TEST BANK For Pediatric Nursing- A Case-Based
Approach, 2nd Edition by (Tagher, 2024), Verified
Chapters 1 - 34
,Chapter q1: q Bronchiolitis
1. Which qintervention qis qappropriate qfor qthe qinfant qhospitalized qwith qbronchiolitis?
a. Position qon qthe qside qwith qneck qslightly qflexed.
b. Administer qantibiotics qas qordered.
c. Restrict qoral qand qparenteral qfluids qif qtachypneic.
d. Give qcool, qhumidified qoxygen.
qANS: qD
Cool, qhumidified qoxygen qis qgiven qto qrelieve qdyspnea, qhypoxemia, qand qinsensible qfluid qloss qfrom
tachypnea. qThe qinfant qshould qbe qpositioned qwith qthe qhead qand qchest qelevated qat qa q30- qto q40-
degreeqangle qand qthe qneck qslightly qextended qto qmaintain qan qopen qairway qand qdecrease qpressure
qon qthe qdiaphragm. q The qetiology qof qbronchiolitis q is qviral. qAntibiotics q are qgiven qonly qif q there qis qa
qsecondary qbacterial qinfection. qTachypnea qincreases qinsensible qfluid qloss. qIf qthe qinfant qis
qtachypneic, qfluids qare qgiven qparenterally qto qprevent qdehydration.
2. An qinfant qwith qbronchiolitis qis qhospitalized. qThe qcausative qorganism qis qrespiratory
qsyncytialqvirus q(RSV). qThe qnurse qknows qthat qa qchild qinfected qwith qthis qvirus qrequires qwhat
qtype qof
isolation?
a. Reverse qisolation
b. Airborne qisolation
c. Contact qPrecautions
d. Standard qPrecautions
qANS: qC
RSV qis qtransmitted qthrough qdroplets. qIn qaddition qto qStandard qPrecautions qand qhand qwashing,
Contact qPrecautions qare qrequired. qCaregivers qmust quse qgloves qand qgowns qwhen qentering qthe
qroom. qCare qis qtaken qnot qto qtouch qtheir qown qeyes qor qmucous qmembranes qwith qa qcontaminated
qgloved qhand. qChildren qare qplaced qin qa qprivate qroom qor qin qa qroom qwith qother qchildren qwith
qRSV qinfections. qReverse qisolation qfocuses qon qkeeping qbacteria qaway qfrom qthe qinfant. qWith
qRSV, qotherqchildren qneed qto qbe qprotected qfrom qexposure qto qthe qvirus. qThe qvirus qis qnot qairborne.
3. A qchild qhas qa qchronic qcough qand qdiffuse qwheezing qduring qthe qexpiratory qphase qof qrespiration.
This qsuggests qwhat qcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign qbody qin qtrachea
qANS: qA
Asthma qmay qhave qthese qchronic qsigns qand qsymptoms. qPneumonia qappears qwith qan qacute qonset,
fever, qand qgeneral qmalaise. qBronchiolitis qis qan qacute qcondition qcaused qby qrespiratory qsyncytial
,virus. qForeign qbody qin qthe qtrachea qoccurs qwith qacute qrespiratory qdistress qor qfailure qand
qmaybeqstridor.
4. Which qnursing qdiagnosis qis qmost qappropriate qfor qan qinfant qwith qacute qbronchiolitis qdue
qtoqrespiratory qsyncytial qvirus q(RSV)?
a. Activity qIntolerance
b. Decreased qCardiac qOutput
c. Pain, qAcute
d. Tissue qPerfusion, qIneffective
q(peripheral)q ANS. qA
Rationale q1: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis. qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Rationale q2: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis. qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Rationale q3: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof qbronchiolitis.
qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion q(peripheral) qis qnot
qaffected qby qthis qrespiratory-disease qprocess.
Rationale q4: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis. qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Global qRationale: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween
qoxygenqsupply qand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis.q Pain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Chapter q2: qAsthma
1. The qnurse qis qcaring qfor qa qchild qhospitalized qfor qstatus qasthmaticus. qWhich qassessment
qfindingqsuggests qthat qthe qchilds qcondition q is qworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
qANS: qA
, The qnurse qwould qassess qthe qchild qfor qsigns qof qhypoxia, qincluding qrestlessness, qfatigue,
qirritability,qand qincreased qheart qand qrespiratory qrate. qAs qthe qchild qtires qfrom qthe qincreased qwork
qof qbreathing qhypoventilation qoccurs qleading qto qincreased qcarbon qdioxide qlevels. qThe qnurse
qwould qbe qalert qfor qsigns qof qhypoxia. qThirst qwould qreflect qthe qchilds qhydration qstatus.
qBradycardia qis qnot qa qsign qof qhypoxia; qtachycardia qis. qClubbing qdevelops qover qa qperiod qof
qmonths qin qresponse qto qhypoxia. qTheq presence qof qclubbing qdoes qnot qindicate qthe qchilds
qcondition qis qworsening.
2. Which qfinding qis qexpected qwhen qassessing qa qchild qhospitalized qfor qasthma?
a. Inspiratory qstridor
b. Harsh, qbarky qcough
c. Wheezing
d. Rhinorrhea
qANS: qC
Wheezing qis qa qclassic qmanifestation qof qasthma. qInspiratory qstridor qis qa qclinical qmanifestation qof
croup. qA qharsh, qbarky qcough qis qcharacteristic qof qcroup. qRhinorrhea qis qnot qassociated qwith qasthma.
3. A qchild qhas qhad qcold qsymptoms qfor qmore qthan q2 qweeks, qa qheadache, qnasal qcongestion
qwith qpurulent qnasal qdrainage, qfacial qtenderness, qand qa qcough qthat qincreases qduring qsleep.
qThe qnurseqrecognizes qthese qsymptoms qare qcharacteristic qof qwhich qrespiratory qcondition?
a. Allergic qrhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
qANS: qD
Sinusitis qis qcharacterized qby qsigns qand qsymptoms qof qa qcold qthat qdo qnot qimprove qafter q14 qdays, qa
low-grade qfever, qnasal qcongestion qand qpurulent qnasal qdischarge, qheadache, qtenderness, qa
qfeeling qof qfullness qover qthe qaffected qsinuses, qhalitosis, qand qa qcough qthat qincreases qwhen qthe
qchild qis qlyingqdown. qThe qclassic qsymptoms qof qallergic qrhinitis qare qwatery qrhinorrhea, qitchy qnose,
qeyes, qears, qandqpalate, qand qsneezing. qSymptoms qoccur qas qlong qas qthe qchild qis qexposed qto qthe
qallergen. qBronchitis qis qcharacterized qby qa qgradual qonset qof qrhinitis qand qa qcough qthat qis qinitially
qnonproductive qbut qmayq change qto qa qloose qcough. qThe qmanifestations qof qasthma qmay qvary, qwith
qwheezing qbeing qa qclassic qsign. qThe qsymptoms qpresented qin qthe qquestion qdo qnot qsuggest
qasthma.
4. What qis qa qcommon qtrigger qfor qasthma qattacks qin qchildren?
a. Febrile qepisodes
b. Dehydration
c. Exercise
d. Seizures
qANS: qC
Approach, 2nd Edition by (Tagher, 2024), Verified
Chapters 1 - 34
,Chapter q1: q Bronchiolitis
1. Which qintervention qis qappropriate qfor qthe qinfant qhospitalized qwith qbronchiolitis?
a. Position qon qthe qside qwith qneck qslightly qflexed.
b. Administer qantibiotics qas qordered.
c. Restrict qoral qand qparenteral qfluids qif qtachypneic.
d. Give qcool, qhumidified qoxygen.
qANS: qD
Cool, qhumidified qoxygen qis qgiven qto qrelieve qdyspnea, qhypoxemia, qand qinsensible qfluid qloss qfrom
tachypnea. qThe qinfant qshould qbe qpositioned qwith qthe qhead qand qchest qelevated qat qa q30- qto q40-
degreeqangle qand qthe qneck qslightly qextended qto qmaintain qan qopen qairway qand qdecrease qpressure
qon qthe qdiaphragm. q The qetiology qof qbronchiolitis q is qviral. qAntibiotics q are qgiven qonly qif q there qis qa
qsecondary qbacterial qinfection. qTachypnea qincreases qinsensible qfluid qloss. qIf qthe qinfant qis
qtachypneic, qfluids qare qgiven qparenterally qto qprevent qdehydration.
2. An qinfant qwith qbronchiolitis qis qhospitalized. qThe qcausative qorganism qis qrespiratory
qsyncytialqvirus q(RSV). qThe qnurse qknows qthat qa qchild qinfected qwith qthis qvirus qrequires qwhat
qtype qof
isolation?
a. Reverse qisolation
b. Airborne qisolation
c. Contact qPrecautions
d. Standard qPrecautions
qANS: qC
RSV qis qtransmitted qthrough qdroplets. qIn qaddition qto qStandard qPrecautions qand qhand qwashing,
Contact qPrecautions qare qrequired. qCaregivers qmust quse qgloves qand qgowns qwhen qentering qthe
qroom. qCare qis qtaken qnot qto qtouch qtheir qown qeyes qor qmucous qmembranes qwith qa qcontaminated
qgloved qhand. qChildren qare qplaced qin qa qprivate qroom qor qin qa qroom qwith qother qchildren qwith
qRSV qinfections. qReverse qisolation qfocuses qon qkeeping qbacteria qaway qfrom qthe qinfant. qWith
qRSV, qotherqchildren qneed qto qbe qprotected qfrom qexposure qto qthe qvirus. qThe qvirus qis qnot qairborne.
3. A qchild qhas qa qchronic qcough qand qdiffuse qwheezing qduring qthe qexpiratory qphase qof qrespiration.
This qsuggests qwhat qcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreign qbody qin qtrachea
qANS: qA
Asthma qmay qhave qthese qchronic qsigns qand qsymptoms. qPneumonia qappears qwith qan qacute qonset,
fever, qand qgeneral qmalaise. qBronchiolitis qis qan qacute qcondition qcaused qby qrespiratory qsyncytial
,virus. qForeign qbody qin qthe qtrachea qoccurs qwith qacute qrespiratory qdistress qor qfailure qand
qmaybeqstridor.
4. Which qnursing qdiagnosis qis qmost qappropriate qfor qan qinfant qwith qacute qbronchiolitis qdue
qtoqrespiratory qsyncytial qvirus q(RSV)?
a. Activity qIntolerance
b. Decreased qCardiac qOutput
c. Pain, qAcute
d. Tissue qPerfusion, qIneffective
q(peripheral)q ANS. qA
Rationale q1: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis. qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Rationale q2: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis. qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Rationale q3: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof qbronchiolitis.
qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion q(peripheral) qis qnot
qaffected qby qthis qrespiratory-disease qprocess.
Rationale q4: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween qoxygen
qsupplyqand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis. qPain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Global qRationale: qActivity qintolerance qis qa qproblem qbecause qof qthe qimbalance qbetween
qoxygenqsupply qand qdemand. qCardiac qoutput qis qnot qcompromised qduring qan qacute qphase qof
qbronchiolitis.q Pain qis qnot qusually qassociated qwith qacute qbronchiolitis. qTissue qperfusion
q(peripheral) qis qnot qaffected qby qthis qrespiratory-disease qprocess.
Chapter q2: qAsthma
1. The qnurse qis qcaring qfor qa qchild qhospitalized qfor qstatus qasthmaticus. qWhich qassessment
qfindingqsuggests qthat qthe qchilds qcondition q is qworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
qANS: qA
, The qnurse qwould qassess qthe qchild qfor qsigns qof qhypoxia, qincluding qrestlessness, qfatigue,
qirritability,qand qincreased qheart qand qrespiratory qrate. qAs qthe qchild qtires qfrom qthe qincreased qwork
qof qbreathing qhypoventilation qoccurs qleading qto qincreased qcarbon qdioxide qlevels. qThe qnurse
qwould qbe qalert qfor qsigns qof qhypoxia. qThirst qwould qreflect qthe qchilds qhydration qstatus.
qBradycardia qis qnot qa qsign qof qhypoxia; qtachycardia qis. qClubbing qdevelops qover qa qperiod qof
qmonths qin qresponse qto qhypoxia. qTheq presence qof qclubbing qdoes qnot qindicate qthe qchilds
qcondition qis qworsening.
2. Which qfinding qis qexpected qwhen qassessing qa qchild qhospitalized qfor qasthma?
a. Inspiratory qstridor
b. Harsh, qbarky qcough
c. Wheezing
d. Rhinorrhea
qANS: qC
Wheezing qis qa qclassic qmanifestation qof qasthma. qInspiratory qstridor qis qa qclinical qmanifestation qof
croup. qA qharsh, qbarky qcough qis qcharacteristic qof qcroup. qRhinorrhea qis qnot qassociated qwith qasthma.
3. A qchild qhas qhad qcold qsymptoms qfor qmore qthan q2 qweeks, qa qheadache, qnasal qcongestion
qwith qpurulent qnasal qdrainage, qfacial qtenderness, qand qa qcough qthat qincreases qduring qsleep.
qThe qnurseqrecognizes qthese qsymptoms qare qcharacteristic qof qwhich qrespiratory qcondition?
a. Allergic qrhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
qANS: qD
Sinusitis qis qcharacterized qby qsigns qand qsymptoms qof qa qcold qthat qdo qnot qimprove qafter q14 qdays, qa
low-grade qfever, qnasal qcongestion qand qpurulent qnasal qdischarge, qheadache, qtenderness, qa
qfeeling qof qfullness qover qthe qaffected qsinuses, qhalitosis, qand qa qcough qthat qincreases qwhen qthe
qchild qis qlyingqdown. qThe qclassic qsymptoms qof qallergic qrhinitis qare qwatery qrhinorrhea, qitchy qnose,
qeyes, qears, qandqpalate, qand qsneezing. qSymptoms qoccur qas qlong qas qthe qchild qis qexposed qto qthe
qallergen. qBronchitis qis qcharacterized qby qa qgradual qonset qof qrhinitis qand qa qcough qthat qis qinitially
qnonproductive qbut qmayq change qto qa qloose qcough. qThe qmanifestations qof qasthma qmay qvary, qwith
qwheezing qbeing qa qclassic qsign. qThe qsymptoms qpresented qin qthe qquestion qdo qnot qsuggest
qasthma.
4. What qis qa qcommon qtrigger qfor qasthma qattacks qin qchildren?
a. Febrile qepisodes
b. Dehydration
c. Exercise
d. Seizures
qANS: qC
