Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. Which statement indicates that the child’s parents understand how to perform respiratory
therapy for a child with cystic fibrosis?
a. “We do her postural drainage before the aerosol therapy.”
b. “We give her respiratory treatments when she is coughing a lot.”
c. “We give the aerosol followed by postural drainage before meals.”
d. “She needs respiratory therapy every day when she has an infection.”
ANS: C
Postural drainage for the child with CF is done following nebulization. Therapy is
best scheduled before meals or at least 1 hour after eating to prevent vomiting.
DIF: Cognitive Level: Analysis REF: 613 OBJ: 14
TOP: Cystic Fibrosis KEY: Nursing Process Step: Evaluation
2. What will a nurse teach the child with cystic fibrosis to take in order to facilitate digestion
and absorption of nutrients?
a. Pancreatic enzymes
b. Water-soluble minerals
c. Fat-soluble vitamins
d. Salt supplements
ANS: A
An oral pancreatic enzyme is given to the child with every meal and with snacks to
replace the pancreatic enzymes that the child’s body cannot produce.
DIF: Cognitive Level: Knowledge REF: 613 OBJ: 14
TOP: Cystic Fibrosis KEY: Nursing Process Step: Implementation
, 3. How would a nurse advise a caregiver to clear the nostrils when an infant has a cold?
a. Clear the nasal passages after the infant has a feeding.
b. Use over-the-counter nose drops to clear passages.
c. Remove nasal secretions with a bulb syringe.
d. Instill saline nose drops after clearing away secretions.
ANS: C
The nasal passages can be cleared by instilling a few drops of saline into the nose and
then suctioning the secretions with a bulb syringe.
DIF: Cognitive Level: Application REF: 593 OBJ: 5
TOP: Nasopharyngitis KEY: Nursing Process Step: Implementation
4. A nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the
fluid loss through dyspnea. Which fluids are most appropriate?
a. Room temperature water
b. Carbonated beverages
c. Iced fruit juice
d. Cold milk
ANS: A
Room temperature fluids are the best. Carbonated and iced beverages increase spasm.
Milk stimulates mucus production.
DIF: Cognitive Level: Comprehension REF: 607 OBJ: 13
TOP: Asthma KEY: Nursing Process Step: Implementation
5. An asthmatic child who has been taking theophylline is tachycardic and shaking. What
does a nurse recognize as the cause of these symptoms?
a. Severe asthma attack
b. Allergic response to theophylline
c. Onset of bronchitis
d. Medication toxicity
ANS: D
The symptoms described are the signs of theophylline toxicity.
MULTIPLE CHOICE
1. Which statement indicates that the child’s parents understand how to perform respiratory
therapy for a child with cystic fibrosis?
a. “We do her postural drainage before the aerosol therapy.”
b. “We give her respiratory treatments when she is coughing a lot.”
c. “We give the aerosol followed by postural drainage before meals.”
d. “She needs respiratory therapy every day when she has an infection.”
ANS: C
Postural drainage for the child with CF is done following nebulization. Therapy is
best scheduled before meals or at least 1 hour after eating to prevent vomiting.
DIF: Cognitive Level: Analysis REF: 613 OBJ: 14
TOP: Cystic Fibrosis KEY: Nursing Process Step: Evaluation
2. What will a nurse teach the child with cystic fibrosis to take in order to facilitate digestion
and absorption of nutrients?
a. Pancreatic enzymes
b. Water-soluble minerals
c. Fat-soluble vitamins
d. Salt supplements
ANS: A
An oral pancreatic enzyme is given to the child with every meal and with snacks to
replace the pancreatic enzymes that the child’s body cannot produce.
DIF: Cognitive Level: Knowledge REF: 613 OBJ: 14
TOP: Cystic Fibrosis KEY: Nursing Process Step: Implementation
, 3. How would a nurse advise a caregiver to clear the nostrils when an infant has a cold?
a. Clear the nasal passages after the infant has a feeding.
b. Use over-the-counter nose drops to clear passages.
c. Remove nasal secretions with a bulb syringe.
d. Instill saline nose drops after clearing away secretions.
ANS: C
The nasal passages can be cleared by instilling a few drops of saline into the nose and
then suctioning the secretions with a bulb syringe.
DIF: Cognitive Level: Application REF: 593 OBJ: 5
TOP: Nasopharyngitis KEY: Nursing Process Step: Implementation
4. A nurse offers a variety of fluids to a 5-year-old asthmatic child to compensate for the
fluid loss through dyspnea. Which fluids are most appropriate?
a. Room temperature water
b. Carbonated beverages
c. Iced fruit juice
d. Cold milk
ANS: A
Room temperature fluids are the best. Carbonated and iced beverages increase spasm.
Milk stimulates mucus production.
DIF: Cognitive Level: Comprehension REF: 607 OBJ: 13
TOP: Asthma KEY: Nursing Process Step: Implementation
5. An asthmatic child who has been taking theophylline is tachycardic and shaking. What
does a nurse recognize as the cause of these symptoms?
a. Severe asthma attack
b. Allergic response to theophylline
c. Onset of bronchitis
d. Medication toxicity
ANS: D
The symptoms described are the signs of theophylline toxicity.
