Essentials of Pediatric Nursing – 4th Edition by Kyle & Carman | Complete Test Bank

TEST BANK
Essentials of Pediatric
Nursing 4th Edition
Kyle Carman




TestBankQuestions
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CHAPTER 1 Introduction to Child Health and Pediatric Nursing si si si si si si si si




MULTIPLECHOICE si




1. Anurse is planning a teaching session for parents of preschool children. Which state
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ment explains why the nurse should include information about morbidity and mortalit
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y?
a. Life-span statistics are included in the data. si si si si si si




b. It explains effectiveness of treatment.
si si si si




c. Cost-effective treatment is detailed for the general population. si si si si si si si




d. High-
risk age groups for certain disorders or hazards are identified. ANS: D
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Analysis of morbidity and mortality data provides the parents with information about which g
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roups of individuals are at risk for which health problems. Life-
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span statistics is a part of the mortality data.Treatment modalities and cost are not included in
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morbidity and mortality data. sis i si si




PTS: 1 DIF: Cognitive Level:Apply REF: 6-si si si si is si si




8 TOP: Integrated Process: Nursing Process: Planning
sis i si si si si si




MSC:Area of Client Needs: Health Promotion and Maintenance
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2. Aclinic nurse is planning a teaching session about childhood obesity prevention for parents
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of school-si




age children. The nurse should include which associated risk of obesity in the teaching plan?
si si si si si si si si si si s i si si si




a. Type I diabetes si si




b. Respiratorydisease is




c. Celiacdisease si




d. Type II diabetes si si s i




ANS: D si




Childhood obesity has been associated with the rise of type II diabetes in children. Type I diabe si si si si si si si si si si si si si si si s i




tes is not associated with obesity and has a genetic component. Respiratory disease is not associ
si si si si si si si si si si si si s i si si




ated with obesity, and celiac disease is the inability to metabolize gluten in foods and is not asso
si si si si si si si si si si si si s i si si si si




ciated with obesity. si si




PTS: 1 DIF: Cognitive Level:Apply REF: 3 si si si si is si si




TOP: Integrated Process: Nursing Process: Planning
si si si si si




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si




3. Which is the leading cause of death in infants younger than 1 year? si si si si si si si si si si si si




a. Congenitalanomalies is




b. Sudden infant death syndrome si si si




c. Respiratorydistress syndrome si si




d. Bacterial sepsis of the newborn si si si si s i




ANS:A si




Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infa si si si si si si si si si si si si si s i




nt death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrom
si si si si si si si si si si si si si s i




e accounts for 3.4% of deaths in this age group. Infections specific to the perinatal period accou
si si si si si si si si si si si si si s i si si




nt for 2.7% of deaths in this age group.
si si si si si si si si

,PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP: In
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tegrated Process: Nursing Process:Assessment si si si is




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si




4. Which leading cause of death topic should the nurse emphasize to a group ofAfrican-
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American boys ranging in ages 15 to 19 years?
s i si si si si si si si si




a. Suicide
b. Cancer
c. Firearmhomicide is




d. Occupationalinjuries is s i




ANS: C si




Firearm homicide is the second overall cause of death in this age group and the leading cause o
si si si si si si si si si si si si si si si s i si




f death inAfrican-American males. Suicide is the third-
si si is si si si si si




leading cause of death in this population. Cancer, although a major health problem, is the fourt
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h-
leading cause of death in this age group. Occupational injuries do not contribute to a significan
si si s i si si si si si si si si si si si si




t death rate for this age group.
si si s i si si si




PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8 TOP:
si si si si si si si si si s i si




Integrated Process: Nursing Process: Planning si si si si




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si




5. Which is the major cause of death for children older than 1 year? si si si si si si si si si si si si




a. Cancer
b. Heartdisease si




c. Unintentionalinjuries is




d. Congenitalanomalies is si




ANS: C si




Unintentional injuries (accidents) are the leading cause of death after age 1 year through adoles si si si si si si si si si si si si si s i




cence. Congenital anomalies are the leading cause of death in those younger than 1 year. Cancer
si si si si si si si si si si si si si si si s




ranks either second or fourth, depending on the age group, and heart disease ranks fifth in the m
i si si si si si si si si si si si si s i si si si si




ajority of the age groups. si si si si




PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP:
si si si si si si si s i s




Integrated Process: Nursing Process: Planning
i si si si si




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si




6. Which is the leading cause of death from unintentional injuries for females ranging in age fr
si si si si si si si si si si si si si si si




om 1 to 14? si si si




a. Mechanicalsuffocation is




b. Drowning
c. Motorvehicle-relatedfatalities is




d. Fire-and burn- si si




related fatalities ANS: C si s i si




Motorvehicle-
related fatalities are the leading cause of death for females ranging in age from 1 to 14, either as
si si si si si si si si si si si si s i si si si si si si




passengers or as pedestrians. Mechanical suffocation is fourth or fifth, depending on the age.
si si si si si si si si s i si si si si si




Drowning is the second- or third-leading cause of death, depending on the age. Fire- and burn-
si si si si si si si si s i si si si si si si




related fatalities are the second-leading cause of death.
si si si si si si s i




PTS: 1 DIF: Cognitive Level: Remember REF: 4 TOP: In
si si si si si si si sis i si




tegrated Process: Nursing Process:Assessment si si si is




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si

, 7. Which factor most impacts the type of injury a child is susceptible to, according to the childs
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age?
a. Physical health of the child si si si si




b. Developmental level of the child si si si si




c. Educational level of the child si si si si




d. Number of responsible adults in the home A si si si si si si s i




NS: B si




The childs developmental stage determines the type of injury that is likely to occur. The childs p
si si si si si si si si si si si si si si s i si




hysical health may facilitate the childs recovery from an injury but does not impact the type of in
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jury. Educational level is related to developmental level, but it is not as important as the childs d
si si si si si si si si si si si s i si si si si si




evelopmental level in determining the type of injury.The number of responsible adults in the ho si si si si si si si si s i si si si si si si




me may affect the number of unintentional injuries, but the type of injury is related to the childs
si si si si si si si s i si si si si si si si si si si




developmental stage. si




PTS: 1 DIF: Cognitive Level: Understand REF: 3-
si si si si si si si




4 TOP: Integrated Process: Nursing Process: Planning
s i si si si si si




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si




8. Which is now referred to as the new morbidity? si si si si si si si si




a. Limitations in the major activities of daily living si si si si si si si




b. Unintentional injuries thatcause chronic health problems si si si si si si




c. Discoveries of new therapies to treat health problems si si si si si si si




d. Behavioral, social, and educational problems that alter health A si si si si si si si s i




NS: D si




The new morbidity reflects the behavioral, social, and educational problems that interfere wit
si si si si si si si si si si si s i




h the childs social and academic development. It is currently estimated that the incidence of th
si si si si si si si si si si si si s i si si




ese issues is from 5% to 30%. Limitations in major activities of daily living and unintentional i
si si si si si si si si si si si si si si si si




njuries that result in chronic health problems are included in morbidity data. Discovery of new t
si si si si si si si si si si si si si si si




herapies would be reflected in changes in morbidity data over time. si si si si si si si s i si si




PTS: 1 DIF: Cognitive Level: Remember REF: 3 TOP: In
si si si si si si si sis i si




tegrated Process: Nursing Process:Assessment si si si is




MSC:Area of Client Needs: Health Promotion and Maintenance
is si si si si si si si




9. Anurse on a pediatric unit is practicing family-
is si si si si si si si




centered care. Which is most descriptive of the care the nurse is delivering? si si si si si si si si si si si si




a. Taking over total care of the child to reduce stress on the family si si si si si si si si si si si si




b. Encouraging family dependence on health care systems si si si si si si




c. Recognizing that the family is the constant in a childs life si si si si si si si si si si




d. Excluding families from the decision- si si si si




making process ANS: C si si si




The three key components of family-
si si si si si




centered care are respect, collaboration, and support. Family- si si si si si si s i




centered care recognizes the family as the constant in the childs life. Taking over total care does
si si si si si si si si si si si si si s i si si si




not include the family in the process and may increase stress instead of reducing stress. The fam
si si si si si si si si si si si si s i si si si




ily should be enabled and empowered to work with the health care system. The family is expecte
si si si si si si si si si si s i si si si si si




d to be part of the decision-making process.
si si si si si si si




PTS: 1 DIF: Cognitive Level: Remember REF: 8
si si si si si si si




TOP: Integrated Process: Nursing Process: Implementation MSC:
si si si si si s i is




Area of Client Needs: Health Promotion and Maintenance
si si si si si si si