TEST BANK Pediatric Nursing- A Case-Based Approach 2nd
Edition by Tagher Knapp Chapters 1 - 34
Chapter 1: Bronchiolitis
,Table of content
Chapter 1: Introduction to Pediatric Nursing and Clinical Reasoning
Chapter 2: Family-Centered Care
Chapter 3: Growth and Development
Chapter 4: Physical Assessment and Health Promotion
Unit 2: The Hospitalized Child and Specialized Care
Chapter 5: Pediatric Medication Administration and Safety
Chapter 6: Impact of Hospitalization
Chapter 7: Palliative and End-of-Life Care
Unit 3: Pediatric Body Systems and Conditions (Chapters 8–33)
Respiratory: Bronchiolitis, Asthma
Cardiovascular: Congenital Heart Defects
Gastrointestinal: Nutrition and Digestion
Neurological: Seizures and Developmental Delays
Musculoskeletal: Fractures and Scoliosis
Immune/Infectious: Immunizations
Genitourinary: Renal and Reproductive Issues
Hematology/Oncology: Anemia, Leukemia
Endocrine: Diabetes Mellitus
Integumentary: Dermatological Conditions
Unit 4: Specialized Pediatric Topics
Chapter 34: Alterations in Cognition and Mental Health
Child Abuse and Neglect
School Health
,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
Edition by Tagher Knapp Chapters 1 - 34
Chapter 1: Bronchiolitis
,Table of content
Chapter 1: Introduction to Pediatric Nursing and Clinical Reasoning
Chapter 2: Family-Centered Care
Chapter 3: Growth and Development
Chapter 4: Physical Assessment and Health Promotion
Unit 2: The Hospitalized Child and Specialized Care
Chapter 5: Pediatric Medication Administration and Safety
Chapter 6: Impact of Hospitalization
Chapter 7: Palliative and End-of-Life Care
Unit 3: Pediatric Body Systems and Conditions (Chapters 8–33)
Respiratory: Bronchiolitis, Asthma
Cardiovascular: Congenital Heart Defects
Gastrointestinal: Nutrition and Digestion
Neurological: Seizures and Developmental Delays
Musculoskeletal: Fractures and Scoliosis
Immune/Infectious: Immunizations
Genitourinary: Renal and Reproductive Issues
Hematology/Oncology: Anemia, Leukemia
Endocrine: Diabetes Mellitus
Integumentary: Dermatological Conditions
Unit 4: Specialized Pediatric Topics
Chapter 34: Alterations in Cognition and Mental Health
Child Abuse and Neglect
School Health
,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
