TestBankForPediatric
ix ix ix
NursingACase-Based
ix ix
Approach 1st Edition
ix ix ix
Tagher Knapp
ix ix
, Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
ix ix ix ix ix ix ix ix ix ix ix
Chapter 1: Bronchiolitis ix i x
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
ix ix ix ix ix ix ix ix ix
a. Position on the side with neck slightly flexed. ix ix ix ix ix ix ix
b. Administer antibiotics as ordered. ix ix ix
c. Restrict oral and parenteral fluids if tachypneic. ix ix ix ix ix ix
d. Give cool, humidified oxygen. ix ix ix
ANS: D
ix ix
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
ix ix ix ix ix ix ix ix ix ix ix ix ix
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
ix ix ix ix ix ix ix ix ix ix ix ix
tachypneic, fluids are given parenterally to prevent dehydration.
ix ix ix ix ix ix ix ix
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
ix ix ix ix ix ix ix ix ix ix ix
virus (RSV). The nurse knows that a child infected with this virus requires what type of
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
isolation?
ix
a. Reverse isolation ix
b. Airborne isolation ix
c. Contact Precautions ix
d. Standard Precautions ix
ANS: C
ix ix
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
ix ix ix ix ix ix ix ix ix ix ix ix
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
ix ix ix ix ix ix ix ix ix ix ix ix
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
gloved hand. Children are placed in a private room or in a room with other children with RSV
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
children need to be protected from exposure to the virus. The virus is not airborne.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
This suggests what condition?
ix ix ix ix
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ix ix ix
ANS: A
ix ix
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
ix ix ix ix ix ix ix ix ix ix ix ix ix
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ix ix ix ix ix ix ix ix ix ix ix ix
,virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
stridor.
ix
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
ix ix ix ix ix ix ix ix ix ix ix ix ix
respiratory syncytial virus (RSV)?
ix ix ix ix
a. Activity Intolerance ix
b. Decreased Cardiac Output ix ix
c. Pain, Acute ix
d. Tissue Perfusion, Ineffective (peripheral)
ix ix ix
ANS. A
ix ix
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
ix ix ix ix ix ix ix ix ix ix ix ix
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
ix ix ix ix ix ix ix ix ix ix ix ix ix
affected by this respiratory-disease process.
ix ix ix ix ix
Chapter 2: Asthma ix ix
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
ix ix ix ix ix ix ix ix ix ix ix ix ix
suggests that the childs condition is worsening?
ix ix ix ix ix ix ix
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
ix ix
, The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability,
ix ix ix ix ix ix ix ix ix ix ix ix ix
and increased heart and respiratory rate. As the child tires from the increased work of breathing
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
signs of hypoxia. Thirst would reflect the childs hydration status. Bradycardia is not a sign of
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
presence of clubbing does not indicate the childs condition is worsening.
ix ix ix ix ix ix ix ix ix ix ix
2. Which finding is expected when assessing a child hospitalized for asthma?
ix ix ix ix ix ix ix ix ix ix
a. Inspiratory stridor ix
b. Harsh, barky cough ix ix
c. Wheezing
d. Rhinorrhea
ANS: C
ix ix
Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical manifestation of
ix ix ix ix ix ix ix ix ix ix ix ix ix
croup. A harsh, barky cough is characteristic of croup. Rhinorrhea is not associated with asthma.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
recognizes these symptoms are characteristic of which respiratory condition?
ix ix ix ix ix ix ix ix ix
a. Allergic rhinitis ix
b. Bronchitis
c. Asthma
d. Sinusitis
ANS: D
ix ix
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling
ix ix ix ix ix ix ix ix ix ix ix
of fullness over the affected sinuses, halitosis, and a cough that increases when the child is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
lying down. The classic symptoms of allergic rhinitis are watery rhinorrhea, itchy nose, eyes,
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
ears, and palate, and sneezing. Symptoms occur as long as the child is exposed to the allergen.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
Bronchitis is characterized by a gradual onset of rhinitis and a cough that is initially
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
nonproductive but may change to a loose cough. The manifestations of asthma may vary, with
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
wheezing being a classic sign. The symptoms presented in the question do not suggest asthma.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
4. What is a common trigger for asthma attacks in children?
ix ix ix ix ix ix ix ix ix
a. Febrile episodes ix
b. Dehydration
c. Exercise
d. Seizures
ix ANS: C ix
ix ix ix
NursingACase-Based
ix ix
Approach 1st Edition
ix ix ix
Tagher Knapp
ix ix
, Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
ix ix ix ix ix ix ix ix ix ix ix
Chapter 1: Bronchiolitis ix i x
1. Which intervention is appropriate for the infant hospitalized with bronchiolitis?
ix ix ix ix ix ix ix ix ix
a. Position on the side with neck slightly flexed. ix ix ix ix ix ix ix
b. Administer antibiotics as ordered. ix ix ix
c. Restrict oral and parenteral fluids if tachypneic. ix ix ix ix ix ix
d. Give cool, humidified oxygen. ix ix ix
ANS: D
ix ix
Cool, humidified oxygen is given to relieve dyspnea, hypoxemia, and insensible fluid loss from
ix ix ix ix ix ix ix ix ix ix ix ix ix
tachypnea. The infant should be positioned with the head and chest elevated at a 30- to 40-degree
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
angle and the neck slightly extended to maintain an open airway and decrease pressure on the
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
diaphragm. The etiology of bronchiolitis is viral. Antibiotics are given only if there is a
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
secondary bacterial infection. Tachypnea increases insensible fluid loss. If the infant is
ix ix ix ix ix ix ix ix ix ix ix ix
tachypneic, fluids are given parenterally to prevent dehydration.
ix ix ix ix ix ix ix ix
2. An infant with bronchiolitis is hospitalized. The causative organism is respiratory syncytial
ix ix ix ix ix ix ix ix ix ix ix
virus (RSV). The nurse knows that a child infected with this virus requires what type of
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
isolation?
ix
a. Reverse isolation ix
b. Airborne isolation ix
c. Contact Precautions ix
d. Standard Precautions ix
ANS: C
ix ix
RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
ix ix ix ix ix ix ix ix ix ix ix ix
Contact Precautions are required. Caregivers must use gloves and gowns when entering the
ix ix ix ix ix ix ix ix ix ix ix ix
room. Care is taken not to touch their own eyes or mucous membranes with a contaminated
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
gloved hand. Children are placed in a private room or in a room with other children with RSV
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
infections. Reverse isolation focuses on keeping bacteria away from the infant. With RSV, other
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
children need to be protected from exposure to the virus. The virus is not airborne.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
3. A child has a chronic cough and diffuse wheezing during the expiratory phase of respiration.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
This suggests what condition?
ix ix ix ix
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign body in trachea ix ix ix
ANS: A
ix ix
Asthma may have these chronic signs and symptoms. Pneumonia appears with an acute onset,
ix ix ix ix ix ix ix ix ix ix ix ix ix
fever, and general malaise. Bronchiolitis is an acute condition caused by respiratory syncytial
ix ix ix ix ix ix ix ix ix ix ix ix
,virus. Foreign body in the trachea occurs with acute respiratory distress or failure and maybe
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
stridor.
ix
4. Which nursing diagnosis is most appropriate for an infant with acute bronchiolitis due to
ix ix ix ix ix ix ix ix ix ix ix ix ix
respiratory syncytial virus (RSV)?
ix ix ix ix
a. Activity Intolerance ix
b. Decreased Cardiac Output ix ix
c. Pain, Acute ix
d. Tissue Perfusion, Ineffective (peripheral)
ix ix ix
ANS. A
ix ix
Rationale 1: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Rationale 2: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Rationale 3: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Rationale 4: Activity intolerance is a problem because of the imbalance between oxygen supply
ix ix ix ix ix ix ix ix ix ix ix ix ix
and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by
ix ix ix ix ix ix ix ix ix ix ix ix ix
this respiratory-disease process.
ix ix ix
Global Rationale: Activity intolerance is a problem because of the imbalance between oxygen
ix ix ix ix ix ix ix ix ix ix ix ix
supply and demand. Cardiac output is not compromised during an acute phase of bronchiolitis.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
Pain is not usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not
ix ix ix ix ix ix ix ix ix ix ix ix ix
affected by this respiratory-disease process.
ix ix ix ix ix
Chapter 2: Asthma ix ix
1. The nurse is caring for a child hospitalized for status asthmaticus. Which assessment finding
ix ix ix ix ix ix ix ix ix ix ix ix ix
suggests that the childs condition is worsening?
ix ix ix ix ix ix ix
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
ix ix
, The nurse would assess the child for signs of hypoxia, including restlessness, fatigue, irritability,
ix ix ix ix ix ix ix ix ix ix ix ix ix
and increased heart and respiratory rate. As the child tires from the increased work of breathing
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
signs of hypoxia. Thirst would reflect the childs hydration status. Bradycardia is not a sign of
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
hypoxia; tachycardia is. Clubbing develops over a period of months in response to hypoxia. The
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
presence of clubbing does not indicate the childs condition is worsening.
ix ix ix ix ix ix ix ix ix ix ix
2. Which finding is expected when assessing a child hospitalized for asthma?
ix ix ix ix ix ix ix ix ix ix
a. Inspiratory stridor ix
b. Harsh, barky cough ix ix
c. Wheezing
d. Rhinorrhea
ANS: C
ix ix
Wheezing is a classic manifestation of asthma. Inspiratory stridor is a clinical manifestation of
ix ix ix ix ix ix ix ix ix ix ix ix ix
croup. A harsh, barky cough is characteristic of croup. Rhinorrhea is not associated with asthma.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
purulent nasal drainage, facial tenderness, and a cough that increases during sleep. The nurse
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
recognizes these symptoms are characteristic of which respiratory condition?
ix ix ix ix ix ix ix ix ix
a. Allergic rhinitis ix
b. Bronchitis
c. Asthma
d. Sinusitis
ANS: D
ix ix
Sinusitis is characterized by signs and symptoms of a cold that do not improve after 14 days, a
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling
ix ix ix ix ix ix ix ix ix ix ix
of fullness over the affected sinuses, halitosis, and a cough that increases when the child is
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
lying down. The classic symptoms of allergic rhinitis are watery rhinorrhea, itchy nose, eyes,
ix ix ix ix ix ix ix ix ix ix ix ix ix ix
ears, and palate, and sneezing. Symptoms occur as long as the child is exposed to the allergen.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
Bronchitis is characterized by a gradual onset of rhinitis and a cough that is initially
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
nonproductive but may change to a loose cough. The manifestations of asthma may vary, with
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
wheezing being a classic sign. The symptoms presented in the question do not suggest asthma.
ix ix ix ix ix ix ix ix ix ix ix ix ix ix ix
4. What is a common trigger for asthma attacks in children?
ix ix ix ix ix ix ix ix ix
a. Febrile episodes ix
b. Dehydration
c. Exercise
d. Seizures
ix ANS: C ix
