Welcome future RN and LPN nurses! Let’s get started.Qbankproacademy.com QUESTION: A 15-year-old adolescent presents with acute onset shortness of breath, chest pain, and a productive cough with purulent sputum. On examination, the adolescent appears distressed, with diminished breath sounds on the right side. Pulse oximetry shows an oxygen saturation of 92%. What initial diagnostic test is most appropriate for assessing this adolescent’s respiratory distress?
A) Chest X-ray
B) ECG
C) Complete blood count (CBC) with differential
D) Arterial blood gas (ABG) analysis
E) Sputum culture
Explanation: A chest X-ray is an initial diagnostic test to assess lung pathology, such as pneumonia or pneumothorax, contributing to the adolescent’s respiratory distress.
POP Quiz NCLEX Question
@qbankproacademy 4000+ Free NCLEX QUESTIONS. Go to QBankProAcademy.com nclex Nurses Nursing aanp qbank ancc hesi medsurg qbank hesiA2 FREE Qbank questions for NCLEX RN, PN, HESI Exit, Med Surg, AANP, ANCC, and HesiA2. Practice questions, quizzes, and listen to the Free Podcast. Review Respiratory in this video. At QbankproAcademy.com our mission is to provide free QBanks, videos, and the most up to date test prep information for nurses. If you find our website helpful, please tell other aspiring nurses, nursing students, and professors. Please link to our site from your blogs, videos, and college websites, or share us on your favorite social media sites. Thank you for your support!
Qbankproacademy.com QUESTION: A 9-month-old infant presents with sudden onset wheezing, cough, and nasal flaring. On examination, the infant appears anxious with audible wheezing and intercostal retractions. The respiratory rate is elevated. Which diagnostic test would be most helpful in confirming a suspected diagnosis in this infant?
A) ECG
B) Throat culture
C) Complete blood count (CBC) with differential
D) Chest X-ray
E) Peak expiratory flow rate measurement
Explanation: A chest X-ray aids in evaluating the extent of lung involvement and possible causes of respiratory distress, such as pneumonia or bronchiolitis.
Qbankproacademy.com QUESTION: A 16-year-old adolescent with a history of asthma presents with acute onset wheezing, chest tightness, and difficulty speaking in full sentences due to shortness of breath. On examination, the adolescent appears anxious with audible wheezing and tachypnea. What test is crucial for assessing the severity of this adolescent’s asthma exacerbation?
A) Arterial blood gas (ABG) analysis
B) Peak expiratory flow rate measurement
C) ECG
D) Chest X-ray
E) Sputum culture
Explanation: Peak expiratory flow rate measurement provides an objective assessment of airflow limitation in asthma exacerbations and guides treatment decisions.
Qbankproacademy.com QUESTION: A 10-month-old infant presents with cough, fever, and increased work of breathing. On examination, the infant appears lethargic with nasal flaring and audible crackles on lung auscultation. What test is most crucial for evaluating this infant’s respiratory distress?
A) Sputum culture
B) Chest X-ray
C) Complete blood count (CBC) with differential
D) Throat culture
E) Peak expiratory flow rate measurement
Explanation: In an infant with respiratory distress, a chest X-ray aids in diagnosing conditions like pneumonia or bronchiolitis, guiding appropriate management.
Qbankproacademy.com QUESTION: An 8-month-old infant presents with a three-day history of cough, wheezing, and nasal congestion. The parents note the child having difficulty feeding and increased work of breathing. On examination, the infant appears irritable, with bilateral wheezing and nasal flaring. What diagnostic test is typically used as the primary tool for diagnosing bronchiolitis in infants?
A) Chest X-ray
B) Nasopharyngeal swab for viral antigen testing
C) Complete blood count (CBC) with differential
D) Serum electrolytes
E) Urinalysis
Explanation: Nasopharyngeal swab testing for viral antigens, particularly respiratory syncytial virus (RSV), is commonly employed to diagnose bronchiolitis in infants presenting with respiratory symptoms.
Qbankproacademy.com QUESTION: A 6-month-old infant presents with cough, fever, and increased respiratory rate. The parents note decreased feeding and nasal flaring in the past day. On examination, the infant appears lethargic, with diffuse wheezing and bilateral crackles. What imaging study might be ordered to aid in diagnosing bronchiolitis in this infant?
A) MRI of the chest
B) Chest X-ray
C) CT scan of the thorax
D) Ultrasound of the lungs
E) PET scan of the chest
Explanation: A chest X-ray might reveal hyperinflation, peribronchial cuffing, and patchy atelectasis or consolidation, supporting the diagnosis of bronchiolitis.
Qbankproacademy.com QUESTION: A 9-month-old infant presents with cough, fever, and nasal congestion. On examination, the infant has mild retractions and nasal flaring but no wheezing. What diagnostic test is most useful in confirming a suspected diagnosis of bronchiolitis in this case?
A) Blood culture
B) Chest X-ray
C) Throat culture
D) Nasopharyngeal swab for viral antigen testing
E) Stool culture
Explanation: Nasopharyngeal swab testing for viral antigens, particularly RSV, is the most useful test to confirm bronchiolitis, even in cases without overt wheezing.
Qbankproacademy.com QUESTION: A 5-month-old infant presents with cough, fever, and poor feeding. The parents mention a recent visit to a family gathering where several children had respiratory infections. What test is essential for diagnosing bronchiolitis in this infant?
A) Blood culture
B) Sputum culture
C) Nasopharyngeal swab for viral antigen testing
D) Throat culture
E) Stool culture
Explanation: Nasopharyngeal swab testing for viral antigens, especially RSV, is crucial for diagnosing bronchiolitis in infants with respiratory symptoms, particularly after possible exposure to infected individuals.
Qbankproacademy.com QUESTION: A 7-month-old infant presents with cough, wheezing, and nasal congestion. The parents report the child having a fever and increased irritability. What diagnostic test might provide useful information to guide treatment in this infant with suspected bronchiolitis?
A) Serum electrolytes
B) Complete blood count (CBC) with differential
C) Erythrocyte sedimentation rate (ESR)
D) Throat culture
E) C-reactive protein (CRP)
Explanation: A CBC with differential might show an elevated white blood cell count, particularly neutrophils, in bronchiolitis cases due to the presence of a viral infection.
