PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
TEST BANK m
Pediatric Nursing, A Case-
m m m
Based Approach, 1st Edition By
m m m m m m
Tagher Knapp m
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Chapterm1:mBronchiolitis
1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthemsidemwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.
d. Givemcool,mhumidifiedmoxygen.mANS:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfrom
tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-mtom40-
degreemanglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressuremon
mthemdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmtheremismamsecond
arymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfantmismtachypneic,mfluidsmar
emgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncytialmv
irusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtypemofmisolation?
a. Reversemisolation
b. Airbornemisolation
c. ContactmPrecautions
d. StandardmPrecautionsmANS:mC
RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthemroom.m
Caremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmglovedmhan
d.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSVminfections.mRev
ersemisolation
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
focusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothermchildrenmneedmtombemprotectedmfromm
exposuremtomthemvirus.mThemvirusmismnotmairborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespiration.
mThismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignmbodyminmtracheamANS:mA
Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemonset,
m fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial
virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailuremandmmaybemstridor.
4. Whichmnursingmdiagnosismismmostmappropriatemformanminfantmwithmacutembronchiolitismdu
emtomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. TissuemPerfusion,mIneffectivem(peripheral)mANS.mA
Rationalem1:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
Rationalem2:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Rationalem3:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
Rationalem4:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
GlobalmRationale:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupply
mandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismres
piratory-mdiseasemprocess.
Chapterm2:mAsthma
1. Themnursemismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfin
dingmsuggestsmthatmthemchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. ClubbingmANS:mA
Themnursemwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness,mfatigue,mirritability,mand
mincreasedmheartmandmrespiratorymrate.mAsmthemchildmtiresmfrommthemincreasedmworkmofmbreathingmhypov
entilationmoccursmleadingmtomincreasedmcarbonmdioxidemlevels.mThemnursemwouldmbemalertmformsignsmof
BasedmApproach,m1stmEditionmBymTaghermKnapp
TEST BANK m
Pediatric Nursing, A Case-
m m m
Based Approach, 1st Edition By
m m m m m m
Tagher Knapp m
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Chapterm1:mBronchiolitis
1. Whichminterventionmismappropriatemformtheminfantmhospitalizedmwithmbronchiolitis?
a. Positionmonmthemsidemwithmneckmslightlymflexed.
b. Administermantibioticsmasmordered.
c. Restrictmoralmandmparenteralmfluidsmifmtachypneic.
d. Givemcool,mhumidifiedmoxygen.mANS:mD
Cool,mhumidifiedmoxygenmismgivenmtomrelievemdyspnea,mhypoxemia,mandminsensiblemfluidmlossmfrom
tachypnea.mTheminfantmshouldmbempositionedmwithmthemheadmandmchestmelevatedmatmam30-mtom40-
degreemanglemandmthemneckmslightlymextendedmtommaintainmanmopenmairwaymandmdecreasempressuremon
mthemdiaphragm.mThemetiologymofmbronchiolitismismviral.mAntibioticsmaremgivenmonlymifmtheremismamsecond
arymbacterialminfection.mTachypneamincreasesminsensiblemfluidmloss.mIfmtheminfantmismtachypneic,mfluidsmar
emgivenmparenterallymtompreventmdehydration.
2. Anminfantmwithmbronchiolitismismhospitalized.mThemcausativemorganismmismrespiratorymsyncytialmv
irusm(RSV).mThemnursemknowsmthatmamchildminfectedmwithmthismvirusmrequiresmwhatmtypemofmisolation?
a. Reversemisolation
b. Airbornemisolation
c. ContactmPrecautions
d. StandardmPrecautionsmANS:mC
RSVmismtransmittedmthroughmdroplets.mInmadditionmtomStandardmPrecautionsmandmhandmwashing,
ContactmPrecautionsmaremrequired.mCaregiversmmustmusemglovesmandmgownsmwhenmenteringmthemroom.m
Caremismtakenmnotmtomtouchmtheirmownmeyesmormmucousmmembranesmwithmamcontaminatedmglovedmhan
d.mChildrenmaremplacedminmamprivatemroommorminmamroommwithmothermchildrenmwithmRSVminfections.mRev
ersemisolation
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
focusesmonmkeepingmbacteriamawaymfrommtheminfant.mWithmRSV,mothermchildrenmneedmtombemprotectedmfromm
exposuremtomthemvirus.mThemvirusmismnotmairborne.
3. Amchildmhasmamchronicmcoughmandmdiffusemwheezingmduringmthemexpiratorymphasemofmrespiration.
mThismsuggestsmwhatmcondition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. ForeignmbodyminmtracheamANS:mA
Asthmammaymhavemthesemchronicmsignsmandmsymptoms.mPneumoniamappearsmwithmanmacutemonset,
m fever,mandmgeneralmmalaise.mBronchiolitismismanmacutemconditionmcausedmbymrespiratorymsyncytial
virus.mForeignmbodyminmthemtracheamoccursmwithmacutemrespiratorymdistressmormfailuremandmmaybemstridor.
4. Whichmnursingmdiagnosismismmostmappropriatemformanminfantmwithmacutembronchiolitismdu
emtomrespiratorymsyncytialmvirusm(RSV)?
a. ActivitymIntolerance
b. DecreasedmCardiacmOutput
c. Pain,mAcute
d. TissuemPerfusion,mIneffectivem(peripheral)mANS.mA
Rationalem1:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
Rationalem2:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
, PediatricmNursing,mAmCase-
BasedmApproach,m1stmEditionmBymTaghermKnapp
Rationalem3:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
Rationalem4:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupplymand
mdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismnotmusu
allymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismrespirato
ry-mdiseasemprocess.
GlobalmRationale:mActivitymintolerancemismamproblemmbecausemofmthemimbalancembetweenmoxygenmsupply
mandmdemand.mCardiacmoutputmismnotmcompromisedmduringmanmacutemphasemofmbronchiolitis.mPainmismno
tmusuallymassociatedmwithmacutembronchiolitis.mTissuemperfusionm(peripheral)mismnotmaffectedmbymthismres
piratory-mdiseasemprocess.
Chapterm2:mAsthma
1. Themnursemismcaringmformamchildmhospitalizedmformstatusmasthmaticus.mWhichmassessmentmfin
dingmsuggestsmthatmthemchildsmconditionmismworsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. ClubbingmANS:mA
Themnursemwouldmassessmthemchildmformsignsmofmhypoxia,mincludingmrestlessness,mfatigue,mirritability,mand
mincreasedmheartmandmrespiratorymrate.mAsmthemchildmtiresmfrommthemincreasedmworkmofmbreathingmhypov
entilationmoccursmleadingmtomincreasedmcarbonmdioxidemlevels.mThemnursemwouldmbemalertmformsignsmof
