COMPLETE TEST BANK FOR PEDIATRIC NURSING: A
CASE-BASED
APPROACH 2ND EDITION
BY DR. GANNON TAGHER, DR. LISA KNAPP
1
,TABLE OF CONTENTS
CHAPTER 1: BRONCHIOLITIS ...................................................................................................................................... 3
CHAPTER 2: ASTHMA ................................................................................................................................................ 5
CHAPTER 3: ULNAR FRACTURE .................................................................................................................................11
CHAPTER 4: URINARY TRACT INFECTION AND PYELONEPHRITIS ............................................................................ 15
CHAPTER 5: GASTROENTERITIS, FEVER, AND DEHYDRATION.................................................................................. 24
CHAPTER 6: LEUKEMIA ............................................................................................................................................ 44
CHAPTER 7: HEART FAILURE.................................................................................................................................... 50
CHAPTER 8: FAILURE TO THRIVE ............................................................................................................................. 56
CHAPTER 9: TONIC-CLONIC SEIZURES ...................................................................................................................... 58
CHAPTER 10: DIABETES MELLITUS TYPE 1 ................................................................................................................ 63
CHAPTER 11: SECOND-DEGREE BURNS ..................................................................................................................... 69
CHAPTER 12: SICKLE CELL ANEMIA .......................................................................................................................... 73
CHAPTER 13: ATTENTION DEFICIT HYPERACTIVITY DISORDER ................................................................................ 76
CHAPTER 14: OBESITY.............................................................................................................................................. 78
CHAPTER 15: NEVAEH MCCLURE: CEREBRAL PALSY ................................................................................................. 81
CHAPTER 16: CARE OF THE NEWBORN AND INFANT ............................................................................................. 102
CHAPTER 17: CARE OF THE TODDLER ...................................................................................................................... 111
CHAPTER 18: CARE OF THE PRESCHOOLER ............................................................................................................. 120
CHAPTER 19: CARE OF THE SCHOOL-AGE CHILD .................................................................................................... 139
CHAPTER 20: CARE OF THE ADOLESCENT .............................................................................................................. 146
CHAPTER 21: ALTERATIONS IN RESPIRATORY FUNCTION ..................................................................................... 154
CHAPTER 22: ALTERATIONS IN CARDIAC FUNCTION ............................................................................................. 188
CHAPTER 23: ALTERATIONS IN NEUROLOGICAL AND SENSORY FUNCTION .......................................................... 204
CHAPTER 24: ALTERATIONS IN GASTROINTESTINAL FUNCTION ........................................................................... 214
CHAPTER 25: ALTERATIONS IN GENITOURINARY FUNCTION ................................................................................ 230
CHAPTER 26: ALTERATIONS IN HEMATOLOGICAL FUNCTION ............................................................................... 247
CHAPTER 27: ONCOLOGICAL DISORDERS............................................................................................................... 264
CHAPTER 28: ALTERATIONS IN MUSCULOSKELETAL FUNCTION ............................................................................ 283
CHAPTER 29: ALTERATIONS IN NEUROMUSCULAR FUNCTION ............................................................................... 311
CHAPTER 30: ALTERATIONS IN INTEGUMENTARY FUNCTION ............................................................................... 325
CHAPTER 31: ALTERATIONS IN IMMUNE FUNCTION ............................................................................................. 345
CHAPTER 32: ALTERATIONS IN ENDOCRINE FUNCTION ........................................................................................ 354
CHAPTER 33: GENETIC DISORDERS ........................................................................................................................ 375
CHAPTER 34: ALTERATIONS IN COGNITION AND MENTAL HEALTH ...................................................................... 386
CHAPTER 35: PEDIATRIC EMERGENCIES ................................................................................................................. 403
2
,PEDIATRIC NURSING – A CASE-BASED APPROACH 2ND 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
3
, 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.
4
CASE-BASED
APPROACH 2ND EDITION
BY DR. GANNON TAGHER, DR. LISA KNAPP
1
,TABLE OF CONTENTS
CHAPTER 1: BRONCHIOLITIS ...................................................................................................................................... 3
CHAPTER 2: ASTHMA ................................................................................................................................................ 5
CHAPTER 3: ULNAR FRACTURE .................................................................................................................................11
CHAPTER 4: URINARY TRACT INFECTION AND PYELONEPHRITIS ............................................................................ 15
CHAPTER 5: GASTROENTERITIS, FEVER, AND DEHYDRATION.................................................................................. 24
CHAPTER 6: LEUKEMIA ............................................................................................................................................ 44
CHAPTER 7: HEART FAILURE.................................................................................................................................... 50
CHAPTER 8: FAILURE TO THRIVE ............................................................................................................................. 56
CHAPTER 9: TONIC-CLONIC SEIZURES ...................................................................................................................... 58
CHAPTER 10: DIABETES MELLITUS TYPE 1 ................................................................................................................ 63
CHAPTER 11: SECOND-DEGREE BURNS ..................................................................................................................... 69
CHAPTER 12: SICKLE CELL ANEMIA .......................................................................................................................... 73
CHAPTER 13: ATTENTION DEFICIT HYPERACTIVITY DISORDER ................................................................................ 76
CHAPTER 14: OBESITY.............................................................................................................................................. 78
CHAPTER 15: NEVAEH MCCLURE: CEREBRAL PALSY ................................................................................................. 81
CHAPTER 16: CARE OF THE NEWBORN AND INFANT ............................................................................................. 102
CHAPTER 17: CARE OF THE TODDLER ...................................................................................................................... 111
CHAPTER 18: CARE OF THE PRESCHOOLER ............................................................................................................. 120
CHAPTER 19: CARE OF THE SCHOOL-AGE CHILD .................................................................................................... 139
CHAPTER 20: CARE OF THE ADOLESCENT .............................................................................................................. 146
CHAPTER 21: ALTERATIONS IN RESPIRATORY FUNCTION ..................................................................................... 154
CHAPTER 22: ALTERATIONS IN CARDIAC FUNCTION ............................................................................................. 188
CHAPTER 23: ALTERATIONS IN NEUROLOGICAL AND SENSORY FUNCTION .......................................................... 204
CHAPTER 24: ALTERATIONS IN GASTROINTESTINAL FUNCTION ........................................................................... 214
CHAPTER 25: ALTERATIONS IN GENITOURINARY FUNCTION ................................................................................ 230
CHAPTER 26: ALTERATIONS IN HEMATOLOGICAL FUNCTION ............................................................................... 247
CHAPTER 27: ONCOLOGICAL DISORDERS............................................................................................................... 264
CHAPTER 28: ALTERATIONS IN MUSCULOSKELETAL FUNCTION ............................................................................ 283
CHAPTER 29: ALTERATIONS IN NEUROMUSCULAR FUNCTION ............................................................................... 311
CHAPTER 30: ALTERATIONS IN INTEGUMENTARY FUNCTION ............................................................................... 325
CHAPTER 31: ALTERATIONS IN IMMUNE FUNCTION ............................................................................................. 345
CHAPTER 32: ALTERATIONS IN ENDOCRINE FUNCTION ........................................................................................ 354
CHAPTER 33: GENETIC DISORDERS ........................................................................................................................ 375
CHAPTER 34: ALTERATIONS IN COGNITION AND MENTAL HEALTH ...................................................................... 386
CHAPTER 35: PEDIATRIC EMERGENCIES ................................................................................................................. 403
2
,PEDIATRIC NURSING – A CASE-BASED APPROACH 2ND 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
3
, 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.
4
