NSG 3600 RESPIRATORY NCLEX STYLE QUESTIONS
Quiz by Dr.Haley
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- Q1
A 2-year-old has just been diagnosed with cystic fibrosis (CF). The parents ask the nurse what early respiratory symptoms they should expect to see in their child. Which is the nurse’s best response
“You can expect your child to develop bronchiectasis
You can expect your child to develop a chronic productive cough.
You can expect your child to develop a barrel-shaped chest
You can expect your child to develop wheezing respirations.”
30s - Q2
A 3-year-old is brought to the ER with coughing and gagging. The parent reports that the child was eating carrots when she began to gag. Which diagnostic evaluation will be used to determine if the child has aspirated carrots
Chest x-ray
Sputum culture
Arterial blood gas (ABG)
Bronchoscopy
30s - Q3
A 5-year-old is brought to the ER with a temperature of 99.5°F (37.5°C), a barky cough, stridor, and hoarseness. Which nursing intervention should the nurse prepare for?
Informing the child’s parents about a tonsillectomy
Immediate IV placement
Respiratory treatment of racemic epinephrine
A tracheostomy set at the bedside
30s - Q4
A 6-week-old is admitted to the hospital with influenza. The child is crying, and the father tells the nurse that his son is hungry. The nurse explains that the baby is not to have anything by mouth. The parent does not understand why the child cannot eat. Which is the nurse’s best response to the parent?
“Your child has too much nasal congestion; if we feed the child by mouth, the distress will likely increase.”
We are giving your child intravenous fluids, so there is no need for anything by mouth
When your child eats, he burns too many calories; we want to conserve the child’s energy.
The shorter and narrower airway of infants increases their chances of aspiration so your child should not have anything to eat now.
30s - Q5
A 7-month-old has a low-grade fever, nasal congestion, and a mild cough. What should the nursing care management of this child include?
Keeping the head of the bed flat.
Avoiding contact with family members
Instilling saline nose drops and bulb suctioning
Maintaining strict bedrest
30s - Q6
A child is complaining of throat pain. Which statement by the mother indicates that she needs more education regarding the care and treatment of her daughter’s pharyngitis?
“I will give my daughter Tylenol every 4 to 6 hours as needed.
“I will have my daughter gargle with salt water three times a day
I will offer my daughter ice chips several times a day
I will ask the nurse practitioner for some amoxicillin.”
30s - Q7
A child’s parent asks the nurse what treatment the child will need for the diagnosis of strep throat. Which is the nurse’s best response?
Your child will be sent home on bedrest and should recover in a few days without any intervention
Your child will need to be admitted to the hospital for 5 days of intravenous antibiotics
Your child will need oral penicillin for 10 days and should feel better in a few days
Your child will need to have the tonsils removed to prevent future strep infections.
30s - Q830s
- Q9
A mother is crying and tells the nurse that she should have brought her son in yesterday when he said his throat was sore. Which is the nurse’s best response to this parent whose child is diagnosed with epiglottitis and is in severe distress and in need of intubation?
Epiglottitis is rapidly progressive; you could not have predicted his symptoms would worsen so quickly.”
Children this age rarely get epiglottitis; you should not blame yourself
It is always better to have your child evaluated at the first sign of illness rather than wait until symptoms worsen.
Epiglottitis is slowly progressive, so early intervention may have decreased the extent of your son’s symptoms
30s - Q10
A parent asks how to care for a child at home who has the diagnosis of viral tonsillitis. Which is the nurse’s best response?
You will need to give your child a prescribed antibiotic for 10 days.
You can place warm towels around your child’s neck for comfort.”
You can give your child Tylenol every 4 to 6 hours as needed for pain.”
You will need to schedule a follow-up appointment in 2 weeks.
30s - Q11
A parent asks the nurse how it will be determined if their child has respiratory syncytial virus (RSV). Which is the nurse’s best response?
There is no specific test for RSV. The diagnosis is made based on the child’s symptoms.”
We will have to send a viral culture to an outside lab for testing.”
We will swab your child’s nose and send that specimen for testing
We will do a simple blood test to determine whether your child has RSV.”
30s - Q12
A school-age child has been diagnosed with strep throat. The parent asks the nurse when the child can return to school. Which is the nurse’s best response?
“Forty-eight hours after the first documented normal temperature.
Twenty-four hours after the first documented normal temperature.”
Twenty-four hours after the first dose of antibiotics.”
Forty-eight hours after the first dose of antibiotics
30s - Q13
A school-age child is admitted to the hospital for a tonsillectomy. During the nurse’s post-operative assessment, the child’s parent tells the nurse that the child is in pain. Which of the following observations would be of most concern to the nurse?
The child’s heart rate and blood pressure are elevated
The child is refusing to eat solid foods
The child complains of having a sore throat
The child is swallowing excessively.
30s - Q14
How does the nurse interpret the laboratory analysis of a stool sample containing excessive amounts of azotorrhea and steatorrhea in a child with cystic fibrosis (CF)?
Eating too many foods high in fat.
Not compliant with taking her vitamins.
Not compliant with taking her enzymes
Eating too many foods high in fiber.
30s - Q15
How will a child with respiratory distress and stridor and who is diagnosed with RSV be treated
Intravenous steroids
Intravenous antibiotics
Nebulized racemic epinephrine
Alternating doses of Tylenol and Motrin.
30s