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