303 questions with explanations · 26 free to practise now.
Paediatric Respiratory questions for NORCET, RRB, ESIC, CHO and state nursing officer exams, split into 7 topics. Open a topic to read sample questions with answers, or start free practice. Every question comes with a simple-English explanation.
Q1. During an upper respiratory infection, the parents report that their 1-year-old son has become irritable and constantly turns his head from side to side. He has a fever and drainage from the ear. What would you suspect is the problem?
Legg-Calvé-Perthes
Mastoiditis
Osteomyelitis
Otitis media
Show answer and explanation
Answer: D. Otitis media
Irritability, fever, ear drainage and head rolling or ear pulling in an infant with an upper respiratory infection indicate acute otitis media. Infants' short, horizontal eustachian tubes allow nasopharyngeal organisms to reach the middle ear.
Q2. Which single-dose drug is given in the treatment of croup?
Dexamethasone
Salbutamol
Ribavirin
Amoxicillin
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Answer: A. Dexamethasone
Croup and bronchiolitis treatment – humidified oxygen, fluids, rest, suctioning; croup gets single-dose dexamethasone ± nebulised epinephrine; bronchiolitis needs no bronchodilators or steroids (older books: steroids/bronchodilators 'controversial').
Q3. After teaching the mother of a 7-month-old diagnosed with bronchiolitis, the nurse determines that the teaching has been effective when the mother states she will immediately report which sign or symptom?
Temperature of 100°F (37.8°C) for 2 days
Clear nasal discharge for longer than 2 days
Seven wet diapers a day
Longer periods of sleep than usual
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Answer: D. Longer periods of sleep than usual
An infant's sleeping longer than usual can indicate that the child is expending too much energy to breathe and is tiring, suggesting that the child's condition is getting worse. This should be reported to the doctor (HCP) . Fewer than seven wet diapers a day indicates that the child is not drinking enough. A temperature of 100°F (37.8°C) for longer than 2 days should be reported. Clear nasal drainage is expected. However, yellow nasal drainage lasting longer than 24 hours should be reported.
Q4. Extrinsic (allergic) asthma in children is mediated by which immunoglobulin?
IgM
IgG
IgA
IgE
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Answer: D. IgE
Types of asthma – extrinsic (IgE-mediated, triggered by allergen), intrinsic (non-IgE, triggered by viral respiratory infection) and mixed (exercise- or aspirin-induced).
Q5. Hypernasal speech with nasal regurgitation of fluids after adenoidectomy indicates:
Otitis media
Velopharyngeal insufficiency
Secondary haemorrhage
Adenoid hypertrophy
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Answer: B. Velopharyngeal insufficiency
Velopharyngeal insufficiency – complication of adenoidectomy with hypernasal speech and fluids coming back through the nose.
A set of 26 questions is free to practise after you enter your name and mobile number (no OTP). The full set of 303 questions is in NurseRank Premium.
Is Paediatric Respiratory asked in NORCET and other nursing officer exams?
Nursing exams test the core nursing subjects, so this subject is useful for NORCET, RRB, ESIC, CHO and state exams. Check your exam's official syllabus for exact weightage.
