NSG3600 Exam 2 V1 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is caring for a 2-year-old child diagnosed with Respiratory Syncytial Virus (RSV)
bronchiolitis. Which infection control precaution should the nurse implement?
A. Standard and Contact precautions
B. Airborne precautions only
C. Droplet precautions only
D. Protective isolation
Answer: A
Rationale: RSV is primarily transmitted through direct contact with respiratory secretions.
Therefore, contact precautions including gloves and gowns are mandatory. Standard
precautions are applied to all patients to prevent the spread of pathogens.
2. Which clinical manifestation should the nurse expect to find in a child with epiglottitis?
A. Loud, barking cough
B. Low-grade fever and runny nose
C. High-pitched wheezing
D. Drooling and agitation
,Answer: D
Rationale: Epiglottitis is a medical emergency characterized by the four Ds: Drooling,
Dysphagia, Dysphonia, and Distressed inspiratory efforts. The child often sits in a tripod
position to facilitate breathing. A barking cough is more characteristic of
Laryngotracheobronchitis (croup).
3. A child is experiencing an acute asthma exacerbation. Which medication should the nurse
prepare to administer first?
A. Salmeterol (Serevent)
B. Fluticasone (Flovent)
C. Albuterol (Proventil)
D. Montelukast (Singulair)
Answer: C
Rationale: Albuterol is a short-acting beta-agonist (SABA) used as a rescue medication to
provide immediate bronchodilation. Salmeterol and Fluticasone are for long-term control
and are not effective in an acute crisis. Montelukast is a leukotriene modifier used for
maintenance therapy.
4. When teaching parents about the use of a peak flow meter for their child with asthma, the
nurse should explain that the ‘Green Zone’ indicates:
A. Asthma is well-controlled; 80% to 100% of personal best
B. The child needs to use a rescue inhaler immediately
, C. Asthma is worsening and medications should be adjusted
D. The child should seek emergency medical care
Answer: A
Rationale: The Green Zone signifies that the child’s asthma is under good control, typically
representing 80-100% of their personal best peak flow. In this zone, the child should
continue their routine maintenance medications. If the reading drops to the Yellow or Red
zones, interventions are required.
5. A nurse is assessing an infant for dehydration. Which finding is the most reliable indicator
of fluid loss?
A. Skin turgor on the abdomen
B. Moisture of the mucous membranes
C. Capillary refill time
D. Daily weight change
Answer: D
Rationale: Body weight is the most accurate and reliable indicator of fluid status in infants
because fluid accounts for a large percentage of their total body weight. Sudden weight loss
reflects acute fluid loss. Other signs like skin turgor and capillary refill are clinical
indicators but less precise for quantifying loss.
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is caring for a 2-year-old child diagnosed with Respiratory Syncytial Virus (RSV)
bronchiolitis. Which infection control precaution should the nurse implement?
A. Standard and Contact precautions
B. Airborne precautions only
C. Droplet precautions only
D. Protective isolation
Answer: A
Rationale: RSV is primarily transmitted through direct contact with respiratory secretions.
Therefore, contact precautions including gloves and gowns are mandatory. Standard
precautions are applied to all patients to prevent the spread of pathogens.
2. Which clinical manifestation should the nurse expect to find in a child with epiglottitis?
A. Loud, barking cough
B. Low-grade fever and runny nose
C. High-pitched wheezing
D. Drooling and agitation
,Answer: D
Rationale: Epiglottitis is a medical emergency characterized by the four Ds: Drooling,
Dysphagia, Dysphonia, and Distressed inspiratory efforts. The child often sits in a tripod
position to facilitate breathing. A barking cough is more characteristic of
Laryngotracheobronchitis (croup).
3. A child is experiencing an acute asthma exacerbation. Which medication should the nurse
prepare to administer first?
A. Salmeterol (Serevent)
B. Fluticasone (Flovent)
C. Albuterol (Proventil)
D. Montelukast (Singulair)
Answer: C
Rationale: Albuterol is a short-acting beta-agonist (SABA) used as a rescue medication to
provide immediate bronchodilation. Salmeterol and Fluticasone are for long-term control
and are not effective in an acute crisis. Montelukast is a leukotriene modifier used for
maintenance therapy.
4. When teaching parents about the use of a peak flow meter for their child with asthma, the
nurse should explain that the ‘Green Zone’ indicates:
A. Asthma is well-controlled; 80% to 100% of personal best
B. The child needs to use a rescue inhaler immediately
, C. Asthma is worsening and medications should be adjusted
D. The child should seek emergency medical care
Answer: A
Rationale: The Green Zone signifies that the child’s asthma is under good control, typically
representing 80-100% of their personal best peak flow. In this zone, the child should
continue their routine maintenance medications. If the reading drops to the Yellow or Red
zones, interventions are required.
5. A nurse is assessing an infant for dehydration. Which finding is the most reliable indicator
of fluid loss?
A. Skin turgor on the abdomen
B. Moisture of the mucous membranes
C. Capillary refill time
D. Daily weight change
Answer: D
Rationale: Body weight is the most accurate and reliable indicator of fluid status in infants
because fluid accounts for a large percentage of their total body weight. Sudden weight loss
reflects acute fluid loss. Other signs like skin turgor and capillary refill are clinical
indicators but less precise for quantifying loss.
