Questions and Answers Latest Version
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A child with asthma is having difficulty breathing and is using accessory muscles. What is the
nurse's first action?
✔✔ Administer a fast-acting bronchodilator.
A 4-year-old is diagnosed with pneumonia. What is the most important nursing intervention?
✔✔ Ensure the child receives adequate hydration and administer antibiotics as prescribed.
A 2-year-old with a history of frequent respiratory infections is being evaluated for cystic
fibrosis. What is a key symptom the nurse should assess?
✔✔ Frequent, greasy stools and failure to thrive.
A child with a congenital heart defect is prescribed digoxin. What is the nurse’s priority before
administering the medication?
✔✔ Check the child’s apical pulse for one full minute.
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,A child with an oxygen mask is having difficulty keeping the mask on. What is the best
intervention?
✔✔ Encourage the child to wear the mask while offering comfort or distraction.
A child with congenital heart disease is showing signs of cyanosis and poor feeding. What
should the nurse assess?
✔✔ Oxygen saturation levels and work of breathing.
A child with respiratory distress has increased respiratory rate and use of accessory muscles.
What is the most appropriate action?
✔✔ Administer supplemental oxygen and assess the child’s airway.
A 6-year-old child with asthma is complaining of tightness in the chest and wheezing. What
should the nurse encourage the child to do?
✔✔ Use the prescribed inhaler or nebulizer treatment.
A child with acute bronchitis is being treated with antipyretics for fever. What is the most
important nursing action?
✔✔ Monitor the child’s temperature regularly and ensure adequate fluid intake.
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, A newborn diagnosed with respiratory distress syndrome is placed on a ventilator. What should
the nurse monitor closely?
✔✔ Blood oxygen levels and the effectiveness of ventilation.
A pediatric patient with a known history of heart failure presents with increased weight, edema,
and fatigue. What should the nurse prioritize?
✔✔ Monitor fluid intake and output and assess for signs of fluid overload.
A child with a tracheostomy is experiencing a change in voice quality and increased difficulty
breathing. What is the nurse’s next step?
✔✔ Suction the tracheostomy to clear any obstructions.
A 5-year-old child with asthma has been prescribed a long-term inhaler and a rescue inhaler.
What is the best teaching for the parents?
✔✔ Use the long-term inhaler daily and the rescue inhaler only during asthma attacks.
A 3-year-old child with a respiratory infection is complaining of pain when swallowing. What
should the nurse assess for?
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