Test Bank For Pediatric Nursing- A Case-Based Approach
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,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.
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 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
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?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea
ANSWER: 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 sbody sin sthe strachea soccurs swith sacute srespiratory sdistress sor sfailure sand smaybe
s stridor.
4. Which snursing sdiagnosis sis smost sappropriate sfor san sinfant swith sacute sbronchiolitis
sdue sto s respiratory ssyncytial svirus s(RSV)?
a. Activity sIntolerance
b. Decreased sCardiac sOutput
c. Pain, sAcute
d. Tissue sPerfusion, sIneffective
s(peripheral) s ANS. sA
Rationale s1: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s2: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s3: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s4: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Global sRationale: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween
soxygen s supply sand sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. s Pain sis snot s usually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot s affected sby sthis srespiratory-disease sprocess.
Chapter s2: sAsthma
1. The snurse sis scaring sfor sa schild shospitalized sfor sstatus sasthmaticus. sWhich sassessment
sfinding s suggests sthat sthe schilds scondition sis sworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
2nd Edition by Tagher Knapp
Chapters 1 - 34 | All Chapters
,
,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.
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 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
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?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea
ANSWER: 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 sbody sin sthe strachea soccurs swith sacute srespiratory sdistress sor sfailure sand smaybe
s stridor.
4. Which snursing sdiagnosis sis smost sappropriate sfor san sinfant swith sacute sbronchiolitis
sdue sto s respiratory ssyncytial svirus s(RSV)?
a. Activity sIntolerance
b. Decreased sCardiac sOutput
c. Pain, sAcute
d. Tissue sPerfusion, sIneffective
s(peripheral) s ANS. sA
Rationale s1: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s2: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s3: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Rationale s4: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween soxygen
ssupply s and sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. sPain sis s not susually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot saffected sby s this srespiratory-disease sprocess.
Global sRationale: sActivity sintolerance sis sa sproblem sbecause sof sthe simbalance sbetween
soxygen s supply sand sdemand. sCardiac soutput sis snot scompromised sduring san sacute sphase sof
sbronchiolitis. s Pain sis snot s usually sassociated swith sacute sbronchiolitis. sTissue sperfusion
s(peripheral) sis snot s affected sby sthis srespiratory-disease sprocess.
Chapter s2: sAsthma
1. The snurse sis scaring sfor sa schild shospitalized sfor sstatus sasthmaticus. sWhich sassessment
sfinding s suggests sthat sthe schilds scondition sis sworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
