Essentials of Pediatric Nursing 4th Edition
Kyle Carman Test Bank
CHAPTER 1 Introduction to Child Health and Pediatric
NursingMULTIPLE CHOICE
1. A nurse is planning a teaching session for parents of preschool children.
Whichstatement explains why the nurse should include information about
morbidity andmortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are
identified.ANS: D
Analysis of morbidity and mortality data provides the parents with information
about which groups of individuals are at risk for which health problems. Life-
span statistics is apart of the mortality data. Treatment modalities and cost are
not included in morbidity and mortality data.
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
TOP: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity
prevention for parents of school-age children. The nurse should include which
associated risk of obesityin the teaching plan?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II
diabetesANS: D
Childhood obesity has been associated with the rise of type II diabetes in
,children. Type Idiabetes is not associated with obesity and has a genetic
component. Respiratory disease is not associated with obesity, and celiac disease PTS: 1 DIF: Cognitive Level: Remember REF: 7
is the inability to metabolize gluten in foods and is not associated with obesity. TOP: Integrated Process: Nursing Process:
PTS: 1 DIF: Cognitive Level: Apply REF: 3 Assessment
TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance
MSC: Area of Client Needs: Health Promotion and Maintenance 4. Which leading cause of death topic should the nurse emphasize to a group of
3. Which is the leading cause of death in infants younger than 1 year? African-American boys ranging in ages 15 to 19 years?
a. Congenital anomalies a. Suicide
b. Sudden infant death syndrome b. Cancer
c. Respiratory distress syndrome c. Firearm homicide
d. Bacterial sepsis of the d. Occupational
newbornANS: A injuriesANS: C
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Firearm homicide is the second overall cause of death in this age group and the
Suddeninfant death syndrome accounts for 8.2% of deaths in this age group. leading cause of death in African-American males. Suicide is the third-leading
Respiratory distresssyndrome accounts for 3.4% of deaths in this age group. cause of death in this population. Cancer, although a major health problem, is the
Infections specific to the perinatal period account for 2.7% of deaths in this age fourth-leading cause of death in this age group. Occupational injuries do not
group. contribute to a significant death ratefor this age group.
PTS: 1 DIF: Cognitive Level: Understand REF: 5
| 8TOP: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital
anomaliesANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year
through adolescence. Congenital anomalies are the leading cause of death in
those younger than 1year. Cancer ranks either second or fourth, depending on
the age group, and heart disease ranks fifth in the majority of the age groups.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process:
,Planning 7. Which factor most impacts the type of injury a child is susceptible to,
MSC: Area of Client Needs: Health Promotion and Maintenance according to thechilds age?
6. Which is the leading cause of death from unintentional injuries for females a. Physical health of the child
ranging inage from 1 to 14? b. Developmental level of the child
a. Mechanical suffocation c. Educational level of the child
b. Drowning d. Number of responsible adults in the
c. Motorvehicle-related fatalities homeANS: B
d. Fire- and burn-related The childs developmental stage determines the type of injury that is likely to
fatalitiesANS: C occur. The childs physical health may facilitate the childs recovery from an injury
Motorvehicle-related fatalities are the leading cause of death for females but does not impact the type of injury. Educational level is related to
ranging in agefrom 1 to 14, either as passengers or as pedestrians. Mechanical developmental level, but it is not as important as the childs developmental level
suffocation is fourth orfifth, depending on the age. Drowning is the second- or in determining the type of injury. The number of responsible adults in the home
third-leading cause of death, depending on the age. Fire- and burn-related may affect the number of unintentional injuries,but the type of injury is related to
fatalities are the second-leading cause of death. the childs developmental stage.
PTS: 1 DIF: Cognitive Level: Remember REF: 4 PTS: 1 DIF: Cognitive Level: Understand REF: 3-
TOP: Integrated Process: Nursing Process: 4TOP: Integrated Process: Nursing Process:
Assessment Planning
MSC: Area of Client Needs: Health Promotion and Maintenance MSC: Area of Client Needs: Health Promotion and Maintenance
8. Which is now referred to as the new morbidity?
a. Limitations in the major activities of daily living
b. Unintentional injuries that cause chronic health problems
c. Discoveries of new therapies to treat health problems
d. Behavioral, social, and educational problems that alter
healthANS: D
The new morbidity reflects the behavioral, social, and educational problems that
interferewith the childs social and academic development. It is currently
estimated that the incidence of these issues is from 5% to 30%. Limitations in
major activities of daily living and unintentional injuries that result in chronic
health problems are included in morbidity data. Discovery of new therapies
would be reflected in changes in morbidity data over time.
PTS: 1 DIF: Cognitive Level: Remember REF: 3
TOP: Integrated Process: Nursing Process:
, Assessment 10. The nurse is preparing an in-service education to staff about atraumatic
MSC: Area of Client Needs: Health Promotion and Maintenance care forpediatric patients. Which intervention should the nurse include?
9. A nurse on a pediatric unit is practicing family-centered care. Which a. Prepare the child for separation from parents during hospitalization by
is mostdescriptive of the care the nurse is delivering? reviewing avideo.
a. Taking over total care of the child to reduce stress on the family b. Prepare the child before any unfamiliar treatment or procedure by
b. Encouraging family dependence on health care systems demonstrating on astuffed animal.
c. Recognizing that the family is the constant in a childs life c. Help the child accept the loss of control associated with hospitalization.
d. Excluding families from the decision-making d. Help the child accept pain that is connected with a treatment or
processANS: C procedure.ANS: B
The three key components of family-centered care are respect, collaboration, and Preparing the child for any unfamiliar treatments, controlling pain, allowing
support.Family-centered care recognizes the family as the constant in the childs privacy, providing play activities for expression of fear and aggression, providing
life. Taking over total care does not include the family in the process and may choices, and respecting cultural differences are components of atraumatic care.
increase stress instead of reducing stress. The family should be enabled and In the provision of atraumatic care, the separation of child from parents during
empowered to work with the health care system. The family is expected to be part hospitalization is minimized. The nurse should promote a sense of control for the
of the decision-making process. child. Preventing and minimizing bodily injury and pain are major components
PTS: 1 DIF: Cognitive Level: Remember REF: 8 of atraumatic care.
TOP: Integrated Process: Nursing Process: PTS: 1 DIF: Cognitive Level: Understand REF: 9
Implementation MSC: Area of Client Needs: Health TOP: Integrated Process: Nursing Process:
Promotion and Maintenance ImplementationMSC: Area of Client Needs:
Psychosocial Integrity
11. Which is most suggestive that a nurse has a nontherapeutic relationship with
a patient and family?
a. Staff is concerned about the nurses actions with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over an
extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs
but stillremains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing
everythingfor them.
ANS: A
An important clue to a nontherapeutic staff-patient relationship is concern of
other staff members. Allowing the nurse to care for the same patient over time
Kyle Carman Test Bank
CHAPTER 1 Introduction to Child Health and Pediatric
NursingMULTIPLE CHOICE
1. A nurse is planning a teaching session for parents of preschool children.
Whichstatement explains why the nurse should include information about
morbidity andmortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are
identified.ANS: D
Analysis of morbidity and mortality data provides the parents with information
about which groups of individuals are at risk for which health problems. Life-
span statistics is apart of the mortality data. Treatment modalities and cost are
not included in morbidity and mortality data.
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
TOP: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity
prevention for parents of school-age children. The nurse should include which
associated risk of obesityin the teaching plan?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II
diabetesANS: D
Childhood obesity has been associated with the rise of type II diabetes in
,children. Type Idiabetes is not associated with obesity and has a genetic
component. Respiratory disease is not associated with obesity, and celiac disease PTS: 1 DIF: Cognitive Level: Remember REF: 7
is the inability to metabolize gluten in foods and is not associated with obesity. TOP: Integrated Process: Nursing Process:
PTS: 1 DIF: Cognitive Level: Apply REF: 3 Assessment
TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance
MSC: Area of Client Needs: Health Promotion and Maintenance 4. Which leading cause of death topic should the nurse emphasize to a group of
3. Which is the leading cause of death in infants younger than 1 year? African-American boys ranging in ages 15 to 19 years?
a. Congenital anomalies a. Suicide
b. Sudden infant death syndrome b. Cancer
c. Respiratory distress syndrome c. Firearm homicide
d. Bacterial sepsis of the d. Occupational
newbornANS: A injuriesANS: C
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Firearm homicide is the second overall cause of death in this age group and the
Suddeninfant death syndrome accounts for 8.2% of deaths in this age group. leading cause of death in African-American males. Suicide is the third-leading
Respiratory distresssyndrome accounts for 3.4% of deaths in this age group. cause of death in this population. Cancer, although a major health problem, is the
Infections specific to the perinatal period account for 2.7% of deaths in this age fourth-leading cause of death in this age group. Occupational injuries do not
group. contribute to a significant death ratefor this age group.
PTS: 1 DIF: Cognitive Level: Understand REF: 5
| 8TOP: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital
anomaliesANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year
through adolescence. Congenital anomalies are the leading cause of death in
those younger than 1year. Cancer ranks either second or fourth, depending on
the age group, and heart disease ranks fifth in the majority of the age groups.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process:
,Planning 7. Which factor most impacts the type of injury a child is susceptible to,
MSC: Area of Client Needs: Health Promotion and Maintenance according to thechilds age?
6. Which is the leading cause of death from unintentional injuries for females a. Physical health of the child
ranging inage from 1 to 14? b. Developmental level of the child
a. Mechanical suffocation c. Educational level of the child
b. Drowning d. Number of responsible adults in the
c. Motorvehicle-related fatalities homeANS: B
d. Fire- and burn-related The childs developmental stage determines the type of injury that is likely to
fatalitiesANS: C occur. The childs physical health may facilitate the childs recovery from an injury
Motorvehicle-related fatalities are the leading cause of death for females but does not impact the type of injury. Educational level is related to
ranging in agefrom 1 to 14, either as passengers or as pedestrians. Mechanical developmental level, but it is not as important as the childs developmental level
suffocation is fourth orfifth, depending on the age. Drowning is the second- or in determining the type of injury. The number of responsible adults in the home
third-leading cause of death, depending on the age. Fire- and burn-related may affect the number of unintentional injuries,but the type of injury is related to
fatalities are the second-leading cause of death. the childs developmental stage.
PTS: 1 DIF: Cognitive Level: Remember REF: 4 PTS: 1 DIF: Cognitive Level: Understand REF: 3-
TOP: Integrated Process: Nursing Process: 4TOP: Integrated Process: Nursing Process:
Assessment Planning
MSC: Area of Client Needs: Health Promotion and Maintenance MSC: Area of Client Needs: Health Promotion and Maintenance
8. Which is now referred to as the new morbidity?
a. Limitations in the major activities of daily living
b. Unintentional injuries that cause chronic health problems
c. Discoveries of new therapies to treat health problems
d. Behavioral, social, and educational problems that alter
healthANS: D
The new morbidity reflects the behavioral, social, and educational problems that
interferewith the childs social and academic development. It is currently
estimated that the incidence of these issues is from 5% to 30%. Limitations in
major activities of daily living and unintentional injuries that result in chronic
health problems are included in morbidity data. Discovery of new therapies
would be reflected in changes in morbidity data over time.
PTS: 1 DIF: Cognitive Level: Remember REF: 3
TOP: Integrated Process: Nursing Process:
, Assessment 10. The nurse is preparing an in-service education to staff about atraumatic
MSC: Area of Client Needs: Health Promotion and Maintenance care forpediatric patients. Which intervention should the nurse include?
9. A nurse on a pediatric unit is practicing family-centered care. Which a. Prepare the child for separation from parents during hospitalization by
is mostdescriptive of the care the nurse is delivering? reviewing avideo.
a. Taking over total care of the child to reduce stress on the family b. Prepare the child before any unfamiliar treatment or procedure by
b. Encouraging family dependence on health care systems demonstrating on astuffed animal.
c. Recognizing that the family is the constant in a childs life c. Help the child accept the loss of control associated with hospitalization.
d. Excluding families from the decision-making d. Help the child accept pain that is connected with a treatment or
processANS: C procedure.ANS: B
The three key components of family-centered care are respect, collaboration, and Preparing the child for any unfamiliar treatments, controlling pain, allowing
support.Family-centered care recognizes the family as the constant in the childs privacy, providing play activities for expression of fear and aggression, providing
life. Taking over total care does not include the family in the process and may choices, and respecting cultural differences are components of atraumatic care.
increase stress instead of reducing stress. The family should be enabled and In the provision of atraumatic care, the separation of child from parents during
empowered to work with the health care system. The family is expected to be part hospitalization is minimized. The nurse should promote a sense of control for the
of the decision-making process. child. Preventing and minimizing bodily injury and pain are major components
PTS: 1 DIF: Cognitive Level: Remember REF: 8 of atraumatic care.
TOP: Integrated Process: Nursing Process: PTS: 1 DIF: Cognitive Level: Understand REF: 9
Implementation MSC: Area of Client Needs: Health TOP: Integrated Process: Nursing Process:
Promotion and Maintenance ImplementationMSC: Area of Client Needs:
Psychosocial Integrity
11. Which is most suggestive that a nurse has a nontherapeutic relationship with
a patient and family?
a. Staff is concerned about the nurses actions with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over an
extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs
but stillremains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing
everythingfor them.
ANS: A
An important clue to a nontherapeutic staff-patient relationship is concern of
other staff members. Allowing the nurse to care for the same patient over time
