PEDIATRIC g
NURSING A CARE
g
Pediatric Nursing- A Case-Based Approach 1st Edition
g g g
g g
g g
BASED APPROCH
g g 1ST
Tagher Knapp Test BankEDITION
g g g g g
TAGHER KNAPP TEST BANK
g
Test Preparation (University of Mississippi)
g
g g
g
g g
g
, lOMoARcPSD| 14969581
1. Which gintervention gis gappropriate gfor gthe ginfant ghospitalized gwith gbronchiolitis?
a. Position gon gthe gside gwith gneck gslightly gflexed.
b. Administer gantibiotics gas gordered.
c. Restrict goral gand gparenteral gfluids gif gtachypneic.
d. Give gcool, ghumidified
goxygen. gANS: gD
Cool, ghumidified goxygen gis ggiven gto grelieve gdyspnea, ghypoxemia, gand ginsensible gfluid gloss gfrom
tachypnea. gThe ginfant gshould gbe gpositioned gwith gthe ghead gand gchest gelevated gat ga g30- gto g40-
degree gangle gand gthe gneck gslightly gextended gto gmaintain gan gopen gairway gand gdecrease gpressure
gon gthe gdiaphragm. gThe getiology gof gbronchiolitis gis gviral. gAntibiotics gare ggiven gonly gif gthere gis ga
gsecondary gbacterial ginfection. gTachypnea gincreases ginsensible gfluid gloss. gIf gthe ginfant gis
gtachypneic, gfluids gare ggiven gparenterally gto gprevent gdehydration.
2. An ginfant gwith gbronchiolitis gis ghospitalized. gThe gcausative gorganism gis grespiratory
gsyncytial gvirus g(RSV). gThe gnurse gknows gthat ga gchild ginfected gwith gthis gvirus grequires gwhat
gtype gof gisolation?
a. Reverse gisolation
b. Airborne gisolation
c. Contact gPrecautions
d. Standard gPrecautions
gANS: gC
RSV gis gtransmitted gthrough gdroplets. gIn gaddition gto gStandard gPrecautions gand ghand gwashing,
Contact gPrecautions gare grequired. gCaregivers gmust guse ggloves gand ggowns gwhen gentering gthe
groom. gCare gis gtaken gnot gto gtouch gtheir gown geyes gor gmucous gmembranes gwith ga gcontaminated
ggloved ghand. gChildren gare gplaced gin ga gprivate groom gor gin ga groom gwith gother gchildren gwith
gRSV ginfections. gReverse gisolation gfocuses gon gkeeping gbacteria gaway gfrom gthe ginfant. gWith
gRSV, gother gchildren gneed gto gbe gprotected gfrom gexposure gto gthe gvirus. gThe gvirus gis gnot
gairborne.
3. A gchild ghas ga gchronic gcough gand gdiffuse gwheezing gduring gthe gexpiratory gphase gof
grespiration. gThis gsuggests gwhat gcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign gbodygin
gtrachea gANS: gA
Asthma gmay ghave gthese gchronic gsigns gand gsymptoms. gPneumonia gappears gwith gan gacute gonset,
fever, gand ggeneral gmalaise. gBronchiolitis gis gan gacute gcondition gcaused gby grespiratory gsyncytial
,virus. gForeign gbody gin gthe gtrachea goccurs gwith gacute grespiratory gdistress gor gfailure gand gmaybe
gstridor.
4. Which gnursing gdiagnosis gis gmost gappropriate gfor gan ginfant gwith gacute gbronchiolitis
gdue gto grespiratory gsyncytial gvirus g(RSV)?
a. Activity gIntolerance
b. Decreased gCardiac gOutput
c. Pain, gAcute
d. Tissue gPerfusion, gIneffective g(peripheral)
gANS. gA
Rationale g1: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Rationale g2: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Rationale g3: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Rationale g4: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Global gRationale: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Chapter g2: gAsthma
1. The gnurse gis gcaring gfor ga gchild ghospitalized gfor gstatus gasthmaticus. gWhich
gassessment gfinding gsuggests gthat gthe gchilds gcondition gis gworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
gANS: gA
, The gnurse gwould gassess gthe gchild gfor gsigns gof ghypoxia, gincluding grestlessness, gfatigue,
girritability, gand gincreased gheart gand grespiratory grate. gAs gthe gchild gtires gfrom gthe gincreased gwork
gof gbreathing ghypoventilation goccurs gleading gto gincreased gcarbon gdioxide glevels. gThe gnurse
gwould gbe galert gfor gsigns gof ghypoxia. gThirst gwould greflect gthe gchilds ghydration gstatus.
gBradycardia gis gnot ga gsign gof ghypoxia; gtachycardia gis. gClubbing gdevelops gover ga gperiod gof
gmonths gin gresponse gto ghypoxia. gThe gpresence gof gclubbing gdoes gnot gindicate gthe gchilds
gcondition gis gworsening.
2. Which gfinding gis gexpected gwhen gassessing ga gchild ghospitalized gfor gasthma?
a. Inspiratory gstridor
b. Harsh, gbarky gcough
c. Wheezing
d. Rhinorrhea
gANS: gC
Wheezing gis ga gclassic gmanifestation gof gasthma. gInspiratory gstridor gis ga gclinical gmanifestation gof
croup. gA gharsh, gbarky gcough gis gcharacteristic gof gcroup. gRhinorrhea gis gnot gassociated gwith gasthma.
3. A gchild ghas ghad gcold gsymptoms gfor gmore gthan g2 gweeks, ga gheadache, gnasal gcongestion
gwith gpurulent gnasal gdrainage, gfacial gtenderness, gand ga gcough gthat gincreases gduring gsleep.
gThe gnurse grecognizes gthese gsymptoms gare gcharacteristic gof gwhich grespiratory gcondition?
a. Allergic grhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
gANS: gD
Sinusitis gis gcharacterized gby gsigns gand gsymptoms gof ga gcold gthat gdo gnot gimprove gafter g14 gdays, ga
low-grade gfever, gnasal gcongestion gand gpurulent gnasal gdischarge, gheadache, gtenderness, ga
gfeeling gof gfullness gover gthe gaffected gsinuses, ghalitosis, gand ga gcough gthat gincreases gwhen gthe
gchild gis glying gdown. gThe gclassic gsymptoms gof gallergic grhinitis gare gwatery grhinorrhea, gitchy
gnose, geyes, gears, gand gpalate, gand gsneezing. gSymptoms goccur gas glong gas gthe gchild gis gexposed gto
gthe gallergen. gBronchitis gis gcharacterized gby ga ggradual gonset gof grhinitis gand ga gcough gthat gis
ginitially gnonproductive gbut gmay gchange gto ga gloose gcough. gThe gmanifestations gof gasthma gmay
gvary, gwith gwheezing gbeing ga gclassic gsign. gThe gsymptoms gpresented gin gthe gquestion gdo gnot
gsuggest gasthma.
4. What gis ga gcommon gtrigger gfor gasthma gattacks gin gchildren?
a. Febrile gepisodes
b. Dehydration
c. Exercise
d. Seizures
gANS: gC
NURSING A CARE
g
Pediatric Nursing- A Case-Based Approach 1st Edition
g g g
g g
g g
BASED APPROCH
g g 1ST
Tagher Knapp Test BankEDITION
g g g g g
TAGHER KNAPP TEST BANK
g
Test Preparation (University of Mississippi)
g
g g
g
g g
g
, lOMoARcPSD| 14969581
1. Which gintervention gis gappropriate gfor gthe ginfant ghospitalized gwith gbronchiolitis?
a. Position gon gthe gside gwith gneck gslightly gflexed.
b. Administer gantibiotics gas gordered.
c. Restrict goral gand gparenteral gfluids gif gtachypneic.
d. Give gcool, ghumidified
goxygen. gANS: gD
Cool, ghumidified goxygen gis ggiven gto grelieve gdyspnea, ghypoxemia, gand ginsensible gfluid gloss gfrom
tachypnea. gThe ginfant gshould gbe gpositioned gwith gthe ghead gand gchest gelevated gat ga g30- gto g40-
degree gangle gand gthe gneck gslightly gextended gto gmaintain gan gopen gairway gand gdecrease gpressure
gon gthe gdiaphragm. gThe getiology gof gbronchiolitis gis gviral. gAntibiotics gare ggiven gonly gif gthere gis ga
gsecondary gbacterial ginfection. gTachypnea gincreases ginsensible gfluid gloss. gIf gthe ginfant gis
gtachypneic, gfluids gare ggiven gparenterally gto gprevent gdehydration.
2. An ginfant gwith gbronchiolitis gis ghospitalized. gThe gcausative gorganism gis grespiratory
gsyncytial gvirus g(RSV). gThe gnurse gknows gthat ga gchild ginfected gwith gthis gvirus grequires gwhat
gtype gof gisolation?
a. Reverse gisolation
b. Airborne gisolation
c. Contact gPrecautions
d. Standard gPrecautions
gANS: gC
RSV gis gtransmitted gthrough gdroplets. gIn gaddition gto gStandard gPrecautions gand ghand gwashing,
Contact gPrecautions gare grequired. gCaregivers gmust guse ggloves gand ggowns gwhen gentering gthe
groom. gCare gis gtaken gnot gto gtouch gtheir gown geyes gor gmucous gmembranes gwith ga gcontaminated
ggloved ghand. gChildren gare gplaced gin ga gprivate groom gor gin ga groom gwith gother gchildren gwith
gRSV ginfections. gReverse gisolation gfocuses gon gkeeping gbacteria gaway gfrom gthe ginfant. gWith
gRSV, gother gchildren gneed gto gbe gprotected gfrom gexposure gto gthe gvirus. gThe gvirus gis gnot
gairborne.
3. A gchild ghas ga gchronic gcough gand gdiffuse gwheezing gduring gthe gexpiratory gphase gof
grespiration. gThis gsuggests gwhat gcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign gbodygin
gtrachea gANS: gA
Asthma gmay ghave gthese gchronic gsigns gand gsymptoms. gPneumonia gappears gwith gan gacute gonset,
fever, gand ggeneral gmalaise. gBronchiolitis gis gan gacute gcondition gcaused gby grespiratory gsyncytial
,virus. gForeign gbody gin gthe gtrachea goccurs gwith gacute grespiratory gdistress gor gfailure gand gmaybe
gstridor.
4. Which gnursing gdiagnosis gis gmost gappropriate gfor gan ginfant gwith gacute gbronchiolitis
gdue gto grespiratory gsyncytial gvirus g(RSV)?
a. Activity gIntolerance
b. Decreased gCardiac gOutput
c. Pain, gAcute
d. Tissue gPerfusion, gIneffective g(peripheral)
gANS. gA
Rationale g1: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Rationale g2: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Rationale g3: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Rationale g4: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Global gRationale: gActivity gintolerance gis ga gproblem gbecause gof gthe gimbalance gbetween goxygen
gsupply gand gdemand. gCardiac goutput gis gnot gcompromised gduring gan gacute gphase gof
gbronchiolitis. gPain gis gnot gusually gassociated gwith gacute gbronchiolitis. gTissue gperfusion
g(peripheral) gis gnot gaffected gby gthis grespiratory-disease gprocess.
Chapter g2: gAsthma
1. The gnurse gis gcaring gfor ga gchild ghospitalized gfor gstatus gasthmaticus. gWhich
gassessment gfinding gsuggests gthat gthe gchilds gcondition gis gworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
gANS: gA
, The gnurse gwould gassess gthe gchild gfor gsigns gof ghypoxia, gincluding grestlessness, gfatigue,
girritability, gand gincreased gheart gand grespiratory grate. gAs gthe gchild gtires gfrom gthe gincreased gwork
gof gbreathing ghypoventilation goccurs gleading gto gincreased gcarbon gdioxide glevels. gThe gnurse
gwould gbe galert gfor gsigns gof ghypoxia. gThirst gwould greflect gthe gchilds ghydration gstatus.
gBradycardia gis gnot ga gsign gof ghypoxia; gtachycardia gis. gClubbing gdevelops gover ga gperiod gof
gmonths gin gresponse gto ghypoxia. gThe gpresence gof gclubbing gdoes gnot gindicate gthe gchilds
gcondition gis gworsening.
2. Which gfinding gis gexpected gwhen gassessing ga gchild ghospitalized gfor gasthma?
a. Inspiratory gstridor
b. Harsh, gbarky gcough
c. Wheezing
d. Rhinorrhea
gANS: gC
Wheezing gis ga gclassic gmanifestation gof gasthma. gInspiratory gstridor gis ga gclinical gmanifestation gof
croup. gA gharsh, gbarky gcough gis gcharacteristic gof gcroup. gRhinorrhea gis gnot gassociated gwith gasthma.
3. A gchild ghas ghad gcold gsymptoms gfor gmore gthan g2 gweeks, ga gheadache, gnasal gcongestion
gwith gpurulent gnasal gdrainage, gfacial gtenderness, gand ga gcough gthat gincreases gduring gsleep.
gThe gnurse grecognizes gthese gsymptoms gare gcharacteristic gof gwhich grespiratory gcondition?
a. Allergic grhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
gANS: gD
Sinusitis gis gcharacterized gby gsigns gand gsymptoms gof ga gcold gthat gdo gnot gimprove gafter g14 gdays, ga
low-grade gfever, gnasal gcongestion gand gpurulent gnasal gdischarge, gheadache, gtenderness, ga
gfeeling gof gfullness gover gthe gaffected gsinuses, ghalitosis, gand ga gcough gthat gincreases gwhen gthe
gchild gis glying gdown. gThe gclassic gsymptoms gof gallergic grhinitis gare gwatery grhinorrhea, gitchy
gnose, geyes, gears, gand gpalate, gand gsneezing. gSymptoms goccur gas glong gas gthe gchild gis gexposed gto
gthe gallergen. gBronchitis gis gcharacterized gby ga ggradual gonset gof grhinitis gand ga gcough gthat gis
ginitially gnonproductive gbut gmay gchange gto ga gloose gcough. gThe gmanifestations gof gasthma gmay
gvary, gwith gwheezing gbeing ga gclassic gsign. gThe gsymptoms gpresented gin gthe gquestion gdo gnot
gsuggest gasthma.
4. What gis ga gcommon gtrigger gfor gasthma gattacks gin gchildren?
a. Febrile gepisodes
b. Dehydration
c. Exercise
d. Seizures
gANS: gC
