Chapter 11: Respiratory Disorders

Chapter 11: Respiratory Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse explains that one common feature of children who die of sudden infant death syndrome (SIDS) is that:

a.	Death occurs during sleep
b.	The infants had a high birth weight
c.	Most deaths are in female infants
d.	Most deaths occur in hot, humid weather

 

 

ANS:   A

A common feature of SIDS victims is that they die during sleep without a cry or any sign of distress. Boys are more frequent victims. These babies usually are low-birth weight babies. The incidence is higher in the winter months.

 

DIF:    Cognitive Level:                                 REF:    p. 197              OBJ:    2

TOP:    Sudden Infant Death Syndrome        KEY:   Nursing Process Step: N/A

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The nurse outlines precautions parents can take to prevent SIDS, which include:

a.	Placing the baby on the stomach to sleep
b.	Using a soft, comfortable mattress
c.	Avoiding soft objects and loose bedding
d.	Using a device to maintain the baby’s sleep position

 

 

ANS:   C

Soft objects and loose bedding should be kept away from the baby’s sleep area. The baby should be positioned on the back without the use of devices that maintain the position. Mattresses should be firm and safety approved.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 198              OBJ:    2

TOP:    Prevention of SIDS                            KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

3. A 3-month-old baby is being discharged from the hospital after being treated for infantile apnea. The nurse will include in the discharge instructions:

a.	Nutritional information
b.	Instruction in instillation of nosedrops
c.	Instruction in placing the infant on the abdomen to sleep
d.	Instruction in cardiopulmonary resuscitation (CPR)

 

 

ANS:   D

Parents of children who have experienced infantile apnea are instructed in CPR techniques prior to discharge. Infants should be placed on their backs to sleep. Nutritional information and nasal remedies are not specific to discharge teaching.

 

DIF:    Cognitive Level: Application             REF:    p. 198              OBJ:    2

TOP:    Infantile Apnea                                  KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

4. The nurse points out some differences in the respiratory system of an infant that may put the child at risk. These include:

a.	A large tongue
b.	Large nares and nasopharynx
c.	Lower placement of glottis and larynx
d.	Wide trachea

 

 

ANS:   A

The infant’s tongue is large, which may cause obstruction of the airway. The nares and nasopharynx are higher, which may lead to aspiration. The trachea is short and narrow, which can be easily occluded.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 198              OBJ:    2

TOP:    Pediatric Differences                         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

5. The nurse is aware that the most common cause of hearing loss in children is:

a.	Purulent acute otitis media (AOM)
b.	Mastoiditis
c.	Unsuppurative otitis media with effusion (OME)
d.	Traumatic puncture of the eardrum

 

 

ANS:   C

The most common cause of hearing loss in children is OME.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 200              OBJ:    2

TOP:    Hearing Loss from OME                   KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease