JOYCE UNIVERSITY PEDS EXAM 3 STUDY GUIDE | PEDIATRIC NURSING PRACTICE
QUESTIONS & ANSWERS 2026/2027
Chest physiotherapy (When?) - ANS ✔✔Before meals, after albuterol
Peak expiratory flow meter (interventions) - ANS ✔✔Record the highest of the three, blow over
1 second
What age should children not use OTC cold medicines - ANS ✔✔Less than 4 YO
Cromolyn Sodium - ANS ✔✔mast cell stabilizer (long term)
Corticosteroids AE - ANS ✔✔Decrease Immune system, stunts growth
Tonsillitis - ANS ✔✔Inflammation of the tonsils, (can be from no pathogen, or Viral, or bacterial)
Tonsillectomy Interventions - ANS ✔✔Check gag reflex before anything PO, Check for frequent
swallowing and tachycardia (Hemorrhage), Clear liquid diet at first (no milk, citrus, or red things)
Otitis Media Triggers - ANS ✔✔Respiratory illness
Nasopharyngitis - ANS ✔✔Common Cold
Acute Streptococcal Pharyngitis Treatment - ANS ✔✔Oral penicillin, amoxicillin, fever reduced
Bacterial Epiglottitis - ANS ✔✔epiglottis caves in over trachea (Medical Emergency)
, Bacterial Epiglottitis S/S - ANS ✔✔Absence of cough, drooling, muffled voice, tripod positioning
Bacterial Epiglottitis Diagnosis - ANS ✔✔neck radiograph (x-ray)
Bacterial Epiglottitis Interventions - ANS ✔✔Be prepared for intubation, protect airway (nothing
in mouth)
Acute Laryngotracheobronchitis - ANS ✔✔Croup. Acute Laryngotracheobronchitis
Croup S/S - ANS ✔✔Barking cough, inspiratory stridor, retractions
Congenital Laryngomalacia/tracheomalacia - ANS ✔✔floppy airway causing breathing issues
(hopefully it matures as they get older)
Bronchitis - ANS ✔✔inflammation of the bronchi for up to 10 days
Bronchiolitis - ANS ✔✔Viral Inflammation and congestion in the bronchioles of the lung.
(Common from 2-6 months of age) CONTACT PRECAUTIONS
Bronchiolitis triggers - ANS ✔✔RSV, viral infection
Bronchiolitis S/S - ANS ✔✔SOB, cough, coryza, decreased feeding, crackles
Bacterial Pneumonia S/S - ANS ✔✔Mainly high fever and retractions. Chest pain cough,
tachypnea, pale, cyanotic
Asthma Diagnosis - ANS ✔✔Pulmonary function test. peak expiratory flow rates
QUESTIONS & ANSWERS 2026/2027
Chest physiotherapy (When?) - ANS ✔✔Before meals, after albuterol
Peak expiratory flow meter (interventions) - ANS ✔✔Record the highest of the three, blow over
1 second
What age should children not use OTC cold medicines - ANS ✔✔Less than 4 YO
Cromolyn Sodium - ANS ✔✔mast cell stabilizer (long term)
Corticosteroids AE - ANS ✔✔Decrease Immune system, stunts growth
Tonsillitis - ANS ✔✔Inflammation of the tonsils, (can be from no pathogen, or Viral, or bacterial)
Tonsillectomy Interventions - ANS ✔✔Check gag reflex before anything PO, Check for frequent
swallowing and tachycardia (Hemorrhage), Clear liquid diet at first (no milk, citrus, or red things)
Otitis Media Triggers - ANS ✔✔Respiratory illness
Nasopharyngitis - ANS ✔✔Common Cold
Acute Streptococcal Pharyngitis Treatment - ANS ✔✔Oral penicillin, amoxicillin, fever reduced
Bacterial Epiglottitis - ANS ✔✔epiglottis caves in over trachea (Medical Emergency)
, Bacterial Epiglottitis S/S - ANS ✔✔Absence of cough, drooling, muffled voice, tripod positioning
Bacterial Epiglottitis Diagnosis - ANS ✔✔neck radiograph (x-ray)
Bacterial Epiglottitis Interventions - ANS ✔✔Be prepared for intubation, protect airway (nothing
in mouth)
Acute Laryngotracheobronchitis - ANS ✔✔Croup. Acute Laryngotracheobronchitis
Croup S/S - ANS ✔✔Barking cough, inspiratory stridor, retractions
Congenital Laryngomalacia/tracheomalacia - ANS ✔✔floppy airway causing breathing issues
(hopefully it matures as they get older)
Bronchitis - ANS ✔✔inflammation of the bronchi for up to 10 days
Bronchiolitis - ANS ✔✔Viral Inflammation and congestion in the bronchioles of the lung.
(Common from 2-6 months of age) CONTACT PRECAUTIONS
Bronchiolitis triggers - ANS ✔✔RSV, viral infection
Bronchiolitis S/S - ANS ✔✔SOB, cough, coryza, decreased feeding, crackles
Bacterial Pneumonia S/S - ANS ✔✔Mainly high fever and retractions. Chest pain cough,
tachypnea, pale, cyanotic
Asthma Diagnosis - ANS ✔✔Pulmonary function test. peak expiratory flow rates
