PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
TEST BANK m
Pediatric Nursing, A Case-
m m m
m Based Approach, 1st Edition By
m m m m m
Tagher Knapp m
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Chapterm1:mBronchiolitis
1. Whichminterventionmismappropriate mformthe minfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthe mside mwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmif mtachypneic.
d. Give mcool,mhumidifiedmoxygen.mANS:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelieve mdyspnea,mhypoxemia,mandminsensible mfluidmlossmfrom
tachypnea.mThe minfantmshouldmbe mpositionedmwithmthe mheadmandmchestmelevatedmatmam30-mtom40-
degree manglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressuremon
m the m diaphragm. mThemetiologym of mbronchiolitis m ism viral. m Antibiotics mare mgivenmonly mif mthere m ism am second
arymbacterialminfection.mTachypneamincreasesminsensible mfluidmloss.mIf mtheminfantmismtachypneic,mfluidsmar
e mgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncytialmv
irusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype mof misolation?
a. Reverse misolation
b. Airborne misolation
c. ContactmPrecautions
d. StandardmPrecautionsmANS:mC
RSV mismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthemroom.m
Care mismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmglovedmhan
d.mChildrenmaremplacedminmamprivate mroommorminmamroommwithmothermchildrenmwithmRSV minfections.mRev
erse misolation
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
focusesmonmkeepingmbacteriamawaymfrommthe minfant.mWithmRSV,mothermchildrenmneedmtombemprotectedmfromm
exposure mtomthe mvirus.mThe mvirusmismnotmairborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphase mof mrespiration.
m Thism suggests m whatm condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignmbodyminmtracheamANS:mA
Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacute monset,
m fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial
virus.mForeignmbodyminmthemtracheamoccursmwithmacute mrespiratorymdistressmormfailure mandmmaybe mstridor.
4. Whichmnursingmdiagnosismismmostmappropriate mformanminfantmwithmacutembronchiolitismdu
e mtomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. Tissue mPerfusion, mIneffective m(peripheral) mANS.mA
Rationale m1:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
Rationale m2:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Rationale m3:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
Rationale m4:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
GlobalmRationale:mActivitymintolerance mismamproblemmbecausemofmthe mimbalance mbetweenmoxygenmsupply
m andm demand. mCardiacm outputm ismnotm compromised mduringmanmacutem phasemof mbronchiolitis. m Painmism no
tmusuallymassociatedmwithmacutembronchiolitis.mTissue mperfusionm(peripheral) mismnotmaffectedmbymthismres
piratory- mdisease mprocess.
Chapterm2:mAsthma
1. The mnurse mismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfin
dingmsuggestsmthatmthe mchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. ClubbingmANS:mA
The mnurse mwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness, mfatigue,mirritability,mand
m increased m heartm andmrespiratory mrate.m Asmthem childmtiresmfrommthem increased m work mofmbreathingm hypov
entilationmoccursmleadingmtomincreasedmcarbonmdioxide mlevels.mThe mnurse mwouldmbe malertmformsignsmof
BasedmApproach,m1stmEditionmBymTaghermKnapp
TEST BANK m
Pediatric Nursing, A Case-
m m m
m Based Approach, 1st Edition By
m m m m m
Tagher Knapp m
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Chapterm1:mBronchiolitis
1. Whichminterventionmismappropriate mformthe minfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthe mside mwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmif mtachypneic.
d. Give mcool,mhumidifiedmoxygen.mANS:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelieve mdyspnea,mhypoxemia,mandminsensible mfluidmlossmfrom
tachypnea.mThe minfantmshouldmbe mpositionedmwithmthe mheadmandmchestmelevatedmatmam30-mtom40-
degree manglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressuremon
m the m diaphragm. mThemetiologym of mbronchiolitis m ism viral. m Antibiotics mare mgivenmonly mif mthere m ism am second
arymbacterialminfection.mTachypneamincreasesminsensible mfluidmloss.mIf mtheminfantmismtachypneic,mfluidsmar
e mgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncytialmv
irusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtype mof misolation?
a. Reverse misolation
b. Airborne misolation
c. ContactmPrecautions
d. StandardmPrecautionsmANS:mC
RSV mismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthemroom.m
Care mismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmglovedmhan
d.mChildrenmaremplacedminmamprivate mroommorminmamroommwithmothermchildrenmwithmRSV minfections.mRev
erse misolation
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
focusesmonmkeepingmbacteriamawaymfrommthe minfant.mWithmRSV,mothermchildrenmneedmtombemprotectedmfromm
exposure mtomthe mvirus.mThe mvirusmismnotmairborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphase mof mrespiration.
m Thism suggests m whatm condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignmbodyminmtracheamANS:mA
Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacute monset,
m fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial
virus.mForeignmbodyminmthemtracheamoccursmwithmacute mrespiratorymdistressmormfailure mandmmaybe mstridor.
4. Whichmnursingmdiagnosismismmostmappropriate mformanminfantmwithmacutembronchiolitismdu
e mtomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. Tissue mPerfusion, mIneffective m(peripheral) mANS.mA
Rationale m1:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
Rationale m2:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Rationale m3:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
Rationale m4:mActivitymintolerancemismamproblemmbecausemof mthemimbalance mbetweenmoxygenmsupplymand
m demand. mCardiacm outputmism notmcompromisedmduringmanmacutemphasemofmbronchiolitis. mPainmismnotm usu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral) mismnotmaffectedmbymthismrespirato
ry-mdisease mprocess.
GlobalmRationale:mActivitymintolerance mismamproblemmbecausemofmthe mimbalance mbetweenmoxygenmsupply
m andm demand. mCardiacm outputm ismnotm compromised mduringmanmacutem phasemof mbronchiolitis. m Painmism no
tmusuallymassociatedmwithmacutembronchiolitis.mTissue mperfusionm(peripheral) mismnotmaffectedmbymthismres
piratory- mdisease mprocess.
Chapterm2:mAsthma
1. The mnurse mismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfin
dingmsuggestsmthatmthe mchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. ClubbingmANS:mA
The mnurse mwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness, mfatigue,mirritability,mand
m increased m heartm andmrespiratory mrate.m Asmthem childmtiresmfrommthem increased m work mofmbreathingm hypov
entilationmoccursmleadingmtomincreasedmcarbonmdioxide mlevels.mThe mnurse mwouldmbe malertmformsignsmof
