Test Bank for Pediatric Nursing: A Case-Based Approach 2nd Edition Updated 2025–2026 Complete Exam Questions and Answers Study Guide for Tagher & Knapp Pediatric Nursing Success

Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp




TEST BANK
Pediatric Nursing, A Case-
Based Approach, 2nd Edition By
Tagher Knapp




Chapter 1: Bronchiolitis

, Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp


1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. T T T T T T T




b. Administer antibiotics as ordered. T T T




c. Restrict oral and parenteral fluids if tachypneic.
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d. Give cool, humidified oxygen. ANS: D
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Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
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tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree angle
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and the neck slightly extended to maintain an open airway and decrease pressure on the diaphragm.
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The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial infection.
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Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are given parenterally to
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prevent dehydration. T




2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial virus
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(RSV). The nurse knows that a child infected with this virus requires what type of isolation?
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a. Reverse isolation T




b. Airborne isolation T




c. Contact Precautions T




d. Standard Precautions ANS: C T T T




RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
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Contact Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
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is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Children
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are placed in a private room or in a room with other children with RSV infections. Reverse isolation
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focuses on keeping bacteria away from the infant. With RSV, other children need to be protected from
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exposure to the virus. The virus is not airborne.
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, Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp


3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration. This
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suggests what condition?
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a. Asthma

b. Pneumonia



c. Bronchiolitis

d. Foreign body in trachea ANS: A T T T T T




Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
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and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
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virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
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4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
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respiratory syncytial virus (RSV)?
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a. Activity Intolerance T




b. Decreased Cardiac Output T T




c. Pain, Acute T




d. Tissue Perfusion, Ineffective (peripheral) ANS. A
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Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
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respiratorydisease process. T




Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
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respiratorydisease process. T




Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
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respiratorydisease process. T

, Pediatric Nursing, A Case-Based Approach, 2nd Edition By Tagher Knapp


Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
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respiratorydisease process. T




Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen supply and
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demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
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associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
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respiratorydisease process. T




Chapter 2: Asthma
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1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
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suggests that the childs condition is worsening?
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a. Hypoventilation

b. Thirst



c. Bradycardia

d. Clubbing ANS: A T T




The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability, and
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increased heart and respiratory rate. As the child tires from the increased work of breathing
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hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for signs of
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hypoxia. Thirst would reflect the childs hydration status. Bradycardia is not a sign of hypoxia;
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tachycardia is. Clubbing develops over a period of months in response to hypoxia. The presence of
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clubbing does not indicate the childs condition is worsening.
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