NURS 232 PEDS EXAM 2 LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS 2024/2025
(VERIFIED ANSWERS)
A child's asthma would be considered intermittent and controlled if:
a) their normal activity is somewhat limited by their asthma
b) they have daily nighttime awakening w/ asthma symptoms
c) they have daily symptoms of their asthma
d) they have 0-1 exacerbation per year - (answer)d) they have 0-1 exacerbation
per year
.
*refer to Table 20-5 Classification of Asthma
*a) moderate persistent; b) severe persistent; c) moderate persistent
A child's asthma would be considered in the yellow zone when:
a) PEFR is <50% of their personal best and they have symptoms
b) PEFR is 50-80% of their personal best and they have symptoms
c) PEFR is 50-80% of their personal best and they do not have symptoms
d) PEFR is 80-100% of their personal best and they do not have symptoms -
(answer)b) PEFR is 50-80% of their personal best and they have symptoms
*developing breathing problems
*refer to "Families Want to Know- Using Expiratory Peak Flow Meter"
*a) is red zone; d) is green zone
,Apnea in an infant is defined as a pause in or absence of respiration's for more
than:
a) 10 secs
b) 20 secs
c) 45 sec
d) 1 min - (answer)b) 20 secs
**normal if <20 sec
Which of the following is an effective anti-inflammatory meds for asthma control?
a) Beta2 adrenergic agonists
b) Inhaled corticosteroids
c) Leukotriene receptor antagonists
d) Mast cell stabilizer - (answer)b) Inhaled corticosteroids (ex: fluticasone)
*a) quick relief bronchodilator; c)both bronchodilator and anti-inflammatory d)
anti-inflammatory for allergen exposure
*refer to "Medications Used to Treat: Asthma"
The school nurse goes to the soccer field when a 7 yr old student w/ asthma is
coughing, wheezing, and having trouble catching her breath. The nurse should
give which med?
a) albuterol
,b) fluticasone [flovent]
c) prednisone
d) montelukast [singular] - (answer)a) albuterol
*short acting beta2 agonist; quick relief med
*b=inhaled corticosteroid, c= corticosteroid, d=leukotriene receptor agonist
Respiratory failure occurs when:
a) retractions and an increased RR
b)body can no longer maintain effective gas exchange
c) periodic pause in respiration up to 20 secs - (answer)b) body can no longer
maintain effective gas exchange
Which nursing interventions are important for an 18 mos old w/ moderate
respiratory distress?
a) elevate HOB
b) keep NPO
c) maintain calm environment
d) all of the above - (answer)d) all of the above
**keep NPO b/c risk for aspiration
Which is a sign of impending (late signs) respiratory failure?
, a) bradycardia
b) clubbing
c) nasal flaring
d) wheezing, increasing over time - (answer)a) bradycardia
*nasal flaring and wheezing are early signs
*refer to Table 20-2 "Clinical Manifestations of Respiratory Failure'"
The family of a child w/ frequent seizures asks the nurse about the Ketogenic diet.
The nurse should explain that the Ketogenic diet:
a) is unproven and should be avoided
b) can eliminate need for all meds
c) may be unpalatable for older children
d) has few side effects - (answer)c) may be unpalatable for older children
*high intake of fats, adequate protein, low/no carbs
*decreased adherence as child gets older; esp. adolescence
*adverse effects include constipation, kidney stones, or slowed growth
A nurse is teaching a class of pregnant women about diet. Which nutrient
decreases incidence of neural tube defects?
a) Vitamin A
QUESTIONS AND CORRECT ANSWERS 2024/2025
(VERIFIED ANSWERS)
A child's asthma would be considered intermittent and controlled if:
a) their normal activity is somewhat limited by their asthma
b) they have daily nighttime awakening w/ asthma symptoms
c) they have daily symptoms of their asthma
d) they have 0-1 exacerbation per year - (answer)d) they have 0-1 exacerbation
per year
.
*refer to Table 20-5 Classification of Asthma
*a) moderate persistent; b) severe persistent; c) moderate persistent
A child's asthma would be considered in the yellow zone when:
a) PEFR is <50% of their personal best and they have symptoms
b) PEFR is 50-80% of their personal best and they have symptoms
c) PEFR is 50-80% of their personal best and they do not have symptoms
d) PEFR is 80-100% of their personal best and they do not have symptoms -
(answer)b) PEFR is 50-80% of their personal best and they have symptoms
*developing breathing problems
*refer to "Families Want to Know- Using Expiratory Peak Flow Meter"
*a) is red zone; d) is green zone
,Apnea in an infant is defined as a pause in or absence of respiration's for more
than:
a) 10 secs
b) 20 secs
c) 45 sec
d) 1 min - (answer)b) 20 secs
**normal if <20 sec
Which of the following is an effective anti-inflammatory meds for asthma control?
a) Beta2 adrenergic agonists
b) Inhaled corticosteroids
c) Leukotriene receptor antagonists
d) Mast cell stabilizer - (answer)b) Inhaled corticosteroids (ex: fluticasone)
*a) quick relief bronchodilator; c)both bronchodilator and anti-inflammatory d)
anti-inflammatory for allergen exposure
*refer to "Medications Used to Treat: Asthma"
The school nurse goes to the soccer field when a 7 yr old student w/ asthma is
coughing, wheezing, and having trouble catching her breath. The nurse should
give which med?
a) albuterol
,b) fluticasone [flovent]
c) prednisone
d) montelukast [singular] - (answer)a) albuterol
*short acting beta2 agonist; quick relief med
*b=inhaled corticosteroid, c= corticosteroid, d=leukotriene receptor agonist
Respiratory failure occurs when:
a) retractions and an increased RR
b)body can no longer maintain effective gas exchange
c) periodic pause in respiration up to 20 secs - (answer)b) body can no longer
maintain effective gas exchange
Which nursing interventions are important for an 18 mos old w/ moderate
respiratory distress?
a) elevate HOB
b) keep NPO
c) maintain calm environment
d) all of the above - (answer)d) all of the above
**keep NPO b/c risk for aspiration
Which is a sign of impending (late signs) respiratory failure?
, a) bradycardia
b) clubbing
c) nasal flaring
d) wheezing, increasing over time - (answer)a) bradycardia
*nasal flaring and wheezing are early signs
*refer to Table 20-2 "Clinical Manifestations of Respiratory Failure'"
The family of a child w/ frequent seizures asks the nurse about the Ketogenic diet.
The nurse should explain that the Ketogenic diet:
a) is unproven and should be avoided
b) can eliminate need for all meds
c) may be unpalatable for older children
d) has few side effects - (answer)c) may be unpalatable for older children
*high intake of fats, adequate protein, low/no carbs
*decreased adherence as child gets older; esp. adolescence
*adverse effects include constipation, kidney stones, or slowed growth
A nurse is teaching a class of pregnant women about diet. Which nutrient
decreases incidence of neural tube defects?
a) Vitamin A
