INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH
EDITION LEIFER TEST BANKTest Bank - Introduction to Maternity and
Pediatric Nursing 8e (by Leifer)Chapter 25: The Child with a Respiratory
Disorder MULTIPLE CHOICE Completed A with Rationale
Course
NURS 1100 (NURSINGNURS1100)
1. A nurse is assessing a child with respiratory distress. Which finding requires immediate
intervention?
A. Respiratory rate of 26/min
B. Mild nasal congestion
C. Cyanosis around the lips
D. Occasional cough
Answer: C
Rationale: Cyanosis indicates inadequate oxygenation and requires immediate intervention.
2. Which assessment finding is an early sign of respiratory distress in children?
A. Bradycardia
B. Tachypnea
C. Hypotension
D. Cyanosis
Answer: B
Rationale: Tachypnea is often the earliest sign that a child is struggling to breathe.
3. Which finding is commonly associated with bronchiolitis?
A. Stridor
B. Wheezing
C. Bradycardia
D. Hypertension
Answer: B
Rationale: Bronchiolitis causes inflammation of the small airways, producing wheezing.
4. Which nursing intervention best promotes airway clearance?
,A. Restrict fluids.
B. Encourage adequate hydration.
C. Keep the child flat.
D. Limit coughing.
Answer: B
Rationale: Hydration helps thin secretions, making them easier to clear.
5. A child with asthma suddenly develops severe wheezing and difficulty speaking. What is
the priority nursing action?
A. Encourage fluids.
B. Obtain a weight.
C. Administer prescribed bronchodilator immediately.
D. Provide oral antibiotics.
Answer: C
Rationale: Severe asthma symptoms require rapid bronchodilation.
6. Which finding is most consistent with croup?
A. Crackles
B. Barking cough
C. Bloody sputum
D. Productive cough
Answer: B
Rationale: A barking cough is characteristic of viral croup.
7. Which position best promotes breathing in a child with respiratory distress?
A. Supine
B. Prone
C. High Fowler's or sitting upright
D. Trendelenburg
Answer: C
,Rationale: Upright positioning improves lung expansion.
8. Which assessment finding is expected in pneumonia?
A. Hyperactive bowel sounds
B. Crackles on auscultation
C. Bradycardia
D. Dry skin
Answer: B
Rationale: Crackles result from fluid in the alveoli.
9. Which oxygen saturation requires immediate intervention?
A. 98%
B. 97%
C. 95%
D. 88%
Answer: D
Rationale: Oxygen saturation below 90% indicates significant hypoxemia.
10. Which symptom commonly occurs with respiratory syncytial virus (RSV)?
A. Hypertension
B. Wheezing and increased work of breathing
C. Hematuria
D. Constipation
Answer: B
Rationale: RSV frequently causes bronchiolitis with wheezing.
11. Which assessment finding indicates worsening asthma?
A. Improved air movement
B. Silent chest on auscultation
, C. Normal speech
D. Oxygen saturation 98%
Answer: B
Rationale: A silent chest indicates minimal airflow and is a medical emergency.
12. Which intervention helps reduce fever in a child with pneumonia?
A. Heavy blankets
B. Restrict fluids
C. Administer prescribed antipyretics and encourage fluids
D. Keep the room warm
Answer: C
Rationale: Fever management improves comfort and reduces fluid loss.
13. Which assessment finding suggests dehydration in a child with respiratory illness?
A. Moist mucous membranes
B. Dry lips and decreased urine output
C. Peripheral edema
D. Weight gain
Answer: B
Rationale: Fever and tachypnea increase fluid losses.
14. Which medication is commonly prescribed as a rescue medication for asthma?
A. Inhaled corticosteroid
B. Albuterol
C. Montelukast
D. Cromolyn
Answer: B
Rationale: Albuterol is a short-acting beta₂-agonist used for acute bronchospasm.
EDITION LEIFER TEST BANKTest Bank - Introduction to Maternity and
Pediatric Nursing 8e (by Leifer)Chapter 25: The Child with a Respiratory
Disorder MULTIPLE CHOICE Completed A with Rationale
Course
NURS 1100 (NURSINGNURS1100)
1. A nurse is assessing a child with respiratory distress. Which finding requires immediate
intervention?
A. Respiratory rate of 26/min
B. Mild nasal congestion
C. Cyanosis around the lips
D. Occasional cough
Answer: C
Rationale: Cyanosis indicates inadequate oxygenation and requires immediate intervention.
2. Which assessment finding is an early sign of respiratory distress in children?
A. Bradycardia
B. Tachypnea
C. Hypotension
D. Cyanosis
Answer: B
Rationale: Tachypnea is often the earliest sign that a child is struggling to breathe.
3. Which finding is commonly associated with bronchiolitis?
A. Stridor
B. Wheezing
C. Bradycardia
D. Hypertension
Answer: B
Rationale: Bronchiolitis causes inflammation of the small airways, producing wheezing.
4. Which nursing intervention best promotes airway clearance?
,A. Restrict fluids.
B. Encourage adequate hydration.
C. Keep the child flat.
D. Limit coughing.
Answer: B
Rationale: Hydration helps thin secretions, making them easier to clear.
5. A child with asthma suddenly develops severe wheezing and difficulty speaking. What is
the priority nursing action?
A. Encourage fluids.
B. Obtain a weight.
C. Administer prescribed bronchodilator immediately.
D. Provide oral antibiotics.
Answer: C
Rationale: Severe asthma symptoms require rapid bronchodilation.
6. Which finding is most consistent with croup?
A. Crackles
B. Barking cough
C. Bloody sputum
D. Productive cough
Answer: B
Rationale: A barking cough is characteristic of viral croup.
7. Which position best promotes breathing in a child with respiratory distress?
A. Supine
B. Prone
C. High Fowler's or sitting upright
D. Trendelenburg
Answer: C
,Rationale: Upright positioning improves lung expansion.
8. Which assessment finding is expected in pneumonia?
A. Hyperactive bowel sounds
B. Crackles on auscultation
C. Bradycardia
D. Dry skin
Answer: B
Rationale: Crackles result from fluid in the alveoli.
9. Which oxygen saturation requires immediate intervention?
A. 98%
B. 97%
C. 95%
D. 88%
Answer: D
Rationale: Oxygen saturation below 90% indicates significant hypoxemia.
10. Which symptom commonly occurs with respiratory syncytial virus (RSV)?
A. Hypertension
B. Wheezing and increased work of breathing
C. Hematuria
D. Constipation
Answer: B
Rationale: RSV frequently causes bronchiolitis with wheezing.
11. Which assessment finding indicates worsening asthma?
A. Improved air movement
B. Silent chest on auscultation
, C. Normal speech
D. Oxygen saturation 98%
Answer: B
Rationale: A silent chest indicates minimal airflow and is a medical emergency.
12. Which intervention helps reduce fever in a child with pneumonia?
A. Heavy blankets
B. Restrict fluids
C. Administer prescribed antipyretics and encourage fluids
D. Keep the room warm
Answer: C
Rationale: Fever management improves comfort and reduces fluid loss.
13. Which assessment finding suggests dehydration in a child with respiratory illness?
A. Moist mucous membranes
B. Dry lips and decreased urine output
C. Peripheral edema
D. Weight gain
Answer: B
Rationale: Fever and tachypnea increase fluid losses.
14. Which medication is commonly prescribed as a rescue medication for asthma?
A. Inhaled corticosteroid
B. Albuterol
C. Montelukast
D. Cromolyn
Answer: B
Rationale: Albuterol is a short-acting beta₂-agonist used for acute bronchospasm.
