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 parent of an infant with nasopharyngitis should be instructed to notify the health professional if the infant shows signs or symptoms of which condition?
Correct Answer: C
Rationale: Signs of an earache in an infant with nasopharyngitis may indicate complications like otitis media or secondary bacterial infection, requiring medical evaluation. Cough and fussiness are common with viral illnesses, and a fever of 37.5 C is normal and not concerning.
Question 2 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 3 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 4 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 5 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.