Peds Respiratory NCLEX questions Part 1 Questions and
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A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents
ask the nurse what early respiratory symptoms they should expect to see in
their child. Which is the nurse's best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing respirations."
Ans: 4. Wheezing
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A 3-year-old is brought to the ER with coughing and gagging. The parent
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reports that the child was eating carrots when she began to gag. Which
diagnostic evaluation will be used to determine if the child has aspirated
carrots?
1. Chest x-ray.
2. Bronchoscopy.
3. Arterial blood gas (ABG).
4. Sputum culture.
Ans: 2. Bronch
A 5-year-old is brought to the ER with a temperature of 99.5°F (37.5°C), a
barky cough, stridor, and hoarseness. Which nursing intervention should
the nurse prepare for?
1. Immediate IV placement.
2. Respiratory treatment of racemic epinephrine.
3. A tracheostomy set at the bedside.
4. Informing the child's parents about a tonsillectomy.
Ans: 2. Respiratory treatment
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A 6-week-old is admitted to the hospital with influenza. The child is crying,
and the father tells the nurse that his son is hungry. The nurse explains that
the baby is not to have anything by mouth. The parent does not understand
why the child cannot eat. Which is the nurse's best response to the parent?
1. "We are giving your child intravenous fluids, so there is no need for
anything by mouth."
2. "The shorter and narrower airway of infants increases their chances of
aspiration so your child should not have anything to eat now."
3. "When your child eats, he burns too many calories; we want to conserve
the child's energy."
4. "Your child has too much nasal congestion; if we feed the child by
mouth, the distress will likely increase."
Ans: 2. aspiration risk
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A 7-month-old has a low-grade fever, nasal congestion, and a mild cough.
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What should the nursing care management of this child include?
1. Maintaining strict bedrest.
2. Avoiding contact with family members.
3. Instilling saline nose drops and bulb suctioning.
4. Keeping the head of the bed flat.
Ans: 3. saline nose drops and bulb suctioning
A child is complaining of throat pain. Which statement by the mother
indicates that she needs more education regarding the care and treatment of
her daughter's pharyngitis?
1. "I will have my daughter gargle with salt water three times a day."
2. "I will offer my daughter ice chips several times a day."
3. "I will give my daughter Tylenol every 4 to 6 hours as needed."
4. "I will ask the nurse practitioner for some amoxicillin."
Ans: 4. abx