TEST BANK
k
Advanced Pediatric Assessment
k k
Ellen M. Chiocca
k k
3rd Edition
k
,Test Bank: Advanced Pediatric Assessment Third Edition
k k k k k k
Chapterk1.kChildkHealthkAssessment:kAnkOverviewk
MULTIPLEkCHOICE
1.kkAknursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrickpopulations.kWhic
hkcurrentktrendkinkthekpediatricksettingkshouldktheknursekexpectktokfind?
a. Increasedk hospitalizationk ofk children
b. Decreasedk numberk ofk uninsuredk children
c. Ankincreasekinkambulatorykcare
d. Decreasedkusekofkmanagedkcarek
ANS:kC
Onekeffectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromktheka
cutekcareksettingktokthekambulatoryksetting.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreasedk
askmorekcarekiskprovidedkinkoutpatientkandkhomeksettings.kTheknumberkofkuninsuredkchildrenkinkthe
k Unitedk Stateskcontinues ktokgrow.k Onekofkthekbiggest kchangeskinkhealthcarekhaskbeenkthek growthkofk
managedkcare.
DIF:kCognitivekLevel:kComprehensionkREF:kdmk3
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
2.kAknursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokakprogramkthatkassistskwithksuppleme
ntalkfoodksupplies.kWhichkprogramkshouldktheknursekreferkthiskfamilykto?
a. Medicaid
b. Medicare
c. Earlyk andk Periodick Screening,k Diagnostic,k andk Treatmentk (EPSDT)k program
d. Women,kInfants,kandkChildrenk(WIC)kprogramk
ANS:kD
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreast-
feedingkandktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaidkandkthekMedicaidkEarlykandkPeriod
ickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogramkprovideskforkwell-
childkexaminationskandkrelatedktreatmentkofkmedicalkproblems.kChildrenkinkthekWICkprogramkarek
oftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimarykfocuskofkthekprogram.kPublickLawk99-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlykinterventionkservicesk
forkinfantskandktoddlerskwith,korkatkriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.kDIF
:kCognitivekLevel:kApplicationkREF:kdmk7kOBJ:kN
ursingkProcesskStep:kImplementationkMSC:kHealt
hkPromotionkandk Maintenance
3. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekparentalkpermissionk
before:
a. treatmentkforkdrugkabuse.
b. treatmentk fork sexuallyk transmittedk diseasesk (STDs).
c. obtainingkbirthkcontrol.
d. surgery.
,ANS:k D
Ankemancipatedkminorkiskakminorkchildkwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselkm
aykbekconsultedktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMostkstateskallo
wkminorsktokobtainktreatmentkforkdrugkorkalcoholkabusekandkSTDskandkallowkaccessktokbirthkcontrol
k withoutkparental k consent.
DIF:kCognitivekLevel:kApplicationkREF:kdmk12
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
.
4. Aknursekiskcompletingkakclinicalkpathwaykforkakchildkadmittedktokthekhospitalkwithkpneumonia.k
Whichkcharacteristickofkakclinicalkpathwaykiskcorrect?
a. Developedkandkimplementedkbyknurses
b. Usedkprimarilykinkthekpediatricksetting
c. Specificktimeklineskforksequencingkinterventions
d. Onekofkthekstepskinktheknursingkprocessk
ANS:kC
Clinicalkpathwayskmeasurekoutcomeskofkclientkcarekandkarekdevelopedkbykmultiplekhealthcarekprof
essionals.kEachkpathwaykoutlineskspecificktimeklineskforksequencingkinterventionskandkreflectskinter
disciplinarykinterventions.kClinicalkpathwayskarekusedkinkmultipleksettingskandkforkclientskthrougho
utktheklifekspan.kThekstepskofktheknursingkprocesskarekassessment,kdiagnosis,kplanning,kimplementat
ion,kandkevaluation.
DIF:kCognitivekLevel:kComprehensionkREF:kdmk6
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Whenkplanningkakparentingkclass,ktheknursekshouldkexplainkthatkthekleadingkcausekofkdeathkinkc
hildrenk1ktok4kyearskofkagekinkthekUnitedkStateskis:
a. prematurek birth.
b. congenitalk anomalies.
c. accidentalk death.
d. respiratoryktractkillness.
k ANS:k C
Accidentskarekthekleadingkcausekofkdeathkinkchildrenkagesk1ktok19kyears.kDisorderskofkshortkgestatio
nkandkunspecifiedklowkbirthkweightkmakekupkonekofkthekleadingkcauseskofkdeathkinkneonates.kOnekof
kthe kleading kcauseskofkinfant kdeathkafterkthekfirstkmonth kofklifekiskcongenital kanomalies. k Respiratory kt
ractkillnesseskarekakmajorkcausekofkmorbiditykinkchildren.
.
DIF:kCognitivekLevel:kApplicationkREF:kdmk9kOB
J:kNursingkProcesskStep:kImplementationkMSC:kS
afekandkEffectivekCarekEnvironment
6. Whichkstatementkisktruekregardingkthekqualitykassurancekorkincidentkreport?
a. Thekreportkassuresktheklegalkdepartmentkthatktherekisknokproblem.
b. Reportskarekakpermanentkpartkofkthekclientskchart.
, c. Theknursesknoteskshouldkcontainkthekfollowing:kIncidentkreportkfiledkandkcopyk
placedkinkchart.
d. Thiskreportkiskakformkofkdocumentationkofkankeventkthatkmaykresultkinklegalkaction.k
ANS:kD
Ankincidentkreportkiskakwarningktoktheklegalkdepartmentktokbekpreparedkforkpotentialklegalkaction;kitk
isknotkakpartkofkthekclientskchartkorknursekdocumentation.
DIF:kCognitivekLevel:kKnowledgekREF:kdmk14kO
BJ:kNursingkProcesskStep:kImplementationkMSC:
kSafekandk Effectivek Carek Environment
7. Whichkclientksituationkfailsktokmeetkthekfirstkrequirementkofkinformedkconsent?
a. Thekparentkdoesknotkunderstandkthekphysicianskexplanations.
b. Thekphysiciankgiveskthekparentkonlykakpartialklistkofkpossibleksidekeffectskandk
complications.
c. Nokparentkiskavailablekandkthekphysiciankaskskthekadolescentktoksignkthekconsentkf
orm.
d. Thekinfantskteenagekmotherksignskakconsentkformkbecausekherkparentktellskherkto.k
ANS:kC
.
Thekfirstkrequirementkofkinformedkconsentkiskthatkthekpersonkgivingkconsentkmustkbekcompetent.kMi
norskareknotkallowedktokgivekconsent.kAnkunderstandingkofkinformation,kfullkdisclosure,kandkvolunt
arykconsentkarekrequirementskofkinformedkconsent,kbutknonekofkthesekiskthekfirstkrequirement.
DIF:kCognitivekLevel:kComprehensionkREF:kdmk12kOBJ
:kNursingkProcesskStep:kImplementation
MSC:kSafekandkEffectivekCarekEnvironment
8. Aknursekassignedktokakchildkdoesknotkknowkhowktokperformkaktreatmentkthatkhaskbeenkprescribedkf
orkthekchild.kWhatkshouldktheknurseskfirstkactionkbe?
a. Delaykthektreatmentkuntilkanotherknursekcankdokit.
b. Makekthekchildskparentskawarekofktheksituation.
c. Informktheknursingksupervisorkofkthekproblem.
d. Arrangektokhavekthekchildktransferredktokanotherkunit.k
ANS:kC
Ifkaknursekisknotkcompetentktokperformkakparticularknursingktask,ktheknursekmustkimmediatelykcomm
unicatekthiskfactktoktheknursingksupervisorkorkphysician.kTheknursekcouldkendangerkthekchildkbykdela
yingkthekinterventionkuntilkanotherknursekiskavailable.kTellingkthekchildskparentskwouldkmostklikelyk
increasektheirkanxietykandkwillknotkresolvekthekdifficulty.kTransferktokanotherkunitkdelayskneededktre
atmentkandkwouldkcreatekunnecessarykdisruptionkforkthekchildkandkfamily.
DIF:kCognitivekLevel:kApplicationkREF:kdmk11kO
BJ:kNursingkProcesskStep:kImplementationkMSC:
kSafekandk Effectivek Carek Environment
9. Aknursekiskcompletingkakcarekplankforkakchildkandkiskfinishingkthekassessmentkphase.kWhichka
ctivitykisknotkpartkofkaknursingkassessment?
k
Advanced Pediatric Assessment
k k
Ellen M. Chiocca
k k
3rd Edition
k
,Test Bank: Advanced Pediatric Assessment Third Edition
k k k k k k
Chapterk1.kChildkHealthkAssessment:kAnkOverviewk
MULTIPLEkCHOICE
1.kkAknursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrickpopulations.kWhic
hkcurrentktrendkinkthekpediatricksettingkshouldktheknursekexpectktokfind?
a. Increasedk hospitalizationk ofk children
b. Decreasedk numberk ofk uninsuredk children
c. Ankincreasekinkambulatorykcare
d. Decreasedkusekofkmanagedkcarek
ANS:kC
Onekeffectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromktheka
cutekcareksettingktokthekambulatoryksetting.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreasedk
askmorekcarekiskprovidedkinkoutpatientkandkhomeksettings.kTheknumberkofkuninsuredkchildrenkinkthe
k Unitedk Stateskcontinues ktokgrow.k Onekofkthekbiggest kchangeskinkhealthcarekhaskbeenkthek growthkofk
managedkcare.
DIF:kCognitivekLevel:kComprehensionkREF:kdmk3
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
2.kAknursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokakprogramkthatkassistskwithksuppleme
ntalkfoodksupplies.kWhichkprogramkshouldktheknursekreferkthiskfamilykto?
a. Medicaid
b. Medicare
c. Earlyk andk Periodick Screening,k Diagnostic,k andk Treatmentk (EPSDT)k program
d. Women,kInfants,kandkChildrenk(WIC)kprogramk
ANS:kD
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreast-
feedingkandktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaidkandkthekMedicaidkEarlykandkPeriod
ickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogramkprovideskforkwell-
childkexaminationskandkrelatedktreatmentkofkmedicalkproblems.kChildrenkinkthekWICkprogramkarek
oftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimarykfocuskofkthekprogram.kPublickLawk99-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlykinterventionkservicesk
forkinfantskandktoddlerskwith,korkatkriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.kDIF
:kCognitivekLevel:kApplicationkREF:kdmk7kOBJ:kN
ursingkProcesskStep:kImplementationkMSC:kHealt
hkPromotionkandk Maintenance
3. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekparentalkpermissionk
before:
a. treatmentkforkdrugkabuse.
b. treatmentk fork sexuallyk transmittedk diseasesk (STDs).
c. obtainingkbirthkcontrol.
d. surgery.
,ANS:k D
Ankemancipatedkminorkiskakminorkchildkwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselkm
aykbekconsultedktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMostkstateskallo
wkminorsktokobtainktreatmentkforkdrugkorkalcoholkabusekandkSTDskandkallowkaccessktokbirthkcontrol
k withoutkparental k consent.
DIF:kCognitivekLevel:kApplicationkREF:kdmk12
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
.
4. Aknursekiskcompletingkakclinicalkpathwaykforkakchildkadmittedktokthekhospitalkwithkpneumonia.k
Whichkcharacteristickofkakclinicalkpathwaykiskcorrect?
a. Developedkandkimplementedkbyknurses
b. Usedkprimarilykinkthekpediatricksetting
c. Specificktimeklineskforksequencingkinterventions
d. Onekofkthekstepskinktheknursingkprocessk
ANS:kC
Clinicalkpathwayskmeasurekoutcomeskofkclientkcarekandkarekdevelopedkbykmultiplekhealthcarekprof
essionals.kEachkpathwaykoutlineskspecificktimeklineskforksequencingkinterventionskandkreflectskinter
disciplinarykinterventions.kClinicalkpathwayskarekusedkinkmultipleksettingskandkforkclientskthrougho
utktheklifekspan.kThekstepskofktheknursingkprocesskarekassessment,kdiagnosis,kplanning,kimplementat
ion,kandkevaluation.
DIF:kCognitivekLevel:kComprehensionkREF:kdmk6
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Whenkplanningkakparentingkclass,ktheknursekshouldkexplainkthatkthekleadingkcausekofkdeathkinkc
hildrenk1ktok4kyearskofkagekinkthekUnitedkStateskis:
a. prematurek birth.
b. congenitalk anomalies.
c. accidentalk death.
d. respiratoryktractkillness.
k ANS:k C
Accidentskarekthekleadingkcausekofkdeathkinkchildrenkagesk1ktok19kyears.kDisorderskofkshortkgestatio
nkandkunspecifiedklowkbirthkweightkmakekupkonekofkthekleadingkcauseskofkdeathkinkneonates.kOnekof
kthe kleading kcauseskofkinfant kdeathkafterkthekfirstkmonth kofklifekiskcongenital kanomalies. k Respiratory kt
ractkillnesseskarekakmajorkcausekofkmorbiditykinkchildren.
.
DIF:kCognitivekLevel:kApplicationkREF:kdmk9kOB
J:kNursingkProcesskStep:kImplementationkMSC:kS
afekandkEffectivekCarekEnvironment
6. Whichkstatementkisktruekregardingkthekqualitykassurancekorkincidentkreport?
a. Thekreportkassuresktheklegalkdepartmentkthatktherekisknokproblem.
b. Reportskarekakpermanentkpartkofkthekclientskchart.
, c. Theknursesknoteskshouldkcontainkthekfollowing:kIncidentkreportkfiledkandkcopyk
placedkinkchart.
d. Thiskreportkiskakformkofkdocumentationkofkankeventkthatkmaykresultkinklegalkaction.k
ANS:kD
Ankincidentkreportkiskakwarningktoktheklegalkdepartmentktokbekpreparedkforkpotentialklegalkaction;kitk
isknotkakpartkofkthekclientskchartkorknursekdocumentation.
DIF:kCognitivekLevel:kKnowledgekREF:kdmk14kO
BJ:kNursingkProcesskStep:kImplementationkMSC:
kSafekandk Effectivek Carek Environment
7. Whichkclientksituationkfailsktokmeetkthekfirstkrequirementkofkinformedkconsent?
a. Thekparentkdoesknotkunderstandkthekphysicianskexplanations.
b. Thekphysiciankgiveskthekparentkonlykakpartialklistkofkpossibleksidekeffectskandk
complications.
c. Nokparentkiskavailablekandkthekphysiciankaskskthekadolescentktoksignkthekconsentkf
orm.
d. Thekinfantskteenagekmotherksignskakconsentkformkbecausekherkparentktellskherkto.k
ANS:kC
.
Thekfirstkrequirementkofkinformedkconsentkiskthatkthekpersonkgivingkconsentkmustkbekcompetent.kMi
norskareknotkallowedktokgivekconsent.kAnkunderstandingkofkinformation,kfullkdisclosure,kandkvolunt
arykconsentkarekrequirementskofkinformedkconsent,kbutknonekofkthesekiskthekfirstkrequirement.
DIF:kCognitivekLevel:kComprehensionkREF:kdmk12kOBJ
:kNursingkProcesskStep:kImplementation
MSC:kSafekandkEffectivekCarekEnvironment
8. Aknursekassignedktokakchildkdoesknotkknowkhowktokperformkaktreatmentkthatkhaskbeenkprescribedkf
orkthekchild.kWhatkshouldktheknurseskfirstkactionkbe?
a. Delaykthektreatmentkuntilkanotherknursekcankdokit.
b. Makekthekchildskparentskawarekofktheksituation.
c. Informktheknursingksupervisorkofkthekproblem.
d. Arrangektokhavekthekchildktransferredktokanotherkunit.k
ANS:kC
Ifkaknursekisknotkcompetentktokperformkakparticularknursingktask,ktheknursekmustkimmediatelykcomm
unicatekthiskfactktoktheknursingksupervisorkorkphysician.kTheknursekcouldkendangerkthekchildkbykdela
yingkthekinterventionkuntilkanotherknursekiskavailable.kTellingkthekchildskparentskwouldkmostklikelyk
increasektheirkanxietykandkwillknotkresolvekthekdifficulty.kTransferktokanotherkunitkdelayskneededktre
atmentkandkwouldkcreatekunnecessarykdisruptionkforkthekchildkandkfamily.
DIF:kCognitivekLevel:kApplicationkREF:kdmk11kO
BJ:kNursingkProcesskStep:kImplementationkMSC:
kSafekandk Effectivek Carek Environment
9. Aknursekiskcompletingkakcarekplankforkakchildkandkiskfinishingkthekassessmentkphase.kWhichka
ctivitykisknotkpartkofkaknursingkassessment?
