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The nurse is assessing a 7-year-old boy with pharyngitis. The nurse would least likely
expect to assess which of the following?
A) Working hard to breathe
B) Difficulty swallowing
C) Rash on the abdomen
D) Sore throat and headache - CORRECT ANSWER-A
A rapid strep test has confirmed that a 5-year-old girl has a group A Streptococcus
infection. When teaching the parents about measures to implement, which of the
following would be the least immediate concern?
A) Using a cool mist humidifier
B) Encouraging the child to drink liquids
C) Discarding the child's toothbrush
D) Administering antibiotic therapy - CORRECT ANSWER-C
. A nurse is administering 100% oxygen to a child with a pneumothorax based on the
understanding that this treatment is used primarily for which reason?
A) Improve gas exchange
B) Bypass the obstruction
C) Hasten air reabsorption
D) Prevent hypoxemia - CORRECT ANSWER-C
, Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest
pain. Which assessment finding would most likely indicate the need for this child to be
hospitalized?
A) Fever
B) Oxygen saturation level of 96%
C) Tachypnea with retractions
D) Pale skin color - CORRECT ANSWER-C
The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a
whisper, and sits up with her neck thrust forward. Based on these findings, which of the
following would be least appropriate for the nurse to perform?
A) Providing 100% oxygen
B) Visualizing the throat
C) Having the child sit forward
D) Auscultating for lung sounds - CORRECT ANSWER-B
The nurse hears wheezing when auscultating a 4-year-old. Which of the following
conditions would the nurse most likely rule out based on the assessment findings?
A) Bronchiolitis
B) Asthma
C) Influenza
D) Cystic fibrosis - CORRECT ANSWER-C
The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse
anticipates which of the following as most helpful in determining the extent of the child's
hypoxia?
A) Pulmonary function test
B) Pulse oximetry