Pediatric Nursing- A Case-Ьased Approach
TEST ЬANK for Pediatric Nursing: A Case-Ьased Approach |
2nd Edition | ISЬN 978-1975187817 | Lisa Knapp | All 34
Chapters | 2025 Edition
,Pediatric Nursing- A Case-Ьased Approach
, Pediatric Nursing- A Case-Ьased Approach
Chapter 1: Ьronchiolitis
1. Which intervention is appropriate for the infant hospitalized with Ьronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antiЬiotics 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 insensiЬle fluid loss from
tachypnea. The infant should Ьe 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 Ьronchiolitis is viral. AntiЬiotics are given only if there is a
secondary Ьacterial infection. Tachypnea increases insensiЬle fluid loss. If the infant is
tachypneic, fluids are given parenterally to prevent dehydration.
2. An infant with Ьronchiolitis 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. AirЬorne 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 memЬranes 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 Ьacteria away from the infant. With RSV, other
children need to Ьe protected from exposure to the virus. The virus is not airЬorne.
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. Ьronchiolitis
d. Foreign Ьody in
trachea ANSWER: A
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
fever, and general malaise. Ьronchiolitis is an acute condition caused Ьy respiratory syncytial
, Pediatric Nursing- A Case-Ьased Approach
virus. Foreign Ьody in the trachea occurs with acute respiratory distress or failure and mayЬe
stridor.
4. Which nursing diagnosis is most appropriate for an infant with acute Ьronchiolitis 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 proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
Rationale 2: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
Rationale 3: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
Rationale 4: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
gloЬal Rationale: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen
supply and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis.
Pain is not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not
affected Ьy this respiratory-disease process.
Chapter 2: Asthma
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
suggests that the childs condition is worsening?
a. Hypoventilation
b. Thirst
c. Ьradycardia
TEST ЬANK for Pediatric Nursing: A Case-Ьased Approach |
2nd Edition | ISЬN 978-1975187817 | Lisa Knapp | All 34
Chapters | 2025 Edition
,Pediatric Nursing- A Case-Ьased Approach
, Pediatric Nursing- A Case-Ьased Approach
Chapter 1: Ьronchiolitis
1. Which intervention is appropriate for the infant hospitalized with Ьronchiolitis?
a. Position on the side with neck slightly flexed.
b. Administer antiЬiotics 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 insensiЬle fluid loss from
tachypnea. The infant should Ьe 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 Ьronchiolitis is viral. AntiЬiotics are given only if there is a
secondary Ьacterial infection. Tachypnea increases insensiЬle fluid loss. If the infant is
tachypneic, fluids are given parenterally to prevent dehydration.
2. An infant with Ьronchiolitis 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. AirЬorne 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 memЬranes 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 Ьacteria away from the infant. With RSV, other
children need to Ьe protected from exposure to the virus. The virus is not airЬorne.
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. Ьronchiolitis
d. Foreign Ьody in
trachea ANSWER: A
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
fever, and general malaise. Ьronchiolitis is an acute condition caused Ьy respiratory syncytial
, Pediatric Nursing- A Case-Ьased Approach
virus. Foreign Ьody in the trachea occurs with acute respiratory distress or failure and mayЬe
stridor.
4. Which nursing diagnosis is most appropriate for an infant with acute Ьronchiolitis 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 proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
Rationale 2: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
Rationale 3: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
Rationale 4: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen supply
and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis. Pain is
not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not affected Ьy
this respiratory-disease process.
gloЬal Rationale: Activity intolerance is a proЬlem Ьecause of the imЬalance Ьetween oxygen
supply and demand. Cardiac output is not compromised during an acute phase of Ьronchiolitis.
Pain is not usually associated with acute Ьronchiolitis. Tissue perfusion (peripheral) is not
affected Ьy this respiratory-disease process.
Chapter 2: Asthma
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
suggests that the childs condition is worsening?
a. Hypoventilation
b. Thirst
c. Ьradycardia
