NURS 405 QUIZ 1 REVIEW |COMPLETE STUDY
GUIDE WITH 100% ACCURATE QUESTIONS
&ANSWERS. EXCELLENCE GUARANTEED.
Five repeated physiologic threats in peds infection questions Answer: Impaired
oxygenation/ventilation, poor perfusion, fluid/electrolyte loss, increased
ICP/decreased cerebral perfusion, and sepsis progression.
Respiratory infection = main danger Answer: Oxygenation/ventilation failure:
airway obstruction, impaired gas exchange, increased work of breathing, hypoxia,
fatigue/respiratory failure.
Neuro infection = main danger Answer: Increased ICP, decreased cerebral
perfusion, seizure risk, possible herniation.
GI infection = main danger Answer: Dehydration, electrolyte imbalance, metabolic
acidosis, and rupture/peritonitis/sepsis risk if appendicitis progresses.
Cardiac/systemic infection = main danger Answer: Poor perfusion, shock, and/or
low cardiac output.
Skin infection = main danger Answer: Local spread, deeper tissue infection,
abscess formation, and transmission.
NCLEX priority rule: airway/breathing Answer: A child with worsening work of
breathing, hypoxia, or fatigue is more urgent than one who is only febrile.
NCLEX priority rule: perfusion Answer: Worsening tissue perfusion is dangerous
even before hypotension appears.
NCLEX priority rule: neuro status Answer: Worsening LOC with
meningitis/encephalitis is urgent because cerebral perfusion may be falling.
NCLEX priority rule: dehydration in kids Answer: Vomiting/diarrhea can become
a perfusion problem quickly.
Respiratory cue-to-action: mucus problem Answer: Suction.
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,Respiratory cue-to-action: hypoxia problem Answer: Give oxygen.
Respiratory cue-to-action: fatigue/impending respiratory failure Answer: Escalate
support; BiPAP may be needed.
Wheezing in peds respiratory infection should make you think Answer:
Mucus/airway narrowing; assess before and after interventions.
Albuterol key nursing pearl Answer: Do not give mindlessly; assess before and
after and continue only if it actually helps.
Common albuterol side effect Answer: Tachycardia.
Petechiae in infection context Answer: Broken blood vessels; take seriously,
especially with systemic infection concern.
Viral URI/common cold: common pathogens Answer: Rhinovirus, coronavirus,
adenovirus
Viral URI/common cold: hallmark cues Answer: Congestion, runny nose, mild
fever, cough
Viral URI/common cold: key nursing actions Answer: Supportive care: fluids,
saline nasal drops, humidified air, rest
Viral URI/common cold: isolation precautions Answer: Standard
Otitis media: common pathogens Answer: Streptococcus pneumoniae,
Haemophilus influenzae, Moraxella catarrhalis
Otitis media: hallmark cues Answer: Ear pain, fever, irritability, red bulging
tympanic membrane
Otitis media: key nursing actions Answer: Pain control, upright position, antibiotics
if bacterial, teach parents to complete course
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, Otitis media: isolation precautions Answer: Standard
Pharyngitis/tonsillitis: common pathogens Answer: Adenovirus, EBV, Group A
Streptococcus
Pharyngitis/tonsillitis: hallmark cues Answer: Sore throat, fever, exudate on tonsils
Pharyngitis/tonsillitis: key nursing actions Answer: Analgesics, saltwater gargles,
antibiotics if strep, encourage fluids
Pharyngitis/tonsillitis: isolation precautions Answer: Droplet if bacterial
Sinusitis: common pathogens Answer: S. pneumoniae, H. influenzae, M. catarrhalis
Sinusitis: hallmark cues Answer: Facial pain/pressure, congestion, nasal discharge
Sinusitis: key nursing actions Answer: Saline rinses, warm compresses, antibiotics
if bacterial
Sinusitis: isolation precautions Answer: Standard
Croup: common pathogens Answer: Parainfluenza virus
Croup: hallmark cues Answer: Barking cough, inspiratory stridor, hoarseness
Croup: key nursing actions Answer: Humidified air, racemic epinephrine,
corticosteroids, monitor airway
Croup: isolation precautions Answer: Droplet
Bronchiolitis: common pathogens Answer: RSV, rhinovirus, metapneumovirus
Bronchiolitis: hallmark cues Answer: Wheezing, cough, nasal flaring, retractions
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
GUIDE WITH 100% ACCURATE QUESTIONS
&ANSWERS. EXCELLENCE GUARANTEED.
Five repeated physiologic threats in peds infection questions Answer: Impaired
oxygenation/ventilation, poor perfusion, fluid/electrolyte loss, increased
ICP/decreased cerebral perfusion, and sepsis progression.
Respiratory infection = main danger Answer: Oxygenation/ventilation failure:
airway obstruction, impaired gas exchange, increased work of breathing, hypoxia,
fatigue/respiratory failure.
Neuro infection = main danger Answer: Increased ICP, decreased cerebral
perfusion, seizure risk, possible herniation.
GI infection = main danger Answer: Dehydration, electrolyte imbalance, metabolic
acidosis, and rupture/peritonitis/sepsis risk if appendicitis progresses.
Cardiac/systemic infection = main danger Answer: Poor perfusion, shock, and/or
low cardiac output.
Skin infection = main danger Answer: Local spread, deeper tissue infection,
abscess formation, and transmission.
NCLEX priority rule: airway/breathing Answer: A child with worsening work of
breathing, hypoxia, or fatigue is more urgent than one who is only febrile.
NCLEX priority rule: perfusion Answer: Worsening tissue perfusion is dangerous
even before hypotension appears.
NCLEX priority rule: neuro status Answer: Worsening LOC with
meningitis/encephalitis is urgent because cerebral perfusion may be falling.
NCLEX priority rule: dehydration in kids Answer: Vomiting/diarrhea can become
a perfusion problem quickly.
Respiratory cue-to-action: mucus problem Answer: Suction.
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,Respiratory cue-to-action: hypoxia problem Answer: Give oxygen.
Respiratory cue-to-action: fatigue/impending respiratory failure Answer: Escalate
support; BiPAP may be needed.
Wheezing in peds respiratory infection should make you think Answer:
Mucus/airway narrowing; assess before and after interventions.
Albuterol key nursing pearl Answer: Do not give mindlessly; assess before and
after and continue only if it actually helps.
Common albuterol side effect Answer: Tachycardia.
Petechiae in infection context Answer: Broken blood vessels; take seriously,
especially with systemic infection concern.
Viral URI/common cold: common pathogens Answer: Rhinovirus, coronavirus,
adenovirus
Viral URI/common cold: hallmark cues Answer: Congestion, runny nose, mild
fever, cough
Viral URI/common cold: key nursing actions Answer: Supportive care: fluids,
saline nasal drops, humidified air, rest
Viral URI/common cold: isolation precautions Answer: Standard
Otitis media: common pathogens Answer: Streptococcus pneumoniae,
Haemophilus influenzae, Moraxella catarrhalis
Otitis media: hallmark cues Answer: Ear pain, fever, irritability, red bulging
tympanic membrane
Otitis media: key nursing actions Answer: Pain control, upright position, antibiotics
if bacterial, teach parents to complete course
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Otitis media: isolation precautions Answer: Standard
Pharyngitis/tonsillitis: common pathogens Answer: Adenovirus, EBV, Group A
Streptococcus
Pharyngitis/tonsillitis: hallmark cues Answer: Sore throat, fever, exudate on tonsils
Pharyngitis/tonsillitis: key nursing actions Answer: Analgesics, saltwater gargles,
antibiotics if strep, encourage fluids
Pharyngitis/tonsillitis: isolation precautions Answer: Droplet if bacterial
Sinusitis: common pathogens Answer: S. pneumoniae, H. influenzae, M. catarrhalis
Sinusitis: hallmark cues Answer: Facial pain/pressure, congestion, nasal discharge
Sinusitis: key nursing actions Answer: Saline rinses, warm compresses, antibiotics
if bacterial
Sinusitis: isolation precautions Answer: Standard
Croup: common pathogens Answer: Parainfluenza virus
Croup: hallmark cues Answer: Barking cough, inspiratory stridor, hoarseness
Croup: key nursing actions Answer: Humidified air, racemic epinephrine,
corticosteroids, monitor airway
Croup: isolation precautions Answer: Droplet
Bronchiolitis: common pathogens Answer: RSV, rhinovirus, metapneumovirus
Bronchiolitis: hallmark cues Answer: Wheezing, cough, nasal flaring, retractions
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
