RESPIRATORY SYNCYTIAL VIRUS
(RSV) EXAM QUESTIONS WITH 100%
CORRECT ANSWERS | LATEST
VERSION 2025/2026.
Describe RSV - ANS highly contagious respiratory infection
Affects almost all children before age 2
Asymptomatic or presents as simple cold in individuals older than age 2
May have repeated RSV infections throughout lifespan
Symptoms tend to be less severe with repeated exposures
Pathophysiology of RSV - ANS RSV infects squamous epithelial cells of bronchioles, alveoli
Infected cells merge with adjacent cells, forming syncytia that burst and die -->
Resulting debris clogs minute airways
Cycle repeated throughout both lungs
Airways only partially obstructed
Allow air in
Expulsion of air hindered by mucus and/or airway swelling
Wheezing, crackles in airways
Rhinorrhea, atelectasis, hypoxemia
1 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,May lead to apnea, pulmonary edema
RSV is the primary cause of? - ANS Respiratory Infections among children and older adults
What standard precautions does RSV require - ANS Direct precaution - gown and gloves
Risk Factors - ANS Not being breastfed
Secondhand smoke exposure
Attend child care
Live in crowded conditions
Socioeconomically disadvantaged
Prematurity
Chronic lung disease
Acyanotic congenital heart disease
Reduced immunity
Children <2 years of age, older adults have higher risk for complications
Prevention - ANS - Good hand hygiene
- RSV can survive on hard surfaces for several hours
- Medication: palivizumab for infants at high risk for serious RSV infections, complications
Not effective in treatment of acute RSV infection
Not recommended for use in general prevention of healthcare-associated
RSV infection
**treat the symptoms and provide comfort**
Clinical Manifestations - ANS - Presentation begins 3-5 days after exposure
Rhinorrhea, cough, irritability
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Low-grade fever for 1-3 days
- Copious mucus secretions in lung fields, nasal passages, usually green
- More serious signs, symptoms
increased irritability
Excessive coughing
Wheezing
Call emergency medical services (EMS) for transport for these symptoms- - ANS Marked
retractions of ribcage
Nasal flaring
Rapid respiratory rate
Blue skin
Listlessness
Periods without breathing
Collaboration - ANS - Infants with respiratory distress with RSV require hospitalization
- Plan of care
Monitoring breathing patterns
Maintaining patent airway
Maintaining adequate fluid,
caloric intake
- Supporting appropriate developmental behaviors
- Care team
Nurse
Respiratory therapist
Nutritionist
Play therapist (age appropriate
3 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
(RSV) EXAM QUESTIONS WITH 100%
CORRECT ANSWERS | LATEST
VERSION 2025/2026.
Describe RSV - ANS highly contagious respiratory infection
Affects almost all children before age 2
Asymptomatic or presents as simple cold in individuals older than age 2
May have repeated RSV infections throughout lifespan
Symptoms tend to be less severe with repeated exposures
Pathophysiology of RSV - ANS RSV infects squamous epithelial cells of bronchioles, alveoli
Infected cells merge with adjacent cells, forming syncytia that burst and die -->
Resulting debris clogs minute airways
Cycle repeated throughout both lungs
Airways only partially obstructed
Allow air in
Expulsion of air hindered by mucus and/or airway swelling
Wheezing, crackles in airways
Rhinorrhea, atelectasis, hypoxemia
1 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,May lead to apnea, pulmonary edema
RSV is the primary cause of? - ANS Respiratory Infections among children and older adults
What standard precautions does RSV require - ANS Direct precaution - gown and gloves
Risk Factors - ANS Not being breastfed
Secondhand smoke exposure
Attend child care
Live in crowded conditions
Socioeconomically disadvantaged
Prematurity
Chronic lung disease
Acyanotic congenital heart disease
Reduced immunity
Children <2 years of age, older adults have higher risk for complications
Prevention - ANS - Good hand hygiene
- RSV can survive on hard surfaces for several hours
- Medication: palivizumab for infants at high risk for serious RSV infections, complications
Not effective in treatment of acute RSV infection
Not recommended for use in general prevention of healthcare-associated
RSV infection
**treat the symptoms and provide comfort**
Clinical Manifestations - ANS - Presentation begins 3-5 days after exposure
Rhinorrhea, cough, irritability
2 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Low-grade fever for 1-3 days
- Copious mucus secretions in lung fields, nasal passages, usually green
- More serious signs, symptoms
increased irritability
Excessive coughing
Wheezing
Call emergency medical services (EMS) for transport for these symptoms- - ANS Marked
retractions of ribcage
Nasal flaring
Rapid respiratory rate
Blue skin
Listlessness
Periods without breathing
Collaboration - ANS - Infants with respiratory distress with RSV require hospitalization
- Plan of care
Monitoring breathing patterns
Maintaining patent airway
Maintaining adequate fluid,
caloric intake
- Supporting appropriate developmental behaviors
- Care team
Nurse
Respiratory therapist
Nutritionist
Play therapist (age appropriate
3 | Page @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
