PEDIATRIC NURSING A CARE B
n
Pediatric Nursing- A Case-Based Approach 1st Edition
n n n n
n n
n n
n
ASED APPROCH
n Tagher Knapp1ST EDITION T
Test Bank n n n n n n
AGHER KNAPP TEST BANK
n
Test Preparation (University of Mississippi)
n n
n
n n
n
, lOMoARcPSD|14969581
1. Whichn interventionn isn appropriaten forn then infant n hospitalized n withn bronchiolitis?
a. Positionn onn then siden withn neckn slightlyn flexed.
b. Administern antibioticsn asn ordered.
c. Restrict n oraln and n parenteraln fluidsn if n tachypneic.
d. Givencool,nhumidifiedn
oxygen.n ANS:n D
Cool,n humidified n oxygenn isn givenn ton relieven dyspnea,n hypoxemia,n and n insensiblen fluid n lossn from
tachypnea.nThen infant n should n ben positioned n withn then head n and n chest n elevated n at n an 30-n ton 40-
degreen anglen and n thenneckn slightlyn extendedntonmaintainn ann opennairwayn andn decreasen pressuren onn t
hen diaphragm.n Then etiologyn of n bronchiolitisn isn viral.n Antibioticsn aren givenn onlyn if n theren isn anseconda
ryn bacterialn infection.n Tachypnean increasesn insensiblen fluid n loss.n If n then infant n isn tachypneic,n fluidsn
aren givenn parenterallyn ton prevent n dehydration.
2. Ann infant n withn bronchiolitisn isn hospitalized.n Then causativen organismn isn respiratoryn syncytialn
virusn (RSV).n Then nursen knowsn that n an child ninfected nwithn thisn virusn requiresn what n typen of n isolati
on?
a. Reversenisolation
b. Airbornenisolation
c. Contact n Precautions
d. Standard nPrecautionsn
ANS:n C
RSV n isn transmitted n throughn droplets.n Inn additionn ton Standard n Precautionsn and n hand n washing,
Contact n Precautionsn aren required.n Caregiversn must n usen glovesn and ngownsnwhennenteringn then room.
n Caren isn takenn not n tontouchntheirn ownneyesn ornmucousn membranesn withn an contaminated ngloved nhand
.n Childrenn aren placed n inn an privaten roomn orninn an roomn withn othern childrenn withnRSV ninfections.n Reve
rsen isolationn focusesn onn keepingn bacterian awaynfromntheninfant.nWithnRSV,nothern childrenn needn ton b
en protected n fromn exposuren ton then virus.n Then virusn isn not n airborne.
3. A nchild n hasn anchronicn coughn andndiffusen wheezingn duringn then expiratoryn phasen of n respiration.n
Thisn suggestsn what n condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignnbodyninn
trachean ANS:n A
Asthman mayn haven thesen chronicn signsn and n symptoms.n Pneumonian appearsn withn ann acuten onset,
fever,n and n generaln malaise.n Bronchiolitisn isn ann acuten conditionn caused n byn respiratoryn syncytial
,virus.n Foreignn bodyn inn thentrachean occursnwithnacutenrespiratoryn distressn orn failuren and nmayben strido
r.
4. Whichn nursingn diagnosisn isn most n appropriaten forn ann infant nwithnacutenbronchiolitisn duent
on respiratoryn syncytialn virusn (RSV)?
a. Activityn Intolerance
b. Decreased n Cardiacn Output
c. Pain,n Acute
d. TissuenPerfusion,nIneffectiven(peripheral)n
ANS.n A
Rationalen1:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
Rationalen2:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
Rationalen3:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
Rationalen4:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
GlobalnRationale:nActivityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn su
pplyn and n demand.nCardiacn outputn isn notncompromised n duringn annacuten phasen of n bronchiolitis.n Painn
isn not n usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn t
hisn respiratory-diseasen process.
Chaptern 2:n Asthma
1. Then nursen isn caringn forn an child n hospitalized nforn statusnasthmaticus.n Whichn assessment n f
indingn suggestsn that n then childsn conditionn isn worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
n ANS:n A
, Then nursen would n assessn then child nforn signsn of n hypoxia,n includingn restlessness,n fatigue,n irritability,n a
nd n increased n heart n and nrespiratoryn rate.nAsnthenchild n tiresn fromn thenincreased n workn ofn breathingnhyp
oventilationn occursn leadingn ton increased n carbonn dioxiden levels.n Then nursen would n ben alert n forn signsn
of n hypoxia.n Thirst n would n reflect n then childsnhydrationn status.n Bradycardian isn not nan signn of n hypoxia;n t
achycardian is.n Clubbingn developsn overn an period n ofn monthsninn responsen tonhypoxia.n Then presencen ofn
clubbingn doesn not n indicaten then childsn conditionn isn worsening.
2. Whichn findingn isn expected n whenn assessingn an child n hospitalized n forn asthma?
a. Inspiratoryn stridor
b. Harsh,n barkyn cough
c. Wheezing
d. Rhinorrhea
nANS:n C
Wheezingn isn an classicn manifestationn of n asthma.n Inspiratoryn stridorn isn an clinicaln manifestationn of
croup.n A n harsh,n barkyn coughn isn characteristicn of n croup.n Rhinorrhean isn not n associated n withn asthma.
3. A nchild n hasn hadn coldnsymptomsn forn moren thann2n weeks,n anheadache,nnasaln congestionn withnp
urulent n nasaln drainage,n facialn tenderness,n and n ancoughnthatn increasesn duringn sleep.n Then nursen r
ecognizesn thesen symptomsn aren characteristicn of n whichn respiratoryn condition?
a. Allergicnrhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
n ANS:n D
Sinusitisn isn characterized n byn signsn and n symptomsn of n an cold n that n don not n improven aftern 14n days,n a
low-
graden fever,n nasaln congestionn and npurulent n nasaln discharge,n headache,n tenderness,n an feelingn of n full
nessn overn then affectednsinuses,n halitosis,n and n an coughnthatn increasesn whenn then child n isn lyingn down.n
Then classicn symptomsn of n allergicn rhinitisn aren wateryn rhinorrhea,n itchyn nose,n eyes,n ears,n and n palate,n
and n sneezing.n Symptomsn occurn asn longn asn then child nisn exposedn ton then allergen.n Bronchitisn isn charac
terized n byn an gradualn onset nofnrhinitisn and nan coughnthatn isn initiallyn nonproductivenbut nmayn changen ton
an loosen cough.n Then manifestationsn of n asthman mayn vary,n withn wheezingn beingn an classicn sign.n Then sy
mptomsn presented n inn then questionn don not n suggest n asthma.
4. What n isn an commonn triggern forn asthman attacksn inn children?
a. Febrilen episodes
b. Dehydration
c. Exercise
d. Seizures
n ANS:n C
n
Pediatric Nursing- A Case-Based Approach 1st Edition
n n n n
n n
n n
n
ASED APPROCH
n Tagher Knapp1ST EDITION T
Test Bank n n n n n n
AGHER KNAPP TEST BANK
n
Test Preparation (University of Mississippi)
n n
n
n n
n
, lOMoARcPSD|14969581
1. Whichn interventionn isn appropriaten forn then infant n hospitalized n withn bronchiolitis?
a. Positionn onn then siden withn neckn slightlyn flexed.
b. Administern antibioticsn asn ordered.
c. Restrict n oraln and n parenteraln fluidsn if n tachypneic.
d. Givencool,nhumidifiedn
oxygen.n ANS:n D
Cool,n humidified n oxygenn isn givenn ton relieven dyspnea,n hypoxemia,n and n insensiblen fluid n lossn from
tachypnea.nThen infant n should n ben positioned n withn then head n and n chest n elevated n at n an 30-n ton 40-
degreen anglen and n thenneckn slightlyn extendedntonmaintainn ann opennairwayn andn decreasen pressuren onn t
hen diaphragm.n Then etiologyn of n bronchiolitisn isn viral.n Antibioticsn aren givenn onlyn if n theren isn anseconda
ryn bacterialn infection.n Tachypnean increasesn insensiblen fluid n loss.n If n then infant n isn tachypneic,n fluidsn
aren givenn parenterallyn ton prevent n dehydration.
2. Ann infant n withn bronchiolitisn isn hospitalized.n Then causativen organismn isn respiratoryn syncytialn
virusn (RSV).n Then nursen knowsn that n an child ninfected nwithn thisn virusn requiresn what n typen of n isolati
on?
a. Reversenisolation
b. Airbornenisolation
c. Contact n Precautions
d. Standard nPrecautionsn
ANS:n C
RSV n isn transmitted n throughn droplets.n Inn additionn ton Standard n Precautionsn and n hand n washing,
Contact n Precautionsn aren required.n Caregiversn must n usen glovesn and ngownsnwhennenteringn then room.
n Caren isn takenn not n tontouchntheirn ownneyesn ornmucousn membranesn withn an contaminated ngloved nhand
.n Childrenn aren placed n inn an privaten roomn orninn an roomn withn othern childrenn withnRSV ninfections.n Reve
rsen isolationn focusesn onn keepingn bacterian awaynfromntheninfant.nWithnRSV,nothern childrenn needn ton b
en protected n fromn exposuren ton then virus.n Then virusn isn not n airborne.
3. A nchild n hasn anchronicn coughn andndiffusen wheezingn duringn then expiratoryn phasen of n respiration.n
Thisn suggestsn what n condition?
a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignnbodyninn
trachean ANS:n A
Asthman mayn haven thesen chronicn signsn and n symptoms.n Pneumonian appearsn withn ann acuten onset,
fever,n and n generaln malaise.n Bronchiolitisn isn ann acuten conditionn caused n byn respiratoryn syncytial
,virus.n Foreignn bodyn inn thentrachean occursnwithnacutenrespiratoryn distressn orn failuren and nmayben strido
r.
4. Whichn nursingn diagnosisn isn most n appropriaten forn ann infant nwithnacutenbronchiolitisn duent
on respiratoryn syncytialn virusn (RSV)?
a. Activityn Intolerance
b. Decreased n Cardiacn Output
c. Pain,n Acute
d. TissuenPerfusion,nIneffectiven(peripheral)n
ANS.n A
Rationalen1:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
Rationalen2:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
Rationalen3:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
Rationalen4:n Activityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn supplyn a
nd n demand.nCardiacn outputn isn notn compromised n duringn ann acuten phasen of n bronchiolitis.n Painn isn not n
usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn thisn res
piratory-diseasen process.
GlobalnRationale:nActivityn intolerancen isn an problemn becausen of n then imbalancen betweenn oxygenn su
pplyn and n demand.nCardiacn outputn isn notncompromised n duringn annacuten phasen of n bronchiolitis.n Painn
isn not n usuallyn associated n withn acuten bronchiolitis.n Tissuen perfusionn (peripheral)n isn not n affected n byn t
hisn respiratory-diseasen process.
Chaptern 2:n Asthma
1. Then nursen isn caringn forn an child n hospitalized nforn statusnasthmaticus.n Whichn assessment n f
indingn suggestsn that n then childsn conditionn isn worsening?
a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
n ANS:n A
, Then nursen would n assessn then child nforn signsn of n hypoxia,n includingn restlessness,n fatigue,n irritability,n a
nd n increased n heart n and nrespiratoryn rate.nAsnthenchild n tiresn fromn thenincreased n workn ofn breathingnhyp
oventilationn occursn leadingn ton increased n carbonn dioxiden levels.n Then nursen would n ben alert n forn signsn
of n hypoxia.n Thirst n would n reflect n then childsnhydrationn status.n Bradycardian isn not nan signn of n hypoxia;n t
achycardian is.n Clubbingn developsn overn an period n ofn monthsninn responsen tonhypoxia.n Then presencen ofn
clubbingn doesn not n indicaten then childsn conditionn isn worsening.
2. Whichn findingn isn expected n whenn assessingn an child n hospitalized n forn asthma?
a. Inspiratoryn stridor
b. Harsh,n barkyn cough
c. Wheezing
d. Rhinorrhea
nANS:n C
Wheezingn isn an classicn manifestationn of n asthma.n Inspiratoryn stridorn isn an clinicaln manifestationn of
croup.n A n harsh,n barkyn coughn isn characteristicn of n croup.n Rhinorrhean isn not n associated n withn asthma.
3. A nchild n hasn hadn coldnsymptomsn forn moren thann2n weeks,n anheadache,nnasaln congestionn withnp
urulent n nasaln drainage,n facialn tenderness,n and n ancoughnthatn increasesn duringn sleep.n Then nursen r
ecognizesn thesen symptomsn aren characteristicn of n whichn respiratoryn condition?
a. Allergicnrhinitis
b. Bronchitis
c. Asthma
d. Sinusitis
n ANS:n D
Sinusitisn isn characterized n byn signsn and n symptomsn of n an cold n that n don not n improven aftern 14n days,n a
low-
graden fever,n nasaln congestionn and npurulent n nasaln discharge,n headache,n tenderness,n an feelingn of n full
nessn overn then affectednsinuses,n halitosis,n and n an coughnthatn increasesn whenn then child n isn lyingn down.n
Then classicn symptomsn of n allergicn rhinitisn aren wateryn rhinorrhea,n itchyn nose,n eyes,n ears,n and n palate,n
and n sneezing.n Symptomsn occurn asn longn asn then child nisn exposedn ton then allergen.n Bronchitisn isn charac
terized n byn an gradualn onset nofnrhinitisn and nan coughnthatn isn initiallyn nonproductivenbut nmayn changen ton
an loosen cough.n Then manifestationsn of n asthman mayn vary,n withn wheezingn beingn an classicn sign.n Then sy
mptomsn presented n inn then questionn don not n suggest n asthma.
4. What n isn an commonn triggern forn asthman attacksn inn children?
a. Febrilen episodes
b. Dehydration
c. Exercise
d. Seizures
n ANS:n C
