT ANSWER-B -
bottle propping and drinking in a recumbent position are HUGE causes of OM
A school age child has CF. What sport would be most appropriate for them to try?
A) basketball
B) golf
C) swimming
D) baseball - CORRECT ANSWER-C swimming - promotes deep breathing &
pulmonary toilet
When should the nurse instruct the child with CF to take their pancreatic
enzymes?
A) 30 minutes before a meal
, B) directly after eating their snack
C) immediately before eating a snack
D) in the middle of their meal - CORRECT ANSWER-C) immediately before
eating - they help improve absorption of fats & nutrients
Epiglottitis is caused by what organism
--> haemophilus Influenza B (HiB) - CORRECT ANSWER-*** Good to know**
since the development of the HiB immunization, the incidence of epiglottis has
drastically decreased (rarely see this)
What are the nursing interventions for a child with epiglottis?
A) panic
B) remain calm
C) suction airway intermittently
D) keep patient calm
E) prep for tracheotomy/intubation - CORRECT ANSWER-B, D, E
have supplies for tracheotomy/intubation at bedside, do NOT suction or assess
airway, keep child & self calm
How long can RSV exist outside the body on surfaces? - CORRECT
ANSWER-up to 6 hours
incubation period for RSV - CORRECT ANSWER-5-8 days
Laryngotracheobronchitis = ? - CORRECT ANSWER-croup
what is LTB most likely caused by? - CORRECT ANSWER-influenza A & B
What is bronchiolitis most likely caused by? - CORRECT ANSWER-RSV
What is epiglottitis most likely caused by? - CORRECT ANSWER-H. influenza
The parents of a 2 year old child with chronic otitis media are concerned that the
disorder has affected the child's hearing. Which behavior suggests the child has
developed hearing impairment due to OM?
A) stuttering
B)gestures to express desires
C) babbling continuously
D) playing alongside friends without talking - CORRECT ANSWER-C) babbling
continuously
at 2, a kid should say 2-3 words; stuttering/gesturing doesn't necessarily indicate
hearing impairment; kids at this age often have parallel play
A 10 month old is brought in with recurrent OM. To help determine the cause,
what question should the nurse ask the parents?
A) "does water get in the ears when shampooing hair?"
B) "do you give the baby a bottle to take to bed?"
C) "have you noticed a lot of wax in the ears?"
D) can the baby combine 2 words when speaking?" - CORRECT ANSWER-B -
bottle propping and drinking in a recumbent position are HUGE causes of OM
A school age child has CF. What sport would be most appropriate for them to try?
A) basketball
B) golf
C) swimming
D) baseball - CORRECT ANSWER-C swimming - promotes deep breathing &
pulmonary toilet
When should the nurse instruct the child with CF to take their pancreatic
enzymes?
A) 30 minutes before a meal
, B) directly after eating their snack
C) immediately before eating a snack
D) in the middle of their meal - CORRECT ANSWER-C) immediately before
eating - they help improve absorption of fats & nutrients
Epiglottitis is caused by what organism
--> haemophilus Influenza B (HiB) - CORRECT ANSWER-*** Good to know**
since the development of the HiB immunization, the incidence of epiglottis has
drastically decreased (rarely see this)
What are the nursing interventions for a child with epiglottis?
A) panic
B) remain calm
C) suction airway intermittently
D) keep patient calm
E) prep for tracheotomy/intubation - CORRECT ANSWER-B, D, E
have supplies for tracheotomy/intubation at bedside, do NOT suction or assess
airway, keep child & self calm
How long can RSV exist outside the body on surfaces? - CORRECT
ANSWER-up to 6 hours
incubation period for RSV - CORRECT ANSWER-5-8 days
Laryngotracheobronchitis = ? - CORRECT ANSWER-croup
what is LTB most likely caused by? - CORRECT ANSWER-influenza A & B
What is bronchiolitis most likely caused by? - CORRECT ANSWER-RSV
What is epiglottitis most likely caused by? - CORRECT ANSWER-H. influenza
