DAVIS ADVANTAGE FOR PEDIATRIC NURSING:
CHAPTER 20 EXAM SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ Which would the nurse explain to parents about the inheritance
of cystic fi brosis?
1. CF is an autosomal-dominant trait passed on from the child ' s
mother.
2. CF is an autosomal-dominant trait passed on from the child ' s
father.
3. The child of parents who are both carriers of the gene for CF has a
50% chance
of acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of
the gene for
CF has a 50% chance of acquiring CF.
Answer: 4
If the child is born to a parent with CF
and the other parent is a carrier, the child
has a 50% chance of acquiring the disease
and a 50% chance of being a carrier of
,the disease.
◉ The parent of a 4-month-old with cystic fi brosis (CF) asks the
nurse what time to
begin the child ' s fi rst chest physiotherapy (CPT) each day. Which is
the nurse ' s best
response?
1. "Thirty minutes before feeding the child breakfast."
2. "After deep-suctioning the child each morning."
3. "Thirty minutes after feeding the child breakfast."
4. "Only when the child has congestion or coughing."
Answer: 1
CPT should be done in the morning
prior to feeding to avoid the risk of the
child vomiting.
◉ The parent of an infant with cystic fi brosis (CF) asks the nurse
how to meet the
child ' s increased nutritional needs. Which is the nurse ' s best
suggestion?
,1. "You may need to increase the number of fresh fruits and
vegetables you give
your infant."
2. "You may need to advance your infant ' s diet to whole cow ' s milk
because it is
higher in fat than formula."
3. "You may need to change your infant to a higher-calorie formula."
4. "You may need to increase your infant ' s carbohydrate intake."
Answer: 3
Often infants with CF need to have a
higher-calorie formula to meet their
nutritional needs. Infants may also be
placed on hydrolysate formulas that
contain medium-chain triglycerides.
◉ The parent of a child with cystic fibrosis (CF) is excited about the
possibility of the
child receiving a double lung transplant. What should the parent
understand?
1. The transplant will cure the child of CF and allow the child to lead
a long and
healthy life.
, 2. The transplant will not cure the child of CF but will allow the child
to have a
longer life.
3. The transplant will help to reverse the multisystem damage that
has been caused
by CF.
4. The transplant will be the child ' s only chance at surviving long
enough to
graduate from college.
Answer: 2
A lung transplant does not cure CF, but
it does offer the client an opportunity to
live a longer life. The concerns are that,
after the lung transplant, the child is at
risk for rejection of the new organ and
for development of secondary infections
because of the immunosuppressive
therapy.
◉ A 2-year-old has just been diagnosed with cystic fi brosis (CF).
The parents ask the
nurse what early respiratory symptoms they should expect to see in
their child.
CHAPTER 20 EXAM SCRIPT 2026 TEST PAPER
QUESTIONS AND SOLUTIONS GRADED A+
◉ Which would the nurse explain to parents about the inheritance
of cystic fi brosis?
1. CF is an autosomal-dominant trait passed on from the child ' s
mother.
2. CF is an autosomal-dominant trait passed on from the child ' s
father.
3. The child of parents who are both carriers of the gene for CF has a
50% chance
of acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of
the gene for
CF has a 50% chance of acquiring CF.
Answer: 4
If the child is born to a parent with CF
and the other parent is a carrier, the child
has a 50% chance of acquiring the disease
and a 50% chance of being a carrier of
,the disease.
◉ The parent of a 4-month-old with cystic fi brosis (CF) asks the
nurse what time to
begin the child ' s fi rst chest physiotherapy (CPT) each day. Which is
the nurse ' s best
response?
1. "Thirty minutes before feeding the child breakfast."
2. "After deep-suctioning the child each morning."
3. "Thirty minutes after feeding the child breakfast."
4. "Only when the child has congestion or coughing."
Answer: 1
CPT should be done in the morning
prior to feeding to avoid the risk of the
child vomiting.
◉ The parent of an infant with cystic fi brosis (CF) asks the nurse
how to meet the
child ' s increased nutritional needs. Which is the nurse ' s best
suggestion?
,1. "You may need to increase the number of fresh fruits and
vegetables you give
your infant."
2. "You may need to advance your infant ' s diet to whole cow ' s milk
because it is
higher in fat than formula."
3. "You may need to change your infant to a higher-calorie formula."
4. "You may need to increase your infant ' s carbohydrate intake."
Answer: 3
Often infants with CF need to have a
higher-calorie formula to meet their
nutritional needs. Infants may also be
placed on hydrolysate formulas that
contain medium-chain triglycerides.
◉ The parent of a child with cystic fibrosis (CF) is excited about the
possibility of the
child receiving a double lung transplant. What should the parent
understand?
1. The transplant will cure the child of CF and allow the child to lead
a long and
healthy life.
, 2. The transplant will not cure the child of CF but will allow the child
to have a
longer life.
3. The transplant will help to reverse the multisystem damage that
has been caused
by CF.
4. The transplant will be the child ' s only chance at surviving long
enough to
graduate from college.
Answer: 2
A lung transplant does not cure CF, but
it does offer the client an opportunity to
live a longer life. The concerns are that,
after the lung transplant, the child is at
risk for rejection of the new organ and
for development of secondary infections
because of the immunosuppressive
therapy.
◉ A 2-year-old has just been diagnosed with cystic fi brosis (CF).
The parents ask the
nurse what early respiratory symptoms they should expect to see in
their child.
