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Test Bank For Pediatric Nursing- A Case-Based Approach 1st Edition Tagher Knapp Test Bank Chapter 1: Bronchiolitis Chapter 2: Asthma Chapter 3: Ulnar Fracture Chapter 4: Urinary Tract Infection and Pyelonephritis Chapter 5: Gastroenteritis, Fever, and Dehydration Chapter 6: Leukemia Chapter 7: Hear...

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  • January 30, 2025
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  • 2024/2025
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TestBankForPediatric
v v v




NursingACase-Based
v v




Approach1stEditionTagher
v v v v




Knapp
v

, PediatricNursing – A Case-Based Approach 1stEditionTagher KnappTest Bank v v v v v v v v v v v




Chapter 1: Bronchiolitis v v




1. Whichintervention is appropriate for theinfanthospitalized with bronchiolitis?
v v v v v v v v v




a. Position on theside with neck slightly flexed. v v v v v v v




b. Administerantibiotics asordered. v v v




c. Restrict oral and parenteral fluids if tachypneic. v v v v v v




d. Givecool,humidifiedoxygen. v v v




ANS: D
v v




Cool,humidified oxygen is given to relievedyspnea, hypoxemia, and insensiblefluid loss from
v v v v v v v v v v v v v




tachypnea. The infantshould bepositioned with the head and chestelevated ata30- to 40-degree angle
v v v v v v v v v v v v v v v v v




and the neck slightly extended to maintain an open airway and decrease pressure on the diaphragm. The
v v v v v v v v v v v v v v v v v




etiology of bronchiolitis is viral. Antibiotics are given only if there is a secondary bacterial infection.
v v v v v v v v v v v v v v v v




Tachypnea increases insensible fluid loss. If the infant is tachypneic, fluids are given parenterally to
v v v v v v v v v v v v v v v




prevent dehydration.
v v




2. Aninfantwith bronchiolitis is hospitalized. Thecausativeorganismis respiratory syncytial virus
v v v v v v v v v v v v




(RSV). The nurse knows that a child infected with this virus requires what type of isolation?
v v v v v v v v v v v v v v v v




a. Reverseisolation v




b. Airborne isolation v




c. ContactPrecautions v




d. StandardPrecautions v




ANS: C
v v




RSV is transmitted through droplets. In addition to Standard Precautions and hand washing,
v v v v v v v v v v v v




Contact Precautions are required. Caregivers must use gloves and gowns when entering the room. Care
v v v v v v v v v v v v v v




is taken not to touch their own eyes or mucous membranes with a contaminated gloved hand. Children
v v v v v v v v v v v v v v v v v




are placed in a private room or in a room with other children with RSV infections. Reverseisolation
v v v v v v v v v v v v v v v v v v




focuses on keeping bacteriaawayfromtheinfant. With RSV, other children need to be protected from
v v v v v v v v v v v v v v v v v




exposure to the virus. The virus is not airborne.
v v v v v v v v v




3. A child has achroniccough and diffusewheezing during theexpiratoryphaseof respiration. This
v v v v v v v v v v v v v v v




suggests what condition?
v v v




a. Asthma
b. Pneumonia
c. Bronchiolitis
d. Foreignbodyintrachea v v v




ANS: A
v v




Asthmamayhave these chronicsigns and symptoms. Pneumoniaappears with an acute onset,
v v v v v v v v v v v v v




fever,and general malaise. Bronchiolitis is an acute condition caused byrespiratory syncytial
v v v v v v v v v v v v

,virus.Foreignbody inthe tracheaoccurs with acute respiratorydistress orfailureand maybe stridor.
v v v v v v v v v v v v v v v




4. Whichnursingdiagnosis is mostappropriateforan infantwith acutebronchiolitis dueto
v v v v v v v v v v v v v




respiratory syncytial virus (RSV)?
v v v v




a. ActivityIntolerance v




b. DecreasedCardiacOutput v v




c. Pain,Acute v




d. TissuePerfusion,Ineffective(peripheral)
v v v




ANS. A
v v




Rationale1:Activityintolerance is aproblembecauseoftheimbalancebetween oxygen supply and
v v v v v v v v v v v v v v




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
v v v v v v v v v v v v v v v v




associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
v v v v v v v v v v v v v




disease process. v




Rationale2:Activityintolerance is aproblembecauseoftheimbalancebetween oxygen supply and
v v v v v v v v v v v v v v




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
v v v v v v v v v v v v v v v v




associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
v v v v v v v v v v v v v




disease process. v




Rationale3:Activityintolerance is aproblembecauseof theimbalancebetween oxygen supply and
v v v v v v v v v v v v v v




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
v v v v v v v v v v v v v v v v




associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
v v v v v v v v v v v v v




disease process. v




Rationale4:Activityintolerance is aproblembecauseoftheimbalancebetween oxygen supply and
v v v v v v v v v v v v v v




demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not usually
v v v v v v v v v v v v v v v v




associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this respiratory-
v v v v v v v v v v v v v




disease process. v




GlobalRationale: Activity intoleranceis aproblem becauseoftheimbalancebetween oxygen supply
v v v v v v v v v v v v v




and demand. Cardiac output is not compromised during an acute phase of bronchiolitis. Pain is not
v v v v v v v v v v v v v v v v




usually associated with acute bronchiolitis. Tissue perfusion (peripheral) is not affected by this
v v v v v v v v v v v v v




respiratory-disease process.
v v




Chapter2: Asthma v v




1. Thenurseis caring forachildhospitalized forstatus asthmaticus. Which assessmentfinding
v v v v v v v v v v v v v




suggests that the childs condition is worsening?
v v v v v v v




a. Hypoventilation
b. Thirst
c. Bradycardia
d. Clubbing
ANS: A
v v

, Thenursewould assess thechild for signs of hypoxia, including restlessness, fatigue, irritability, and
v v v v v v v v v v v v v v




increased heart and respiratory rate. As the child tires from the increased work of breathing
v v v v v v v v v v v v v v v




hypoventilation occurs leading to increased carbon dioxide levels. The nurse would be alert for signs of
v v v v v v v v v v v v v v v v




hypoxia. Thirst would reflect the childs hydration status. Bradycardia is not a sign of hypoxia;
v v v v v v v v v v v v v v v




tachycardia is. Clubbing develops over a period of months in response to hypoxia. The presence of
v v v v v v v v v v v v v v v v




clubbing does not indicate the childs condition is worsening.
v v v v v v v v v




2. Which finding is expected when assessing achild hospitalized for asthma?
v v v v v v v v v v




a. Inspiratorystridor v




b. Harsh, barky cough v v




c. Wheezing
d. Rhinorrhea
ANS: C
v v




Wheezing is aclassicmanifestation of asthma. Inspiratory stridor is a clinicalmanifestation of
v v v v v v v v v v v v v




croup.A harsh, barky cough is characteristic of croup. Rhinorrheais not associated with asthma.
v v v v v v v v v v v v v v




3. A child has had cold symptoms for more than 2 weeks, a headache, nasal congestion with
v v v v v v v v v v v v v v v




purulentnasaldrainage, facial tenderness, and acough thatincreases during sleep. Thenurse
v v v v v v v v v v v v v v




recognizes these symptoms are characteristic of which respiratory condition?
v v v v v v v v v




a. Allergicrhinitis v




b. Bronchitis
c. Asthma
d. Sinusitis
ANS: D
v v




Sinusitis is characterized by signs and symptoms of acold thatdo not improve after 14 days, a
v v v v v v v v v v v v v v v v v




low-grade fever, nasal congestion and purulent nasal discharge, headache, tenderness, a feeling of
v v v v v v v v v v v v




fullness over the affected sinuses, halitosis, and a cough that increases when the child is lying down.
v v v v v v v v v v v v v v v v v




Theclassicsymptoms ofallergicrhinitis are wateryrhinorrhea, itchynose, eyes, ears, and palate, and
v v v v v v v v v v v v v v v v




sneezing. Symptoms occur as long as the child is exposed to the allergen. Bronchitis is characterized by
v v v v v v v v v v v v v v v v v




a gradual onset of rhinitis and a cough that is initially nonproductive but may change to a loose cough.
v v v v v v v v v v v v v v v v v v v




The manifestations of asthma may vary, with wheezing being a classic sign. The symptoms presented
v v v v v v v v v v v v v v v




in the question do not suggest asthma.
v v v v v v v




4. Whatis a common trigger for asthmaattacks in children?
v v v v v v v v v




a. Febrileepisodes v




b. Dehydration
c. Exercise
d. Seizures
ANS: C
v v

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