Unit 3 NURC 2241 Study Guide Exam
With Complete Solutions
1. Cystic Fibrosis (PEDS)
A nurse is caring for a child with cystic fibrosis. Which intervention is a
priority to assist with secretion clearance?
A. Administer pancreatic enzymes with meals
B. Provide high-calorie snacks throughout the day
C. Perform chest physiotherapy before meals
D. Restrict fluid intake to reduce mucus production - ANSWER Correct
Answer: C
Rationale: Chest physiotherapy is used to mobilize and clear secretions
and should be done before meals to reduce the risk of vomiting.
2. Epiglottitis (PEDS)
Which action should the nurse take first for a child with suspected
epiglottitis?
A. Attempt to visualize the throat with a tongue depressor
B. Obtain a throat culture
C. Administer a racemic epinephrine nebulizer
D. Notify the rapid response team immediately - ANSWER Correct Answer:
D
, Rationale: Epiglottitis is a medical emergency. Visualization or throat
cultures may trigger airway obstruction. Airway support is priority.
3. Pediatric ARDS
Which assessment finding in a child with ARDS requires immediate
intervention?
A. Oxygen saturation of 94% on 2L nasal cannula
B. Intercostal retractions with nasal flaring
C. Respiratory rate of 22 breaths per minute
D. Capillary refill time of 2 seconds - ANSWER Correct Answer: B
Rationale: Signs of increased work of breathing such as nasal flaring and
retractions indicate respiratory distress and require urgent action.
4. RSV (PEDS)
The nurse is preparing to admit an infant diagnosed with RSV. What is the
priority action?
A. Start antibiotic therapy
B. Place the infant in a negative pressure room
C. Initiate droplet and contact precautions
D. Administer corticosteroids - ANSWER Correct Answer: C
Rationale: RSV is highly contagious and spread through droplets and
contact, so isolation precautions must be initiated first.
5. Chest Tube (Adult)
A nurse observes continuous bubbling in the water seal chamber of a chest
tube system. What should the nurse do?
A. Clamp the chest tube immediately
B. Notify the provider
C. Check the system for air leaks
D. Lower the drainage system below chest level - ANSWER Correct
Answer: C
Rationale: Continuous bubbling indicates an air leak. The nurse should
check connections and tubing before notifying the provider.
With Complete Solutions
1. Cystic Fibrosis (PEDS)
A nurse is caring for a child with cystic fibrosis. Which intervention is a
priority to assist with secretion clearance?
A. Administer pancreatic enzymes with meals
B. Provide high-calorie snacks throughout the day
C. Perform chest physiotherapy before meals
D. Restrict fluid intake to reduce mucus production - ANSWER Correct
Answer: C
Rationale: Chest physiotherapy is used to mobilize and clear secretions
and should be done before meals to reduce the risk of vomiting.
2. Epiglottitis (PEDS)
Which action should the nurse take first for a child with suspected
epiglottitis?
A. Attempt to visualize the throat with a tongue depressor
B. Obtain a throat culture
C. Administer a racemic epinephrine nebulizer
D. Notify the rapid response team immediately - ANSWER Correct Answer:
D
, Rationale: Epiglottitis is a medical emergency. Visualization or throat
cultures may trigger airway obstruction. Airway support is priority.
3. Pediatric ARDS
Which assessment finding in a child with ARDS requires immediate
intervention?
A. Oxygen saturation of 94% on 2L nasal cannula
B. Intercostal retractions with nasal flaring
C. Respiratory rate of 22 breaths per minute
D. Capillary refill time of 2 seconds - ANSWER Correct Answer: B
Rationale: Signs of increased work of breathing such as nasal flaring and
retractions indicate respiratory distress and require urgent action.
4. RSV (PEDS)
The nurse is preparing to admit an infant diagnosed with RSV. What is the
priority action?
A. Start antibiotic therapy
B. Place the infant in a negative pressure room
C. Initiate droplet and contact precautions
D. Administer corticosteroids - ANSWER Correct Answer: C
Rationale: RSV is highly contagious and spread through droplets and
contact, so isolation precautions must be initiated first.
5. Chest Tube (Adult)
A nurse observes continuous bubbling in the water seal chamber of a chest
tube system. What should the nurse do?
A. Clamp the chest tube immediately
B. Notify the provider
C. Check the system for air leaks
D. Lower the drainage system below chest level - ANSWER Correct
Answer: C
Rationale: Continuous bubbling indicates an air leak. The nurse should
check connections and tubing before notifying the provider.
