ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 21 Questions
Question 1 of 5
Why are cool-mist vaporizers rather than steam vaporizers recommended in the home treatment of respiratory infections?
Correct Answer: A
Rationale: Cool-mist vaporizers are safer than steam vaporizers, reducing the risk of burns and microbial growth. Costs are comparable, steam vaporizers loosen rather than dry secretions, and both types enhance comfort, but safety is the primary reason for choosing cool-mist.
Question 2 of 5
Decongestant nose drops are recommended for a 10-month-old infant with an upper respiratory tract infection. Instructions for nose drops should include which information?
Correct Answer: A
Rationale: Using decongestant nose drops for no more than 3 days prevents rebound congestion. Drops should be discarded after illness to avoid contamination, administered before feedings for better effect, and given in two doses 5-10 minutes apart, not repeatedly every 5 minutes.
Question 3 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 4 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 5 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.