NCLEX- respiratory

Question 1

silent chest

Answer 1

omnious “threatening” sign during asthma episode
stop wheezing

Question 2

nml pulse rate in 10 yo

Answer 2

70-110 bpm

Question 3

nml rr in 10 yo

Answer 3

16-20 bpm

Question 4

l or r sided PNA

Answer 4

(splinting) lying on affected side –> decreases discomfort, preventing further damage

Question 5

SIDS (sudden infant death syndrome)

position infant to sleep

Answer 5

unexpected death of apparently healthy infant younger than 1 yo for whom an investigation of the death and thorough autopsy failed to show adequate cause of death

position baby on back

Question 6

cystic fibrosis care

Answer 6

excess mucous production- resp, gi, repro

protect children from communicable dz by immunizing

basic series of immunization + yearly influenza immunization recommended

Question 7

epiglottis- sign of obstruction

Answer 7

bacterial form of croup

can progress to acute respiratory distress

tripod positioning
nasal flaring
use of accessory muscles
stridor

high fever

Question 8

positive result- tuberculosis induration in children younger than 4 yo and in children w chronic illness or at high risk for exposure to tuberculois

vs highest risk groups, such as a child with an immusuppressive condition or a child with HIV infection

vs children 4 yo or older wo risk factors

Answer 8

10 mm or more

5 mm or more

15 mm or more

Question 9

RSV precautions, positioning

Answer 9

highly communicable disorder transmitted via droplets and direct contact w respiratory secretions

use of contact, droplet, and standard precautions
hand washing
gloves, gown, mask
infant placed in private room

position w head and chest at 30-40 degree angle and neck slightly extended –> maintain open airway/decrease pr on diaphragm