NEONATAL AND PEDIATRIC
RESPIRATORY CARE 5TH EDITION WALSH
TEST BANK EXAM PAPER 2026
COMPREHENSIVE EXAM Q&A STUDY
GUIDE
⩥ A child has an acute infection causing lower airway obstruction.
Which initial symptom is expected in this child?
a. Atelectasis
b. Barrel chest
c. Over-inflation
d. Wheezing. Answer: ANS: D
Wheezing is the principal sound patients make if the obstruction allows
enough air to pass through the narrowed lumen when lower airway
obstruction occurs. Eventually, over-inflation and atelectasis occur.
Barrel chest is the result of chronic over-inflation
⩥ A 4-year-old child diagnosed with an upper respiratory tract infection
has cloudy nasal discharge and moderate nasal congestion interfering
with sleep. The parent asks what product to use to help with symptoms.
What will the primary care pediatric nurse practitioner recommend?
a. Antihistamines
b. Decongestant sprays
, c. Saline rinses
d. Zinc supplements. Answer: ANS: C
Normal saline nose drops, nasal rinses, or sprays are helpful for all ages
of children to clear nasal passages. The use of decongestants,
antihistamines, and cough medicine does not shorten the course of a
disease. While their use may help with relieving nasal symptoms, their
use is not recommended for children younger than 6 years old. Zinc is
not recommended in children because of potential side effects and
questionable efficacy.
⩥ A 5-year-old child has enlarged tonsils and a history of four throat
infections in the previous year with fever, cervical lymphadenopathy,
and positive Group A Streptococcus pyogenes (GABHS) cultures. The
parent reports that the child snores at night and expresses concerns about
the child's quality of sleep. What is the next step in managing this child's
condition?
a. continuing to observe the child for two or more Group A Beta-
Hemolytic Streptococci (GABHS) infections
b. prescribing prophylactic antibiotics to prevent recurrent infection
c. referring to a pulmonologist for polysomnography evaluation
d. referring to an otolaryngologist for possible tonsillectomy. Answer:
ANS: C
The potential for sleep apnea should be evaluated since the parent
reports snoring and concerns with sleep in a child with frequent throat
infections. This child has not had a high enough number of GABHS
throat infections to warrant tonsillectomy and should be watched.
Prophylactic antibiotics are not indicated.
RESPIRATORY CARE 5TH EDITION WALSH
TEST BANK EXAM PAPER 2026
COMPREHENSIVE EXAM Q&A STUDY
GUIDE
⩥ A child has an acute infection causing lower airway obstruction.
Which initial symptom is expected in this child?
a. Atelectasis
b. Barrel chest
c. Over-inflation
d. Wheezing. Answer: ANS: D
Wheezing is the principal sound patients make if the obstruction allows
enough air to pass through the narrowed lumen when lower airway
obstruction occurs. Eventually, over-inflation and atelectasis occur.
Barrel chest is the result of chronic over-inflation
⩥ A 4-year-old child diagnosed with an upper respiratory tract infection
has cloudy nasal discharge and moderate nasal congestion interfering
with sleep. The parent asks what product to use to help with symptoms.
What will the primary care pediatric nurse practitioner recommend?
a. Antihistamines
b. Decongestant sprays
, c. Saline rinses
d. Zinc supplements. Answer: ANS: C
Normal saline nose drops, nasal rinses, or sprays are helpful for all ages
of children to clear nasal passages. The use of decongestants,
antihistamines, and cough medicine does not shorten the course of a
disease. While their use may help with relieving nasal symptoms, their
use is not recommended for children younger than 6 years old. Zinc is
not recommended in children because of potential side effects and
questionable efficacy.
⩥ A 5-year-old child has enlarged tonsils and a history of four throat
infections in the previous year with fever, cervical lymphadenopathy,
and positive Group A Streptococcus pyogenes (GABHS) cultures. The
parent reports that the child snores at night and expresses concerns about
the child's quality of sleep. What is the next step in managing this child's
condition?
a. continuing to observe the child for two or more Group A Beta-
Hemolytic Streptococci (GABHS) infections
b. prescribing prophylactic antibiotics to prevent recurrent infection
c. referring to a pulmonologist for polysomnography evaluation
d. referring to an otolaryngologist for possible tonsillectomy. Answer:
ANS: C
The potential for sleep apnea should be evaluated since the parent
reports snoring and concerns with sleep in a child with frequent throat
infections. This child has not had a high enough number of GABHS
throat infections to warrant tonsillectomy and should be watched.
Prophylactic antibiotics are not indicated.
