NURS 653 EXAM 3 MULTIPLE CHOICE QUESTIONS | PRACTICE MCQS & ANSWERS |
COMPREHENSIVE NURSING STUDY GUIDE 2026/2027
4month old with 1 week history of congestion and occasional cough, last night + fever 102,
stopped nursing, noisy breathing and paroxysmal coughing. on exam lethargy, tachypnea,
wheezing and intercostal rtxns. older sibling with cold. What illness does baby most likely have?
- ANS ✔✔RSV
Infant with RSV what is the treatment of choice? - ANS ✔✔Fluids, nutritional support and close
monitoring
which of the following children should not have TB testing?
a. 14 year old with family member recently incarcerated living with them
b. 2 year old with RSV 3 months ago, now asymptomatic
c. 3 month old immigrated from Cambodia 1 month ago
d. 18 month old whose mother is infected with HIV - ANS ✔✔2 year old with RSV is not a risk
factor for TB
What is the most common agent for nonviral pneumonia from school age to your adulthood ? -
ANS ✔✔Mycoplasma Pneumoniae
Which one of the following diagnosis would not be part of the differential for recurrent lobar
pneumonia in a 2 year old?
CF, foreign body asp, atelectasis or bronochitis - ANS ✔✔Bronchitis
Most common clinical presentation of pneumonia is ? - ANS ✔✔Cough, fever, tachypnea, chest
or abdominal pain
, Classic xray finding in croup is - ANS ✔✔Steeple sign
Persistent wheezing and asymmetrical breath sounds are findings suggestive of? - ANS
✔✔Foreign body aspiration
An ex preemie with BPD has gone home from the NICU. A problem area that requires close
monitoring is: - ANS ✔✔Insufficient caloric intake
10 day old parents are conners about breathing. Stops breathing for periods of 10 seconds while
feeding no cyanosis,.limp, pale or blue spells. What is your management? - ANS ✔✔Education
that this is a normal newborn breathing pattern.
4 yr old with history of asthma, has wheezing and cough x1 day. RR 14, breathing shallow, no
wheezing, - ANS ✔✔Wheezing is not heard because breathing is shallow and muscle fatigue,
pending resp failure possible
What is the appropriate management of a child with asthma who presents with acute wheezing
and or coughing?
Administer inhaled corticosteroid
Short acting beta agonist
Adminster expectorant
Administer oral corticosteroid - ANS ✔✔Start with short acting beta agonist
5 month old with first time wheezing with new viral illness. Asthma runs in the family. What
could you conclude?
Infants has asthma exacerbated by viral infection OR
COMPREHENSIVE NURSING STUDY GUIDE 2026/2027
4month old with 1 week history of congestion and occasional cough, last night + fever 102,
stopped nursing, noisy breathing and paroxysmal coughing. on exam lethargy, tachypnea,
wheezing and intercostal rtxns. older sibling with cold. What illness does baby most likely have?
- ANS ✔✔RSV
Infant with RSV what is the treatment of choice? - ANS ✔✔Fluids, nutritional support and close
monitoring
which of the following children should not have TB testing?
a. 14 year old with family member recently incarcerated living with them
b. 2 year old with RSV 3 months ago, now asymptomatic
c. 3 month old immigrated from Cambodia 1 month ago
d. 18 month old whose mother is infected with HIV - ANS ✔✔2 year old with RSV is not a risk
factor for TB
What is the most common agent for nonviral pneumonia from school age to your adulthood ? -
ANS ✔✔Mycoplasma Pneumoniae
Which one of the following diagnosis would not be part of the differential for recurrent lobar
pneumonia in a 2 year old?
CF, foreign body asp, atelectasis or bronochitis - ANS ✔✔Bronchitis
Most common clinical presentation of pneumonia is ? - ANS ✔✔Cough, fever, tachypnea, chest
or abdominal pain
, Classic xray finding in croup is - ANS ✔✔Steeple sign
Persistent wheezing and asymmetrical breath sounds are findings suggestive of? - ANS
✔✔Foreign body aspiration
An ex preemie with BPD has gone home from the NICU. A problem area that requires close
monitoring is: - ANS ✔✔Insufficient caloric intake
10 day old parents are conners about breathing. Stops breathing for periods of 10 seconds while
feeding no cyanosis,.limp, pale or blue spells. What is your management? - ANS ✔✔Education
that this is a normal newborn breathing pattern.
4 yr old with history of asthma, has wheezing and cough x1 day. RR 14, breathing shallow, no
wheezing, - ANS ✔✔Wheezing is not heard because breathing is shallow and muscle fatigue,
pending resp failure possible
What is the appropriate management of a child with asthma who presents with acute wheezing
and or coughing?
Administer inhaled corticosteroid
Short acting beta agonist
Adminster expectorant
Administer oral corticosteroid - ANS ✔✔Start with short acting beta agonist
5 month old with first time wheezing with new viral illness. Asthma runs in the family. What
could you conclude?
Infants has asthma exacerbated by viral infection OR
