ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 21 : The Child with Respiratory Dysfunction Questions
Question 1 of 5
The nurse is assessing a child with croup in the emergency department. The child has a sore throat and is drooling. Examining the childs throat using a tongue depressor might precipitate what condition?
Correct Answer: C
Rationale: Examining the throat of a child with suspected epiglottitis risks complete airway obstruction due to irritation of an inflamed epiglottis. Sore throat is already present, stridor worsens with positioning, and the infection is pre-existing, not caused by examination.
Question 2 of 5
The mother of a 20-month-old boy tells the nurse that he has a barking cough at night. His temperature is 37 C (98.6 F). The nurse suspects mild croup and should recommend which intervention?
Correct Answer: B
Rationale: For mild croup, providing hydration with preferred fluids and comfort measures minimizes distress. Hospital admission is unnecessary without epiglottitis signs, the temperature is normal, and over-the-counter cough medicine is not recommended; parents should return if noisy breathing or drooling occurs.
Question 3 of 5
The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the bedside as much as possible. What is the primary rationale for this action?
Correct Answer: B
Rationale: The mother?s presence reduces the toddler?s anxiety, easing respiratory efforts in acute laryngotracheobronchitis. While guilt and separation are concerns, the primary benefit is decreased distress improving breathing, and constant observation is secondary to emotional support.
Question 4 of 5
An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The nurse knows that a child infected with this virus requires what type of isolation?
Correct Answer: C
Rationale: RSV requires Contact Precautions, including gloves and gowns, to prevent droplet transmission, in addition to Standard Precautions. Reverse isolation protects immunocompromised patients, airborne isolation is for diseases like measles, and Standard Precautions alone are insufficient.
Question 5 of 5
An infant has been diagnosed with staphylococcal pneumonia. Nursing care of the child with pneumonia includes which intervention?
Correct Answer: A
Rationale: Antibiotics are essential for treating bacterial pneumonia like staphylococcal pneumonia. Frequent complete assessments are unnecessary if respiratory status is monitored, antitussives are used sparingly to allow secretion clearance, and fluid monitoring prevents dehydration, not heart failure.