Question 1

A 3-year-old near-drowning child who is intubated and mechanically ventilated exhibits increased peak inspiratory pressures and decreased O# saturation. Stat chest x-ray reveals diffuse pulmonary infiltrates. No improvement is exhibited after an increase in FiO#. The nurse should suspect:

Options :

A : Respiratory distress syndrome (RDS)

B : ET tube displacement

C : Aspiration pneumonitis

D : Pneumothorax

Answer: A

Question 2

A 2-year-old child in septic shock is receiving nitroprusside (Nipride). Which of the following findings indicates the need to increase the nitroprusside dosage?

Options :

A : Systolic BP greater than or equal to 78 mm Hg

B : Urine output is 7 cc/hr

C : Systemic vascular resistance is 1820 dynes/sec/cm##

D : HR is 180

Answer: C

Question 3

Which of the following is contraindicated when caring for a child with asthma who is intubated and receiving mechanical ventilation?

Options :

A : Turning and repositioning

B : Endotracheal suctioning

C : Chest physiotherapy

D : Inhaled steroids

Answer: C

Question 4

Which therapy is expected in the management of persistent pulmonary hypertension of the newborn (PPHN)?

Options :

A : PAOP monitoring and dobutamine

B : O# therapy and RBC transfusion

C : PAOP monitoring and sodium nitroprusside

D : O# therapy and alkalinization

Answer: D

Question 5

When evaluating the effectiveness of a new skin care protocol, a nurse should assess the:

Options :

A : Preventive measures implemented

B :

Change in nursing care hours

C : Presence of lesions, ulcers, or erythema

D : Documentation of nursing interventions

Answer: C

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