TEST BANK
,Essentials`of`Pediatric`Nursing`4th`Edition`Kyle`Carman`Test`Bank
CHAPTER`1`Introduction`to`Child`Health`and`Pediatric`Nursing`
MULTIPLE`CHOICE
1. A`nurse`is`planning`a`teaching`session`for`parents`of`preschool`children.`Which`
statement`explains`why`the`nurse`should`include`information`about`morbidity`and`
mortality?
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`whi
ch`groups`of`individuals`are`at`risk`for`which`health`problems.`Life-
span`statistics`is`a`part`of`the`mortality`data.`Treatment`modalities`and`cost`are`not`include
d`in`morbidity`and`mortality`data.
PTS:`1`DIF:`Cognitive`Level:`Apply`REF:`6-
8` TOP:`Integrated`Process:`Nursing`Process:`Planni
ng
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
2. A`clinic`nurse`is`planning`a`teaching`session`about`childhood`obesity`prevention`for`par
ents`of`school-
age`children.`The`nurse`should`include`which`associated`risk`of`obesity`in`the`teaching`pla
n?
a. Type`I`diabetes
b. Respiratory`disease
c. Celiac`disease
d. Type`II`diabetes
`ANS:`D
Childhood`obesity`has`been`associated`with`the`rise`of`type`II`diabetes`in`children.`Type`I`
diabetes`is`not`associated`with`obesity`and`has`a`genetic`component.`Respiratory`disease`i
s`not`associated`with`obesity,`and`celiac`disease`is`the`inability`to`metabolize`gluten`in`foo
ds`and`is`not`associated`with`obesity.
PTS:`1`DIF:`Cognitive`Level:`Apply`REF:`3
TOP:`Integrated`Process:`Nursing`Process:`Planning
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
3. Which`is`the`leading`cause`of`death`in`infants`younger`than`1`year?
a. Congenital`anomalies
b. Sudden`infant`death`syndrome
c. Respiratory`distress`syndrome
d. Bacterial`sepsis`of`the`newborn`
ANS:`A
Congenital`anomalies`account`for`20.1%`of`deaths`in`infants`younger`than`1`year.`Sudden`i
nfant`death`syndrome`accounts`for`8.2%`of`deaths`in`this`age`group.`Respiratory`distress`s
yndrome`accounts`for`3.4%`of`deaths`in`this`age`group.`Infections`specific`to`the`perinatal`
period`account`for`2.7%`of`deaths`in`this`age`group.
,PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`7` TOP:
`Integrated`Process:`Nursing`Process:`Assessment
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
4. Which`leading`cause`of`death`topic`should`the`nurse`emphasize`to`a`group`of`African-
`American`boys`ranging`in`ages`15`to`19`years?
a. Suicide
b. Cancer
c. Firearm`homicide
d. Occupational`injuries
`ANS:`C
Firearm`homicide`is`the`second`overall`cause`of`death`in`this`age`group`and`the`leading`ca
use`of`death`in`African-American`males.`Suicide`is`the`third-
leading`cause`of`death`in`this`population.`Cancer,`although`a`major`health`problem,`is`the`f
ourth-
leading`cause`of`death`in`this`age`group.`Occupational`injuries`do`not`contribute`to`a`signifi
cant`death`rate`for`this`age`group.
PTS:`1`DIF:`Cognitive`Level:`Understand`REF:`5`|`8`T
OP:`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`anomalies
`ANS:`C
Unintentional`injuries`(accidents)`are`the`leading`cause`of`death`after`age`1`year`through`ad
olescence.`Congenital`anomalies`are`the`leading`cause`of`death`in`those`younger`than`1`year
.`Cancer`ranks`either`second`or`fourth,`depending`on`the`age`group,`and`heart`disease`ranks`f
ifth`in`the`majority`of`the`age`groups.
PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`8`T
OP:`Integrated`Process:`Nursing`Process:`Planning
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
6. Which`is`the`leading`cause`of`death`from`unintentional`injuries`for`females`ranging`in`
age`from`1`to`14?
a. Mechanical`suffocation
b. Drowning
c. Motorvehicle-related`fatalities
d. Fire-`and`burn-
related`fatalities`ANS:`C
Motorvehicle-
related`fatalities`are`the`leading`cause`of`death`for`females`ranging`in`age`from`1`to`14,`eithe
r`as`passengers`or`as`pedestrians.`Mechanical`suffocation`is`fourth`or`fifth,`depending`on`the
`age.`Drowning`is`the`second-`or`third-leading`cause`of`death,`depending`on`the`age.`Fire-
`and`burn-related`fatalities`are`the`second-leading`cause`of`death.
PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`4` TOP:
`Integrated`Process:`Nursing`Process:`Assessment
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
, 7. Which`factor`most`impacts`the`type`of`injury`a`child`is`susceptible`to,`according`to`the`
childs`age?
a. Physical`health`of`the`child
b. Developmental`level`of`the`child
c. Educational`level`of`the`child
d. Number`of`responsible`adults`in`the`home`
ANS:`B
The`childs`developmental`stage`determines`the`type`of`injury`that`is`likely`to`occur.`The`c
hilds`physical`health`may`facilitate`the`childs`recovery`from`an`injury`but`does`not`impact`
the`type`of`injury.`Educational`level`is`related`to`developmental`level,`but`it`is`not`as`impo
rtant`as`the`childs`developmental`level`in`determining`the`type`of`injury.`The`number`of`re
sponsible`adults`in`the`home`may`affect`the`number`of`unintentional`injuries,`but`the`type`
of`injury`is`related`to`the`childs`developmental`stage.
PTS:`1`DIF:`Cognitive`Level:`Understand`REF:`3-
4`TOP:`Integrated`Process:`Nursing`Process:`Planni
ng
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`health`
ANS:`D
The`new`morbidity`reflects`the`behavioral,`social,`and`educational`problems`that`interfere`
with`the`childs`social`and`academic`development.`It`is`currently`estimated`that`the`inciden
ce`of`these`issues`is`from`5%`to`30%.`Limitations`in`major`activities`of`daily`living`and`un
intentional`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
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
9. A`nurse`on`a`pediatric`unit`is`practicing`family-
centered`care.`Which`is`most`descriptive`of`the`care`the`nurse`is`delivering?
a. Taking`over`total`care`of`the`child`to`reduce`stress`on`the`family
b. Encouraging`family`dependence`on`health`care`systems
c. Recognizing`that`the`family`is`the`constant`in`a`childs`life
d. Excluding`families`from`the`decision-
making`process`ANS:`C
The`three`key`components`of`family-
centered`care`are`respect,`collaboration,`and`support.`Family-
centered`care`recognizes`the`family`as`the`constant`in`the`childs`life.`Taking`over`total`care
`does`not`include`the`family`in`the`process`and`may`increase`stress`instead`of`reducing`stre
ss.`The`family`should`be`enabled`and`empowered`to`work`with`the`health`care`system.`The
`family`is`expected`to`be`part`of`the`decision-making`process.
PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`8
TOP:`Integrated`Process:`Nursing`Process:`Implementation`MSC
:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
,Essentials`of`Pediatric`Nursing`4th`Edition`Kyle`Carman`Test`Bank
CHAPTER`1`Introduction`to`Child`Health`and`Pediatric`Nursing`
MULTIPLE`CHOICE
1. A`nurse`is`planning`a`teaching`session`for`parents`of`preschool`children.`Which`
statement`explains`why`the`nurse`should`include`information`about`morbidity`and`
mortality?
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`whi
ch`groups`of`individuals`are`at`risk`for`which`health`problems.`Life-
span`statistics`is`a`part`of`the`mortality`data.`Treatment`modalities`and`cost`are`not`include
d`in`morbidity`and`mortality`data.
PTS:`1`DIF:`Cognitive`Level:`Apply`REF:`6-
8` TOP:`Integrated`Process:`Nursing`Process:`Planni
ng
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
2. A`clinic`nurse`is`planning`a`teaching`session`about`childhood`obesity`prevention`for`par
ents`of`school-
age`children.`The`nurse`should`include`which`associated`risk`of`obesity`in`the`teaching`pla
n?
a. Type`I`diabetes
b. Respiratory`disease
c. Celiac`disease
d. Type`II`diabetes
`ANS:`D
Childhood`obesity`has`been`associated`with`the`rise`of`type`II`diabetes`in`children.`Type`I`
diabetes`is`not`associated`with`obesity`and`has`a`genetic`component.`Respiratory`disease`i
s`not`associated`with`obesity,`and`celiac`disease`is`the`inability`to`metabolize`gluten`in`foo
ds`and`is`not`associated`with`obesity.
PTS:`1`DIF:`Cognitive`Level:`Apply`REF:`3
TOP:`Integrated`Process:`Nursing`Process:`Planning
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
3. Which`is`the`leading`cause`of`death`in`infants`younger`than`1`year?
a. Congenital`anomalies
b. Sudden`infant`death`syndrome
c. Respiratory`distress`syndrome
d. Bacterial`sepsis`of`the`newborn`
ANS:`A
Congenital`anomalies`account`for`20.1%`of`deaths`in`infants`younger`than`1`year.`Sudden`i
nfant`death`syndrome`accounts`for`8.2%`of`deaths`in`this`age`group.`Respiratory`distress`s
yndrome`accounts`for`3.4%`of`deaths`in`this`age`group.`Infections`specific`to`the`perinatal`
period`account`for`2.7%`of`deaths`in`this`age`group.
,PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`7` TOP:
`Integrated`Process:`Nursing`Process:`Assessment
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
4. Which`leading`cause`of`death`topic`should`the`nurse`emphasize`to`a`group`of`African-
`American`boys`ranging`in`ages`15`to`19`years?
a. Suicide
b. Cancer
c. Firearm`homicide
d. Occupational`injuries
`ANS:`C
Firearm`homicide`is`the`second`overall`cause`of`death`in`this`age`group`and`the`leading`ca
use`of`death`in`African-American`males.`Suicide`is`the`third-
leading`cause`of`death`in`this`population.`Cancer,`although`a`major`health`problem,`is`the`f
ourth-
leading`cause`of`death`in`this`age`group.`Occupational`injuries`do`not`contribute`to`a`signifi
cant`death`rate`for`this`age`group.
PTS:`1`DIF:`Cognitive`Level:`Understand`REF:`5`|`8`T
OP:`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`anomalies
`ANS:`C
Unintentional`injuries`(accidents)`are`the`leading`cause`of`death`after`age`1`year`through`ad
olescence.`Congenital`anomalies`are`the`leading`cause`of`death`in`those`younger`than`1`year
.`Cancer`ranks`either`second`or`fourth,`depending`on`the`age`group,`and`heart`disease`ranks`f
ifth`in`the`majority`of`the`age`groups.
PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`8`T
OP:`Integrated`Process:`Nursing`Process:`Planning
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
6. Which`is`the`leading`cause`of`death`from`unintentional`injuries`for`females`ranging`in`
age`from`1`to`14?
a. Mechanical`suffocation
b. Drowning
c. Motorvehicle-related`fatalities
d. Fire-`and`burn-
related`fatalities`ANS:`C
Motorvehicle-
related`fatalities`are`the`leading`cause`of`death`for`females`ranging`in`age`from`1`to`14,`eithe
r`as`passengers`or`as`pedestrians.`Mechanical`suffocation`is`fourth`or`fifth,`depending`on`the
`age.`Drowning`is`the`second-`or`third-leading`cause`of`death,`depending`on`the`age.`Fire-
`and`burn-related`fatalities`are`the`second-leading`cause`of`death.
PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`4` TOP:
`Integrated`Process:`Nursing`Process:`Assessment
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
, 7. Which`factor`most`impacts`the`type`of`injury`a`child`is`susceptible`to,`according`to`the`
childs`age?
a. Physical`health`of`the`child
b. Developmental`level`of`the`child
c. Educational`level`of`the`child
d. Number`of`responsible`adults`in`the`home`
ANS:`B
The`childs`developmental`stage`determines`the`type`of`injury`that`is`likely`to`occur.`The`c
hilds`physical`health`may`facilitate`the`childs`recovery`from`an`injury`but`does`not`impact`
the`type`of`injury.`Educational`level`is`related`to`developmental`level,`but`it`is`not`as`impo
rtant`as`the`childs`developmental`level`in`determining`the`type`of`injury.`The`number`of`re
sponsible`adults`in`the`home`may`affect`the`number`of`unintentional`injuries,`but`the`type`
of`injury`is`related`to`the`childs`developmental`stage.
PTS:`1`DIF:`Cognitive`Level:`Understand`REF:`3-
4`TOP:`Integrated`Process:`Nursing`Process:`Planni
ng
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`health`
ANS:`D
The`new`morbidity`reflects`the`behavioral,`social,`and`educational`problems`that`interfere`
with`the`childs`social`and`academic`development.`It`is`currently`estimated`that`the`inciden
ce`of`these`issues`is`from`5%`to`30%.`Limitations`in`major`activities`of`daily`living`and`un
intentional`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
MSC:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
9. A`nurse`on`a`pediatric`unit`is`practicing`family-
centered`care.`Which`is`most`descriptive`of`the`care`the`nurse`is`delivering?
a. Taking`over`total`care`of`the`child`to`reduce`stress`on`the`family
b. Encouraging`family`dependence`on`health`care`systems
c. Recognizing`that`the`family`is`the`constant`in`a`childs`life
d. Excluding`families`from`the`decision-
making`process`ANS:`C
The`three`key`components`of`family-
centered`care`are`respect,`collaboration,`and`support.`Family-
centered`care`recognizes`the`family`as`the`constant`in`the`childs`life.`Taking`over`total`care
`does`not`include`the`family`in`the`process`and`may`increase`stress`instead`of`reducing`stre
ss.`The`family`should`be`enabled`and`empowered`to`work`with`the`health`care`system.`The
`family`is`expected`to`be`part`of`the`decision-making`process.
PTS:`1`DIF:`Cognitive`Level:`Remember`REF:`8
TOP:`Integrated`Process:`Nursing`Process:`Implementation`MSC
:`Area`of`Client`Needs:`Health`Promotion`and`Maintenance
