31. A child is being admitted to the hospital to be tested for cystic fibrosis (CF). Which tests should the nurse expect?

a. Sweat chloride test, stool for fat, chest radiograph films

b. Stool test for fat, gastric contents for hydrochloride, chest radiograph films

c. Sweat chloride test, bronchoscopy, duodenal fluid analysis

d. Sweat chloride test, stool for trypsin, biopsy of intestinal mucosa

32. Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?

a. Bronchoscopy

b. Serum calcium

c. Urine creatinine

d. Sweat chloride test

33. A child with cystic fibrosis (CF) receives aerosolized bronchodilator medication. When should this medication be administered?

a. Before chest physiotherapy (CPT)

b. After CPT

c. Before receiving 100% oxygen

d. After receiving 100% oxygen

34. A child with cystic fibrosis (CF) is receiving recombinant human deoxyribonuclease (DNase). Which is an adverse effect of this medication?

a. Mucus thickens

b. Voice alters

c. Tachycardia

d. Jitteriness

35. Pancreatic enzymes are administered to the child with cystic fibrosis (CF). Nursing considerations should include to:

a. not administer pancreatic enzymes if child is receiving antibiotics.

b. decrease dose of pancreatic enzymes if child is having frequent, bulky stools.

c. administer pancreatic enzymes between meals if at all possible.

d. pancreatic enzymes can be swallowed whole or sprinkled on a small amount of food taken at the beginning of a meal.

36. In providing nourishment for a child with cystic fibrosis (CF), which factor should the nurse keep in mind?

a. Diet should be high in carbohydrates and protein.

b. Diet should be high in easily digested carbohydrates and fats.

c. Most fruits and vegetables are not well tolerated.

d. Fats and proteins must be greatly curtailed.

37. Cardiopulmonary resuscitation (CPR) is begun on a toddler. Which pulse is usually palpated because it is the most central and accessible?

a. Radial

b. Carotid

c. Femoral

d. Brachial

38. Which drug is considered the most useful in treating childhood cardiac arrest?

a. Bretylium tosylate (Bretylium)

b. Lidocaine hydrochloride (Lidocaine)

c. Epinephrine hydrochloride (Adrenaline)

d. Naloxone (Narcan)

39. Effective lone-rescuer CPR on a 5-year-old child should include

a. two breaths to every 30 chest compressions.

b. two breaths to every 15 chest compressions.

c. reassessment of child after 50 cycles of compression and ventilation.

d. reassessment of child every 10 minutes that CPR continues.

40. The Heimlich maneuver is recommended for airway obstruction in children older than _____ year(s).

a. 1

b. 4

c. 8

d. 12