NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
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RuddTest Bank (1)
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Pediatric Nursing The Critical Components of Nursing Care 3nd Edition Rudd Test
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BankChapter 1. Issues and Trends in Pediatric Nursing
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MULTIPLE CHOICE ll
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
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populations.Which current trend in the pediatric setting should the nurse expect to find?
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a. Increased hospitalization of children ll l ll
b. Decreased number of uninsured children ll ll ll ll
c. An increase in ambulatory care ll ll l l
d. Decreased use of managed care ll ll ll ll
ANS: C ll
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
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theacute care setting to the ambulatory setting. The number of hospital beds being used has
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ll decreased as more care is provided in outpatient and home settings. The number of uninsured
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ll children in the United States continues to grow. One of the biggest changes in healthcare has been
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the growth of managed care.
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DIF: Cognitive Level: Comprehension REF: p. 3
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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2. A nurse is referring a low-income family with three children under the age of 5 years to a
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ll program that assists withsupplemental food supplies. Which program should the nurse refer
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ll thisfamily to?
l ll
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
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d. Women, Infants, and Children (WIC) program ll ll ll l ll
,NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
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ANS: D ll
WIC is a federal program that provides supplemental food supplies to low-income women
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ll whoare pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and
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ll the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
ll ll ll ll ll ll ll ll ll ll
ll providesfor well-child examinations and related treatment of medical problems. Children in the
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ll WIC program are often referred for immunizations, but that is not the primary focus of the
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ll program.Public Law 99-457 provides financial incentives to states to establish comprehensive
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ll early intervention services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare ll is the
ll ll program for
ll ll Senior
ll Citizens. DIF: Cognitive Level: Application l ll ll ll
ll REF: p. 7 OBJ: Nursing Process Step: ll ll l ll ll ll
ll Implementation MSC: Health Promotion and ll ll l l
ll Maintenance
3. In most states, adolescents who are not emancipated minors must have parental
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ll permissionbefore: l
a. treatment for drug abuse. ll ll ll
b. treatment for sexuallytransmitted diseases (STDs). ll ll l ll ll
c. obtaining birthcontrol. ll l
d. surgery.
ANS: D ll
An emancipated minor is a minor child who has the legal competence of an adult. Legal
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ll counselmay be consulted to verify the status of the emancipated minor for consent purposes. Most
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statesallow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to
ll l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll birth control without parental consent.
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DIF: Cognitive Level: Application REF: p. 12
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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,NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
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4. Anurse is completing a clinical pathway for a child admitted to the hospital with
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pneumonia.Which characteristic of a clinical pathway is correct?
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a. Developed and implemented by nurses ll ll ll ll
b. Used primarily inthe pediatric setting ll ll l ll ll
c. Specific time lines for sequencing interventions ll ll ll l ll
d. One of the steps in the nursing processll ll ll ll l ll ll
ANS: C ll
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
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ll professionals. Each pathwayoutlines specific time lines for sequencing interventions and ll l l ll ll ll ll ll ll ll
ll reflectsinterdisciplinary interventions. Clinical pathways are used in multiple settings and for
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ll clients throughout the life span. The steps of the nursing process are assessment, diagnosis,
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll planning, implementation, and evaluation. ll ll ll
DIF: Cognitive Level: Comprehension REF: p. 6
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OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
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5. Whenplanning a parenting class, the nurse should explain that the leading cause of death
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ll inchildren 1 to 4 years of age in the United States is:
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a. premature birth. ll
b. congenital anomalies. l
c. accidental death. l
d. respiratorytract illness. l ll
ANS: C ll
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll gestation and unspecified low birth weight make up one of the leading causes of death in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll neonates. One of the leading causes of infant death after the first month of life is
ll ll ll ll ll ll ll ll l ll ll ll l ll ll
ll congenitalanomalies. Respiratory tract illnesses are a major cause of morbidity in children.
l ll ll ll ll ll ll ll ll ll ll ll
, NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
ll l ll ll
DIF: Cognitive Level: Application REF: p.
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ll 9 OBJ:
l ll Nursing llProcess ll Step:
ll Implementation MSC: Safe and Effective ll ll ll ll
Care Environment
ll ll
6. Whichstatement is true regarding the quality assurance or incident report?
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a. The report assures the legal department that there is no problem.
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b. Reports are a permanent part of the clients chart. ll ll ll ll ll ll ll ll
c. The nurses notes should contain the following: Incident report filed and
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copyplaced in chart.
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d. This report is a form of documentation of an event that may result in legal action.
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ANS: D ll
An incident report is a warning to the legal department to be prepared for potential legal action;it
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll l l
ll is not a part of the clients chart or nurse documentation.
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DIF: Cognitive Level: Knowledge REF: p.
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ll 14OBJ: Nursing Process Step:
l ll ll ll
ll Implementation MSC: Safe and Effective ll ll ll ll
Care Environment
ll ll
7. Which client situation fails to meet the first requirement of informed consent?
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a. The parent does not understand the physicians explanations.
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b. The physician gives the parent only a partial list of possible side effects
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andcomplications.
ll l
c. No parent is available and the physician asks the adolescent to sign the
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consentform. ll l
d. The infants teenage mother signs a consent form because her parent tells her to.
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ANS: C ll
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
ll l ll ll
Pediatric Nursing The Critical Components of Nursing Care 3nd Edition Rudd Test
ll ll ll ll ll ll ll ll ll ll ll
BankChapter 1. Issues and Trends in Pediatric Nursing
ll l ll ll ll ll ll ll ll
MULTIPLE CHOICE ll
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric
l ll ll ll ll l ll l ll ll ll
populations.Which current trend in the pediatric setting should the nurse expect to find?
ll l l ll ll l ll ll ll ll ll ll ll ll
a. Increased hospitalization of children ll l ll
b. Decreased number of uninsured children ll ll ll ll
c. An increase in ambulatory care ll ll l l
d. Decreased use of managed care ll ll ll ll
ANS: C ll
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from
ll ll ll ll ll ll ll ll ll ll ll ll ll
theacute care setting to the ambulatory setting. The number of hospital beds being used has
l l ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll decreased as more care is provided in outpatient and home settings. The number of uninsured
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll children in the United States continues to grow. One of the biggest changes in healthcare has been
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the growth of managed care.
l ll ll ll ll
DIF: Cognitive Level: Comprehension REF: p. 3
ll ll ll l ll ll
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
ll ll ll l ll ll ll ll ll ll
2. A nurse is referring a low-income family with three children under the age of 5 years to a
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll program that assists withsupplemental food supplies. Which program should the nurse refer
l ll ll l ll ll ll l l ll ll ll
ll thisfamily to?
l ll
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
ll ll ll ll ll ll ll ll
d. Women, Infants, and Children (WIC) program ll ll ll l ll
,NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
ll l ll ll
ANS: D ll
WIC is a federal program that provides supplemental food supplies to low-income women
ll ll ll ll ll ll ll ll ll ll ll ll
ll whoare pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll the Medicaid Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
ll ll ll ll ll ll ll ll ll ll
ll providesfor well-child examinations and related treatment of medical problems. Children in the
l ll ll ll ll ll ll ll ll ll ll ll
ll WIC program are often referred for immunizations, but that is not the primary focus of the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll program.Public Law 99-457 provides financial incentives to states to establish comprehensive
l ll ll ll ll ll ll ll ll ll ll
ll early intervention services for infants and toddlers with, or at risk for, developmental disabilities.
ll l ll ll ll ll ll ll ll ll ll ll ll
Medicare ll is the
ll ll program for
ll ll Senior
ll Citizens. DIF: Cognitive Level: Application l ll ll ll
ll REF: p. 7 OBJ: Nursing Process Step: ll ll l ll ll ll
ll Implementation MSC: Health Promotion and ll ll l l
ll Maintenance
3. In most states, adolescents who are not emancipated minors must have parental
ll ll ll ll ll ll ll ll ll ll ll
ll permissionbefore: l
a. treatment for drug abuse. ll ll ll
b. treatment for sexuallytransmitted diseases (STDs). ll ll l ll ll
c. obtaining birthcontrol. ll l
d. surgery.
ANS: D ll
An emancipated minor is a minor child who has the legal competence of an adult. Legal
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll counselmay be consulted to verify the status of the emancipated minor for consent purposes. Most
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll
statesallow minors to obtain treatment for drug or alcohol abuse and STDs and allow access to
ll l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll birth control without parental consent.
ll ll ll ll
DIF: Cognitive Level: Application REF: p. 12
ll ll ll l ll ll
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
ll ll ll l ll ll ll ll ll ll
,NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
ll l ll ll
4. Anurse is completing a clinical pathway for a child admitted to the hospital with
l ll ll ll ll l ll ll ll ll ll ll ll ll
pneumonia.Which characteristic of a clinical pathway is correct?
l l l ll ll ll ll ll ll
a. Developed and implemented by nurses ll ll ll ll
b. Used primarily inthe pediatric setting ll ll l ll ll
c. Specific time lines for sequencing interventions ll ll ll l ll
d. One of the steps in the nursing processll ll ll ll l ll ll
ANS: C ll
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
ll ll ll ll ll ll ll ll ll ll ll ll
ll professionals. Each pathwayoutlines specific time lines for sequencing interventions and ll l l ll ll ll ll ll ll ll
ll reflectsinterdisciplinary interventions. Clinical pathways are used in multiple settings and for
l ll ll ll ll ll ll ll ll ll ll
ll clients throughout the life span. The steps of the nursing process are assessment, diagnosis,
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll planning, implementation, and evaluation. ll ll ll
DIF: Cognitive Level: Comprehension REF: p. 6
ll ll ll l ll ll
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
ll ll ll l ll ll ll ll ll ll
5. Whenplanning a parenting class, the nurse should explain that the leading cause of death
l ll ll ll ll ll ll ll l ll ll ll ll ll
ll inchildren 1 to 4 years of age in the United States is:
l l ll ll ll ll ll ll ll ll ll ll
a. premature birth. ll
b. congenital anomalies. l
c. accidental death. l
d. respiratorytract illness. l ll
ANS: C ll
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll gestation and unspecified low birth weight make up one of the leading causes of death in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll neonates. One of the leading causes of infant death after the first month of life is
ll ll ll ll ll ll ll ll l ll ll ll l ll ll
ll congenitalanomalies. Respiratory tract illnesses are a major cause of morbidity in children.
l ll ll ll ll ll ll ll ll ll ll ll
, NURS 3425 Pediatric Nursing The Critical Components of Nursing Care 3nd Edition
ll ll ll ll ll ll ll ll ll ll ll
RuddTest Bank (1)
ll l ll ll
DIF: Cognitive Level: Application REF: p.
ll ll ll ll ll
ll 9 OBJ:
l ll Nursing llProcess ll Step:
ll Implementation MSC: Safe and Effective ll ll ll ll
Care Environment
ll ll
6. Whichstatement is true regarding the quality assurance or incident report?
l ll ll ll ll ll ll ll ll ll
a. The report assures the legal department that there is no problem.
ll ll ll ll l ll ll ll ll ll
b. Reports are a permanent part of the clients chart. ll ll ll ll ll ll ll ll
c. The nurses notes should contain the following: Incident report filed and
ll ll ll ll l ll ll ll ll ll
copyplaced in chart.
ll l ll ll
d. This report is a form of documentation of an event that may result in legal action.
ll ll ll ll ll ll l ll l ll ll ll ll ll ll
ANS: D ll
An incident report is a warning to the legal department to be prepared for potential legal action;it
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll l l
ll is not a part of the clients chart or nurse documentation.
ll ll ll ll ll ll ll ll ll ll
DIF: Cognitive Level: Knowledge REF: p.
ll ll ll ll ll
ll 14OBJ: Nursing Process Step:
l ll ll ll
ll Implementation MSC: Safe and Effective ll ll ll ll
Care Environment
ll ll
7. Which client situation fails to meet the first requirement of informed consent?
l ll l ll ll ll ll ll ll ll ll
a. The parent does not understand the physicians explanations.
ll ll ll ll ll ll ll
b. The physician gives the parent only a partial list of possible side effects
ll l ll ll ll ll ll ll ll ll ll ll
andcomplications.
ll l
c. No parent is available and the physician asks the adolescent to sign the
ll ll ll ll ll ll l ll ll ll ll l
consentform. ll l
d. The infants teenage mother signs a consent form because her parent tells her to.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ANS: C ll
