A nurse is caring for a 3-year-old child.

Exhibit 1

Exhibit 2 Nurses' Notes

0730:

Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms.

Respirations easy, no cough noted.

0800:

Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.

For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.

Assessment Findings: Acute laryngotracheobronchitis /Pneumonia

Irritability

Temperature

Cough findings at 0800

Stridor

Answer and Explanation

The Correct Answer is A

A.   This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children.
B.   Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. It is a non-specific symptom that can occur with various respiratory illnesses.
C.   This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation, while pneumonia causes a productive cough that may be accompanied by chest pain or difficulty breathing.
D.   This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation, while pneumonia affects the lower airway and does not usually cause stridor.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A. Pediculosis capitis (head lice) does not require droplet precautions.
B. Viral conjunctivitis (pink eye) is typically spread through direct contact or contact with contaminated surfaces, not droplets.
C. Seasonal influenza is a respiratory illness that can spread through droplets when the infected person coughs or sneezes, necessitating droplet precautions.
D. Hepatitis A is primarily spread through the fecal-oral route and does not require droplet precautions.

A. Allow the infant to self soothe by crying prior to feeding B. Place the infant in a recumbent position during feeding C. Implement a 3 hr feeding schedule. D. Allow the infant 45 min for each feeding

Correct Answer is C

Explanation

A. Allowing the infant to cry before feeding increases energy expenditure and may worsen fatigue in infants with heart failure.
B. A recumbent position can increase the risk of aspiration; a semi-upright position is preferred.
C. Implementing a 3-hour feeding schedule ensures the infant receives adequate nutrition without excessive fatigue.
D. Feedings should be limited to 30 minutes to prevent excessive energy expenditure.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?

Correct Answer is C

Explanation

A nurse is teaching the parent of an infant who has a new diagnosis of heart failure about nutrition. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?

A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?

A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?

A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?

A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a school-age child who has cystic fibrosis. Exhibits A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.

A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse?