Test Bank For Pediatric Nursing- A Case-
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BasedApproach
3r
2nd Edition by Tagher Knapp
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Chapters 1 - 34 | All Chapters
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,
,Chapter 1: Bronchiolitis r3 r3
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
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a. Position on the side with neck slightly flexed. r3 r3 r3 r3 r3 r3 r3
b. Administer antibiotics as ordered. r3 r3 r3
c. Restrict oral and parenteral fluids if tachypneic.
r3 r3 r3 r3 r3 r3
d. Give cool, midifiedo r3 r3r3 3r
xygen. ANSWER: D r3 r3
Cool, midified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from tach
r3r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
degreeangle and the neck slightly extended to maintain an open airway and decrease pressure on t
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
he diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondar
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ybacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
given parenterally to prevent dehydration.
r3 r3 r3 r3
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syn
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
cytial virus (RSV). The nurse knows that a child infected with this virus requires whatty
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
pe of isolation?
r3 r3
a. Reverse isolation r3
b. Airborne isolation r3
c. Contact Precautions r3
d. Standard Precautions r3 3r
ANSWER: C r3
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Con
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tact Precautions are required. Caregivers must use gloves and gowns when entering the room. Car
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
e is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand.C
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
hildren are placed in a private room or in a room with other children with RSV infections.
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other children nee
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
dto be protected from exposure to the virus. The virus is not airborne.
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
.This suggests what condition?
3r r3 r3 r3
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in r3 r3 3r
trachea ANSWER: A r3 r3
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
, virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due t
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
orespiratory syncytial virus (RSV)?
3r r3 r3 r3
a. Activity Intolerance r3
b. Decreased Cardiac Output r3 r3
c. Pain, Acute r3
d. Tissue Perfusion, Ineffective (peripheral) r3 r3 r3 3r
ANS. A r3
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply a
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tusually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this re
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
spiratory-disease process. r3
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply an
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ddemand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not u
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
sually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this resp
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r 3 r3
iratory-disease process. r3
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply a
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tusually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this re
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
spiratory-disease process. r3
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply an
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ddemand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not u
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
sually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respi
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ratory-disease process. r3
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen su
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
pply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pai
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
n is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affectedby
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
this respiratory-disease process.
r3 r3 r3
Chapter 2: Asthma r3 r3
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessmen
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tfinding suggests that the childs condition is worsening?
3r r3 r3 r3 r3 r3 r3 r3
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
r3 r3 r3 r3 r3 r3
BasedApproach
3r
2nd Edition by Tagher Knapp
r3 r3 r3 r3
Chapters 1 - 34 | All Chapters
r3 r3 r3 r3 r3 r3
,
,Chapter 1: Bronchiolitis r3 r3
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
r3 r3 r3 r3 r3 r3 r3 r3 r3
a. Position on the side with neck slightly flexed. r3 r3 r3 r3 r3 r3 r3
b. Administer antibiotics as ordered. r3 r3 r3
c. Restrict oral and parenteral fluids if tachypneic.
r3 r3 r3 r3 r3 r3
d. Give cool, midifiedo r3 r3r3 3r
xygen. ANSWER: D r3 r3
Cool, midified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from tach
r3r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
degreeangle and the neck slightly extended to maintain an open airway and decrease pressure on t
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
he diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondar
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ybacterial infection. Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
given parenterally to prevent dehydration.
r3 r3 r3 r3
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syn
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
cytial virus (RSV). The nurse knows that a child infected with this virus requires whatty
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
pe of isolation?
r3 r3
a. Reverse isolation r3
b. Airborne isolation r3
c. Contact Precautions r3
d. Standard Precautions r3 3r
ANSWER: C r3
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing, Con
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tact Precautions are required. Caregivers must use gloves and gowns when entering the room. Car
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
e is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand.C
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
hildren are placed in a private room or in a room with other children with RSV infections.
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other children nee
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
dto be protected from exposure to the virus. The virus is not airborne.
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
.This suggests what condition?
3r r3 r3 r3
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in r3 r3 3r
trachea ANSWER: A r3 r3
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset, fever,
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
, virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe stridor.
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due t
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
orespiratory syncytial virus (RSV)?
3r r3 r3 r3
a. Activity Intolerance r3
b. Decreased Cardiac Output r3 r3
c. Pain, Acute r3
d. Tissue Perfusion, Ineffective (peripheral) r3 r3 r3 3r
ANS. A r3
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply a
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tusually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this re
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
spiratory-disease process. r3
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply an
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ddemand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not u
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
sually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this resp
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r 3 r3
iratory-disease process. r3
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply a
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
nd demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is no
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tusually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this re
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
spiratory-disease process. r3
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply an
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ddemand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not u
3r r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
sually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respi
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
ratory-disease process. r3
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen su
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
pply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pai
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
n is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affectedby
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 3r
this respiratory-disease process.
r3 r3 r3
Chapter 2: Asthma r3 r3
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessmen
r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3 r3
tfinding suggests that the childs condition is worsening?
3r r3 r3 r3 r3 r3 r3 r3
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
