Expiratory grunting is a sign of:

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Pediatric Nursing Exam Preparation Questions

Question 1 of 5

Expiratory grunting is a sign of:

Correct Answer: B

Rationale: Expiratory grunting indicates difficulty in oxygenation and is often a compensatory mechanism in pneumonia, where alveolar collapse or consolidation reduces oxygen exchange.

Question 2 of 5

One of the following is a microcytic hypochromic anemia:

Correct Answer: B

Rationale: Iron deficiency anemia is characterized by microcytic hypochromic red blood cells due to insufficient iron needed for hemoglobin production.

Question 3 of 5

In the emergency department, the patient may be discharged to home if there is symptomatic improvement, normal physical findings, PEF >70% of predicted or personal best, and oxygen saturation >92% in room air for 4 hr. Of the following, the MOST likely discharge medication used is

Correct Answer: D

Rationale: Inhaled beta-agonists for symptom relief and a short course of oral corticosteroids to reduce inflammation are standard discharge medications for asthma exacerbations.

Question 4 of 5

A 15-year-old with a history of seasonal hay fever now also has itchy eyes, profuse tearing, and reddened and edematous conjunctivae... Which treatment option is effective for the ocular symptoms?

Correct Answer: D

Rationale: All listed treatments are effective for managing ocular allergy symptoms, depending on severity.

Question 5 of 5

Foreign body partially obstructing the left main bronchus is likely to cause which of the following abnormalities:

Correct Answer: D

Rationale: A foreign body in the left main bronchus leads to air trapping on the left side, causing hyperinflation and shifting the mediastinum to the right on expiration. This results from a ball-valve effect, where air enters but cannot exit fully.

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