Question 1

Which of the following is contraindicated when caring for a child with asthma who is intubated and receiving mechanical ventilation?

Options :

A : Turning and repositioning

B : Endotracheal suctioning

C : Chest physiotherapy

D : Inhaled steroids

Answer: C

Question 2

A child has a fever, moderate hypertension, petechiae, decreased urinary output, and bloody diarrhea. A nurse should suspect:

Options :

A : Hepatorenal syndrome

B : Hemolytic uremic syndrome

C : Nephrotic syndrome

D : Acute glomerulonephritis

Answer: B

Question 3

What is the best method to ensure parents of a child with a new tracheostomy are adequately prepared for home care?

Options :

A : Provide the parents a video to watch and include them in ADL care

B : Demonstrate tracheostomy care daily and address the parent’s concerns and questions thoroughly

C : Give the parents written instructions and answer their questions

D : Use the parents' preferred method of learning and evaluate as they perform care

Answer: D

Question 4

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

Options :

A : Respiratory distress syndrome (RDS)

B : ET tube displacement

C : Aspiration pneumonitis

D : Pneumothorax

Answer: A

Question 5

A family member asks permission to visit a patient after work at 12:30 AM. On previous visits, the family member has been disruptive. To address the situation, a nurse should:

Options :

A : Ask the family member to visit before work

B : Ask the family member to visit during scheduled visiting hours

C : Not allow the visit, as the patient will be sleeping

D : Allow the family member to visit after setting behavioral limits

Answer: D