NURS 3511 | 442 QUESTIONS AND ANSWERS | WITH
COMPLETE SOLUTION.
PEFR 50-79 % indicates which zone? Answer - Yellow (caution) zoneAction for
PEFR < 50 %? Give SABA and seek immediate care
Long-term asthma control meds? Answer - Inhaled steroid + LABA
Common asthma trigger? Answer - Allergen exposure (e.g., pollen)
Main cause of bronchiolitis? Answer - RSV (respiratory syncytial virus)
Isolation for infant with RSV? Answer - Contact, droplet, standard precautions;
private room
Position for infant bronchiolitis? Answer - 30-40° head-up, neck slightly
extended
CF immunization schedule? Answer - Standard series + yearly flu vaccine
Key nutrition for CF? Answer - High-calorie, high-protein diet with enzymes
,Silent chest meaning? Answer - No airflow; severe obstruction needing urgent
care
Quick-relief asthma drug class? Answer - Short-acting β-agonists (SABA)
Prevent inhaled steroid thrush? Answer - Rinse mouth after each dose
Nursing process phase that evaluates care? Answer - Evaluation phase
Other ED respiratory condition? Answer - Acute respiratory failure (ARF)
1. An infant deteriorates rapidly during a respiratory infection primarily due to
what physiological factor? Answer - Answer: Smaller, narrower airways that
are easily obstructed by edema and secretions**
3. Which age group has the highest risk for severe RSV infection? Answer -
Answer: Infants younger than 6 months**
4. A nurse notes a "silent chest" in a child with asthma—this indicates what?
Answer - Answer: Impending respiratory arrest**
5. Which factor increases a child's risk for respiratory infection? Answer -
Answer: Exposure to secondhand smoke**
6. RSV is primarily transmitted by which route? Answer - Answer: Droplet and
direct contact with respiratory secretions**
7. The priority intervention for an infant with bronchiolitis is which? Answer -
Answer: Maintain airway and adequate oxygenation**
,8. Which medication is considered a quick-relief (rescue) medication for
asthma? Answer - Answer: Short-acting beta-agonist (SABA)**
9. A peak expiratory flow rate of 45% of personal best places the child in which
zone? Answer - Answer: Red zone**
10. Which symptom suggests worsening asthma despite treatment? Answer -
Answer: Decreased wheezing with increased respiratory distress**
11. Why are LABAs not used alone in asthma management? Answer - Answer:
Risk of rebound bronchoconstriction**
12. Which assessment finding indicates severe asthma exacerbation? Answer -
Answer: Short, broken speech**
13. A child with asthma is tripod positioning—this indicates what? Answer -
Answer: Severe respiratory distress**
14. Which nursing action helps prevent oral thrush with inhaled
corticosteroids? Answer - Answer: Rinsing the mouth after inhaler use**
15. The best indicator of asthma control over time is which? Answer - Answer:
Peak expiratory flow measurements**
16. Bronchiolitis is best described as inflammation of which structures?
Answer - Answer: Bronchioles**
, 17. Which precaution is required when caring for a child with RSV? Answer -
Answer: Contact, droplet, and standard precautions**
18. Which intervention should be done before feeding an infant with RSV?
Answer - Answer: Suctioning nasal secretions**
19. Which position improves breathing in an infant with bronchiolitis? Answer
- Answer: Head and chest elevated 30-40 degrees**
20. Cough suppressants are used cautiously in bronchiolitis because they can
cause what? Answer - Answer: Retention of respiratory secretions**
21. Cystic fibrosis is caused by mutations in which gene? Answer - Answer:
CFTR gene**
22. The hallmark diagnostic test for cystic fibrosis is which? Answer - Answer:
Sweat chloride test**
23. Elevated sweat chloride levels in CF occur due to what? Answer - Answer:
Defective chloride transport**
24. Thick, tenacious mucus in CF leads to which major pulmonary
complication? Answer - Answer: Chronic lung infections**
25. The most common cause of death in cystic fibrosis is what? Answer -
Answer: Respiratory failure**
26. Which respiratory finding is common in children with cystic fibrosis?
Answer - Answer: Chronic productive cough**
COMPLETE SOLUTION.
PEFR 50-79 % indicates which zone? Answer - Yellow (caution) zoneAction for
PEFR < 50 %? Give SABA and seek immediate care
Long-term asthma control meds? Answer - Inhaled steroid + LABA
Common asthma trigger? Answer - Allergen exposure (e.g., pollen)
Main cause of bronchiolitis? Answer - RSV (respiratory syncytial virus)
Isolation for infant with RSV? Answer - Contact, droplet, standard precautions;
private room
Position for infant bronchiolitis? Answer - 30-40° head-up, neck slightly
extended
CF immunization schedule? Answer - Standard series + yearly flu vaccine
Key nutrition for CF? Answer - High-calorie, high-protein diet with enzymes
,Silent chest meaning? Answer - No airflow; severe obstruction needing urgent
care
Quick-relief asthma drug class? Answer - Short-acting β-agonists (SABA)
Prevent inhaled steroid thrush? Answer - Rinse mouth after each dose
Nursing process phase that evaluates care? Answer - Evaluation phase
Other ED respiratory condition? Answer - Acute respiratory failure (ARF)
1. An infant deteriorates rapidly during a respiratory infection primarily due to
what physiological factor? Answer - Answer: Smaller, narrower airways that
are easily obstructed by edema and secretions**
3. Which age group has the highest risk for severe RSV infection? Answer -
Answer: Infants younger than 6 months**
4. A nurse notes a "silent chest" in a child with asthma—this indicates what?
Answer - Answer: Impending respiratory arrest**
5. Which factor increases a child's risk for respiratory infection? Answer -
Answer: Exposure to secondhand smoke**
6. RSV is primarily transmitted by which route? Answer - Answer: Droplet and
direct contact with respiratory secretions**
7. The priority intervention for an infant with bronchiolitis is which? Answer -
Answer: Maintain airway and adequate oxygenation**
,8. Which medication is considered a quick-relief (rescue) medication for
asthma? Answer - Answer: Short-acting beta-agonist (SABA)**
9. A peak expiratory flow rate of 45% of personal best places the child in which
zone? Answer - Answer: Red zone**
10. Which symptom suggests worsening asthma despite treatment? Answer -
Answer: Decreased wheezing with increased respiratory distress**
11. Why are LABAs not used alone in asthma management? Answer - Answer:
Risk of rebound bronchoconstriction**
12. Which assessment finding indicates severe asthma exacerbation? Answer -
Answer: Short, broken speech**
13. A child with asthma is tripod positioning—this indicates what? Answer -
Answer: Severe respiratory distress**
14. Which nursing action helps prevent oral thrush with inhaled
corticosteroids? Answer - Answer: Rinsing the mouth after inhaler use**
15. The best indicator of asthma control over time is which? Answer - Answer:
Peak expiratory flow measurements**
16. Bronchiolitis is best described as inflammation of which structures?
Answer - Answer: Bronchioles**
, 17. Which precaution is required when caring for a child with RSV? Answer -
Answer: Contact, droplet, and standard precautions**
18. Which intervention should be done before feeding an infant with RSV?
Answer - Answer: Suctioning nasal secretions**
19. Which position improves breathing in an infant with bronchiolitis? Answer
- Answer: Head and chest elevated 30-40 degrees**
20. Cough suppressants are used cautiously in bronchiolitis because they can
cause what? Answer - Answer: Retention of respiratory secretions**
21. Cystic fibrosis is caused by mutations in which gene? Answer - Answer:
CFTR gene**
22. The hallmark diagnostic test for cystic fibrosis is which? Answer - Answer:
Sweat chloride test**
23. Elevated sweat chloride levels in CF occur due to what? Answer - Answer:
Defective chloride transport**
24. Thick, tenacious mucus in CF leads to which major pulmonary
complication? Answer - Answer: Chronic lung infections**
25. The most common cause of death in cystic fibrosis is what? Answer -
Answer: Respiratory failure**
26. Which respiratory finding is common in children with cystic fibrosis?
Answer - Answer: Chronic productive cough**
