Test Bank for Pediatric Nursing –
A Case-Based Approach 1st
Edition Tagher Knapp
BetterAcademics
BETTERACADEMICS on Stuvia
,Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
Chapter 1: 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 tachypneic.
d. Give cool, humidified oxygen. ANS: 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 maintain an open airway and decrease pressure on the diaphragm. The etiology of
bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial infection. Tachypnea increases
insensible fluid loss. If the infant is tachypneic, fluids are given parenterally to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The
nurse knows that a child infected with this virus requires what type of isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. Standard Precautions ANS: 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?
a. Asthma
b. Pneumonia
,c. Bronchiolitis
d. Foreign body in trachea ANS: A
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
4. Which nursing diagnosis is most appropriate 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.
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 status asthmaticus. Which assessment finding suggests that
the childs condition is worsening?
, a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing ANS: 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 childs
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 childs 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 ANS: C
Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical manifestation of
croup. A harsh, barky cough is characteristic of croup. Rhinorrhea is not associated with asthma.
3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal
drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes these symptoms are
characteristic of which respiratory condition?
a. Allergic rhinitis
b. Bronchitis
c. Asthma
d. Sinusitis ANS: D
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of fullness over the
affected sinuses, halitosis, and a cough that increases when the child is lying down. The classic symptoms of allergic
rhinitis are watery rhinorrhea, itchy nose, eyes, ears, and palate, and sneezing. Symptoms occur as long as the child
is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis and a cough that is initially
A Case-Based Approach 1st
Edition Tagher Knapp
BetterAcademics
BETTERACADEMICS on Stuvia
,Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
Chapter 1: 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 tachypneic.
d. Give cool, humidified oxygen. ANS: 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 maintain an open airway and decrease pressure on the diaphragm. The etiology of
bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial infection. Tachypnea increases
insensible fluid loss. If the infant is tachypneic, fluids are given parenterally to prevent dehydration.
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus (RSV). The
nurse knows that a child infected with this virus requires what type of isolation?
a. Reverse isolation
b. Airborne isolation
c. Contact Precautions
d. Standard Precautions ANS: 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?
a. Asthma
b. Pneumonia
,c. Bronchiolitis
d. Foreign body in trachea ANS: A
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
4. Which nursing diagnosis is most appropriate 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.
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 status asthmaticus. Which assessment finding suggests that
the childs condition is worsening?
, a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing ANS: 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 childs
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 childs 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 ANS: C
Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical manifestation of
croup. A harsh, barky cough is characteristic of croup. Rhinorrhea is not associated with asthma.
3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with purulent nasal
drainage, facial tenderness, and a cough that increases during sleep. The nurse recognizes these symptoms are
characteristic of which respiratory condition?
a. Allergic rhinitis
b. Bronchitis
c. Asthma
d. Sinusitis ANS: D
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of fullness over the
affected sinuses, halitosis, and a cough that increases when the child is lying down. The classic symptoms of allergic
rhinitis are watery rhinorrhea, itchy nose, eyes, ears, and palate, and sneezing. Symptoms occur as long as the child
is exposed to the allergen. Bronchitis is characterized by a gradual onset of rhinitis and a cough that is initially
