Deck 16: Gas Exchange and Oxygenation

Question 1

If a child presents with the abrupt classic "Ds" (drooling, distress, dystonia, dysphagia) and is tripoding, the pediatric nurse should immediately suspect epiglottis and rapidly administer what type of medication intravenously?

A) Antibiotics
B) Bronchodilators
C) Corticosteroids
D) Antihistamines

Answer 1

A

Question 2

Teachers, administrators, and school nurses should know what to look for in a child with a confirmed asthma diagnosis. What action should a school nurse take if they encounter a child with a respiratory rate of 60 breaths/min or faster?

A) Immediately administer the contents of an EpiPen
B) Immediately administer a bronchodilator
C) Immediately call the parents to pick the child up
D) Immediately transfer the child from school directly to a medical facility

Answer 2

D

Question 3

What type of oxygen delivery system should be used if you are taking care of a child who requires a specific quantity of oxygen mixed with room air?

A) Nasal cannula
B) Oxygen blow-by
C) Nonrebreather mask
D) Venturi mask

Answer 3

D

Question 4

In order to prepare for the administration of emergency medications, it is critical for the pediatric nurse to have access to what anthropometric measurement of the child?

A) Body weight
B) Body mass index
C) Body surface area
D) Body length

Question 5

When a pediatric nurse is responding to a child in respiratory distress, which action should be performed prior to initiating suctioning and delivering oxygen therapy?

A) Placing the child in the supine position
B) Placing the child in the Trendelenburg position
C) Placing the child in the semi-Fowler's position
D) Placing the child in the high Fowler's position

Question 6

What action should a pediatric nurse perform if a patient under his or her care is progressing from respiratory distress to respiratory failure?

A) Increase the oxygen concentration being delivered to the patient
B) Immediately intubate the patient
C) Initiate the protocol for the respiratory therapist
D) Call the code team to prevent a full cardiopulmonary arrest

Question 7

When a child presents with adventitious breath sounds, such as wheezing, coughing, mucous production, and airway hyper-responsiveness, for which of the following reasons would a complete blood count be ordered?

A) To assess for anemia
B) To assess oxygen saturation
C) To assess for infection
D) To assess for the presence of viruses

Question 8

Long-acting asthma medications are used as maintenance therapy to reduce systemic inflammation and prevent recurrence of asthma. What type of medication is favored for use in children even though they may have long-term impacts on growth?

A) Bronchodilators
B) Epinephrine
C) Corticosteroids
D) Antihistamines

Question 9

As a pediatric nurse, which problematic side effect should you warn parents about if their child is prescribed to take inhaled corticosteroids as maintenance therapy for asthma?

A) The child may develop hypertension.
B) The child may develop hyperglycemia.
C) The child may develop hyperthyroidism.
D) The child may develop hyperactivity disorder.

Question 10

If a child presents with an acute exacerbation of a chronic pulmonary condition, which oxygen delivery system should be used to keep the alveoli open?

A) Ventilator
B) Venturi mask
C) Nonrebreathing mask
D) Positive end-expiratory pressure device