NEONATAL AND PEDIATRIC
RESPIRATORY CARE 5TH EDITION WALSH
TEST BANK ACTUAL EXAM 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Which would the nurse explain to parents about the inheritance of
cystic fibrosis?
1. CF is an autosomal-dominant trait passed on from the child's mother.
2. CF is an autosomal-dominant trait passed on from the child's father.
3. The child of parents who are both carriers of the gene for CF has a
50% chance of
acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of the
gene for CF
has a 50% chance of acquiring CF. Answer: ANS 4
4. If the child is born to a parent with CF and the other parent is a
carrier, the child has a 50% chance of acquiring the disease and a 50%
chance of being a carrier of the disease. TEST-TAKING HINT: Answers
1 and 2 can be eliminated with knowledge of the genetic inheritance of
CF. CF is inherited as an autosomal-recessive trait.
,⩥ The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse
what time to begin the child's first chest physiotherapy (CPT) each day.
Which is the nurse's best response?
1. "Thirty minutes before feeding the child breakfast."
2. "After deep-suctioning the child each morning."
3. "Thirty minutes after feeding the child breakfast."
4. "Only when the child has congestion or coughing." Answer: 1. CPT
should be done in the morning prior to feeding to avoid the risk of the
child vomiting.
TEST-TAKING HINT: Answer 4 can be eliminated because of the word
"only." There are very few times in health care when an answer will be
"only." Answer 3 can be eliminated when one considers the risk of
vomiting and aspiration that may occur if percussion is performed
following eating
⩥ The parent of an infant with cystic fibrosis (CF) asks the nurse how to
meet the child's increased nutritional needs. Which is the nurse's best
suggestion?
1. "You may need to increase the number of fresh fruits and vegetables
you give
your child."
,2. "You may need to advance your child's diet to whole cow's milk
because it is higher
in fat than formula."
3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake." Answer:
3. Often infants with CF need to have a higher-calorie formula to meet
their nutritional needs. Infants may also be placed on hydrolysate
formulas that contain medium-chain triglycerides.
TEST-TAKING HINT: Answers 1, 2, and 4 can be eliminated with
understanding of the nutritional needs of the child with CF. Answer 2
can also be eliminated because whole cow's milk is not recommended
until 12 months of age.
⩥ The parent of a child with cystic fibrosis (CF) is excited about the
possibility of the child receiving a double lung transplant. What should
the parent understand?
1. The transplant will cure the child of CF and allow the child to lead a
long and
healthy life.
2. The transplant will not cure the child of CF but will allow the child to
have a
longer life.
, 3. The transplant will help to reverse the multisystem damage that has
been caused by CF.
4. The transplant will be the child's only chance at surviving long
enough to graduate
college. Answer: 2. A lung transplant does not cure CF, but it does offer
the patient an opportunity to live a longer life. The concerns are that,
after the lung transplant, the child is at risk for rejection of the new
organ and for development of secondary infections because of the
immunosuppressive therapy.
TEST-TAKING HINT: Answer 4 can be eliminated because of the word
"only." There are very few times in health care when an answer will be
"only." Answers 1 and 3 can be eliminated if the test taker has a basic
knowledge of the pathophysiology of CF.
⩥ A 2-year-old has just been diagnosed with cystic fibrosis (CF). The
parents ask the nurse what early respiratory symptoms they should
expect to see in their child. Which is the nurse's best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing respirations."
Answer: 4. Wheezing respirations and a dry, nonproductive cough are
common early symptoms in CF.
RESPIRATORY CARE 5TH EDITION WALSH
TEST BANK ACTUAL EXAM 2026 FULL
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ Which would the nurse explain to parents about the inheritance of
cystic fibrosis?
1. CF is an autosomal-dominant trait passed on from the child's mother.
2. CF is an autosomal-dominant trait passed on from the child's father.
3. The child of parents who are both carriers of the gene for CF has a
50% chance of
acquiring CF.
4. The child of a mother who has CF and a father who is a carrier of the
gene for CF
has a 50% chance of acquiring CF. Answer: ANS 4
4. If the child is born to a parent with CF and the other parent is a
carrier, the child has a 50% chance of acquiring the disease and a 50%
chance of being a carrier of the disease. TEST-TAKING HINT: Answers
1 and 2 can be eliminated with knowledge of the genetic inheritance of
CF. CF is inherited as an autosomal-recessive trait.
,⩥ The parent of a 4-month-old with cystic fibrosis (CF) asks the nurse
what time to begin the child's first chest physiotherapy (CPT) each day.
Which is the nurse's best response?
1. "Thirty minutes before feeding the child breakfast."
2. "After deep-suctioning the child each morning."
3. "Thirty minutes after feeding the child breakfast."
4. "Only when the child has congestion or coughing." Answer: 1. CPT
should be done in the morning prior to feeding to avoid the risk of the
child vomiting.
TEST-TAKING HINT: Answer 4 can be eliminated because of the word
"only." There are very few times in health care when an answer will be
"only." Answer 3 can be eliminated when one considers the risk of
vomiting and aspiration that may occur if percussion is performed
following eating
⩥ The parent of an infant with cystic fibrosis (CF) asks the nurse how to
meet the child's increased nutritional needs. Which is the nurse's best
suggestion?
1. "You may need to increase the number of fresh fruits and vegetables
you give
your child."
,2. "You may need to advance your child's diet to whole cow's milk
because it is higher
in fat than formula."
3. "You may need to change your child to a higher-calorie formula."
4. "You may need to increase your child's carbohydrate intake." Answer:
3. Often infants with CF need to have a higher-calorie formula to meet
their nutritional needs. Infants may also be placed on hydrolysate
formulas that contain medium-chain triglycerides.
TEST-TAKING HINT: Answers 1, 2, and 4 can be eliminated with
understanding of the nutritional needs of the child with CF. Answer 2
can also be eliminated because whole cow's milk is not recommended
until 12 months of age.
⩥ The parent of a child with cystic fibrosis (CF) is excited about the
possibility of the child receiving a double lung transplant. What should
the parent understand?
1. The transplant will cure the child of CF and allow the child to lead a
long and
healthy life.
2. The transplant will not cure the child of CF but will allow the child to
have a
longer life.
, 3. The transplant will help to reverse the multisystem damage that has
been caused by CF.
4. The transplant will be the child's only chance at surviving long
enough to graduate
college. Answer: 2. A lung transplant does not cure CF, but it does offer
the patient an opportunity to live a longer life. The concerns are that,
after the lung transplant, the child is at risk for rejection of the new
organ and for development of secondary infections because of the
immunosuppressive therapy.
TEST-TAKING HINT: Answer 4 can be eliminated because of the word
"only." There are very few times in health care when an answer will be
"only." Answers 1 and 3 can be eliminated if the test taker has a basic
knowledge of the pathophysiology of CF.
⩥ A 2-year-old has just been diagnosed with cystic fibrosis (CF). The
parents ask the nurse what early respiratory symptoms they should
expect to see in their child. Which is the nurse's best response?
1. "You can expect your child to develop a barrel-shaped chest."
2. "You can expect your child to develop a chronic productive cough."
3. "You can expect your child to develop bronchiectasis."
4. "You can expect your child to develop wheezing respirations."
Answer: 4. Wheezing respirations and a dry, nonproductive cough are
common early symptoms in CF.
