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Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
Table of contents
• Chapter 01: Bronchiolitis
• Chapter 02: Asthma
• Chapter 03: Ulnar Fracture
• Chapter 04: Urinary Tract Infection and Pyelonephritis
• Chapter 05: Gastroenteritis, Fever, and Dehydration
• Chapter 06: Leukemia
• Chapter 07: Cystic Fibrosis
• Chapter 08: Developmental Dysplasia of the Hip
• Chapter 09: Bacterial Meningitis
• Chapter 10: Seizures
• Chapter 11: Traumatic Brain Injury (TBI)
• Chapter 12: Congenital Heart Disease
• Chapter 13: Heart Failure and Shock
• Chapter 14: Rheumatic Fever and Kawasaki Disease
• Chapter 15: Sickle Cell Anemia
• Chapter 16: Hemophilia
• Chapter 17: Diabetes Mellitus (Type 1 and Type 2)
• Chapter 18: Hypothyroidism and Hyperthyroidism
• Chapter 19: Growth Hormone Deficiency
• Chapter 20: Autism Spectrum Disorder (ASD)
• Chapter 21: Attention-Deficit/Hyperactivity Disorder (ADHD)
• Chapter 22: Depression and Anxiety
• Chapter 23: Eating Disorders
• Chapter 24: Child Abuse and Neglect
,• Chapter 25: Acute Otitis Media
• Chapter 26: Pneumonia
• Chapter 27: Tuberculosis (TB)
• Chapter 28: Nephrotic Syndrome
• Chapter 29: Acute Glomerulonephritis
• Chapter 30: Appendicitis
• Chapter 31: Cleft Lip and Cleft Palate
• Chapter 32: Intussusception and Hirschsprung Disease
• Chapter 33: Gastroesophageal Reflux Disease (GERD)
• Chapter 34: Pediatric Emergencies and Trauma
, Chapter 1: Bronchiolitis
1.
A 6-month-old infant is brought to the emergency department with nasal flaring, retractions, and an oxygen saturation
of 88% on room air. The mother reports the infant has had a runny nose and cough for 3 days.
Which initial nursing intervention is most appropriate?
A. Administer oral fluids to prevent dehydration.
B. Place the infant on a pulse oximeter and provide humidified oxygen.
C. Suction the nares after feeding is complete.
D. Administer an antibiotic as prescribed.
Answer: B. Place the infant on a pulse oximeter and provide humidified oxygen.
Rationale:
• Oxygen saturation of <90% is a sign of hypoxemia requiring immediate oxygen support.
• Bronchiolitis is usually viral (RSV), so antibiotics are not initially indicated.
• Suctioning is important but oxygenation takes priority according to the ABC framework.
2.
A nurse is caring for a 9-month-old diagnosed with bronchiolitis caused by RSV. Which action is most effective in
preventing transmission to other hospitalized infants?
A. Wearing sterile gloves during patient care.
B. Placing the infant on droplet precautions only.
C. Using contact precautions and cohorting with another RSV patient.
D. Assigning the same nurse to multiple pediatric patients.
Answer: C.
Rationale:
RSV is highly contagious and spreads via direct contact and large droplets.
• Contact precautions and cohorting with other RSV patients help prevent cross-infection.
• Droplet precautions alone are not sufficient.
3.
A 2-month-old infant with bronchiolitis is having difficulty feeding due to nasal congestion. Which intervention should
the nurse perform before feeding?
A. Provide an IV bolus of fluids.
B. Suction the nares to clear secretions.
C. Encourage the parent to feed quickly to minimize stress.
D. Delay feeding for 8 hours to allow rest.
Answer: B.
Pediatric Nursing – A Case-Based Approach 1st Edition Tagher Knapp Test Bank
Table of contents
• Chapter 01: Bronchiolitis
• Chapter 02: Asthma
• Chapter 03: Ulnar Fracture
• Chapter 04: Urinary Tract Infection and Pyelonephritis
• Chapter 05: Gastroenteritis, Fever, and Dehydration
• Chapter 06: Leukemia
• Chapter 07: Cystic Fibrosis
• Chapter 08: Developmental Dysplasia of the Hip
• Chapter 09: Bacterial Meningitis
• Chapter 10: Seizures
• Chapter 11: Traumatic Brain Injury (TBI)
• Chapter 12: Congenital Heart Disease
• Chapter 13: Heart Failure and Shock
• Chapter 14: Rheumatic Fever and Kawasaki Disease
• Chapter 15: Sickle Cell Anemia
• Chapter 16: Hemophilia
• Chapter 17: Diabetes Mellitus (Type 1 and Type 2)
• Chapter 18: Hypothyroidism and Hyperthyroidism
• Chapter 19: Growth Hormone Deficiency
• Chapter 20: Autism Spectrum Disorder (ASD)
• Chapter 21: Attention-Deficit/Hyperactivity Disorder (ADHD)
• Chapter 22: Depression and Anxiety
• Chapter 23: Eating Disorders
• Chapter 24: Child Abuse and Neglect
,• Chapter 25: Acute Otitis Media
• Chapter 26: Pneumonia
• Chapter 27: Tuberculosis (TB)
• Chapter 28: Nephrotic Syndrome
• Chapter 29: Acute Glomerulonephritis
• Chapter 30: Appendicitis
• Chapter 31: Cleft Lip and Cleft Palate
• Chapter 32: Intussusception and Hirschsprung Disease
• Chapter 33: Gastroesophageal Reflux Disease (GERD)
• Chapter 34: Pediatric Emergencies and Trauma
, Chapter 1: Bronchiolitis
1.
A 6-month-old infant is brought to the emergency department with nasal flaring, retractions, and an oxygen saturation
of 88% on room air. The mother reports the infant has had a runny nose and cough for 3 days.
Which initial nursing intervention is most appropriate?
A. Administer oral fluids to prevent dehydration.
B. Place the infant on a pulse oximeter and provide humidified oxygen.
C. Suction the nares after feeding is complete.
D. Administer an antibiotic as prescribed.
Answer: B. Place the infant on a pulse oximeter and provide humidified oxygen.
Rationale:
• Oxygen saturation of <90% is a sign of hypoxemia requiring immediate oxygen support.
• Bronchiolitis is usually viral (RSV), so antibiotics are not initially indicated.
• Suctioning is important but oxygenation takes priority according to the ABC framework.
2.
A nurse is caring for a 9-month-old diagnosed with bronchiolitis caused by RSV. Which action is most effective in
preventing transmission to other hospitalized infants?
A. Wearing sterile gloves during patient care.
B. Placing the infant on droplet precautions only.
C. Using contact precautions and cohorting with another RSV patient.
D. Assigning the same nurse to multiple pediatric patients.
Answer: C.
Rationale:
RSV is highly contagious and spreads via direct contact and large droplets.
• Contact precautions and cohorting with other RSV patients help prevent cross-infection.
• Droplet precautions alone are not sufficient.
3.
A 2-month-old infant with bronchiolitis is having difficulty feeding due to nasal congestion. Which intervention should
the nurse perform before feeding?
A. Provide an IV bolus of fluids.
B. Suction the nares to clear secretions.
C. Encourage the parent to feed quickly to minimize stress.
D. Delay feeding for 8 hours to allow rest.
Answer: B.
