TestBankForPediatric
v v v
NursingACase-Based
v v
Approach1stEditionTagher
v v v v
Knapp
v
, PediatricNursing –ACase-BasedApproach1stEditionTagherKnappTestBank
v v v
Chapter1: Bronchiolitis
r
1. Whichinterventionisappropriatefortheinfanthospitalizedwithbronchiolitis? v v v
a. Positiononthesidewithneckslightlyflexed.v
b. Administerantibioticsasordered.
c. Restrictoralandparenteralfluidsiftachypneic.
v v v
d. Givecool,humidifiedoxygen.
ANS:D
r
Cool,humidifiedoxygenisgiventorelievedyspnea,hypoxemia,andinsensiblefluidlossfrom
tachypnea.Theinfantshouldbepositionedwiththeheadandchestelevated ata30-to40-degreeangle
v v v r v v
randtheneckslightlyextendedtomaintainanopenairwayanddecreasepressureonthediaphragm.The
v v v r
retiologyofbronchiolitisisviral.Antibioticsaregivenonlyifthereisasecondarybacterialinfection.
Tachypneaincreasesinsensiblefluidloss.Iftheinfantistachypneic,fluidsaregivenparenterallyto v r
rpreventdehydration.
2. Aninfantwithbronchiolitisishospitalized.Thecausativeorganismisrespiratorysyncytialvirus
v v
r(RSV).Thenurseknowsthatachildinfectedwiththisvirusrequireswhattypeofisolation? v
a. Reverseisolation v
b. Airborneisolation
c. ContactPrecautions v
d. StandardPrecautions v
ANS:C
r
RSVistransmitted throughdroplets.InadditiontoStandardPrecautions andhandwashing,
v v v v v
ContactPrecautionsarerequired.Caregiversmustuseglovesandgownswhenenteringtheroom.Care r
ristakennottotouchtheirowneyesormucousmembraneswithacontaminated glovedhand.Children
v v r
rareplacedinaprivateroom orinaroomwithotherchildrenwithRSVinfections.Reverseisolation
v v v v r
rfocusesonkeepingbacteriaawayfromtheinfant.WithRSV,otherchildrenneedtobeprotectedfrom
v v r
exposuretothevirus.Thevirusisnotairborne.
r
3. Achildhasachroniccough anddiffusewheezingduringtheexpiratoryphaseofrespiration.This
v v v v v v
rsuggestswhatcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea v v
ANS:A
r
Asthmamayhavethesechronicsignsandsymptoms.Pneumoniaappearswithanacuteonset,
fever,andgeneralmalaise.Bronchiolitisisanacuteconditioncausedbyrespiratorysyncytial
,virus.Foreignbodyinthetracheaoccurswith acuterespiratorydistressorfailureandmaybestridor.
v v v
4. Whichnursingdiagnosisismostappropriateforaninfantwithacutebronchiolitisdueto
v v v v v
rrespiratorysyncytialvirus(RSV)?
a. ActivityIntolerance
b. DecreasedCardiacOutput
v
c. Pain,Acute
d. TissuePerfusion,Ineffective(peripheral)
ANS.A
r
Rationale1:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
v v v v
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
v v v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
Rationale2:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
v v v v
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
v v v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
Rationale3:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand v r
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
v v v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
Rationale4:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
v
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
GlobalRationale:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupply
v v v
r anddemand.Cardiacoutputisnotcompromised during anacutephaseofbronchiolitis.Painisnot
v v v r
r usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis v r
rrespiratory-diseaseprocess.
Chapter2:Asthma
1. Thenurseiscaringforachildhospitalizedforstatusasthmaticus.Whichassessmentfinding
v v v v v
rsuggeststhatthechilds conditionisworsening?
v
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
r ANS:A
, Thenursewouldassessthechildforsignsofhypoxia,includingrestlessness,fatigue,irritability,and
v r
rincreasedheartandrespiratoryrate.Asthechildtiresfromtheincreasedworkofbreathing
v v v r
rhypoventilationoccursleadingtoincreasedcarbondioxidelevels.Thenursewouldbealertforsignsof v r
rhypoxia.Thirst wouldreflectthechildshydrationstatus.Bradycardiais not asign ofhypoxia;
v v v v v r
tachycardiais.Clubbingdevelopsoveraperiodofmonthsinresponsetohypoxia.Thepresenceof
r r
rclubbingdoesnotindicatethechildsconditionisworsening.
v
2. Whichfindingisexpectedwhenassessingachild hospitalizedforasthma?
v v v v v
a. Inspiratorystridor
b. Harsh,barkycough
c. Wheezing
d. Rhinorrhea
ANS:C
r
Wheezingisaclassicmanifestationofasthma.Inspiratorystridorisaclinicalmanifestation of
v v v
croup.Aharsh,barkycoughischaracteristicofcroup.Rhinorrheaisnotassociatedwithasthma.
v v
3. Achildhashadcoldsymptomsformorethan2weeks,aheadache,nasalcongestion with
v v v r
r purulentnasaldrainage,facialtenderness,andacoughthatincreasesduringsleep.Thenurse
v v v
rrecognizesthesesymptomsarecharacteristicofwhichrespiratorycondition? v
a. Allergicrhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
ANS:D
r
Sinusitisischaracterizedbysignsandsymptomsofacoldthatdonotimproveafter14days,a
v v
low-gradefever,nasalcongestionandpurulentnasaldischarge,headache,tenderness,afeelingof r
rfullnessovertheaffectedsinuses,halitosis,andacoughthatincreaseswhenthechildislyingdown.
v v v r
r Theclassicsymptomsofallergicrhinitisarewateryrhinorrhea,itchynose,eyes,ears,andpalate,and
v v r
r sneezing.Symptomsoccuraslongasthechildisexposedtotheallergen.Bronchitisischaracterizedby
v v v v r
r agradualonsetofrhinitisandacoughthatisinitiallynonproductivebutmaychangetoaloosecough. v
Themanifestationsofasthmamayvary,withwheezingbeingaclassicsign.Thesymptomspresented v r
r inthequestion donot suggestasthma.
v v
4. Whatisacommontriggerforasthmaattacksinchildren?
a. Febrileepisodes
b. Dehydration
c. Exercise
d. Seizures
ANS:C
r
v v v
NursingACase-Based
v v
Approach1stEditionTagher
v v v v
Knapp
v
, PediatricNursing –ACase-BasedApproach1stEditionTagherKnappTestBank
v v v
Chapter1: Bronchiolitis
r
1. Whichinterventionisappropriatefortheinfanthospitalizedwithbronchiolitis? v v v
a. Positiononthesidewithneckslightlyflexed.v
b. Administerantibioticsasordered.
c. Restrictoralandparenteralfluidsiftachypneic.
v v v
d. Givecool,humidifiedoxygen.
ANS:D
r
Cool,humidifiedoxygenisgiventorelievedyspnea,hypoxemia,andinsensiblefluidlossfrom
tachypnea.Theinfantshouldbepositionedwiththeheadandchestelevated ata30-to40-degreeangle
v v v r v v
randtheneckslightlyextendedtomaintainanopenairwayanddecreasepressureonthediaphragm.The
v v v r
retiologyofbronchiolitisisviral.Antibioticsaregivenonlyifthereisasecondarybacterialinfection.
Tachypneaincreasesinsensiblefluidloss.Iftheinfantistachypneic,fluidsaregivenparenterallyto v r
rpreventdehydration.
2. Aninfantwithbronchiolitisishospitalized.Thecausativeorganismisrespiratorysyncytialvirus
v v
r(RSV).Thenurseknowsthatachildinfectedwiththisvirusrequireswhattypeofisolation? v
a. Reverseisolation v
b. Airborneisolation
c. ContactPrecautions v
d. StandardPrecautions v
ANS:C
r
RSVistransmitted throughdroplets.InadditiontoStandardPrecautions andhandwashing,
v v v v v
ContactPrecautionsarerequired.Caregiversmustuseglovesandgownswhenenteringtheroom.Care r
ristakennottotouchtheirowneyesormucousmembraneswithacontaminated glovedhand.Children
v v r
rareplacedinaprivateroom orinaroomwithotherchildrenwithRSVinfections.Reverseisolation
v v v v r
rfocusesonkeepingbacteriaawayfromtheinfant.WithRSV,otherchildrenneedtobeprotectedfrom
v v r
exposuretothevirus.Thevirusisnotairborne.
r
3. Achildhasachroniccough anddiffusewheezingduringtheexpiratoryphaseofrespiration.This
v v v v v v
rsuggestswhatcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea v v
ANS:A
r
Asthmamayhavethesechronicsignsandsymptoms.Pneumoniaappearswithanacuteonset,
fever,andgeneralmalaise.Bronchiolitisisanacuteconditioncausedbyrespiratorysyncytial
,virus.Foreignbodyinthetracheaoccurswith acuterespiratorydistressorfailureandmaybestridor.
v v v
4. Whichnursingdiagnosisismostappropriateforaninfantwithacutebronchiolitisdueto
v v v v v
rrespiratorysyncytialvirus(RSV)?
a. ActivityIntolerance
b. DecreasedCardiacOutput
v
c. Pain,Acute
d. TissuePerfusion,Ineffective(peripheral)
ANS.A
r
Rationale1:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
v v v v
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
v v v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
Rationale2:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
v v v v
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
v v v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
Rationale3:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand v r
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually
v v v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
Rationale4:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupplyand
v
rdemand.Cardiacoutputisnotcompromisedduringanacutephaseofbronchiolitis.Painisnotusually v r
rassociatedwithacutebronchiolitis.Tissueperfusion (peripheral)isnotaffectedbythisrespiratory-
v r
rdiseaseprocess.
GlobalRationale:Activityintoleranceisaproblembecauseoftheimbalancebetweenoxygensupply
v v v
r anddemand.Cardiacoutputisnotcompromised during anacutephaseofbronchiolitis.Painisnot
v v v r
r usuallyassociatedwithacutebronchiolitis.Tissueperfusion(peripheral)isnotaffectedbythis v r
rrespiratory-diseaseprocess.
Chapter2:Asthma
1. Thenurseiscaringforachildhospitalizedforstatusasthmaticus.Whichassessmentfinding
v v v v v
rsuggeststhatthechilds conditionisworsening?
v
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
r ANS:A
, Thenursewouldassessthechildforsignsofhypoxia,includingrestlessness,fatigue,irritability,and
v r
rincreasedheartandrespiratoryrate.Asthechildtiresfromtheincreasedworkofbreathing
v v v r
rhypoventilationoccursleadingtoincreasedcarbondioxidelevels.Thenursewouldbealertforsignsof v r
rhypoxia.Thirst wouldreflectthechildshydrationstatus.Bradycardiais not asign ofhypoxia;
v v v v v r
tachycardiais.Clubbingdevelopsoveraperiodofmonthsinresponsetohypoxia.Thepresenceof
r r
rclubbingdoesnotindicatethechildsconditionisworsening.
v
2. Whichfindingisexpectedwhenassessingachild hospitalizedforasthma?
v v v v v
a. Inspiratorystridor
b. Harsh,barkycough
c. Wheezing
d. Rhinorrhea
ANS:C
r
Wheezingisaclassicmanifestationofasthma.Inspiratorystridorisaclinicalmanifestation of
v v v
croup.Aharsh,barkycoughischaracteristicofcroup.Rhinorrheaisnotassociatedwithasthma.
v v
3. Achildhashadcoldsymptomsformorethan2weeks,aheadache,nasalcongestion with
v v v r
r purulentnasaldrainage,facialtenderness,andacoughthatincreasesduringsleep.Thenurse
v v v
rrecognizesthesesymptomsarecharacteristicofwhichrespiratorycondition? v
a. Allergicrhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
ANS:D
r
Sinusitisischaracterizedbysignsandsymptomsofacoldthatdonotimproveafter14days,a
v v
low-gradefever,nasalcongestionandpurulentnasaldischarge,headache,tenderness,afeelingof r
rfullnessovertheaffectedsinuses,halitosis,andacoughthatincreaseswhenthechildislyingdown.
v v v r
r Theclassicsymptomsofallergicrhinitisarewateryrhinorrhea,itchynose,eyes,ears,andpalate,and
v v r
r sneezing.Symptomsoccuraslongasthechildisexposedtotheallergen.Bronchitisischaracterizedby
v v v v r
r agradualonsetofrhinitisandacoughthatisinitiallynonproductivebutmaychangetoaloosecough. v
Themanifestationsofasthmamayvary,withwheezingbeingaclassicsign.Thesymptomspresented v r
r inthequestion donot suggestasthma.
v v
4. Whatisacommontriggerforasthmaattacksinchildren?
a. Febrileepisodes
b. Dehydration
c. Exercise
d. Seizures
ANS:C
r
