NCLEX PRACTICE EXAM FOR PEDIATRIC
NURSING: RESPIRATORY DISORDERS.
QUESTIONS WITH ANSWERS 100% CORRECT.
1. Nurse Peterson is educating a group of new parents about sudden infant
death syndrome (SIDS) and the factors that can influence its likelihood. She
explains that while some factors increase the risk, there is one situation that is
commonly considered to reduce the risk of SIDS. Which infant does Nurse
Peterson indicate as having the lowest probability of developing SIDS?
A. An infant with a history of prenatal drug exposure.
B. An infant who was born prematurely.
C. An infant who regularly sleeps on their back.
D. An infant who has a sibling that died of SIDS.
EXPLANATION
✔Correct answer:
An infant who regularly sleeps on their back. Placing infants on their backs to
sleep is one of the most effective measures to reduce the risk of sudden infant death
syndrome (SIDS). The "Back to Sleep" campaign, now known as "Safe to Sleep,"
was launched to educate parents and caregivers about this practice. Sleeping on the
back helps keep the airways open and reduces the risk of suffocation and
rebreathing of carbon dioxide, both of which are risk factors for SIDS. Studies have
shown a significant decrease in SIDS rates since the widespread adoption of this
recommendation.
When an infant sleeps on their back, the risk of airway obstruction is minimized
because the position keeps the tongue and soft tissues from blocking the airway.
Additionally, this position helps maintain stable and even breathing patterns,
reducing the likelihood of apnea or reduced oxygen levels during sleep. Proper
airway management and stable breathing are critical in preventing SIDS.
, 2. Nurse Davis is conducting a training session on pediatric respiratory
emergencies. She emphasizes the importance of recognizing conditions that
require immediate medical intervention. Which respiratory condition does
Nurse Davis stress is always considered a medical emergency?
A. Cystic fibrosis (CF)
B. Asthma
C. Epiglottitis
D. Laryngotracheobronchitis (LTB)
EXPLANATION
✔Correct answer:
Epiglottitis. Epiglottitis is always considered a medical emergency due to the risk
of sudden airway obstruction. It is characterized by the inflammation and swelling
of the epiglottis, which can rapidly lead to severe respiratory distress and
potentially life-threatening airway blockage. Immediate medical intervention is
crucial to secure the airway and provide appropriate treatment to prevent
asphyxiation and other serious complications.
The epiglottis is a small flap of tissue that covers the trachea during swallowing to
prevent food from entering the airway. In epiglottitis, the epiglottis becomes
inflamed and swollen, which can block the airway and impede breathing.
Symptoms of epiglottitis include high fever, severe sore throat, difficulty
swallowing, drooling, and stridor (a high-pitched sound during breathing).
Immediate medical treatment, including securing the airway and administering
antibiotics, is vital to manage this condition.
3. Nurse Anderson is formulating a care plan for a 10-year-old girl diagnosed
with cystic fibrosis. She wants to ensure that the plan addresses the specific
needs and challenges associated with the condition. Which key aspect of
cystic fibrosis should Nurse Anderson remember while developing the care
plan?
A. The child's pulmonary secretions are unusually thick and sticky.
B. The disorder causes obstruction of the endocrine glands.
C. The sweat of a person with cystic fibrosis contains high levels of potassium.
D. Cystic fibrosis is inherited in an autosomal dominant pattern.
NURSING: RESPIRATORY DISORDERS.
QUESTIONS WITH ANSWERS 100% CORRECT.
1. Nurse Peterson is educating a group of new parents about sudden infant
death syndrome (SIDS) and the factors that can influence its likelihood. She
explains that while some factors increase the risk, there is one situation that is
commonly considered to reduce the risk of SIDS. Which infant does Nurse
Peterson indicate as having the lowest probability of developing SIDS?
A. An infant with a history of prenatal drug exposure.
B. An infant who was born prematurely.
C. An infant who regularly sleeps on their back.
D. An infant who has a sibling that died of SIDS.
EXPLANATION
✔Correct answer:
An infant who regularly sleeps on their back. Placing infants on their backs to
sleep is one of the most effective measures to reduce the risk of sudden infant death
syndrome (SIDS). The "Back to Sleep" campaign, now known as "Safe to Sleep,"
was launched to educate parents and caregivers about this practice. Sleeping on the
back helps keep the airways open and reduces the risk of suffocation and
rebreathing of carbon dioxide, both of which are risk factors for SIDS. Studies have
shown a significant decrease in SIDS rates since the widespread adoption of this
recommendation.
When an infant sleeps on their back, the risk of airway obstruction is minimized
because the position keeps the tongue and soft tissues from blocking the airway.
Additionally, this position helps maintain stable and even breathing patterns,
reducing the likelihood of apnea or reduced oxygen levels during sleep. Proper
airway management and stable breathing are critical in preventing SIDS.
, 2. Nurse Davis is conducting a training session on pediatric respiratory
emergencies. She emphasizes the importance of recognizing conditions that
require immediate medical intervention. Which respiratory condition does
Nurse Davis stress is always considered a medical emergency?
A. Cystic fibrosis (CF)
B. Asthma
C. Epiglottitis
D. Laryngotracheobronchitis (LTB)
EXPLANATION
✔Correct answer:
Epiglottitis. Epiglottitis is always considered a medical emergency due to the risk
of sudden airway obstruction. It is characterized by the inflammation and swelling
of the epiglottis, which can rapidly lead to severe respiratory distress and
potentially life-threatening airway blockage. Immediate medical intervention is
crucial to secure the airway and provide appropriate treatment to prevent
asphyxiation and other serious complications.
The epiglottis is a small flap of tissue that covers the trachea during swallowing to
prevent food from entering the airway. In epiglottitis, the epiglottis becomes
inflamed and swollen, which can block the airway and impede breathing.
Symptoms of epiglottitis include high fever, severe sore throat, difficulty
swallowing, drooling, and stridor (a high-pitched sound during breathing).
Immediate medical treatment, including securing the airway and administering
antibiotics, is vital to manage this condition.
3. Nurse Anderson is formulating a care plan for a 10-year-old girl diagnosed
with cystic fibrosis. She wants to ensure that the plan addresses the specific
needs and challenges associated with the condition. Which key aspect of
cystic fibrosis should Nurse Anderson remember while developing the care
plan?
A. The child's pulmonary secretions are unusually thick and sticky.
B. The disorder causes obstruction of the endocrine glands.
C. The sweat of a person with cystic fibrosis contains high levels of potassium.
D. Cystic fibrosis is inherited in an autosomal dominant pattern.
