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 ........................................................................................................................................ 6
Chapter 3: Ulnar Fracture ........................................................................................................................... 12
Chapter 4: Urinary Tract Infection and Pyelonephritis ............................................................................... 15
Chapter 5: Gastroenteritis, Fever, and Dehydration .................................................................................. 23
Chapter 6: Leukemia ................................................................................................................................... 40
Chapter 7: Heart Failure.............................................................................................................................. 45
Chapter 8: Failure to Thrive ........................................................................................................................ 51
Chapter 9: Tonic-Clonic Seizures................................................................................................................. 53
Chapter 10: Diabetes Mellitus Type 1 ......................................................................................................... 57
Chapter 11: Second-Degree Burns .............................................................................................................. 63
Chapter 12: Sickle Cell Anemia ................................................................................................................... 66
Chapter 13: Attention Deficit Hyperactivity Disorder................................................................................. 69
Chapter 14: Obesity .................................................................................................................................... 70
Chapter 15: Care of the Newborn and Infant ............................................................................................. 74
Chapter 16: Care of the Toddler ................................................................................................................. 81
Chapter 17: Care of the Preschooler .......................................................................................................... 89
Chapter 18: Care of the School-Age Child................................................................................................. 105
Chapter 19: Care of the Adolescent .......................................................................................................... 112
Chapter 20: Alterations in Respiratory Function ...................................................................................... 118
Chapter 21: Alterations in Cardiac Function ............................................................................................. 147
Chapter 22: Alterations in Neurological and Sensory Function ................................................................ 161
Chapter 23: Alterations in Gastrointestinal Function ............................................................................... 169
Chapter 24: Alterations in Genitourinary Function .................................................................................. 183
Chapter 25: Alterations in Hematological Function.................................................................................. 197
Chapter 26: Oncological Disorders ........................................................................................................... 212
Chapter 27: Alterations in Musculoskeletal Function............................................................................... 228
Chapter 28: Alterations in Neuromuscular Function ................................................................................ 251
Chapter 29: Alterations in Integumentary Function ................................................................................. 262
Chapter 30: Alterations in Immune Function ........................................................................................... 281
Chapter 31: Alterations in Endocrine Function......................................................................................... 289
Chapter 32: Genetic Disorders .................................................................................................................. 307
,Chapter 33: Alterations in Cognition and Mental Health ......................................................................... 317
Chapter 34: Pediatric Emergencies ........................................................................................................... 333
, 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?
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 ........................................................................................................................................ 6
Chapter 3: Ulnar Fracture ........................................................................................................................... 12
Chapter 4: Urinary Tract Infection and Pyelonephritis ............................................................................... 15
Chapter 5: Gastroenteritis, Fever, and Dehydration .................................................................................. 23
Chapter 6: Leukemia ................................................................................................................................... 40
Chapter 7: Heart Failure.............................................................................................................................. 45
Chapter 8: Failure to Thrive ........................................................................................................................ 51
Chapter 9: Tonic-Clonic Seizures................................................................................................................. 53
Chapter 10: Diabetes Mellitus Type 1 ......................................................................................................... 57
Chapter 11: Second-Degree Burns .............................................................................................................. 63
Chapter 12: Sickle Cell Anemia ................................................................................................................... 66
Chapter 13: Attention Deficit Hyperactivity Disorder................................................................................. 69
Chapter 14: Obesity .................................................................................................................................... 70
Chapter 15: Care of the Newborn and Infant ............................................................................................. 74
Chapter 16: Care of the Toddler ................................................................................................................. 81
Chapter 17: Care of the Preschooler .......................................................................................................... 89
Chapter 18: Care of the School-Age Child................................................................................................. 105
Chapter 19: Care of the Adolescent .......................................................................................................... 112
Chapter 20: Alterations in Respiratory Function ...................................................................................... 118
Chapter 21: Alterations in Cardiac Function ............................................................................................. 147
Chapter 22: Alterations in Neurological and Sensory Function ................................................................ 161
Chapter 23: Alterations in Gastrointestinal Function ............................................................................... 169
Chapter 24: Alterations in Genitourinary Function .................................................................................. 183
Chapter 25: Alterations in Hematological Function.................................................................................. 197
Chapter 26: Oncological Disorders ........................................................................................................... 212
Chapter 27: Alterations in Musculoskeletal Function............................................................................... 228
Chapter 28: Alterations in Neuromuscular Function ................................................................................ 251
Chapter 29: Alterations in Integumentary Function ................................................................................. 262
Chapter 30: Alterations in Immune Function ........................................................................................... 281
Chapter 31: Alterations in Endocrine Function......................................................................................... 289
Chapter 32: Genetic Disorders .................................................................................................................. 307
,Chapter 33: Alterations in Cognition and Mental Health ......................................................................... 317
Chapter 34: Pediatric Emergencies ........................................................................................................... 333
, 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?
