PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
TEST BANK m
Pediatric Nursing, A Case-
m m m
m Based Approach, 1st Edition By
m m m m m
Tagher Knapp m
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Chapterm1:mBronchiolitis
1. Whichminterventionmismappropriate mformthe minfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthe mside mwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmif mtachypneic.
d. Give mcool,mhumidifiedmoxygen.mANS:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelieve mdyspnea,mhypoxemia, mandminsensible mfluidmlossmfrom
tachypnea.mThe minfantmshouldmbe mpositionedmwithmthe mheadmandmchestmelevatedmatmam30-mtom40-
degree manglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressure mo
nmthe mdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmare mgivenmonlymifmthere mismamsecon
darymbacterialminfection.mTachypneamincreasesminsensible mfluidmloss.mIfmtheminfantmismtachypneic,mfluids
m are m givenmparenterally m tom preventm dehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThe mcausativemorganismmismrespiratorymsyncytialm
virusm(RSV).mThe mnurse mknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype mof misolation?
a. Reverse misolation
b. Airborne misolation
c. ContactmPrecautions
d. StandardmPrecautionsmANS:mC
RSV mismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
ContactmPrecautionsmaremrequired.mCaregiversmmustmuse mglovesmandmgownsmwhenmenteringmthe mroom.
m Caremism takenm notm tom touchm theirm ownm eyesm orm mucousm membranes mwithm am contaminated m glovedmhan
d.mChildrenmare mplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSV minfections.mReve
rse misolation
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
focusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothermchildrenmneedmtombemprotected
m frommexposure m tom the m virus. m The m virusm ism notm airborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphase mofmrespiration
.mThismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignmbodyminmtracheamANS:mA
Asthmammaymhavemthese mchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemo
nset,mfever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratoryms
yncytial
virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailure mandmmaybemstridor.
4. Whichmnursingmdiagnosismismmostmappropriate mformanminfantmwithmacutembronchiolitismdu
e mtomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. Tissue mPerfusion, mIneffective m(peripheral) mANS.mA
Rationale m1:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
Rationale m2:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Rationale m3:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
Rationale m4:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
GlobalmRationale:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupply
m andmdemand. mCardiacm outputm ismnotmcompromised mduringmanmacutem phasem of mbronchiolitis. m Painmism not
m usually m associated mwithmacutem bronchiolitis. m Tissue mperfusion m(peripheral) mism notmaffected mbym thism resp
iratory-mdisease mprocess.
Chapterm2:mAsthma
1. The mnurse mismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfi
ndingmsuggestsmthatmthe mchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. ClubbingmANS:mA
The mnurse mwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness, mfatigue,mirritability,mandmi
ncreasedmheartmandmrespiratorymrate.mAsmthe mchildmtiresmfrommthe mincreasedmworkmofmbreathingmhypoven
tilationmoccursmleadingmtomincreasedmcarbonmdioxide mlevels.mThe mnurse mwouldmbe malertmformsignsmof
BasedmApproach,m1stmEditionmBymTaghermKnapp
TEST BANK m
Pediatric Nursing, A Case-
m m m
m Based Approach, 1st Edition By
m m m m m
Tagher Knapp m
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Chapterm1:mBronchiolitis
1. Whichminterventionmismappropriate mformthe minfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthe mside mwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmif mtachypneic.
d. Give mcool,mhumidifiedmoxygen.mANS:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelieve mdyspnea,mhypoxemia, mandminsensible mfluidmlossmfrom
tachypnea.mThe minfantmshouldmbe mpositionedmwithmthe mheadmandmchestmelevatedmatmam30-mtom40-
degree manglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressure mo
nmthe mdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmare mgivenmonlymifmthere mismamsecon
darymbacterialminfection.mTachypneamincreasesminsensible mfluidmloss.mIfmtheminfantmismtachypneic,mfluids
m are m givenmparenterally m tom preventm dehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThe mcausativemorganismmismrespiratorymsyncytialm
virusm(RSV).mThe mnurse mknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype mof misolation?
a. Reverse misolation
b. Airborne misolation
c. ContactmPrecautions
d. StandardmPrecautionsmANS:mC
RSV mismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
ContactmPrecautionsmaremrequired.mCaregiversmmustmuse mglovesmandmgownsmwhenmenteringmthe mroom.
m Caremism takenm notm tom touchm theirm ownm eyesm orm mucousm membranes mwithm am contaminated m glovedmhan
d.mChildrenmare mplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSV minfections.mReve
rse misolation
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
focusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothermchildrenmneedmtombemprotected
m frommexposure m tom the m virus. m The m virusm ism notm airborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphase mofmrespiration
.mThismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignmbodyminmtracheamANS:mA
Asthmammaymhavemthese mchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemo
nset,mfever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratoryms
yncytial
virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailure mandmmaybemstridor.
4. Whichmnursingmdiagnosismismmostmappropriate mformanminfantmwithmacutembronchiolitismdu
e mtomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. Tissue mPerfusion, mIneffective m(peripheral) mANS.mA
Rationale m1:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
Rationale m2:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Rationale m3:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
Rationale m4:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplyma
ndmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis. mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismr
espiratory-mdisease mprocess.
GlobalmRationale:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupply
m andmdemand. mCardiacm outputm ismnotmcompromised mduringmanmacutem phasem of mbronchiolitis. m Painmism not
m usually m associated mwithmacutem bronchiolitis. m Tissue mperfusion m(peripheral) mism notmaffected mbym thism resp
iratory-mdisease mprocess.
Chapterm2:mAsthma
1. The mnurse mismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfi
ndingmsuggestsmthatmthe mchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. ClubbingmANS:mA
The mnurse mwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness, mfatigue,mirritability,mandmi
ncreasedmheartmandmrespiratorymrate.mAsmthe mchildmtiresmfrommthe mincreasedmworkmofmbreathingmhypoven
tilationmoccursmleadingmtomincreasedmcarbonmdioxide mlevels.mThe mnurse mwouldmbe malertmformsignsmof
