FULL TEST BANK
PEDIATRIC NURSING: A CASE-BASED
APPROACH 2ND EDITION
BY CATHERINE GANNON TAGHER
COMPLETE CHAPTERS 1-34
,Table of Contents
Chapter 1: Bronchiolitis ......................................................................4
Chapter 2: Asthma .............................................................................7
Chapter 3: Ulnar Fracture ................................................................. 17
Chapter 4: Urinary Tract Infection and Pyelonephritis ....................... 22
Chapter 5: Gastroenteritis, Fever, and Dehydration .......................... 35
Chapter 6: Leukemia ........................................................................ 64
Chapter 7: Heart Failure ................................................................... 73
Chapter 8: Failure to Thrive .............................................................. 81
Chapter 9: Tonic-Clonic Seizures ....................................................... 84
Chapter 10: Diabetes Mellitus Type 1 ............................................... 91
Chapter 11: Second-Degree Burns................................................... 101
Chapter 12: Sickle Cell Anemia ....................................................... 106
Chapter 13: Attention Deficit Hyperactivity Disorder....................... 111
Chapter 14: Obesity........................................................................ 113
Chapter 15: Care of the Newborn and Infant .................................. 118
Chapter 16: Care of the Toddler ...................................................... 130
Chapter 17: Care of the Preschooler................................................ 144
Chapter 18: Care of the School-Age Child ........................................ 170
Chapter 19: Care of the Adolescent ................................................. 181
Chapter 20: Alterations in Respiratory Function .............................. 191
Chapter 21: Alterations in Cardiac Function .................................... 239
Chapter 22: Alterations in Neurological and Sensory Function ........ 262
Chapter 23: Alterations in Gastrointestinal Function ....................... 276
Chapter 24: Alterations in Genitourinary Function .......................... 298
,Chapter 25: Alterations in Hematological Function ......................... 322
Chapter 26: Oncological Disorders .................................................. 347
Chapter 27: Alterations in Musculoskeletal Function ....................... 373
Chapter 28: Alterations in Neuromuscular Function ........................ 413
Chapter 29: Alterations in Integumentary Function......................... 431
Chapter 30: Alterations in Immune Function ................................... 462
Chapter 31: Alterations in Endocrine Function ................................ 476
Chapter 32: Genetic Disorders ........................................................ 507
Chapter 33: Alterations in Cognition and Mental Health ................. 524
Chapter 34: Pediatric Emergencies ................................................. 550
,Chapter 1: Bronchiolitis
1. 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.
ANS: D
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 40-degree angle and the neck slightly extended to
maintain an open airway and decrease pressure on the diaphragm.
The etiology of bronchiolitis is viral. Antibiotics are given only if there
is a secondary bacterial infection. Tachypnea increases insensible fluid
loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.
2. 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
ANS: C
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. Care is taken not to touch their own
eyes or mucous membranes with a contaminated gloved hand.
Children are placed in a private room or in a room with other children
with RSV infections. Reverse isolation focuses on keeping bacteria
away from the infant. With RSV, other children need to be protected
from exposure to the virus. The virus is not airborne.
3. 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
ANS: A
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 maybe stridor.
,4. 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)
ANS. A
Rationale 1: 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.
Rationale 2: 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.
Rationale 3: 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.
Rationale 4: 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.
Global Rationale : 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.
Chapter 2: Asthma
1. The nurse is caring for a child hospitalized for status
asthmaticus. Which assessment finding suggests that the childs
condition is worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
PEDIATRIC NURSING: A CASE-BASED
APPROACH 2ND EDITION
BY CATHERINE GANNON TAGHER
COMPLETE CHAPTERS 1-34
,Table of Contents
Chapter 1: Bronchiolitis ......................................................................4
Chapter 2: Asthma .............................................................................7
Chapter 3: Ulnar Fracture ................................................................. 17
Chapter 4: Urinary Tract Infection and Pyelonephritis ....................... 22
Chapter 5: Gastroenteritis, Fever, and Dehydration .......................... 35
Chapter 6: Leukemia ........................................................................ 64
Chapter 7: Heart Failure ................................................................... 73
Chapter 8: Failure to Thrive .............................................................. 81
Chapter 9: Tonic-Clonic Seizures ....................................................... 84
Chapter 10: Diabetes Mellitus Type 1 ............................................... 91
Chapter 11: Second-Degree Burns................................................... 101
Chapter 12: Sickle Cell Anemia ....................................................... 106
Chapter 13: Attention Deficit Hyperactivity Disorder....................... 111
Chapter 14: Obesity........................................................................ 113
Chapter 15: Care of the Newborn and Infant .................................. 118
Chapter 16: Care of the Toddler ...................................................... 130
Chapter 17: Care of the Preschooler................................................ 144
Chapter 18: Care of the School-Age Child ........................................ 170
Chapter 19: Care of the Adolescent ................................................. 181
Chapter 20: Alterations in Respiratory Function .............................. 191
Chapter 21: Alterations in Cardiac Function .................................... 239
Chapter 22: Alterations in Neurological and Sensory Function ........ 262
Chapter 23: Alterations in Gastrointestinal Function ....................... 276
Chapter 24: Alterations in Genitourinary Function .......................... 298
,Chapter 25: Alterations in Hematological Function ......................... 322
Chapter 26: Oncological Disorders .................................................. 347
Chapter 27: Alterations in Musculoskeletal Function ....................... 373
Chapter 28: Alterations in Neuromuscular Function ........................ 413
Chapter 29: Alterations in Integumentary Function......................... 431
Chapter 30: Alterations in Immune Function ................................... 462
Chapter 31: Alterations in Endocrine Function ................................ 476
Chapter 32: Genetic Disorders ........................................................ 507
Chapter 33: Alterations in Cognition and Mental Health ................. 524
Chapter 34: Pediatric Emergencies ................................................. 550
,Chapter 1: Bronchiolitis
1. 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.
ANS: D
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 40-degree angle and the neck slightly extended to
maintain an open airway and decrease pressure on the diaphragm.
The etiology of bronchiolitis is viral. Antibiotics are given only if there
is a secondary bacterial infection. Tachypnea increases insensible fluid
loss. If the infant is tachypneic, fluids are given parenterally to prevent
dehydration.
2. 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
ANS: C
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. Care is taken not to touch their own
eyes or mucous membranes with a contaminated gloved hand.
Children are placed in a private room or in a room with other children
with RSV infections. Reverse isolation focuses on keeping bacteria
away from the infant. With RSV, other children need to be protected
from exposure to the virus. The virus is not airborne.
3. 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
ANS: A
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 maybe stridor.
,4. 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)
ANS. A
Rationale 1: 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.
Rationale 2: 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.
Rationale 3: 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.
Rationale 4: 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.
Global Rationale : 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.
Chapter 2: Asthma
1. The nurse is caring for a child hospitalized for status
asthmaticus. Which assessment finding suggests that the childs
condition is worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
