TEST BANK Wong's Essentials of Pediatric Nursing 10th
Edition by Marilyn J. Hockenberry - All Chapter (1-
30)|Complete Guide A+
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1. Which condition in a child should alert a nurse for Fever
increased fluid requirements?
a. Fever ANS: A
b. Mechanical ventilation Fever leads to great insensible fluid loss in young children because of increased
c. Congestive heart failure body surface area relative to fluid volume. Respiratory rate influences insensible
d. Increased intracranial pressure (ICP) fluid loss and should be monitored in the mechanically ventilated child.
Congestive heart failure is a case of fluid overload in children. Increased ICP does
not lead to increased fluid requirements in children.
2. A nurse is conducting an in-service on gastrointestinal Upper gastrointestinal (GI) tract
disorders. The nurse includes that melena, the passage of
black, tarry stools, suggests bleeding from which area?
a. Perianal or rectal area Melena is denatured blood from the upper GI tract or bleeding from the right
b. Hemorrhoids or anal fissures colon. Blood from the perianal or rectal area, hemorrhoids, or lower GI tract
c. Upper gastrointestinal (GI) tract would be bright red.
d. Lower GI tract
3. Which type of dehydration is defined as "dehydration Isotonic dehydration
that occurs in conditions in which electrolyte and water
deficits are present in approximately balanced ANS: A
proportion"? Isotonic dehydration is the correct term for this definition and is the most frequent
a. Isotonic dehydration form of dehydration in children. Hypotonic dehydration occurs when the
b. Hypotonic dehydration electrolyte deficit exceeds the water deficit, leaving the serum hypotonic.
c. Hypertonic dehydration Hypertonic dehydration results from water loss in excess of electrolyte loss and is
d.All types of dehydration in infants and small childre usually caused by a proportionately larger loss of water or a larger intake of
electrolytes. This definition is specific to isotonic dehydration.
, 4. A nurse is admitting an infant with dehydration caused Hypertonic
from water loss in excess of electrolyte loss. Which type
of dehydration is this infant experiencing?
a. Isotonic Hypertonic dehydration results from water loss in excess of electrolyte loss. This is
b. Isosmotic the most dangerous type of dehydration. It is caused by feeding children fluids
c. Hypotonic with high amounts of solute. Isotonic dehydration occurs in conditions in which
d. Hypertonic electrolyte and water deficits are present in balanced proportion and is another
term for isomotic dehydration. Hypotonic dehydration occurs when the
electrolyte deficit exceeds the water deficit, leaving the serum hypotonic.
5. An infant is brought to the emergency department with Poor skin turgor
dehydration. Which physical assessment finding does the Clinical manifestations of dehydration include poor skin turgor, weight loss,
nurse expect? lethargy, and tachycardia. The infant would have prolonged capillary refill, not
a. Weight gain brisk.
b. Bradycardia
c.Poor skin turgor
d. Brisk capillary refill
6. Parents call the clinic and report that their toddler has Antibiotic therapy
had acute diarrhea for 24 hours. The nurse should further
ask the parents if the toddler has which associated factor
that is causing the acute diarrhea? Acute diarrhea is a sudden increase in frequency and change in consistency of
a. Celiac disease stools and may be associated with antibiotic therapy. Celiac disease is a problem
b. Antibiotic therapy with gluten intolerance and may cause chronic diarrhea if not identified and
c. Immunodeficiency managed appropriately. Immunodeficiency would occur with chronic diarrhea.
d. Protein malnutrition Protein malnutrition or kwashiorkor causes chronic diarrhea from lowered
resistance to infection.
7. Which pathogen is the viral pathogen that frequently ANS: C
causes acute diarrhea in young children? Rotavirus is the most frequent viral pathogen that causes diarrhea in young
a. Giardia organisms children. Giardia (parasite) and Salmonella are bacterial pathogens that cause
b. Shigella organisms diarrhea. Shigella is a bacterial pathogen that is uncommon in the United States.
c. Rotavirus
d.Salmonella organisms
8. Which is a parasite that causes acute diarrhea? Giardia lamblia
a. Shigella organisms
b. Salmonella organisms G. lamblia is a parasite that represents 10% of non-dysenteric illness in the
c. Giardia lamblia United States. Shigella, Salmonella, and E. coli are bacterial pathogens.
d. Escherichia coli
Edition by Marilyn J. Hockenberry - All Chapter (1-
30)|Complete Guide A+
Save
Students also studied
Pharyngitis Microbiology for Surgical Technolo... MRSA NUR 14
Teacher 18 terms Teacher 30 terms Teacher 38 terms Teacher
andrewjohns3915 Preview roscli021 Preview Jay_Ryan69 Preview Inte
1. Which condition in a child should alert a nurse for Fever
increased fluid requirements?
a. Fever ANS: A
b. Mechanical ventilation Fever leads to great insensible fluid loss in young children because of increased
c. Congestive heart failure body surface area relative to fluid volume. Respiratory rate influences insensible
d. Increased intracranial pressure (ICP) fluid loss and should be monitored in the mechanically ventilated child.
Congestive heart failure is a case of fluid overload in children. Increased ICP does
not lead to increased fluid requirements in children.
2. A nurse is conducting an in-service on gastrointestinal Upper gastrointestinal (GI) tract
disorders. The nurse includes that melena, the passage of
black, tarry stools, suggests bleeding from which area?
a. Perianal or rectal area Melena is denatured blood from the upper GI tract or bleeding from the right
b. Hemorrhoids or anal fissures colon. Blood from the perianal or rectal area, hemorrhoids, or lower GI tract
c. Upper gastrointestinal (GI) tract would be bright red.
d. Lower GI tract
3. Which type of dehydration is defined as "dehydration Isotonic dehydration
that occurs in conditions in which electrolyte and water
deficits are present in approximately balanced ANS: A
proportion"? Isotonic dehydration is the correct term for this definition and is the most frequent
a. Isotonic dehydration form of dehydration in children. Hypotonic dehydration occurs when the
b. Hypotonic dehydration electrolyte deficit exceeds the water deficit, leaving the serum hypotonic.
c. Hypertonic dehydration Hypertonic dehydration results from water loss in excess of electrolyte loss and is
d.All types of dehydration in infants and small childre usually caused by a proportionately larger loss of water or a larger intake of
electrolytes. This definition is specific to isotonic dehydration.
, 4. A nurse is admitting an infant with dehydration caused Hypertonic
from water loss in excess of electrolyte loss. Which type
of dehydration is this infant experiencing?
a. Isotonic Hypertonic dehydration results from water loss in excess of electrolyte loss. This is
b. Isosmotic the most dangerous type of dehydration. It is caused by feeding children fluids
c. Hypotonic with high amounts of solute. Isotonic dehydration occurs in conditions in which
d. Hypertonic electrolyte and water deficits are present in balanced proportion and is another
term for isomotic dehydration. Hypotonic dehydration occurs when the
electrolyte deficit exceeds the water deficit, leaving the serum hypotonic.
5. An infant is brought to the emergency department with Poor skin turgor
dehydration. Which physical assessment finding does the Clinical manifestations of dehydration include poor skin turgor, weight loss,
nurse expect? lethargy, and tachycardia. The infant would have prolonged capillary refill, not
a. Weight gain brisk.
b. Bradycardia
c.Poor skin turgor
d. Brisk capillary refill
6. Parents call the clinic and report that their toddler has Antibiotic therapy
had acute diarrhea for 24 hours. The nurse should further
ask the parents if the toddler has which associated factor
that is causing the acute diarrhea? Acute diarrhea is a sudden increase in frequency and change in consistency of
a. Celiac disease stools and may be associated with antibiotic therapy. Celiac disease is a problem
b. Antibiotic therapy with gluten intolerance and may cause chronic diarrhea if not identified and
c. Immunodeficiency managed appropriately. Immunodeficiency would occur with chronic diarrhea.
d. Protein malnutrition Protein malnutrition or kwashiorkor causes chronic diarrhea from lowered
resistance to infection.
7. Which pathogen is the viral pathogen that frequently ANS: C
causes acute diarrhea in young children? Rotavirus is the most frequent viral pathogen that causes diarrhea in young
a. Giardia organisms children. Giardia (parasite) and Salmonella are bacterial pathogens that cause
b. Shigella organisms diarrhea. Shigella is a bacterial pathogen that is uncommon in the United States.
c. Rotavirus
d.Salmonella organisms
8. Which is a parasite that causes acute diarrhea? Giardia lamblia
a. Shigella organisms
b. Salmonella organisms G. lamblia is a parasite that represents 10% of non-dysenteric illness in the
c. Giardia lamblia United States. Shigella, Salmonella, and E. coli are bacterial pathogens.
d. Escherichia coli
