BESTLEC
TEST BANK
Advanced Pediatric Assessment, 4th Edition, By Ellen M. Chiocca
2025|| Latest Edition|| All Chapters Covered|| 100% Verified Answers
C
LE
ST
BE
1
,BESTLEC
Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
Answers: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute
care setting to the ambulatory setting. The number of hospital beds being used has decreased as more care
is provided in outpatient and home settings. The number of uninsured children in the United States
continues to grow. One of the biggest changes in healthcare has been the growth of managed care.
C
DIF: Cognitive Level: Comprehension REF: dm 3
LE
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a program that
assists with supplemental food supplies. Which program should the nurse refer this family to?
ST
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
BE
d. Women, Infants, and Children (WIC) program
Answers: D
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early
and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
examinations and related treatment of medical problems. Children in the WIC program are often referred
for immunizations, but that is not the primary focus of the program. Public Law 99-457 provides financial
incentives to states to establish comprehensive early intervention services for infants and toddlers with, or
at risk for, developmental disabilities.
Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: dm 7 OBJ: Nursing
Process Step: Implementation MSC: Health Promotion and Maintenance
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
2
,BESTLEC
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
Answers: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may be
consulted to verify the status of the emancipated minor for consent purposes. Most states allow minors to
obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental
consent.
DIF: Cognitive Level: Application REF: dm 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
C
a. Developed and implemented by nurses
b.
c.
Used primarily in the pediatric setting
LE
Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ST
Answers: C
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients throughout
BE
the life span. The steps of the nursing process are assessment, diagnosis, planning, implementation, and
evaluation.
DIF: Cognitive Level: Comprehension REF: dm 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
Answers: C
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and
unspecified low birth weight make up one of the leading causes of death in neonates. One of the leading
3
, BESTLEC
causes of infant death after the first month of life is congenital anomalies. Respiratory tract illnesses are a
major cause of morbidity in children.
DIF: Cognitive Level: Application REF: dm 9 OBJ: Nursing Process Step: Implementation MSC: Safe
and Effective Care Environment
6. Which statement is true regarding the quality assurance or incident report?
a. The report assures the legal department that there is no problem.
b. Reports are a permanent part of the client’s chart.
c. The nurses’ notes should contain the following: Incident report filed and copy placed in chart.
d. This report is a form of documentation of an event that may result in legal action.
Answers: D
An incident report is a warning to the legal department to be prepared for potential legal action; it is not a
part of the client’s chart or nurse documentation.
C
DIF: Cognitive Level: Knowledge REF: dm 14 OBJ: Nursing Process Step: Implementation MSC: Safe
and Effective Care Environment
7.
a.
LE
Which client situation fails to meet the first requirement of informed consent?
The parent does not understand the physicians’ explanations.
b. The physician gives the parent only a partial list of possible side effects and complications.
ST
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
Answers: C
BE
The first requirement of informed consent is that the person giving consent must be competent. Minors
are not allowed to give consent. An understanding of information, full disclosure, and voluntary consent
are requirements of informed consent, but none of these is the first requirement.
DIF: Cognitive Level: Comprehension REF: dm 12 OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
8. A nurse assigned to a child does not know how to perform a treatment that has been prescribed
for the child. What should the nurses first action be?
a. Delay the treatment until another nurse can do it.
b. Make the childs parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
Answers: C
4
TEST BANK
Advanced Pediatric Assessment, 4th Edition, By Ellen M. Chiocca
2025|| Latest Edition|| All Chapters Covered|| 100% Verified Answers
C
LE
ST
BE
1
,BESTLEC
Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
current trend in the pediatric setting should the nurse expect to find?
a. Increased hospitalization of children
b. Decreased number of uninsured children
c. An increase in ambulatory care
d. Decreased use of managed care
Answers: C
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute
care setting to the ambulatory setting. The number of hospital beds being used has decreased as more care
is provided in outpatient and home settings. The number of uninsured children in the United States
continues to grow. One of the biggest changes in healthcare has been the growth of managed care.
C
DIF: Cognitive Level: Comprehension REF: dm 3
LE
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. A nurse is referring a low-income family with three children under the age of 5 years to a program that
assists with supplemental food supplies. Which program should the nurse refer this family to?
ST
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
BE
d. Women, Infants, and Children (WIC) program
Answers: D
WIC is a federal program that provides supplemental food supplies to low-income women who are
pregnant or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early
and Periodic Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child
examinations and related treatment of medical problems. Children in the WIC program are often referred
for immunizations, but that is not the primary focus of the program. Public Law 99-457 provides financial
incentives to states to establish comprehensive early intervention services for infants and toddlers with, or
at risk for, developmental disabilities.
Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: dm 7 OBJ: Nursing
Process Step: Implementation MSC: Health Promotion and Maintenance
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
2
,BESTLEC
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
Answers: D
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may be
consulted to verify the status of the emancipated minor for consent purposes. Most states allow minors to
obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental
consent.
DIF: Cognitive Level: Application REF: dm 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
C
a. Developed and implemented by nurses
b.
c.
Used primarily in the pediatric setting
LE
Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ST
Answers: C
Clinical pathways measure outcomes of client care and are developed by multiple healthcare
professionals. Each pathway outlines specific time lines for sequencing interventions and reflects
interdisciplinary interventions. Clinical pathways are used in multiple settings and for clients throughout
BE
the life span. The steps of the nursing process are assessment, diagnosis, planning, implementation, and
evaluation.
DIF: Cognitive Level: Comprehension REF: dm 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
Answers: C
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and
unspecified low birth weight make up one of the leading causes of death in neonates. One of the leading
3
, BESTLEC
causes of infant death after the first month of life is congenital anomalies. Respiratory tract illnesses are a
major cause of morbidity in children.
DIF: Cognitive Level: Application REF: dm 9 OBJ: Nursing Process Step: Implementation MSC: Safe
and Effective Care Environment
6. Which statement is true regarding the quality assurance or incident report?
a. The report assures the legal department that there is no problem.
b. Reports are a permanent part of the client’s chart.
c. The nurses’ notes should contain the following: Incident report filed and copy placed in chart.
d. This report is a form of documentation of an event that may result in legal action.
Answers: D
An incident report is a warning to the legal department to be prepared for potential legal action; it is not a
part of the client’s chart or nurse documentation.
C
DIF: Cognitive Level: Knowledge REF: dm 14 OBJ: Nursing Process Step: Implementation MSC: Safe
and Effective Care Environment
7.
a.
LE
Which client situation fails to meet the first requirement of informed consent?
The parent does not understand the physicians’ explanations.
b. The physician gives the parent only a partial list of possible side effects and complications.
ST
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
Answers: C
BE
The first requirement of informed consent is that the person giving consent must be competent. Minors
are not allowed to give consent. An understanding of information, full disclosure, and voluntary consent
are requirements of informed consent, but none of these is the first requirement.
DIF: Cognitive Level: Comprehension REF: dm 12 OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
8. A nurse assigned to a child does not know how to perform a treatment that has been prescribed
for the child. What should the nurses first action be?
a. Delay the treatment until another nurse can do it.
b. Make the childs parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
Answers: C
4
