Chapter 11: Respiratory Disorders
Multiple Choice
1. An 8-year-old child with a history of cystic fibrosis has a chest that is larger than normal. This type of feature on a child is known as:
1. A concaved chest.
2. A barrel chest.
3. An asymmetrical chest.
4. All of the above are correct.
ANS: 2
2. When a nurse enters the room of a child with chronic lung disease, she notes that the child is sitting in a tripod position. Identify the reason for this positioning by the child.
1. The child feels more comfortable playing in this position.
2. The child is attempting to have a bowel movement.
3. The child is having trouble breathing, and the position is comfortable
4. The child is in a resting position after walking in the hallway.
ANS: 3
3. When a child exhibits difficulty breathing, the best positioning would be:
1. Having the head of the bed at 45 degrees.
2. Placing the child in a 90 degree angle on the parent’s lap.
3. Placing the child in a side lying position.
4. Having the child sit in a chair.
ANS: 1
4. A father is concerned that his newborn baby girl is cold because her hands are blue. The nurse explains to the father that:
1. This is a sign of respiratory distress, and the baby needs to return to the nursery.
2. Most newborns have trouble regulating their body temperature.
3. This is acrocyanosis and should go away within 48 hours after her birth.
4. This is bruising the baby received during the birth process.
ANS: 3
5. A nurse is attempting to assess the skin color of a child with dark skin. The nurse knows the best place to assess the child’s skin color is:
1. The nailbeds.
2. Inside the mouth in the cheek area.
3. The eyes.
4. On the chest.
ANS: 2
6. A child with respiratory distress can experience dehydration because:
1. The child is not drinking enough fluids.
2. The body requires an increased amount of fluids when sick.
3. The child is retaining water in the kidneys since the body is using all the oxygen in the lungs.
4. Mouth breathing occurs when in distress, so the child is losing hydration.
ANS: 4
7. When performing an assessment on an 8-year-old boy who is hospitalized for pneumonia, the nurse would anticipate what type of lung sounds?
1. Crackles
2. Stridor
3. Normal
4. Wheezes
ANS: 1
8. A 5-year-old child has been admitted for complications related to asthma. When the nurse auscultates the child’s lungs, she would anticipate hearing:
1. Wheezes because the bronchioles have been restricted.
2. Rhonchi because of thick secretions from the flare-up.
3. Crackles because there is fluid in the alveoli.
4. All of the above may be heard.
ANS: 1
9. When assessing a 12-year-old girl with the diagnosis of pneumonia, the nurse performs percussion. The lower left lobe is noted to have a dull sound. What should the nurse do next?
1. Call the doctor with the assessment.
2. Check the orders and start chest physiotherapy.
3. Palpate the chest to check for tactile fremitus.
4. Place the child on oxygen.
ANS: 4
10. A child has the following ABG results:
pH: 7.38
pCO2: 52.6
HCO3: 32.5
The nurse interprets these results as:
1. Compensated Respiratory Acidosis.
2. Uncompensated Respiratory Alkalosis.
3. Compensated Respiratory Alkalosis.
4. Uncompensated Respiratory Acidosis.
ANS: 1
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