resp knowledge check Flashcards

1
Q

when assessing a 4yo chest the nurse would expect…

A. movement of the chest wall to be symmetric bilaterally and coordinated with breathing

B. respiratory movements to be thoracic

C. anteroposterior diameter to be equal to the transverse diameter

D. retraction of the muscles between the ribs on respiratory movement

A

A. movement of the chest wall to be symmetric bilaterally and coordinated with breathing

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2
Q

of the following resp system structures, which one does not distribute air?

A. bronchiole
B. alveolus
C. bronchus
D. Trachea

A

B. alveolus

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3
Q

The infant relies primarily on…

A. mouth breathing
B. intercostals muscles for breathing
C. diaphragmatic abdominal breathing
D. all of the above

A

C. diaphragmatic abdominal breathing

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4
Q

Room air is what percentage of oxygen
A. 16 %
B. 21 %
C. 20 %
D. 22 %

A

B. 21 %

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5
Q

The best way to stimulate deep breathing in a child is to

A. encourage the child to cover the mouth and suppress the cough
B. encourage the child to cough repeatedly
C. use games that extend expiratory time and pressure
D. leave balloons at the bedside for the child to blow up

A

C. use games that extend expiratory time and pressure

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6
Q

The nurse should know that the early subtle indication of hypoxia is:

A. peripheral cyanosis
B. central cyanosis
C. hypotension
D. mood changes and restlessness

A

D. mood changes and restlessness

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7
Q

Cardiac arrest in the pediatric population is most often a result of

A. atherosclerosis
B. congenital heart disease
C. prolonged hypoxia
D. undiagnosed cardiac conditions

A

C. prolonged hypoxia

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8
Q

The largest percentage of respiratory infections in children are caused by

A. pneumococci
B. viruses
C. streptococci
D. Haemophilus influenzae

A

B. viruses

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9
Q

The most likely reason that the respiratory infection rate increases drastically in the age range from 3-6 months is

A. the infant’s exposure to pathogens is greatly increased during this time

B. viral agents that are mild in older children are extremely severe in infants

C. maternal antibodies have disappeared and the infant’s own antibody production is immature

D. diameter of the airways is smaller in the infant than in the older child

A

C. maternal antibodies have disappeared and the infant’s own antibody production is immature

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10
Q

Risk factors for Sudden Infant Death include which of the following. Choose all that apply.

A. Prone sleeping
B. Maternal smoking
C. Breast feeding
D. Bed sharing
E. Use of pacifiers
F. Premature infant

A

A. prone sleeping
B. maternal smoking
D. bed sharing
F. premature infant

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11
Q

Sudden Unexpected Infant Death is due to

A. Suffocation
B. Sleeping in own crib
C. Swaddling under 2 months
D. Sleeping supine

A

A. suffocation

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12
Q

Laryngotracheobronchitis (LTB) has which of the following symptoms?

A. Bilateral inspiratory and expiratory wheezing
B. Inspiratory stridor and hoarse barky cough
C. Crackles in affected lung
D. Copious nasal secretions

A

B. Inspiratory stridor and hoarse barky cough

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13
Q

Education is provided to parents to take their infant or child outside, at home, for treatment of laryngotracheobronchitis. Taking the infant or child outside with laryngotracheobronchitis provides what ?

A. Increased thirst to prevent dehydration
B. Decreased edema in the airway
C. Increased sleepiness
D. Increased urination

A

B. Decreased edema in the airway

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14
Q

An infant or child is in what type of isolation with a diagnosis of bronchiolitis due to RSV?

A. Droplet (mask only)
B. Contact and Droplet (gown, glove and mask)
C. No isolation
D. Contact isolation (gown and glove)

A

D. Contact isolation (gown and glove)

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15
Q

An exacerbation of asthma will include which symptoms? Choose all that apply.

A. Wheezing on inspiration and expiration
B. Inspiratory stridor
C. Dyspnea and tachypnea
D. Hoarse barky cough
E. Moist cough

A

A. Wheezing on inspiration and expiration
C. dyspnea and tachypnea
E. moist cough

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16
Q

How is pediatric asthma is diagnosed? Choose all that apply.

A. Diagnosis of bronchiolitis with wheezing
B. Bronchospasm
C. Reversal of bronchospasm with beta adrenergic medication
D. Exclusion of alternative diagnosis
E. Respiratory swab isolation
F. Spirometry after age 5 to 6 years

A

B. Bronchospasm
C. Reversal of bronchospasm with beta adrenergic medication
D. Exclusion of alternative diagnosis
F. Spirometry after age 5 to 6 years

17
Q

Corticosteroids are used to treat what in asthma?

A. Bronchoconstriction
B. Cough
C. Inflammation
D. Mucous production

A

C. Inflammation

18
Q

Treatment of Bronchopulmonary Dysplasia could include which of the following. Choose all that apply.

A. Beta adrenergic medications
B. Corticosteroids
C. High calorie formula
D. Low calorie formula
E. Alpha adrenergic medications
F. Oxygen

A

A. Beta adrenergic medications
B. Corticosteroids
C. High calorie formula
F. Oxygen

19
Q

True or False?

There is newborn screening in all 50 states for Cystic Fibrosis

A

TRUE

20
Q

Pancreatic enzymes are necessary to promote what?

A. Improved respiratory function
B. Decrease sodium loss through the skin
C. Digestion and absorption of nutrients
D. Thin mucous secretions through out body

A

C. Digestion and absorption of nutrients

21
Q

Teenagers may become noncompliant with their medical care. This noncompliance may cause damage to their lungs. What intervention during adolescence might they stop doing to have more time with their friends?

A. Pancreatic enzymes
B. Bronchial hygiene therapy
C. High calorie diet

A

B. Bronchial hygiene therapy