Question 1

It is important to make certain that sensory connectors and oximeters are compatible because incompatible wiring can cause which condition?

Accepted Answer

A)  Hyperthermia 
B)  Electrocution 
C)  Pressure necrosis 
D)  Burns under sensors 
A)  Hyperthermia 
B)  Electrocution 
C)  Pressure necrosis 
D)  Burns under sensors

Question 2

What conditions can produce hyperventilation?

Accepted Answer

A)  Hysteria 
B)  Narcotics 
C)  Atelectasis 
D)  Salicylate intoxication 
E)  Mechanical ventilation 
A)  Hysteria 
B)  Narcotics 
C)  Atelectasis 
D)  Salicylate intoxication 
E)  Mechanical ventilation

Question 3

The nurse is caring for a child with a tracheostomy.What clinical manifestation should the nurse recognize as an early sign of impending respiratory distress or failure?

Accepted Answer

A)  Cyanosis 
B)  Restlessness 
C)  Audible stridor 
D)  Crowing respirations 
A)  Cyanosis 
B)  Restlessness 
C)  Audible stridor 
D)  Crowing respirations

Question 4

The nurse is participating in a code blue on a 12-year-old child in a full respiratory arrest.The child weighs 110 lb.The health care provider has ordered an initial dose of epinephrine hydrochloride (1:10,000)given intravenously.Calculate the correct initial dose of epinephrine in mg.Record your answer using one decimal place.
_____________

Accepted Answer

0.5
The correct calculation is

Question 5

A nurse is calculating the correlation of Pao2 with Sao2 according to the oxyhemoglobin dissociation curve.What parameter should indicate that the Pao2 is less than 50 to 60 mm Hg?

Accepted Answer

A)  Coarse lung sounds 
B)  Temperature of 100° F 
C)  Respiratory rate of 58 
D)  Pulse oximetry reading of 90% or less 
A)  Coarse lung sounds 
B)  Temperature of 100° F 
C)  Respiratory rate of 58 
D)  Pulse oximetry reading of 90% or less

Question 6

The nurse must suction a 6-month-old infant with a tracheostomy.What intervention should be included?

Accepted Answer

A)  Encourage the child to cough to raise the secretions before suctioning. 
B)  Perform each pass of the suction catheter for no longer than 5 seconds. 
C)  Allow the child to rest after every five times the suction catheter is passed. 
D)  Select a catheter with a diameter three quarters of the diameter of the tracheostomy tube. 
A)  Encourage the child to cough to raise the secretions before suctioning. 
B)  Perform each pass of the suction catheter for no longer than 5 seconds. 
C)  Allow the child to rest after every five times the suction catheter is passed. 
D)  Select a catheter with a diameter three quarters of the diameter of the tracheostomy tube.

Question 7

The nurse is evaluating arterial blood gas results.What condition can cause an increase in PCO2?

Accepted Answer

A)  Hypoxia 
B)  Hyperventilation 
C)  Pulmonary embolism 
D)  Obstructive lung disease 
A)  Hypoxia 
B)  Hyperventilation 
C)  Pulmonary embolism 
D)  Obstructive lung disease

Question 8

Arterial blood gases have just been drawn on a child.What should the nurse do next?

Accepted Answer

A)  Take the sample to the laboratory immediately. 
B)  Pack the sample in ice and take it to the laboratory immediately. 
C)  Place the sample in a brown bag until it can be taken to laboratory. 
D)  Refrigerate the sample until it can be taken to the laboratory. 
A)  Take the sample to the laboratory immediately. 
B)  Pack the sample in ice and take it to the laboratory immediately. 
C)  Place the sample in a brown bag until it can be taken to laboratory. 
D)  Refrigerate the sample until it can be taken to the laboratory.

Question 9

The nurse recognizes that oxygen mist tents are rarely used for a child with respiratory distress.What are reasons for not using an oxygen mist tent?

Accepted Answer

A)  Poor access to the child 
B)  Cool and wet tent environment 
C)  Oxygen levels fall when tent is entered 
D)  Child may not tolerate it around the crib/bed 
E)  Lower oxygen concentrations cannot be achieved 
A)  Poor access to the child 
B)  Cool and wet tent environment 
C)  Oxygen levels fall when tent is entered 
D)  Child may not tolerate it around the crib/bed 
E)  Lower oxygen concentrations cannot be achieved

Question 10

What test should the nurse do as a precautionary measure before doing an arterial puncture to obtain an arterial blood sample?

Accepted Answer

A)  Allen test 
B)  Smith test 
C)  Venipuncture 
D)  Cold compress 
A)  Allen test 
B)  Smith test 
C)  Venipuncture 
D)  Cold compress

Question 11

A child is in uncompensated metabolic acidosis.What should the nurse expect the arterial blood gas to be?

Accepted Answer

A)  HCO3, 24; pH, 7.35 
B)  HCO3, 28; pH, 7.50 
C)  HCO3, 20; pH, 7.30 
D)  HCO3, 26; pH, 7.40 
A)  HCO3, 24; pH, 7.35 
B)  HCO3, 28; pH, 7.50 
C)  HCO3, 20; pH, 7.30 
D)  HCO3, 26; pH, 7.40

Question 12

The nurse is planning home care for a 2-year-old child with a tracheostomy.What recommendation should be included?

Accepted Answer

A)  Sterile technique is essential in home care of the tracheostomy. 
B)  Parents are able to change the tracheostomy tube when needed. 
C)  Play activities must be sedentary such as listening to music and working on puzzles. 
D)  The child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma. 
A)  Sterile technique is essential in home care of the tracheostomy. 
B)  Parents are able to change the tracheostomy tube when needed. 
C)  Play activities must be sedentary such as listening to music and working on puzzles. 
D)  The child must wear a plastic bib when eating or drinking to prevent aspiration into the stoma.

Question 13

What medication is considered to be the most useful in treating cardiac arrest?

Accepted Answer

A)  Bretylium tosylate (Bretylium) 
B)  Xylocaine (lidocaine) 
C)  Adrenaline (epinephrine) 
D)  Naloxone (Narcan) 
A)  Bretylium tosylate (Bretylium) 
B)  Xylocaine (lidocaine) 
C)  Adrenaline (epinephrine) 
D)  Naloxone (Narcan)

Question 14

The nurse is analyzing an arterial blood gas of pH,7.50; PCO2,50; and HCO3,29.What result should the nurse document for this blood gas?

Accepted Answer

A)  Fully compensated metabolic alkalosis 
B)  Partially compensated metabolic alkalosis 
C)  Fully compensated respiratory alkalosis 
D)  Partially compensated respiratory alkalosis 
A)  Fully compensated metabolic alkalosis 
B)  Partially compensated metabolic alkalosis 
C)  Fully compensated respiratory alkalosis 
D)  Partially compensated respiratory alkalosis

Question 15

The nurse is calculating the amount of expected urinary output for a 24-hour period on an intubated young child who weighs 33 lb.The nurse recognizes the formula to be used is 2 ml/kg/hr.What is the expected 24-hour urinary output for this child in milliliters? Record your answer below in a whole number.
_____________

Accepted Answer

720
Perform the calc

Question 16

A series of subdiaphragmatic abdominal thrusts (the Heimlich maneuver)is recommended for airway obstruction in children older than which age?

Accepted Answer

A)  1 year 
B)  4 years 
C)  8 years 
D)  12 years 
A)  1 year 
B)  4 years 
C)  8 years 
D)  12 years

Question 17

The nurse is analyzing an arterial blood gas of pH,7.29; PCO3,30; and HCO3,20.What result should the nurse document for this blood gas?

Accepted Answer

A)  Fully compensated respiratory acidosis 
B)  Partially compensated respiratory acidosis 
C)  Fully compensated metabolic acidosis 
D)  Partially compensated metabolic acidosis 
A)  Fully compensated respiratory acidosis 
B)  Partially compensated respiratory acidosis 
C)  Fully compensated metabolic acidosis 
D)  Partially compensated metabolic acidosis

Question 18

The nurse is analyzing an arterial blood gas of pH,7.50; PCO2,30; and HCO3,20.What result should the nurse document for this blood gas?

Accepted Answer

A)  Fully compensated metabolic alkalosis 
B)  Partially compensated metabolic alkalosis 
C)  Fully compensated respiratory alkalosis 
D)  Partially compensated respiratory alkalosis 
A)  Fully compensated metabolic alkalosis 
B)  Partially compensated metabolic alkalosis 
C)  Fully compensated respiratory alkalosis 
D)  Partially compensated respiratory alkalosis

Question 19

Cardiopulmonary resuscitation is begun on a toddler.What pulse is usually palpated because it is the most central and accessible?

Accepted Answer

A)  Radial 
B)  Carotid 
C)  Femoral 
D)  Brachial 
A)  Radial 
B)  Carotid 
C)  Femoral 
D)  Brachial

Question 20

The nurse is caring for a 4-year-old child who is receiving 2 L of oxygen per nasal cannula.What disadvantage should the nurse consider when planning care for the child?

Accepted Answer

A)  The child may need to have high humidity administered with the oxygen. 
B)  The child may not be able to eat and drink comfortably. 
C)  A nasal cannula may cause an accumulation of moisture on the face. 
D)  A nasal cannula may cause abdominal distention. 
A)  The child may need to have high humidity administered with the oxygen. 
B)  The child may not be able to eat and drink comfortably. 
C)  A nasal cannula may cause an accumulation of moisture on the face. 
D)  A nasal cannula may cause abdominal distention.

Exam 27: Overview of Oxygen and Carbon Dioxide Exchange

It is important to make certain that sensory connectors and oximeters are compatible because incompatible wiring can cause which condition?

What conditions can produce hyperventilation?

The nurse is caring for a child with a tracheostomy.What clinical manifestation should the nurse recognize as an early sign of impending respiratory distress or failure?

A nurse is calculating the correlation of Pao2 with Sao2 according to the oxyhemoglobin dissociation curve.What parameter should indicate that the Pao2 is less than 50 to 60 mm Hg?

The nurse must suction a 6-month-old infant with a tracheostomy.What intervention should be included?

The nurse is evaluating arterial blood gas results.What condition can cause an increase in PCO2?

Arterial blood gases have just been drawn on a child.What should the nurse do next?

The nurse recognizes that oxygen mist tents are rarely used for a child with respiratory distress.What are reasons for not using an oxygen mist tent?

What test should the nurse do as a precautionary measure before doing an arterial puncture to obtain an arterial blood sample?

A child is in uncompensated metabolic acidosis.What should the nurse expect the arterial blood gas to be?

The nurse is planning home care for a 2-year-old child with a tracheostomy.What recommendation should be included?

What medication is considered to be the most useful in treating cardiac arrest?

The nurse is analyzing an arterial blood gas of pH,7.50; PCO2,50; and HCO3,29.What result should the nurse document for this blood gas?

A series of subdiaphragmatic abdominal thrusts (the Heimlich maneuver)is recommended for airway obstruction in children older than which age?

The nurse is analyzing an arterial blood gas of pH,7.29; PCO3,30; and HCO3,20.What result should the nurse document for this blood gas?

The nurse is analyzing an arterial blood gas of pH,7.50; PCO2,30; and HCO3,20.What result should the nurse document for this blood gas?

Cardiopulmonary resuscitation is begun on a toddler.What pulse is usually palpated because it is the most central and accessible?

The nurse is caring for a 4-year-old child who is receiving 2 L of oxygen per nasal cannula.What disadvantage should the nurse consider when planning care for the child?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

Filters

A nurse is calculating the correlation of Pao₂ with Sao₂ according to the oxyhemoglobin dissociation curve.What parameter should indicate that the Pao₂ is less than 50 to 60 mm Hg?

The nurse is evaluating arterial blood gas results.What condition can cause an increase in PCO₂?

The nurse is analyzing an arterial blood gas of pH,7.50; PCO₂,50; and HCO₃,29.What result should the nurse document for this blood gas?

The nurse is analyzing an arterial blood gas of pH,7.29; PCO_3,30; and HCO_3,20.What result should the nurse document for this blood gas?

The nurse is analyzing an arterial blood gas of pH,7.50; PCO₂,30; and HCO₃,20.What result should the nurse document for this blood gas?