NUR 235 EXAM 4
NUR 235 Exam 4 Actual Questions and
Answers Latest Version 2025
- shorter airway (4 mm in diameter compared to 20 mm)
- flexible larynx is susceptible to spasms
- flexible trachea is susceptible to collapse
- decreased amount of alveoli
- underdeveloped lungs
- infants are obligatory nose breathers (until 4 weeks) -Correct Answer ✔Which
anatomical differences make caring for children with respiratory disorders different than
caring for adults?
True. This creates a higher oxygen demand. -Correct Answer ✔T or F? An infant's
metabolic rate is almost twice as high as an adult's metabolic rate.
If the infant is in respiratory distress. IV feedings & fluids should be initiated until oral
intake is acceptable. -Correct Answer ✔When should oral feedings be discontinued for
infants?
supine with HOB elevated 45 degrees -Correct Answer ✔What is the ideal position for
optimal chest expansion?
- tachypnea & tachycardia
- intercostal retractions
- paradoxical breathing
- restlessness
- grunting
- nasal flaring
- diaphoresis (except in neonates)
- clubbing of fingertips
- acrocyanosis (normal in infants up to 48 hours) -Correct Answer ✔What are the S/S of
respiratory distress?
- pulse oximetry
- oxygen therapy
- nebulized aerosol
- MDI or dry powder inhaler
- chest physiotherapy
- suctioning (NT, OT, ET, tracheal)
- artificial airway insertion -Correct Answer ✔Methods used to increase oxygenation and
improve & monitor respiratory functioning include...
- determine which type of device should be used (i.e. mouthpiece, mask, or blow-by)
- assess VS and O2 saturation prior to & after administration
NUR 235 EXAM 4
,NUR 235 EXAM 4
- monitor for bronchospasms
- *teach child to take slow, deep breaths by mouth* -Correct Answer ✔Nursing
management for nebulized aerosol therapy includes...
- shake the inhaler 5-6 times
- attach the spacer
- take a deep breath and exhale
- use the open-mouth or closed-mouth method
- press the inhaler and take a *slow, deep breath*
- hold breath for 5-10 seconds
- wait at least 1 minute between puffs if an additional puff is needed
- *rinse mouth out after use* -Correct Answer ✔Describe the proper way to use a
metered-dose inhaler.
- *DO NOT SHAKE the device*
- exhale completely
- place device between the lips and take a *fast, deep breath*
- hold breath for 5-10 seconds
- wait prescribed length of time if an additional puff is needed
- rinse the inhaler, cap, and spacer once daily -Correct Answer ✔Describe the proper
way to use a dry powder inhaler.
- at least 1 hour before eating
- at least 2 hours after eating -Correct Answer ✔When should chest physiotherapy be
performed in relation to mealtimes to prevent GI upset?
Venturi mask -Correct Answer ✔Which oxygen delivery device provides the most
accurate control of oxygen administration?
- infants: less than 5 seconds
- children: less than 10 seconds -Correct Answer ✔How long should each suctioning
pass be performed on infants and children?
False. You should suction as you withdraw the catheter, rolling the catheter between the
fingers. -Correct Answer ✔T or F? Suctioning is performed as you insert the catheter.
- *nasal corticosteroids (i.e. fluticasone)*
- 1st & 2nd generation antihistamines (based on age)
- beta adrenergic decongestants (i.e. pseudoephedrine)
- mast cell stabilizer (i.e. cromolyn)
- leukotriene modifiers (i.e. montelukast)
- anticholinergics (i.e. ipratropium) -Correct Answer ✔Treatment options for allergic
rhinitis include...
- *earache & tugging at the ears*
NUR 235 EXAM 4
, NUR 235 EXAM 4
- *bulging, red, or opaque eardrum*
- *purulent, foul-smelling drainage*
- nonspecific S/S of infection (i.e. fever, N/V, crying, anorexia) -Correct Answer ✔What
are the S/S of otitis media?
- breastfeeding
- discontinue pacifier after 6 months
- feed children sitting straight up
- avoid smoking in the house
- immunizations (i.e. PCV 13 @ 2, 4, 6 months & flu vaccine beginning @ 6 months) -
Correct Answer ✔Methods used to prevent ear infections can include...
- *tenderness of the tragus and/or pinna*
- edematous auricle
- purulent drainage -Correct Answer ✔What are the S/S of otitis externa?
With pharyngitis, there is no sneezing or irritation of the nose. -Correct Answer ✔What
is the main difference between the S/S of nasopharyngitis and pharyngitis?
- antihistamines
- antibiotics -Correct Answer ✔Which medications are not recommended for
nasopharyngitis?
- three or more episodes of tonsillitis per year
- chronic tonsillitis
- streptococcus carrier -Correct Answer ✔What are relative indications for a
tonsillectomy?
- recurrent peritonsillar abscesses
- airway obstruction -Correct Answer ✔What are absolute indications for a
tonsillectomy?
- hypertrophied adenoids
- obstruction of the nasal passages
- recurrent adenoiditis or sinusitis
- sleep apnea
- mouth breathing -Correct Answer ✔Indications for an adenoidectomy include...
- *check for evidence of bleeding* (i.e. frequent swallowing, restlessness, bright red
emesis, tachycardia, pallor)
- place in side-lying or prone position immediately post-op to facilitate drainage
- DO NOT give red or purple popsicles
- DO NOT use a tongue depressor for assessment
- provide an ice collar
NUR 235 EXAM 4
NUR 235 Exam 4 Actual Questions and
Answers Latest Version 2025
- shorter airway (4 mm in diameter compared to 20 mm)
- flexible larynx is susceptible to spasms
- flexible trachea is susceptible to collapse
- decreased amount of alveoli
- underdeveloped lungs
- infants are obligatory nose breathers (until 4 weeks) -Correct Answer ✔Which
anatomical differences make caring for children with respiratory disorders different than
caring for adults?
True. This creates a higher oxygen demand. -Correct Answer ✔T or F? An infant's
metabolic rate is almost twice as high as an adult's metabolic rate.
If the infant is in respiratory distress. IV feedings & fluids should be initiated until oral
intake is acceptable. -Correct Answer ✔When should oral feedings be discontinued for
infants?
supine with HOB elevated 45 degrees -Correct Answer ✔What is the ideal position for
optimal chest expansion?
- tachypnea & tachycardia
- intercostal retractions
- paradoxical breathing
- restlessness
- grunting
- nasal flaring
- diaphoresis (except in neonates)
- clubbing of fingertips
- acrocyanosis (normal in infants up to 48 hours) -Correct Answer ✔What are the S/S of
respiratory distress?
- pulse oximetry
- oxygen therapy
- nebulized aerosol
- MDI or dry powder inhaler
- chest physiotherapy
- suctioning (NT, OT, ET, tracheal)
- artificial airway insertion -Correct Answer ✔Methods used to increase oxygenation and
improve & monitor respiratory functioning include...
- determine which type of device should be used (i.e. mouthpiece, mask, or blow-by)
- assess VS and O2 saturation prior to & after administration
NUR 235 EXAM 4
,NUR 235 EXAM 4
- monitor for bronchospasms
- *teach child to take slow, deep breaths by mouth* -Correct Answer ✔Nursing
management for nebulized aerosol therapy includes...
- shake the inhaler 5-6 times
- attach the spacer
- take a deep breath and exhale
- use the open-mouth or closed-mouth method
- press the inhaler and take a *slow, deep breath*
- hold breath for 5-10 seconds
- wait at least 1 minute between puffs if an additional puff is needed
- *rinse mouth out after use* -Correct Answer ✔Describe the proper way to use a
metered-dose inhaler.
- *DO NOT SHAKE the device*
- exhale completely
- place device between the lips and take a *fast, deep breath*
- hold breath for 5-10 seconds
- wait prescribed length of time if an additional puff is needed
- rinse the inhaler, cap, and spacer once daily -Correct Answer ✔Describe the proper
way to use a dry powder inhaler.
- at least 1 hour before eating
- at least 2 hours after eating -Correct Answer ✔When should chest physiotherapy be
performed in relation to mealtimes to prevent GI upset?
Venturi mask -Correct Answer ✔Which oxygen delivery device provides the most
accurate control of oxygen administration?
- infants: less than 5 seconds
- children: less than 10 seconds -Correct Answer ✔How long should each suctioning
pass be performed on infants and children?
False. You should suction as you withdraw the catheter, rolling the catheter between the
fingers. -Correct Answer ✔T or F? Suctioning is performed as you insert the catheter.
- *nasal corticosteroids (i.e. fluticasone)*
- 1st & 2nd generation antihistamines (based on age)
- beta adrenergic decongestants (i.e. pseudoephedrine)
- mast cell stabilizer (i.e. cromolyn)
- leukotriene modifiers (i.e. montelukast)
- anticholinergics (i.e. ipratropium) -Correct Answer ✔Treatment options for allergic
rhinitis include...
- *earache & tugging at the ears*
NUR 235 EXAM 4
, NUR 235 EXAM 4
- *bulging, red, or opaque eardrum*
- *purulent, foul-smelling drainage*
- nonspecific S/S of infection (i.e. fever, N/V, crying, anorexia) -Correct Answer ✔What
are the S/S of otitis media?
- breastfeeding
- discontinue pacifier after 6 months
- feed children sitting straight up
- avoid smoking in the house
- immunizations (i.e. PCV 13 @ 2, 4, 6 months & flu vaccine beginning @ 6 months) -
Correct Answer ✔Methods used to prevent ear infections can include...
- *tenderness of the tragus and/or pinna*
- edematous auricle
- purulent drainage -Correct Answer ✔What are the S/S of otitis externa?
With pharyngitis, there is no sneezing or irritation of the nose. -Correct Answer ✔What
is the main difference between the S/S of nasopharyngitis and pharyngitis?
- antihistamines
- antibiotics -Correct Answer ✔Which medications are not recommended for
nasopharyngitis?
- three or more episodes of tonsillitis per year
- chronic tonsillitis
- streptococcus carrier -Correct Answer ✔What are relative indications for a
tonsillectomy?
- recurrent peritonsillar abscesses
- airway obstruction -Correct Answer ✔What are absolute indications for a
tonsillectomy?
- hypertrophied adenoids
- obstruction of the nasal passages
- recurrent adenoiditis or sinusitis
- sleep apnea
- mouth breathing -Correct Answer ✔Indications for an adenoidectomy include...
- *check for evidence of bleeding* (i.e. frequent swallowing, restlessness, bright red
emesis, tachycardia, pallor)
- place in side-lying or prone position immediately post-op to facilitate drainage
- DO NOT give red or purple popsicles
- DO NOT use a tongue depressor for assessment
- provide an ice collar
NUR 235 EXAM 4
