1
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
,2
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
Chapter 01: Chip Jones: Bronchiolitis
1. A registered nurse is providing care for a 4-month-old child at the pediatric clinic.
During the assessment the registered nurse should expect that the child has reached
which developmental milestone(s)? Select all that apply.
A. Uses pincer grasp to pick up items
B. Can roll over from front onto back
C. Pulls self up to a standing position
D. Recognizes family members' faces
E. Pushes self up on arms from a prone position
F. Sits with support
ANS: B, D, E, F
Rationale: At 4 months of age, an child is able to roll over from prone to supine position,
push the head/chest up on arms from a prone position, sit with support and recognize the faces
of close family members. The use of the pincer grasp and the ability to pull self up to a
standing position are expected at 10 months of age.
PTS: 1 REF: p. 4 OBJ: 1
NAT: Service user Needs: Health Promotion and Maintenance
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Understand
2. A registered nurse is assessing a 3-month-old child during a pediatric clinic visit. The
registered nurse believes the child is demonstrating early manifestations of respiratory
distress. Which clinical manifestation(s) should the registered nurse document? Select all
that apply.
A. Bradycardia
B. Acrocyanosis
C. Intercostal retractions
D. Nasal congestion
E. Tachypnea
ANS: D, E
Rationale: Early signs of respiratory distress in an child include fussiness, nasal congestion,
tachypnea and no interest in feeding. Intercostal retractions are signs of moderate distress;
bradycardia can be seen with severe respiratory distress. Acrocyanosis, in and of itself, is not
a sign of respiratory distress as it can be caused by poor circulation and cold extremities.
PTS: 1 REF: p. 8 OBJ: 4
NAT: Service user Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply
3. A registered nurse is caring for an child newly admitted for suspected bronchiolitis. The
child's parent is very upset and states "I am so worried about my child. What can you do to
help my child?" What is the registered nurse's best response?
A. "There is no need to worry; we care for cases like this all the time."
B. "I know this is hard for you but do not worry. We will be able to discharge your
child in a few days."
C. "No worries; having you hold the child is very helpful. The child will be back at
home in no time."
D. "I know it is difficult to see your child like this. We will suction your child and
give oxygen to make the child comfortable.
ANS: D
,3
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
Rationale: The option that states that it is difficult to see the child like this is the only
response that explains to the parent what the registered nurse can do to help the child and
acknowledges
, 4
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
the parent's concern. The remaining options recognize the parent's concern but do not answer
the parent's question.
PTS: 1 REF: p. 10 OBJ: 7
NAT: Service user Needs: Psychosocial
TOP: Integrity Chapter 1: Chip Green: BLM: Cognitive Level: Apply
Bronchiolitis
4. A 3-month-old child is hospitalized with a diagnosis of bronchiolitis. The registered nurse is
creating a plan of care for the child. Which intervention is a priority?
A. Provide parental teaching on the antibiotics the child will need to take at home.
B. Administer oxygen to maintain the child's oxygen saturation at or above 92%.
C. Allow the parents to remain by the child's side throughout the hospitalization.
D. Keep the child NPO until the condition has resolved.
ANS: B
Rationale: Therapeutic management of bronchiolitis includes the administration of oxygen to
maintain O2 saturation at 92% or higher. Current evidence shows that antibiotics do not
improve outcomes in the treatment of bronchiolitis. Childs with bronchiolitis are encouraged
to feed as tolerated to maintain nutrition and fluid balance. While it is important for the
parents to be allowed to remain at the child's side, it is not the priority.
PTS: 1 REF: p. 14 OBJ: 7
NAT: Service userNeeds:PhysiN
olU
ogRicSalIIN
ntG
eg-
ri Tt y E: PShT
ysBioAloNgK
ic.
a l CAO
daMptation
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply
5.
A registered nurse is caring for an child admitted with a diagnosis of bronchiolitis. mpletes
The registered nurse co an assessment with the above findings. What is the registered to this
nurse's priority in providing care child?
A. Providing adequate fluids
B. Initiating tube feedings
C. Administering oxygen
D. Administering antipyretics
ANS: C
Rationale: The priority in providing care for this child is to administer oxygen to increa se the
O2 saturation to 92% or higher. Providing the child adequate fluids and administering
antipyretics is also important, but these actions are not the priority. There is no need to initiate
tube feedings for this service user.
PTS: 1 REF: p. 11 OBJ: 8
NAT: Service user Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Analyze
6. An child is diagnosed with bronchiolitis. The registered nurse is teaching the parent of
how to use a bulb suction to clear the child's airway. What is the best way for the
registered nurse to evaluate the effectiveness of the teaching?
A. Guide the parent step by step through the procedure.
B. Have the parent verbalize each step of the procedure.
C. Observe the parent as he/she suctions the child.
D. Provide the parent with written instructions of the procedure.
ANS: C
Rationale: The best way N
foU
r R
thS
e I
nuNrG
se-tT
o E
evSaT
luB
atA
eNthKe.pC
arO
enMt's understanding of the teaching is
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
,2
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
Chapter 01: Chip Jones: Bronchiolitis
1. A registered nurse is providing care for a 4-month-old child at the pediatric clinic.
During the assessment the registered nurse should expect that the child has reached
which developmental milestone(s)? Select all that apply.
A. Uses pincer grasp to pick up items
B. Can roll over from front onto back
C. Pulls self up to a standing position
D. Recognizes family members' faces
E. Pushes self up on arms from a prone position
F. Sits with support
ANS: B, D, E, F
Rationale: At 4 months of age, an child is able to roll over from prone to supine position,
push the head/chest up on arms from a prone position, sit with support and recognize the faces
of close family members. The use of the pincer grasp and the ability to pull self up to a
standing position are expected at 10 months of age.
PTS: 1 REF: p. 4 OBJ: 1
NAT: Service user Needs: Health Promotion and Maintenance
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Understand
2. A registered nurse is assessing a 3-month-old child during a pediatric clinic visit. The
registered nurse believes the child is demonstrating early manifestations of respiratory
distress. Which clinical manifestation(s) should the registered nurse document? Select all
that apply.
A. Bradycardia
B. Acrocyanosis
C. Intercostal retractions
D. Nasal congestion
E. Tachypnea
ANS: D, E
Rationale: Early signs of respiratory distress in an child include fussiness, nasal congestion,
tachypnea and no interest in feeding. Intercostal retractions are signs of moderate distress;
bradycardia can be seen with severe respiratory distress. Acrocyanosis, in and of itself, is not
a sign of respiratory distress as it can be caused by poor circulation and cold extremities.
PTS: 1 REF: p. 8 OBJ: 4
NAT: Service user Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply
3. A registered nurse is caring for an child newly admitted for suspected bronchiolitis. The
child's parent is very upset and states "I am so worried about my child. What can you do to
help my child?" What is the registered nurse's best response?
A. "There is no need to worry; we care for cases like this all the time."
B. "I know this is hard for you but do not worry. We will be able to discharge your
child in a few days."
C. "No worries; having you hold the child is very helpful. The child will be back at
home in no time."
D. "I know it is difficult to see your child like this. We will suction your child and
give oxygen to make the child comfortable.
ANS: D
,3
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
Rationale: The option that states that it is difficult to see the child like this is the only
response that explains to the parent what the registered nurse can do to help the child and
acknowledges
, 4
Test Bank for Pediatric Nursing: A Case-Based Approach, 2nd Edition by
Tagher 2024
the parent's concern. The remaining options recognize the parent's concern but do not answer
the parent's question.
PTS: 1 REF: p. 10 OBJ: 7
NAT: Service user Needs: Psychosocial
TOP: Integrity Chapter 1: Chip Green: BLM: Cognitive Level: Apply
Bronchiolitis
4. A 3-month-old child is hospitalized with a diagnosis of bronchiolitis. The registered nurse is
creating a plan of care for the child. Which intervention is a priority?
A. Provide parental teaching on the antibiotics the child will need to take at home.
B. Administer oxygen to maintain the child's oxygen saturation at or above 92%.
C. Allow the parents to remain by the child's side throughout the hospitalization.
D. Keep the child NPO until the condition has resolved.
ANS: B
Rationale: Therapeutic management of bronchiolitis includes the administration of oxygen to
maintain O2 saturation at 92% or higher. Current evidence shows that antibiotics do not
improve outcomes in the treatment of bronchiolitis. Childs with bronchiolitis are encouraged
to feed as tolerated to maintain nutrition and fluid balance. While it is important for the
parents to be allowed to remain at the child's side, it is not the priority.
PTS: 1 REF: p. 14 OBJ: 7
NAT: Service userNeeds:PhysiN
olU
ogRicSalIIN
ntG
eg-
ri Tt y E: PShT
ysBioAloNgK
ic.
a l CAO
daMptation
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Apply
5.
A registered nurse is caring for an child admitted with a diagnosis of bronchiolitis. mpletes
The registered nurse co an assessment with the above findings. What is the registered to this
nurse's priority in providing care child?
A. Providing adequate fluids
B. Initiating tube feedings
C. Administering oxygen
D. Administering antipyretics
ANS: C
Rationale: The priority in providing care for this child is to administer oxygen to increa se the
O2 saturation to 92% or higher. Providing the child adequate fluids and administering
antipyretics is also important, but these actions are not the priority. There is no need to initiate
tube feedings for this service user.
PTS: 1 REF: p. 11 OBJ: 8
NAT: Service user Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Chip Green: Bronchiolitis BLM: Cognitive Level: Analyze
6. An child is diagnosed with bronchiolitis. The registered nurse is teaching the parent of
how to use a bulb suction to clear the child's airway. What is the best way for the
registered nurse to evaluate the effectiveness of the teaching?
A. Guide the parent step by step through the procedure.
B. Have the parent verbalize each step of the procedure.
C. Observe the parent as he/she suctions the child.
D. Provide the parent with written instructions of the procedure.
ANS: C
Rationale: The best way N
foU
r R
thS
e I
nuNrG
se-tT
o E
evSaT
luB
atA
eNthKe.pC
arO
enMt's understanding of the teaching is
