Test bank - Pediatric Nursing: A Case-Based
Approach 1st Edition Fully Updated!!!!
, Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
x x x x x x x x x x x
Chapter 1: Bronchiolitis x x
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
x x x x x x x x x
a. Position on the side with neck slightly flexed. x x x x x x x
b. Administer antibiotics as ordered. x x x
c. Restrict oral and parenteral fluids if tachypneic.
x x x x x x
d. Give cool, humidified oxygen. x x x
xANS: D x
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
x x x x x x x x x x x x x
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
x x x x x x x x x x x x x x x x
xangle and the neck slightly extended to maintain an open airway and decrease pressure on the
x x x x x x x x x x x x x x x
xdiaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
x x x x x x x x x x x x x x
xsecondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
x x x x x x x x x x x
xtachypneic, fluids are given parenterally to prevent dehydration.
x x x x x x x
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
x x x x x x x x x x x
virus (RSV). The nurse knows that a child infected with this virus requires what type of
x x x x x x x x x x x x x x x x
isolation?
x
a. Reverse isolation x
b. Airborne isolation x
c. Contact Precautions x
d. Standard Precautions x
ANS: C
x x
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
x x x x x x x x x x x x
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
x x x x x x x x x x x x
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
x x x x x x x x x x x x x x x x
gloved hand. Children are placed in a private room or in a room with other children with RSV
x x x x x x x x x x x x x x x x x x
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
x x x x x x x x x x x x x x
children need to be protected from exposure to the virus. The virus is not airborne.
x x x x x x x x x x x x x x x
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
x x x x x x x x x x x x x x
This suggests what condition?
x x x x
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea x x x
ANS: A
x x
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
x x x x x x x x x x x x x
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
x x x x x x x x x x x x
,virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
x x x x x x x x x x x x x x
stridor.
x
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
x x x x x x x x x x x x x
respiratory syncytial virus (RSV)?
x x x x
a. Activity Intolerance x
b. Decreased Cardiac Output x x
c. Pain, Acute x
d. Tissue Perfusion, Ineffective (peripheral)
x x x
ANS. A
x x
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
x x x x x x x x x x x x
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
x x x x x x x x x x x x x x
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
x x x x x x x x x x x x x
affected by this respiratory-disease process.
x x x x x
Chapter 2: Asthma x x
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
x x x x x x x x x x x x x
suggests that the childs condition is worsening?
x x x x x x x
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
x x
, The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability,
x x x x x x x x x x x x x
and increased heart and respiratory rate. As the child tires from the increased work of breathing
x x x x x x x x x x x x x x x x
hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for
x x x x x x x x x x x x x x
signs of hypoxia. Thirst would reflect the childs hydration status. Bradycardia is not a sign of
x x x x x x x x x x x x x x x x
hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The
x x x x x x x x x x x x x x x
presence of clubbing does not indicate the childs condition is worsening.
x x x x x x x x x x x
2. Which finding is expected when assessing a child hospitalized for asthma?
x x x x x x x x x x
a. Inspiratory stridor x
b. Harsh, barky cough x x
c. Wheezing
d. Rhinorrhea
ANS: C
x x
Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical manifestation of
x x x x x x x x x x x x x
croup. A harsh, barky cough is characteristic of croup. Rhinorrhea is not associated with asthma.
x x x x x x x x x x x x x x
3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
x x x x x x x x x x x x x x x
purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse
x x x x x x x x x x x x x x
recognizes these symptoms are characteristic of which respiratory condition?
x x x x x x x x x
a. Allergic rhinitis x
b. Bronchitis
c. Asthma
d. Sinusitis
xANS: D x
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
x x x x x x x x x x x x x x x x x
low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling
x x x x x x x x x x x
xof fullness over the affected sinuses, halitosis, and a cough that increases when the child is lying
x x x x x x x x x x x x x x x x
xdown. The classic symptoms of allergic rhinitis are watery rhinorrhea, itchy nose, eyes, ears, and
x x x x x x x x x x x x x x
xpalate, and sneezing. Symptoms occur as long as the child is exposed to the allergen. Bronchitis
x x x x x x x x x x x x x x x
xis characterized by a gradual onset of rhinitis and a cough that is initially nonproductive but may
x x x x x x x x x x x x x x x x
xchange to a loose cough. The manifestations of asthma may vary, with wheezing being a classic
x x x x x x x x x x x x x x x
xsign. The symptoms presented in the question do not suggest asthma.
x x x x x x x x x x
4. What is a common trigger for asthma attacks in children?
x x x x x x x x x
a. Febrile episodes x
b. Dehydration
c. Exercise
d. Seizures
ANS: C
x x
Approach 1st Edition Fully Updated!!!!
, Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
x x x x x x x x x x x
Chapter 1: Bronchiolitis x x
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
x x x x x x x x x
a. Position on the side with neck slightly flexed. x x x x x x x
b. Administer antibiotics as ordered. x x x
c. Restrict oral and parenteral fluids if tachypneic.
x x x x x x
d. Give cool, humidified oxygen. x x x
xANS: D x
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
x x x x x x x x x x x x x
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
x x x x x x x x x x x x x x x x
xangle and the neck slightly extended to maintain an open airway and decrease pressure on the
x x x x x x x x x x x x x x x
xdiaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
x x x x x x x x x x x x x x
xsecondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
x x x x x x x x x x x
xtachypneic, fluids are given parenterally to prevent dehydration.
x x x x x x x
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
x x x x x x x x x x x
virus (RSV). The nurse knows that a child infected with this virus requires what type of
x x x x x x x x x x x x x x x x
isolation?
x
a. Reverse isolation x
b. Airborne isolation x
c. Contact Precautions x
d. Standard Precautions x
ANS: C
x x
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
x x x x x x x x x x x x
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
x x x x x x x x x x x x
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
x x x x x x x x x x x x x x x x
gloved hand. Children are placed in a private room or in a room with other children with RSV
x x x x x x x x x x x x x x x x x x
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
x x x x x x x x x x x x x x
children need to be protected from exposure to the virus. The virus is not airborne.
x x x x x x x x x x x x x x x
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
x x x x x x x x x x x x x x
This suggests what condition?
x x x x
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea x x x
ANS: A
x x
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
x x x x x x x x x x x x x
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
x x x x x x x x x x x x
,virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
x x x x x x x x x x x x x x
stridor.
x
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
x x x x x x x x x x x x x
respiratory syncytial virus (RSV)?
x x x x
a. Activity Intolerance x
b. Decreased Cardiac Output x x
c. Pain, Acute x
d. Tissue Perfusion, Ineffective (peripheral)
x x x
ANS. A
x x
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
x x x x x x x x x x x x x
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
x x x x x x x x x x x x x x x
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
x x x x x x x x x x x x x
this respiratory-disease process.
x x x
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
x x x x x x x x x x x x
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
x x x x x x x x x x x x x x
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
x x x x x x x x x x x x x
affected by this respiratory-disease process.
x x x x x
Chapter 2: Asthma x x
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
x x x x x x x x x x x x x
suggests that the childs condition is worsening?
x x x x x x x
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
x x
, The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability,
x x x x x x x x x x x x x
and increased heart and respiratory rate. As the child tires from the increased work of breathing
x x x x x x x x x x x x x x x x
hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for
x x x x x x x x x x x x x x
signs of hypoxia. Thirst would reflect the childs hydration status. Bradycardia is not a sign of
x x x x x x x x x x x x x x x x
hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The
x x x x x x x x x x x x x x x
presence of clubbing does not indicate the childs condition is worsening.
x x x x x x x x x x x
2. Which finding is expected when assessing a child hospitalized for asthma?
x x x x x x x x x x
a. Inspiratory stridor x
b. Harsh, barky cough x x
c. Wheezing
d. Rhinorrhea
ANS: C
x x
Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical manifestation of
x x x x x x x x x x x x x
croup. A harsh, barky cough is characteristic of croup. Rhinorrhea is not associated with asthma.
x x x x x x x x x x x x x x
3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
x x x x x x x x x x x x x x x
purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse
x x x x x x x x x x x x x x
recognizes these symptoms are characteristic of which respiratory condition?
x x x x x x x x x
a. Allergic rhinitis x
b. Bronchitis
c. Asthma
d. Sinusitis
xANS: D x
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
x x x x x x x x x x x x x x x x x
low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling
x x x x x x x x x x x
xof fullness over the affected sinuses, halitosis, and a cough that increases when the child is lying
x x x x x x x x x x x x x x x x
xdown. The classic symptoms of allergic rhinitis are watery rhinorrhea, itchy nose, eyes, ears, and
x x x x x x x x x x x x x x
xpalate, and sneezing. Symptoms occur as long as the child is exposed to the allergen. Bronchitis
x x x x x x x x x x x x x x x
xis characterized by a gradual onset of rhinitis and a cough that is initially nonproductive but may
x x x x x x x x x x x x x x x x
xchange to a loose cough. The manifestations of asthma may vary, with wheezing being a classic
x x x x x x x x x x x x x x x
xsign. The symptoms presented in the question do not suggest asthma.
x x x x x x x x x x
4. What is a common trigger for asthma attacks in children?
x x x x x x x x x
a. Febrile episodes x
b. Dehydration
c. Exercise
d. Seizures
ANS: C
x x
