1|Page
TEST BANK FOR PEDIATRIC NURSING: A CASE-
BASED APPROACH (2ND EDITION) BY GANNON
& KNAPP – COMPLETE VERIFIED Q&A FOR
ALL CHAPTERS
,2|Page
Chapter 01: Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypnea.
d. Give cool, humidified oxygen.
ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
Tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
degree angle and the neck slightly extended to m Nat n an open airway and decrease pressure on
the diaphragm. The etiology of bronchiolitis is very l. Ant b optics are given only if there is a
secondary bacterial infection. Tachypnea increases insensible flu d loss. If t e infant is tachypnea,
fluids are given parenteral to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The c (RSV). The nurse knows that a child
infected with this very S tie organism is respiratory syncytial virus s requires what type of
isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. Standard Precautions
ANSWER: C
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
gloved hand. Children are placed in a private room or in a room with other children with RSV
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
children need to be protected from exposure to the virus. The virus is not airborne.
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
respiration. This suggests what condition?
,3|Page
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea
ANSWER: A
Asthma may have these chronic signs ND symptoms. Pneumonia appears with an acute onset,
fever, And general malaise. Bronchiolitis s n acute condition caused by respiratory syncytial
Virus. Foreign body in the trachea occurs with ace e respiratory distress or failure and maybe
stridor.
4. Which nursing diagnosis is most appropriate e for an infant with acute bronchiolitis due
to respiratory syncytial virus (RSV)?
a. Activity Intolerance
b. Decreased Cardiac Output
c. Pain, Acute
d. Tissue Perfusion, Ineffective (peripheral)
ANS. A
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
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Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
affected by this respiratory disease process.
Chapter 2: Asthma
1. The nurse is caring for a child hospitalized for stat s asthmatics. Which assessment
finding suggests that the child’s condition is worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANSWER: A
The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability,
and increased heart and respiratory rate. As the child tires from the increased work of breathing
hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for
signs of hypoxia. Thirst would reflect the child’s hydration status. Bradycardia is not a sign of
hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The
presence of clubbing does not indicate the child’s condition is worsening.
2. Which finding is expected when assessing a child hospitalized for asthma?
a. Inspiratory stridor
b. Harsh, barky cough
c. Wheezing
d. Rhinorrhea
ANSWER: C
Wheezing is a classic manifest tion of sthma. Inspiratory stridor is a clinical manifestation of
croup. A harsh, barky cough is character st c of croup. R inorrhea is not associated with asthma.
TEST BANK FOR PEDIATRIC NURSING: A CASE-
BASED APPROACH (2ND EDITION) BY GANNON
& KNAPP – COMPLETE VERIFIED Q&A FOR
ALL CHAPTERS
,2|Page
Chapter 01: Bronchiolitis
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antibiotics as ordered.
c. Restrict oral and parenteral fluids if tachypnea.
d. Give cool, humidified oxygen.
ANSWER: D
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
Tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
degree angle and the neck slightly extended to m Nat n an open airway and decrease pressure on
the diaphragm. The etiology of bronchiolitis is very l. Ant b optics are given only if there is a
secondary bacterial infection. Tachypnea increases insensible flu d loss. If t e infant is tachypnea,
fluids are given parenteral to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The c (RSV). The nurse knows that a child
infected with this very S tie organism is respiratory syncytial virus s requires what type of
isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. Standard Precautions
ANSWER: C
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
gloved hand. Children are placed in a private room or in a room with other children with RSV
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
children need to be protected from exposure to the virus. The virus is not airborne.
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of
respiration. This suggests what condition?
,3|Page
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea
ANSWER: A
Asthma may have these chronic signs ND symptoms. Pneumonia appears with an acute onset,
fever, And general malaise. Bronchiolitis s n acute condition caused by respiratory syncytial
Virus. Foreign body in the trachea occurs with ace e respiratory distress or failure and maybe
stridor.
4. Which nursing diagnosis is most appropriate e for an infant with acute bronchiolitis due
to respiratory syncytial virus (RSV)?
a. Activity Intolerance
b. Decreased Cardiac Output
c. Pain, Acute
d. Tissue Perfusion, Ineffective (peripheral)
ANS. A
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
this respiratory disease process.
, 4|Page
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
affected by this respiratory disease process.
Chapter 2: Asthma
1. The nurse is caring for a child hospitalized for stat s asthmatics. Which assessment
finding suggests that the child’s condition is worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANSWER: A
The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability,
and increased heart and respiratory rate. As the child tires from the increased work of breathing
hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for
signs of hypoxia. Thirst would reflect the child’s hydration status. Bradycardia is not a sign of
hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The
presence of clubbing does not indicate the child’s condition is worsening.
2. Which finding is expected when assessing a child hospitalized for asthma?
a. Inspiratory stridor
b. Harsh, barky cough
c. Wheezing
d. Rhinorrhea
ANSWER: C
Wheezing is a classic manifest tion of sthma. Inspiratory stridor is a clinical manifestation of
croup. A harsh, barky cough is character st c of croup. R inorrhea is not associated with asthma.
