ATI RN
Pediatric Respiratory Nursing Questions Questions
Question 1 of 5
The nurse is assessing a child with a recent diagnosis of asthma. Which statement by the parent indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C) "I can stop the daily controller medication once the child feels better." This statement indicates a need for further teaching because controller medications for asthma are meant to be taken daily, even when the child feels better, in order to prevent asthma symptoms and exacerbations. Stopping the controller medication abruptly can lead to worsening of symptoms and potential asthma attacks. Option A is correct because keeping the child's rescue inhaler with them at all times is a good practice in case of an asthma attack. Option B is also correct as reducing exposure to triggers like dust and pet dander can help in managing asthma symptoms. Option D is correct as regular follow-up visits with the healthcare provider are essential to monitor the child's asthma control, adjust medications as needed, and provide ongoing education and support to the child and family. Educationally, this question emphasizes the importance of adherence to asthma medications, the need for ongoing management and monitoring, and the role of the healthcare provider in supporting families with children diagnosed with asthma. It highlights the significance of patient education in managing chronic conditions like asthma effectively.
Question 2 of 5
A nurse is assessing a child with a suspected case of streptococcal pharyngitis. The nurse should expect which of the following findings?
Correct Answer: C
Rationale: The correct answer is C) A positive throat culture for Group A Streptococcus. In pediatric respiratory nursing, it is crucial to understand the typical presentation of different respiratory conditions. Streptococcal pharyngitis is commonly caused by Group A Streptococcus bacteria. A positive throat culture confirms the presence of this pathogen, indicating the need for appropriate treatment such as antibiotics to prevent complications like rheumatic fever. Option A) A red, bumpy rash on the chest is not indicative of streptococcal pharyngitis. This symptom is more commonly associated with conditions like scarlet fever, which can occur as a complication of untreated streptococcal infections. Option B) A dry cough is not a typical finding in streptococcal pharyngitis. Cough is more commonly associated with viral respiratory infections or conditions like bronchitis. Option D) A low-grade fever can occur in streptococcal pharyngitis, but it is a non-specific symptom that can also be present in various other respiratory infections. It is not as specific to the diagnosis of streptococcal pharyngitis as a positive throat culture for Group A Streptococcus. Understanding the specific signs and symptoms of different respiratory conditions in children is essential for nurses to provide accurate assessments, interventions, and education to patients and their families. By knowing the key indicators of streptococcal pharyngitis, nurses can ensure timely diagnosis and treatment to promote optimal health outcomes for pediatric patients.
Question 3 of 5
A nurse is caring for a child with cystic fibrosis. The nurse should explain to the parents that the child will need to take which of the following on a regular basis?
Correct Answer: C
Rationale: In caring for a child with cystic fibrosis, it is crucial for parents to understand the necessity of their child taking digestive enzymes on a regular basis. Cystic fibrosis is a genetic disorder that affects the production of mucus, sweat, and digestive fluids. This leads to difficulty in digesting food and absorbing nutrients, as the pancreas becomes blocked by thick mucus. Digestive enzymes help the child break down and absorb nutrients from food, aiding in proper growth and development. Option A, antibiotics, are commonly used in cystic fibrosis to treat lung infections that can occur due to the thick mucus buildup, but it is not the primary medication needed daily. Option B, insulin, is used to regulate blood sugar levels in diabetes, which can be a complication of cystic fibrosis, but it is not a direct treatment for the condition itself. Option D, inhaled steroids, are sometimes used to manage lung inflammation in cystic fibrosis, but they are not as essential as digestive enzymes for everyday management of the condition. Educationally, it is important for nurses to explain the rationale behind the daily use of digestive enzymes to parents of children with cystic fibrosis. Understanding the purpose and importance of these enzymes can help parents adhere to the treatment plan and ensure the child receives the necessary nutrients for overall health and well-being. It also empowers parents to actively participate in their child's care and advocate for their needs in various healthcare settings.
Question 4 of 5
A nurse is caring for a child with a diagnosis of juvenile idiopathic arthritis. Which of the following findings would indicate a flare-up of the disease?
Correct Answer: A
Rationale: In caring for a child with juvenile idiopathic arthritis, it is crucial for nurses to be able to recognize signs of disease flare-ups. The correct answer is A) Morning stiffness. This is a classic symptom of arthritis flare-ups, as the joints tend to be more stiff and painful in the morning after periods of inactivity. Option B) Increased activity levels would not typically indicate a flare-up of juvenile idiopathic arthritis. In fact, overexertion or increased physical activity may exacerbate symptoms but are not specific indicators of disease activity. Option C) Weight gain is not a typical symptom of a disease flare-up in juvenile idiopathic arthritis. Weight changes may occur due to various factors, but they are not directly associated with disease exacerbation. Option D) Skin rash is not a common symptom of juvenile idiopathic arthritis flare-ups. While some forms of arthritis may present with skin manifestations, it is not a typical indicator of disease activity in this context. Educationally, understanding these nuances in symptom presentation is vital for nurses caring for pediatric patients with chronic conditions like juvenile idiopathic arthritis. Recognizing specific indicators of disease flare-ups enables timely intervention and management, ultimately improving the quality of care and outcomes for the child.
Question 5 of 5
A nurse is caring for a child who is recovering from a burn injury. Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: In caring for a child recovering from a burn injury, the priority intervention should be providing a high-protein diet to promote healing (Option A). This is because adequate protein intake is crucial for wound healing and tissue repair, especially in burn patients who have increased metabolic needs due to their injuries. Protein helps in rebuilding damaged tissues and supports the immune system during the healing process. Applying cool compresses (Option B) can provide comfort and help reduce pain temporarily, but it is not the priority over ensuring proper nutrition for healing. Administering pain medications (Option C) is important for managing pain, but it is not the priority intervention in this case. Pain relief can be optimized alongside the primary focus on nutrition. Performing frequent dressing changes (Option D) is necessary for wound care, but it is not as critical as ensuring the child receives adequate nutrition for optimal healing. Educationally, this question highlights the importance of prioritizing interventions based on the specific needs of pediatric patients recovering from burn injuries. It emphasizes the significance of nutritional support in promoting healing and underscores the nurse's role in providing holistic care to support the child's recovery process. Understanding these priorities is essential for nurses working in pediatric settings to optimize patient outcomes.