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 abody ain athe atrachea aoccurs awith aacute arespiratory adistress aor afailure aand
amaybe a stridor.
4. Which anursing adiagnosis ais amost aappropriate afor aan ainfant awith aacute abronchiolitis
adue ato a respiratory asyncytial avirus a(RSV)?
a. Activity aIntolerance
b. Decreased aCardiac aOutput
c. Pain, aAcute
d. Tissue aPerfusion, aIneffective
a(peripheral) a ANS. a A
Rationale a1: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Rationale a2: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Rationale a3: aActivity aintolerance a is aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. aPain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Rationale a4: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Global aRationale: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween
aoxygen a supply aand ademand. aCardiac aoutput a is anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais anot a usually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not a affected aby athis arespiratory-disease aprocess.
Chapter a2: aAsthma
1. The anurse ais acaring afor aa achild ahospitalized afor astatus aasthmaticus. a Which aassessment
a finding a suggests athat athe achilds acondition ais aworsening?
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 abody ain athe atrachea aoccurs awith aacute arespiratory adistress aor afailure aand
amaybe a stridor.
4. Which anursing adiagnosis ais amost aappropriate afor aan ainfant awith aacute abronchiolitis
adue ato a respiratory asyncytial avirus a(RSV)?
a. Activity aIntolerance
b. Decreased aCardiac aOutput
c. Pain, aAcute
d. Tissue aPerfusion, aIneffective
a(peripheral) a ANS. a A
Rationale a1: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Rationale a2: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Rationale a3: aActivity aintolerance a is aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. aPain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Rationale a4: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween aoxygen
asupply a and ademand. aCardiac aoutput ais anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais a not ausually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not aaffected aby a this arespiratory-disease aprocess.
Global aRationale: aActivity aintolerance ais aa aproblem abecause aof athe aimbalance abetween
aoxygen a supply aand ademand. aCardiac aoutput a is anot acompromised aduring aan aacute aphase aof
abronchiolitis. a Pain ais anot a usually aassociated awith aacute abronchiolitis. a Tissue aperfusion
a(peripheral) a is a not a affected aby athis arespiratory-disease aprocess.
Chapter a2: aAsthma
1. The anurse ais acaring afor aa achild ahospitalized afor astatus aasthmaticus. a Which aassessment
a finding a suggests athat athe achilds acondition ais aworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
