Pediatric Respiratory Practice Test

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• What is the best home-management step for a child with upper respiratory infection symptoms and fever?
• Which statement best describes medication compliance in CF management?
• Which early respiratory symptom is commonly expected in a 2-year-old child with cystic fibrosis?
• Which statement best describes the expected outcome of a lung transplant in a child with cystic fibrosis?
• Which information should the nurse provide the parent of a child diagnosed with nasopharyngitis?
• Which are components of minimizing pulmonary complications in CF?
• Which organism is commonly implicated in pediatric atypical pneumonia in school-age children?
• In suspected bacterial pneumonia in a child, what is the first-line antibiotic in a healthy child without comorbidities?
• Which child is at highest risk for hospitalization due to RSV?
• A child with suspected foreign body aspiration and airway distress should undergo which procedure urgently?
• Which assessment is of greatest concern in a 15-month-old?
• What is a common noninvasive ventilation strategy used in pediatric acute respiratory failure?
• Which nutritional consequence is commonly seen in cystic fibrosis as a result of pancreatic insufficiency?
• The most specific test for diagnosing cystic fibrosis is which test?
• Which nursing action is appropriate for a child with mononucleosis?
• Which of the following is used to treat RSV?
• Name two non-infectious causes of chronic cough in children.
• Which test assesses exercise-induced bronchoconstriction in children?
• Which symptom characterizes the paroxysmal stage of pertussis?
• Which home modification is best to reduce asthma triggers in the home?
• In cystic fibrosis, thick mucus can block the pancreatic ducts, preventing enzymes from reaching the duodenum. Which statement best explains this effect?
• In caring for a child with status asthmaticus, what is the most important information to obtain from the caregiver first?
• What radiographic feature is most characteristic of bronchiolitis on chest X-ray?
• In acute asthma, if the initial response to a short-acting beta-agonist is incomplete, which of the following may be added?
• The gold-standard diagnostic test for pediatric obstructive sleep apnea is what study?
• Which imaging modality is commonly used to define anatomy in evaluating congenital lung malformations in children?
• What is the most common etiologic category of pneumonia in children under 5?
• Which statement best describes the purpose of analgesia after tonsillectomy?
• RSV prophylaxis for high-risk infants is achieved with which monoclonal antibody?
• Which of the following statements is true about pneumonia in young children?
• In school-age children, which organism is commonly implicated in atypical pneumonia?
• What is the role of montelukast in asthma management?
• When is a child most infectious with influenza?
• To confirm CF after a positive newborn screen, which test is performed?
• A 6-week-old admitted with influenza is not allowed to eat by mouth. Which explanation best supports this?
• On chest imaging, how do bronchiolitis and pneumonia typically differ?
• What auscultatory findings are commonly heard in acute bronchiolitis?
• Which finding indicates airway edema in a child with croup?
• Which is an early sign of respiratory distress in a 2-month-old?
• For a 6-month-old with suspected bronchiolitis, which management approach is most appropriate?
• Which statement about pneumonia is accurate?
• A child with chronic cough and malabsorption or failure to thrive should be evaluated for which disease?
• Which statement best describes the management of nasopharyngitis?
• What does CPT stand for in CF care?
• In addition to chronic productive cough and poor growth, which sign may be present in cystic fibrosis?
• Which measure has been shown to reduce the incidence of ear infections in children?
• Which organism is a common cause of atypical pneumonia in school-age children?
• Which emergent diagnosis must be excluded in a child with acute chest trauma and sudden shortness of breath?
• What educational information is most beneficial to prevent aspiration pneumonia in a child with severe cerebral palsy?
• Which statement about antihistamines and otitis media is accurate?
• In teaching about primary prevention of foreign body aspiration, which topic is most helpful?
• Which statement best describes the role of exercise in CF?
• When communicating with parents of a newly diagnosed child with cystic fibrosis about prognosis, what approach is most appropriate?
• For non-severe community-acquired pneumonia in a healthy child, what is first-line antibiotic?
• A 2-year-old with a barky cough and mild stridor is treated with a single dose of which medication that has strong evidence for efficacy?
• Which pathogen is associated with early-onset neonatal pneumonia?
• What radiographic finding is typical for bronchiolitis?
• What is pancreatic enzyme replacement therapy used for in CF?
• Which test is used to determine if a child has respiratory syncytial virus (RSV)?
• A child with strep throat has just started antibiotics. When is the child allowed to return to school?
• Which description indicates the most urgent status in a child with asthma?
• What is the primary goal of chest physiotherapy in cystic fibrosis?
• Which is diagnostic for epiglottitis?
• What is a major long-term goal in managing pediatric asthma?
• Which breathing exercise should the nurse have an asthmatic 3-year-old do to increase her expiratory phase?
• CF patients often require up to what percentage of caloric intake relative to peers?
• Which statement best differentiates croup from epiglottitis based on clinical presentation?
• In children older than 5 years, what spirometry criterion indicates a positive bronchodilator response?
• Which caregiver statement indicates additional education is needed on giving albuterol by metered-dose inhaler?
• Which anatomical factor contributes to potentially more severe croup symptoms in young children?
• Which of the following imaging patterns would most strongly indicate bronchiolitis rather than pneumonia?
• List two essential components of a pediatric asthma action plan.
• Why are recurrent ear infections a concern for a child's language development?
• Who is at highest priority to receive the flu vaccine?
• For a 4-month-old with cystic fibrosis, when should chest physiotherapy be performed?
• Which is part of the management of viral pneumonia in children?
• Which statement about RSV prevention with Synagis is accurate?
• Which nutrient malabsorption is most affected in CF due to pancreatic enzyme deficiency?
• When an infant has an ear infection and is crying, which nursing objective is the priority for the family?
• Which is the nurse's best response to the parent of a child diagnosed with epiglottitis who asks what the treatment will be?
• Which stage of pertussis is characterized by paroxysmal coughing?
• Which statement about pneumonia etiologies in children under 5 is most accurate?
• Which therapy is used to help clear airway secretions in CF?
• Prolonged intubation increases risk for which airway complication?
• A school-aged child has episodic wheeze and reversible obstruction on spirometry. Which condition is diagnosed, and what is the recommended first-line daily controller therapy?
• Which radiographic finding is typical of transient tachypnea of the newborn?
• Mycoplasma pneumoniae is a common cause of atypical pneumonia in which age group?
• During transport of a child with suspected epiglottitis awaiting imaging, what is the nurse's best action?
• Which result would you expect to see on chest imaging in bronchiolitis?
• Which furniture choice is preferred to reduce asthma triggers at home?
• What is the definitive therapy for pediatric sleep-disordered breathing due to adenotonsillar hypertrophy?
• Sweat chloride threshold for CF diagnosis?
• After endotracheal intubation, a child develops stridor; what is the next best diagnostic step?
• Why do CF patients require higher caloric intake?
• Which statement indicates the parent needs further teaching on preventing RSV spread to other children?
• A parent asks how to relieve constipation in a child with cystic fibrosis. What is the nurse's best response?
• Which statement best supports the diagnosis of asthma in a school-aged child?
• Which child would benefit most from having ear tubes placed?
• Which dietary strategy is recommended for CF patients?
• What does CPAP stand for?
• Which statement by the caregiver indicates she needs more education about the care of her daughter's pharyngitis?
• Which physical finding indicates increased work of breathing in a child?
• In pediatric asthma management, which outcome is emphasized to prevent exacerbations?
• Which statement best reflects the proper management of streptococcal pharyngitis?
• After a first otitis media, what is the most important potential long-term effect the nurse should address with the parent?
• Infants with cystic fibrosis may be placed on hydrolyzed formulas containing medium-chain triglycerides. True or false?
• Which breathing intervention is NOT appropriate to increase expiratory phase in a 3-year-old with asthma?
• Which environmental exposure has the strongest evidence for worsening pediatric asthma?
• A choking toddler with sudden onset unilateral wheeze most strongly suggests the need for which procedure?
• Which term describes oily, bulky stools seen in cystic fibrosis due to fat malabsorption?
• In CF, what is the consequence of pancreatic duct blockage?
• A 5-year-old with croup and mild respiratory distress; which nursing intervention should the nurse prepare?
• Normal sweat chloride value?
• What humidity level is recommended for homes of asthmatic children, and why are humidifiers discouraged?
• Vaccines contribute to pediatric pneumonia prevention by protecting against specific pathogens. Which pathogens are commonly targeted to reduce pneumonia incidence in children?
• What is the nurse's best immediate guidance for an infant choking on a marble while awaiting EMS?
• What should be included in instructions to the parent of a child prescribed amoxicillin to treat an ear infection?
• Which action helps stop the spread of influenza in the classroom?
• Which procedure is definitive for removing a suspected airway foreign body in a choking toddler?
• Which physical findings would be of most concern in an infant with respiratory distress?
• Two therapies commonly used together in the initial management of an acute pediatric asthma attack?
• A child diagnosed with URI and dry hacking cough that prevents sleep; which home remedy is recommended?
• A 7-month-old with mild nasal symptoms is under your care. Which nursing care management is appropriate?
• Which statement correctly describes how RSV is transmitted?
• What is the overall goal of CF nutritional therapy?
• Which statement best describes care for a child with mononucleosis?
• Which statement by the parents indicates they need additional teaching about repeated otitis media?
• Which statement about asthma and sports is most accurate?
• Which statement best explains why younger children with croup may have worse symptoms and require hospitalization?
• In a child with cystic fibrosis, which finding on stool analysis most likely indicates malabsorption due to pancreatic enzyme deficiency?
• For viral tonsillitis, which statement reflects the best nurse's guidance?
• Which laboratory result provides the most important information about respiratory status in an acute asthma attack?
• Which child diagnosed with pneumonia would benefit most from hospitalization?
• Which combination of findings is most indicative of cystic fibrosis in a child with respiratory symptoms?
• Cystic fibrosis is inherited as an autosomal recessive trait. What does this imply about the parental genotypes?
• What SpO2 threshold is typically used to initiate supplemental oxygen in pediatric lower respiratory tract infections?
• Which statement is true about epiglottitis management?
• Which diagnostic evaluation will determine if a child aspirated a carrot?
• What is a classic early symptom that prompts testing for cystic fibrosis in a child?
• Which dietary approach is not recommended for CF nutrition?
• What should the nurse's best response to the parent of a child diagnosed with epiglottitis be regarding treatment?
• RSV prophylaxis for high-risk infants is achieved with which monoclonal antibody?
• Epiglottitis is best described as which of the following?
• If both parents are carriers of the cystic fibrosis gene, what is the probability that their child will have cystic fibrosis?
• Which feature best distinguishes croup from epiglottitis?
• Which condition is a medical emergency requiring urgent airway management?
• Which statement about ear tubes is true?
• What should the nurse's first action with a child who has a high fever, dysphagia, drooling, tachycardia, and tachypnea?
• Which medication is used for quick relief during an asthma attack?
• Which combination of signs indicates a child with pneumonia who requires escalation of care?
• Preterm infants with respiratory distress syndrome are commonly managed with which noninvasive ventilation strategy?
• Which two features are most indicative of cystic fibrosis in a child with respiratory symptoms?
• In infants with bronchiolitis, which audible finding is commonly observed?
• Why are soft foods recommended after tonsillectomy?
• A term neonate presents with tachypnea and mild distress; CXR shows central perihilar markings and mild hyperinflation. What is the likely diagnosis?
• In a pediatric triage scenario for asthma, which child should be seen first?
• How long after starting antibiotic therapy is a child with strep throat generally no longer contagious?
• What is the preferred method to deliver bronchodilators to a child during an acute asthma attack?
• Which vaccine has reduced rates of pneumococcal pneumonia and invasive pneumococcal disease?
• In bronchiolitis with hypoxemia, what SpO2 target is generally recommended?
• Newborn with inspiratory stridor that worsens when supine is most consistent with which condition?
• A child with strep throat is prescribed a 10-day course of penicillin. Which statement best describes what the nurse should tell the family?
• Which method is advised for a child with a barky cough that worsens at night?
• Why is spirometry often challenging to perform in children under five years of age?
• Which statement best describes the role of vaccines in preventing pneumonia?
• Which therapy is used as the rescue medication for asthma?
• History of prolonged intubation increases risk for which airway condition?
• A school-age child with nasopharyngitis has had little appetite for 24 hours. What is the best nursing guidance to give the parent?
• In bronchiolitis management, which therapies are not routinely recommended due to a lack of strong evidence?
• Which child is in greatest need of emergency medical treatment?
• To meet the increased nutritional needs of an infant with cystic fibrosis, which dietary change is most appropriate?
• A mother is crying and tells the nurse she should have brought her son in yesterday; which is the best response?
• What is the recommended diet for the first 24 hours after a tonsillectomy?
• Which test is most specific for diagnosing cystic fibrosis?
• Which position would be most comfortable for a child with left-sided pneumonia?
• In a child with pneumonia, which sign suggests the need for intravenous hydration?
• On chest radiographs, which pattern is most typical of bronchiolitis?
• The pneumococcal conjugate vaccine has reduced rates of which pediatric illnesses?