The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. The nurse informs the parents that which of the following is the most common cause of bronchiolitis?

Respiratory Syncytial Virus (RSV)

Haemophilus influenzae type B

Adenovirus

Rhinovirus

Answer and Explanation

The Correct Answer is A

A. Respiratory Syncytial Virus (RSV) is the most common cause of bronchiolitis, particularly in infants and toddlers.

B. Haemophilus influenzae type B causes epiglottitis and other respiratory infections but is not a leading cause of bronchiolitis.

C. Adenovirus can cause respiratory infections but is not the primary pathogen for bronchiolitis.

D. Rhinovirus causes the common cold but is not typically responsible for bronchiolitis.

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Correct Answer is A

Explanation

A. In epiglottitis, there is typically an absence of spontaneous cough because of severe airway obstruction. Dysphonia (difficulty speaking) is also common due to swelling of the epiglottis.

B. Generalized skin flushing is not a common finding in epiglottitis.

C. Coarse tremors and splenomegaly are not associated with epiglottitis.

D. A harsh, productive cough and rhinorrhea are more common with viral respiratory infections, not epiglottitis.

A. Kawasaki disease B. Tricuspid Atresia C. Tetralogy of Fallot D. Patent Ductus Arteriosus (PDA)

Correct Answer is D

Explanation

A. Kawasaki disease typically presents with fever, rash, and conjunctivitis, not a machine-like murmur or the other cardiovascular findings.

B. Tricuspid Atresia involves a defect in the tricuspid valve and presents with cyanosis and poor circulation, but not a machine-like murmur.

C. Tetralogy of Fallot involves a murmur due to pulmonary stenosis and VSD but would not produce a "machine-like" murmur, which is characteristic of PDA.

D. Patent Ductus Arteriosus (PDA) results in a continuous "machine-like" murmur due to abnormal blood flow between the aorta and pulmonary artery, along with findings of pulmonary congestion and right ventricular hypertrophy.

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The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. The nurse informs the parents that which of the following is the most common cause of bronchiolitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

Correct Answer is A

Explanation

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

Correct Answer is D

Explanation

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In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?

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