Title: Module 2 Quiz
Course: NUR 1411C Nursing for the Family Part 2 > Section: Module 2

Q: The mother of a neonate hospitalized with RSV asks why her baby won't take her bottle. The nurse responds:
- She is probably not hungry
- Newborns are nose breathers and congestion interferes with feedings
- Newborns may need a different type of formula. I will call the MD
- We are giving her IV fluid and therefore she is not hungry
A: Newborns are nose breathers and congestion interferes with feedings

Q: The mother of an infant who has recurrent respiratory infection asks the nurse why infants are at increased risk for complications from respiratory infections. What is the nurse's best response?
- Infants respiratory rate is slower than adults
- Infants airways are larger, allowing more organisms to enter
- Infant's caregivers often have difficulty assessing respiratory illness
- Infant's airways are smaller and more easily obstructed
A: Infant's airways are smaller and more easily obstructed

Q: Which signs/symptoms would alert the nurse that a 2 year-old child admitted with croup is experiencing respiratory distress?
- Respiratory rate of 28 and an increased pulse rate.
- Abdominal breathing and an increased pulse rate
- Pulse oximeter reading 95% on room air
- Sub sternal retractions and restlessness
A: Sub sternal retractions and restlessness

Q: Which of the following statements is the most descriptive of bronchial asthma?
- There is heightened airway reactivity
- There is decreased resistance in the airway
- The single cause of asthma is an allergic hypersensitivity
- It is inherited
A: There is heightened airway reactivity

Q: The nurse encourages the mother of a toddler with acute laryngotracheobronchitis to stay at the child's bedside as much as possible. Which statement provides the best reason for this request?
- Mothers of hospitalized toddlers often experience guilt
- Mother's presence will reduce the child's anxiety and ease his respiratory effort
- Identification with the mother is a major developmental threat to the child
- Mother can provide constant observation of the child's respiratory status
A: Mother's presence will reduce the child's anxiety and ease his respiratory effort

Q: The nurse should instruct the parents of a child with asthma that on the first signs of an attack the parents should:
- Use an Albuterol MDI
- Give a dose of steroids
- Urge the child to drink clear liquids
- Perform chest physiotherapy
A: Use an Albuterol MDI

Q: Which of the following interventions is appropriate for an infant with RSV?
- Give clear liquids only
- Fed on left side
- Suction nose before feeds
- Turn every four hours
A: Suction nose before feeds

Q: A sick appearing child is brought to the emergency room with drooling, fever of 104 degrees, and refusing to lay down. The medical student is about to inspect the child's throat. The nurse should:
- Sit the child in the parent's lap to prevent the child from getting upset
- Ask the child to open his mouth wide and stick out his tongue
- Ask the medical student to check for a foreign body in the throat
- Insist that the medical student present this situation to his superior before proceeding.
A: Insist that the medical student present this situation to his superior before proceeding.

Q: The parent of a 5 year old explains to the nurse that his son needs to use a metered dose inhaler to treat his asthma but is having trouble coordinating his breath and the medication dose. What would the nurse suggest to this parent?
- A spacer
- A nebulizer
- A peak flow meter
- A trail of chest physiotherapy
A: A spacer

Q: After a parent-teaching session about the proper medication administration for a child with Cystic Fibrosis, which of the following statements made by the parents indicate that the teaching session was effective?
- Pancrease should be given with all meals and snacks
- Pancrease is an antibiotic
- Pancrease dosing should not be skipped, even if the child is not eating
- Pancrease should be skipped if the child is passing frequent bulky stools
A: Pancrease should be given with all meals and snacks

Q: When evaluating the gastrointestinal function of the child with Cystic Fibrosis (CF), the nurse is aware that rectal prolapse is a common occurrence in infants and children with CF. This complication is related to which of the following?
- Large, bulky stools and malnutrition
- Frequent stooling and medication
- Stool impaction and blockage of vas deferens
- Vomiting and growth failure
A: Large, bulky stools and malnutrition

Q: Which of the following findings would be of most concern to the nurse evaluating a child admitted for croup?
- Nausea and vomiting
- Decreased temperature
- Barking cough
- Retractions
A: Retractions

Q: What is the earliest recognizable symptom of Cystic Fibrosis?
- Meconium ileus
- Greasy, foul stools
- Weight gain
- Recurrent infections
A: Meconium ileus

Q: What presentation by a child would lead the nurse to suspect the child may have Pertusis?
- Persistent expiratory wheeze
- Inspiratory stridor at rest
- Dry cough at night
- Persistent cough followed by a whoop
A: Persistent cough followed by a whoop

Q: The nurse is caring for a 6 year-old child who just returned to the day surgery recovery area following a tonsillectomy, adenoidectomy and bilateral myringotomy with insertion of tympanostomy tubes. Which assessment data indicates to the nurse that the child is experiencing active, bleeding at the operative sites?
- Tachycardia, hypertension, increased swallowing
- Bradycardia, hypotension, increased swallowing
- Tachycardia, hypotension, decreased swallowing
- Tachycardia, hypotension, increased swallowing
A: Tachycardia, hypotension, increased swallowing

Q: Chronic otitis media with effusion (OME) differs from acute otitis media as it is usually characterized by which of the following?
- High fever (104 degrees Fahrenheit)
- Severe pain in the ear
- Nausea and vomiting
- Feeling of fullness in the ear
A: Feeling of fullness in the ear

Q: When preparing for discharge, the nurse would most likely plan to teach the family of a child with asthma limiting exposure to allergens. Which of these statements are correct?
- Keep the humidity at home above 50%
- Use only feather pillows
- Limit exposure to extremes in temperature
- Launder sheets and blankets regularly in cold water
A: Limit exposure to extremes in temperature

Q: Following a T & A (tonsillectomy) the child refuses to drink. The nurse understands that the best intervention is?
- Medicate for pain before encouraging fluids
- Apply warm compresses to the neck before giving fluids
- Let the child wait until he is thirsty
- Force clear cold liquids despite the child's protest
A: Medicate for pain before encouraging fluids

Q: If a 20 Kg. child is to receive prednisone, the range for children is 0.5mg 2mg/kg/day divided q12 hours. What daily range would be safe for this child?
- 10 mg to 40 mg
- 20mg to 40 mg
- 5mg to 10 mg
- 15 mg to 30 mg
A: 10 mg to 40 mg

Q: You have a prescription for Amoxicillin 100mg/kg/day. Your patient weighs 18 pounds. What would be the total daily dose for this child?
- 3960 mg
- 818 mg
- 1800 mg
- 500 mg
A: 818 mg