PEDIATRIC NURSING: A CASE-BASED APPROACH, 2ND EDITION
Comprehensive Test Bank: 300 NCLEX-Style Questions
TABLE OF CONTENTS
| Section | Topic | Questions | Page |
|||||
| 1 | Unit 1: Scenarios for Clinical Preparation (Chapters 1–15) | 1–60 | 3 |
| 2 | Unit 2: Care of the Developing Child (Chapters 16–20) | 61–105 | 15 |
| 3 | Unit 3: Care of the Hospitalized Child (Chapters 21–34) | 106–270 | 26 |
| 4 | Pediatric Emergencies | 271–300 | 62 |
| 5 | Consolidated Answer Key | — | 68 |
| 6 | References | — | 71 |
EXAM OVERVIEW
| Item | Detail |
|||
| Textbook | Pediatric Nursing: A CaseBased Approach, 2nd Edition |
| Authors | Catherine Gannon Tagher, Lisa Marie Knapp |
| Publisher | Wolters Kluwer / Lippincott Williams & Wilkins |
,| Publication Date | September 18, 2023 |
| ISBN | 9781975209063 |
| Total Questions | 300 |
| Question Type | Multiple Choice (A–D) |
| Difficulty Mix | 30% Easy (90) · 40% Medium (120) · 30% Hard (90) |
| Answer Format | Correct answer immediately following each question with explanation |
| NCLEX Categories | Safe and Effective Care Environment, Health Promotion, Physiological
Integrity, Psychosocial Integrity |
UNIT 1: SCENARIOS FOR CLINICAL PREPARATION
Questions 1–60
Q1. 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
Explanation: 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 40degree angle and the neck slightly extended to maintain an
,open airway. The etiology of bronchiolitis is viral; antibiotics are given only if there is a
secondary bacterial infection. If the infant is tachypneic, fluids are given parenterally to
prevent dehydration.
Q2. 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
Explanation: 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. Children are placed in a private room or in a room with other
children with RSV infections. The virus is not airborne.
Q3. 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
Explanation: 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 body in the trachea occurs with acute respiratory
distress or failure and may be stridor.
Q4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due
to respiratory syncytial virus (RSV)?
A. Activity Intolerance
B. Decreased Cardiac Output
C. Pain, Acute
D. Tissue Perfusion, Ineffective (peripheral)
Answer: A
Explanation: Activity intolerance is a problem because of the imbalance between oxygen
supply and demand. Cardiac output is not compromised during an acute phase of
bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion
(peripheral) is not affected by this respiratory disease process.
Comprehensive Test Bank: 300 NCLEX-Style Questions
TABLE OF CONTENTS
| Section | Topic | Questions | Page |
|||||
| 1 | Unit 1: Scenarios for Clinical Preparation (Chapters 1–15) | 1–60 | 3 |
| 2 | Unit 2: Care of the Developing Child (Chapters 16–20) | 61–105 | 15 |
| 3 | Unit 3: Care of the Hospitalized Child (Chapters 21–34) | 106–270 | 26 |
| 4 | Pediatric Emergencies | 271–300 | 62 |
| 5 | Consolidated Answer Key | — | 68 |
| 6 | References | — | 71 |
EXAM OVERVIEW
| Item | Detail |
|||
| Textbook | Pediatric Nursing: A CaseBased Approach, 2nd Edition |
| Authors | Catherine Gannon Tagher, Lisa Marie Knapp |
| Publisher | Wolters Kluwer / Lippincott Williams & Wilkins |
,| Publication Date | September 18, 2023 |
| ISBN | 9781975209063 |
| Total Questions | 300 |
| Question Type | Multiple Choice (A–D) |
| Difficulty Mix | 30% Easy (90) · 40% Medium (120) · 30% Hard (90) |
| Answer Format | Correct answer immediately following each question with explanation |
| NCLEX Categories | Safe and Effective Care Environment, Health Promotion, Physiological
Integrity, Psychosocial Integrity |
UNIT 1: SCENARIOS FOR CLINICAL PREPARATION
Questions 1–60
Q1. 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
Explanation: 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 40degree angle and the neck slightly extended to maintain an
,open airway. The etiology of bronchiolitis is viral; antibiotics are given only if there is a
secondary bacterial infection. If the infant is tachypneic, fluids are given parenterally to
prevent dehydration.
Q2. 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
Explanation: 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. Children are placed in a private room or in a room with other
children with RSV infections. The virus is not airborne.
Q3. 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
Explanation: 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 body in the trachea occurs with acute respiratory
distress or failure and may be stridor.
Q4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due
to respiratory syncytial virus (RSV)?
A. Activity Intolerance
B. Decreased Cardiac Output
C. Pain, Acute
D. Tissue Perfusion, Ineffective (peripheral)
Answer: A
Explanation: Activity intolerance is a problem because of the imbalance between oxygen
supply and demand. Cardiac output is not compromised during an acute phase of
bronchiolitis. Pain is not usually associated with acute bronchiolitis. Tissue perfusion
(peripheral) is not affected by this respiratory disease process.
