CPN Respiratory
Conditions Exam
The parents of a 2 year old child with chronic otitis media are concerned that the disorder has
affected the child's hearing. Which behavior suggests that the child has developed a hearing
impairment related to the chronic otitis media? - ANSWERSbabbling continuously
A 10 month old with recurrent otitis media is brought to the clinic for evaluation. To help
determine the cause of the child's condition, the nurse should ask the parents? - ANSWERS"Do
you give the baby bottle to take to the bed?"
Which of the following would be the most concerning finding for the child who has just had a
tonsillectomy? - ANSWERSincreased swallowing
When planning care for a child with epiglottitis, the nurse should assisn highest priority to which
of the following interventions? - ANSWERSensuring respiratory patency
You are caring for a school age child with CF. Which of the following sports would be most
appropriate for this child? - ANSWERSswimming
When is the best time to administer pancreatic enzymes for the child with CF? -
ANSWERSimmediately before meals
Which of the following respiratory conditions is a medical emergency? - ANSWERSepiglottitis
You know that infants and children are more prone to otitis media because? - ANSWERSthe
eustachian tubes are short and in horizontal position
, The nurse will do which of the following for the child with epiglottitis? - ANSWERSavoid using
oropharyngeal suctioning due to potential airway obstruction
5 year old Alexandra is a patient you are caring for status post tonsillectomy. Which of the
following symptoms would indicate immediate post-op complications? - ANSWERSvomiting
bright red blood
Mark is a 2 year old who is the unit with a diagnosis of pneumonia. In addition to albuterol, he
is to receive CPT, percussion and postural drainage (PPD). Which of the following represents the
most effective way in which this treatment should be carried out? - ANSWERSAdminister
albuterol immediately before performing PPD. Perform PPD 30 minutes before Mark's next
meal.
The nurse is caring for a 4 year old who is hospitalized with bronchiolitis. He has a tracheostomy
in place that needs to be suctioned periodically. Which of the following represents appropriate
care of the child with a tracheostomy? - ANSWERSprior to suction, the catheter should be
measured against the extra tracheostomy tube and not inserted more the 0.5 cm beyond the
length of the tracheostomy tube
The nurse is reviewing the following results of a blood gas: pH 7.32, pCO2 48, pO2 88. Which of
the following best describes these results? - ANSWERSrespiratory acidosis
Which of the following should be the priority treatment for a child diagnosed with respiratory
acidosis? - ANSWERSAdminister oxygen and monitor child's WOB, prepare for intubation if
necessary
The nurse is caring for a child who is noted to have inspiratory stridor. The nurse knows that this
is indicative of which of the following? - ANSWERSthere is edema within the upper airway
The nurse is helping a nursing student who is caring for a 12 year old with CF. He has had
problems with chronic hypoxemia most of his life. Which of the following would indicate that he
is having acute respiratory distress? - ANSWERSintercostal retractions
Conditions Exam
The parents of a 2 year old child with chronic otitis media are concerned that the disorder has
affected the child's hearing. Which behavior suggests that the child has developed a hearing
impairment related to the chronic otitis media? - ANSWERSbabbling continuously
A 10 month old with recurrent otitis media is brought to the clinic for evaluation. To help
determine the cause of the child's condition, the nurse should ask the parents? - ANSWERS"Do
you give the baby bottle to take to the bed?"
Which of the following would be the most concerning finding for the child who has just had a
tonsillectomy? - ANSWERSincreased swallowing
When planning care for a child with epiglottitis, the nurse should assisn highest priority to which
of the following interventions? - ANSWERSensuring respiratory patency
You are caring for a school age child with CF. Which of the following sports would be most
appropriate for this child? - ANSWERSswimming
When is the best time to administer pancreatic enzymes for the child with CF? -
ANSWERSimmediately before meals
Which of the following respiratory conditions is a medical emergency? - ANSWERSepiglottitis
You know that infants and children are more prone to otitis media because? - ANSWERSthe
eustachian tubes are short and in horizontal position
, The nurse will do which of the following for the child with epiglottitis? - ANSWERSavoid using
oropharyngeal suctioning due to potential airway obstruction
5 year old Alexandra is a patient you are caring for status post tonsillectomy. Which of the
following symptoms would indicate immediate post-op complications? - ANSWERSvomiting
bright red blood
Mark is a 2 year old who is the unit with a diagnosis of pneumonia. In addition to albuterol, he
is to receive CPT, percussion and postural drainage (PPD). Which of the following represents the
most effective way in which this treatment should be carried out? - ANSWERSAdminister
albuterol immediately before performing PPD. Perform PPD 30 minutes before Mark's next
meal.
The nurse is caring for a 4 year old who is hospitalized with bronchiolitis. He has a tracheostomy
in place that needs to be suctioned periodically. Which of the following represents appropriate
care of the child with a tracheostomy? - ANSWERSprior to suction, the catheter should be
measured against the extra tracheostomy tube and not inserted more the 0.5 cm beyond the
length of the tracheostomy tube
The nurse is reviewing the following results of a blood gas: pH 7.32, pCO2 48, pO2 88. Which of
the following best describes these results? - ANSWERSrespiratory acidosis
Which of the following should be the priority treatment for a child diagnosed with respiratory
acidosis? - ANSWERSAdminister oxygen and monitor child's WOB, prepare for intubation if
necessary
The nurse is caring for a child who is noted to have inspiratory stridor. The nurse knows that this
is indicative of which of the following? - ANSWERSthere is edema within the upper airway
The nurse is helping a nursing student who is caring for a 12 year old with CF. He has had
problems with chronic hypoxemia most of his life. Which of the following would indicate that he
is having acute respiratory distress? - ANSWERSintercostal retractions
