ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 21 : The Child with Respiratory Dysfunction Questions
Question 1 of 5
It is important that a child with acute streptococcal pharyngitis be treated with antibiotics to prevent which condition?
Correct Answer: D
Rationale: Antibiotics for streptococcal pharyngitis prevent serious sequelae like acute rheumatic fever and glomerulonephritis. Otitis media is caused by other pathogens, DI is unrelated to streptococcal infection, and nephrotic syndrome is not a complication, unlike glomerulonephritis.
Question 2 of 5
When caring for a child after a tonsillectomy, what intervention should the nurse do?
Correct Answer: A
Rationale: Continuous swallowing, especially during sleep, signals bleeding from the tonsillectomy site, requiring immediate attention. Gargling may irritate the site, ice compresses are preferred to reduce inflammation, and side or abdominal positioning aids drainage, not back sleeping.
Question 3 of 5
What statement best represents infectious mononucleosis?
Correct Answer: D
Rationale: Diagnosing infectious mononucleosis requires both clinical symptoms (e.g., sore throat, lymphadenopathy) and blood tests (heterophil antibody, monospot), as symptoms mimic other diseases. Epstein-Barr virus, not herpes simplex, causes it; lymphocytosis, not leukopenia, is typical; and penicillin, not ampicillin, is used due to rash risks.
Question 4 of 5
Parents bring their 15-month-old infant to the emergency department at 3:00 AM because the toddler has a temperature of 39 C (102.2 F), is crying inconsolably, and is tugging at the ears. A diagnosis of otitis media (OM) is made. In addition to antibiotic therapy, the nurse practitioner should instruct the parents to use what medication?
Correct Answer: D
Rationale: Benzocaine ear drops provide topical relief for otitis media pain. Decongestants and antihistamines are not recommended, and aspirin is contraindicated in children due to Reye syndrome risk.
Question 5 of 5
An 18-month-old child is seen in the clinic with otitis media (OM). Oral amoxicillin is prescribed. What instructions should be given to the parent?
Correct Answer: A
Rationale: Completing the full course of amoxicillin prevents recurrence of resistant bacteria. Stopping when symptoms subside risks incomplete treatment, hearing loss requires evaluation but not stopping antibiotics, and fever may persist for 24-48 hours despite treatment.