Value added Course
on
Management of Emergencies in Child Health Nursing
Topic:- Role of Nurse in managing Child with Respiratory Emergencies
Date:- 21-06-2025
Time:- 1:30 to 2:30pm
SDL:- Multiple Choice Questions
Answer the following questions and justify your answers with adequate explanation.
Please note: Write your answers in A4 sheets like assignment and submit by 23-06-2025
8:30 am
1. **What is the primary nursing intervention for a child experiencing respiratory distress?**
- A) Administer antibiotics
- B) Ensure a patent airway
- C) Apply a cold compress
- D) Administer diuretics
2. **Which of the following is a common sign of respiratory distress in children?**
- A) Bradycardia
- B) Nasal flaring
- C) Hypothermia
- D) Hypertension
3. **In a child with asthma, what is the nurse's priority action during an acute asthma attack?**
- A) Administer oral corticosteroids
- B) Provide bronchodilators via nebulizer or inhaler
- C) Encourage the child to lie flat
- D) Start an intravenous line
4. **What is the correct position for a child in respiratory distress to maximize airway patency?
**
- A) Supine
- B) Prone
- C) Semi-Fowler’s
- D) Trendelenburg
5. **Which device is often used by nurses to assess the oxygen saturation of a child?**
- A) Sphygmomanometer
- B) Glucometer
- C) Pulse oximeter
- D) Electrocardiogram
6. **In a child with croup, what is the primary nursing intervention?**
- A) Administer antihistamines
- B) Provide humidified oxygen
- C) Encourage oral fluids
- D) Apply chest physiotherapy
7. **What is the first-line treatment for a child experiencing anaphylaxis?**
- A) Oral antihistamines
- B) Intravenous fluids
- C) Intramuscular epinephrine
- D) Oral corticosteroids
8. **What is a key sign of a severe asthma exacerbation in a child?**
- A) Frequent dry cough
- B) Intercostal retractions
- C) Mild wheezing
- D) Clear lung sounds
9. **Which assessment finding is most concerning in a child with suspected epiglottitis?**
- A) Fever
- B) Hoarse voice
- C) Drooling and difficulty swallowing
- D) Nasal congestion
10. **Which of the following is NOT a common trigger for asthma in children?**
- A) Pollen
- B) Exercise
- C) High-fat diet
- D) Cold air
11. **What should a nurse monitor in a child receiving continuous albuterol nebulization?**
- A) Blood glucose levels
- B) Blood pressure
- C) Oxygen saturation and heart rate
- D) Urine output
12. **Which of the following is the priority intervention for a child with a suspected foreign
body aspiration?**
- A) Performing a finger sweep of the mouth
- B) Performing the Heimlich maneuver if appropriate
- C) Encouraging the child to cough forcefully
- D) Applying a chest binder
13. **What is the role of corticosteroids in the management of asthma in children?**
- A) They provide immediate relief of bronchospasm.
- B) They reduce inflammation in the airways.
- C) They decrease mucus production.
- D) They treat underlying infections.
14. **Which of the following oxygen delivery methods is most appropriate for a child with mild
hypoxemia?**
- A) Non-rebreather mask
- B) Nasal cannula
- C) Venturi mask
- D) Bag-valve-mask
15. **What should a nurse do first if a child with respiratory distress becomes unresponsive?**
- A) Start CPR
- B) Administer oxygen
- C) Call for emergency assistance
- D) Check for a pulse and breathing
16. **Which sign indicates that a child with bronchiolitis may require hospitalization?**
- A) Occasional coughing
- B) Mild fever
- C) Poor feeding and lethargy
- D) Mild wheezing
17. **How can a nurse help prevent respiratory infections in children with chronic respiratory
conditions?**
- A) Encourage frequent hand washing
- B) Restrict outdoor activities
- C) Limit fluid intake
- D) Provide daily vitamin supplements
18. **Which medication is commonly administered to children with croup to reduce airway
inflammation?**
- A) Albuterol
- B) Epinephrine
- C) Dexamethasone
- D) Acetaminophen
19. **What is the primary goal of nursing care for a child with pneumonia?**
- A) Reducing fever
- B) Promoting airway clearance
- C) Increasing fluid intake
- D) Encouraging bed rest
20. **In a child with status asthmaticus, what is the nurse’s priority intervention?**
- A) Administering antibiotics
- B) Providing continuous nebulized bronchodilators
- C) Encouraging deep breathing exercises
- D) Administering oral steroids
21. **Which of the following is a key component of discharge teaching for parents of a child
with asthma?**
- A) How to administer albuterol
- B) The importance of regular exercise
- C) How to use a peak flow meter
- D) The need for annual influenza vaccination
22. **What is the nurse's role in managing a child with pertussis?**
- A) Administering antiviral medication
- B) Providing supportive care and monitoring respiratory status
- C) Encouraging the child to sleep in a prone position
- D) Restricting fluid intake
23. **Which of the following is an early sign of respiratory failure in a child?**
- A) Cyanosis
- B) Bradypnea
- C) Restlessness and anxiety
- D) Hypotension
24. **Which is the most appropriate initial treatment for a child with mild croup?**
- A) Oral corticosteroids
- B) Cold mist humidification
- C) Antibiotics
- D) Intravenous fluids
25. **What should the nurse assess in a child with a tracheostomy who is experiencing
respiratory distress?**
- A) Placement of the tracheostomy tube
- B) Blood pressure
- C) Skin color
- D) Temperature
26. **In a child with cystic fibrosis, what is a key nursing intervention to promote airway
clearance?**
- A) Administering diuretics
- B) Providing chest physiotherapy
- C) Restricting fluids
- D) Encouraging bed rest
27. **What is the primary reason for administering racemic epinephrine in children with severe
croup?**
- A) To treat bacterial infection
- B) To reduce airway inflammation and edema
- C) To decrease mucus production
- D) To sedate the child
28. **Which of the following is a common side effect of albuterol in children?**
- A) Bradycardia
- B) Tremors
- C) Drowsiness
- D) Hyperthermia
29. **What is the nurse's role during a respiratory emergency in the pediatric setting?**
- A) Diagnose the condition
- B) Initiate emergency protocols and provide care
- C) Perform advanced airway procedures
- D) Prescribe medications
30. **How should a nurse position a child experiencing severe respiratory distress?**
- A) Prone
- B) Supine
- C) High Fowler's
- D) Trendelenburg
31. **Which clinical finding in a child with asthma indicates the need for immediate medical
intervention?**
- A) Occasional coughing
- B) Wheezing after exercise
- C) Use of accessory muscles for breathing
- D) Mild dyspnea
32. **What is the nurse's role in the management of a child with a suspected pneumothorax?**
- A) Administering antibiotics
- B) Preparing for chest tube insertion
- C) Encouraging deep breathing exercises
- D) Providing hydration
33. **Which intervention is essential for a nurse to perform when a child with a tracheostomy
shows signs of respiratory distress?**
- A) Suctioning the tracheostomy tube
- B) Administering sedatives
- C) Increasing oral fluids
- D) Providing nebulized antibiotics
34. **Which nursing action is most appropriate for a child with mild croup at home?**
- A) Encouraging warm fluids
- B) Using a cool mist humidifier
- C) Applying chest physiotherapy
- D) Restricting physical activity
35. **What is the priority assessment for a nurse when a child presents with acute bronchiolitis?
**
- A) Blood pressure
- B) Lung sounds
- C) Heart rate
- D) Skin turgor
36. **Which medication is often administered to a child experiencing acute bronchiolitis?**
- A) Oral antibiotics
- B) Inhaled bronchodilators
- C) Intravenous corticosteroids
- D) Oral antihistamines
37. **What is a common nursing intervention for a child with a respiratory infection to maintain
hydration?**
- A) Administering intravenous fluids
- B) Encouraging oral fluid intake
- C) Restricting fluids
- D) Providing diuretics
38. **Which sign suggests that a child with respiratory distress is deteriorating?**
- A) Increased respiratory rate
- B) Clear lung sounds
- C) Increased appetite
- D) Decreased effort in breathing (silent chest)
39. **What is a key nursing intervention for a child experiencing an asthma exacerbation?**
- A) Encouraging vigorous exercise
- B) Providing humidified air
- C) Administering a rescue inhaler (bronchodilator)
- D) Restricting fluid intake
40. **Which of the following is essential in the discharge planning for a child recovering from a
respiratory emergency?**
- A) Ensuring the child gets plenty of rest
- B) Providing instructions on emergency inhaler use
- C) Limiting the child’s physical activity
- D) Scheduling frequent follow-up visits
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