EssentialsnofnPediatricnNursingn4thnEditionnKylenCarmannTestnBank
CHAPTERn1nIntroductionntonChildnHealthnandnPediatricnNursingn
MULTIPLEnCHOICE
1. Annursenisnplanningnanteachingnsessionnfornparentsnofnpreschoolnchildren.nWhichns
tatementnexplainsnwhynthennursenshouldnincludeninformationnaboutnmorbiditynandnm
ortality?
a. Life-spannstatisticsnarenincludedninnthendata.
b. Itnexplainsneffectivenessnofntreatment.
c. Cost-effectiventreatmentnisndetailednfornthengeneralnpopulation.
d. High-
risknagengroupsnforncertainndisordersnornhazardsnarenidentified.nANS:nD
Analysisnofnmorbiditynandnmortalityndatanprovidesnthenparentsnwithninformationnaboutnwhic
hngroupsnofnindividualsnarenatnrisknfornwhichnhealthnproblems.nLife-
spannstatisticsnisnanpartnofnthenmortalityndata.nTreatmentnmodalitiesnandncostnarennotninclude
dninnmorbiditynandnmortalityndata.
PTS:n1nDIF:nCognitivenLevel:nApplynREF:n6-
8n TOP:nIntegratednProcess:nNursingnProcess:nPlanni
ng
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
2. Anclinicnnursenisnplanningnanteachingnsessionnaboutnchildhoodnobesitynpreventionnfornpar
entsnofnschool-
agenchildren.nThennursenshouldnincludenwhichnassociatednrisknofnobesityninnthenteachingnpla
n?
a. TypenIndiabetes
b. Respiratoryndisease
c. Celiacndisease
d. TypenIIndiabetes
nANS:nD
ChildhoodnobesitynhasnbeennassociatednwithnthenrisenofntypenIIndiabetesninnchildren.nTypenInd
iabetesnisnnotnassociatednwithnobesitynandnhasnangeneticncomponent.nRespiratoryndiseasenisn
notnassociatednwithnobesity,nandnceliacndiseasenisntheninabilityntonmetabolizenglutenninnfoods
nandnisnnotnassociatednwithnobesity.
PTS:n1nDIF:nCognitivenLevel:nApplynREF:n3
TOP:nIntegratednProcess:nNursingnProcess:nPlanning
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
3. Whichnisnthenleadingncausenofndeathninninfantsnyoungernthann1nyear?
a. Congenitalnanomalies
b. Suddenninfantndeathnsyndrome
c. Respiratoryndistressnsyndrome
d. Bacterialnsepsisnofnthennewbornn
ANS:nA
Congenitalnanomaliesnaccountnforn20.1%nofndeathsninninfantsnyoungernthann1nyear.nSuddenni
nfantndeathnsyndromenaccountsnforn8.2%nofndeathsninnthisnagengroup.nRespiratoryndistressns
yndromenaccountsnforn3.4%nofndeathsninnthisnagengroup.nInfectionsnspecificntonthenperinataln
periodnaccountnforn2.7%nofndeathsninnthisnagengroup.
,PTS:n1nDIF:nCognitivenLevel:nRemembernREF:n7n TOP:
nIntegratednProcess:nNursingnProcess:nAssessment
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
4. WhichnleadingncausenofndeathntopicnshouldnthennursenemphasizentonangroupnofnAfrican-
nAmericannboysnrangingninnagesn15nton19n years?
a. Suicide
b. Cancer
c. Firearmnhomicide
d. Occupationalninjuries
nANS:nC
Firearmnhomicidenisnthensecondnoverallncausenofndeathninnthisnagengroupnandnthenleadingncau
senofndeathninnAfrican-Americannmales.nSuicidenisnthenthird-
leadingncausenofndeathninnthisnpopulation.nCancer,nalthoughnanmajornhealthnproblem,nisnthenf
ourth-
leadingncausenofndeathninnthisnagengroup.nOccupationalninjuriesndonnotncontributentonansignifi
cantndeathnratenfornthisnagengroup.
PTS:n1nDIF:nCognitivenLevel:nUnderstandnREF:n5n|n8nT
OP:nIntegratednProcess:nNursingnProcess:nPlanning
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
5. Whichnisnthenmajorncausenofndeathnfornchildrennoldernthann1nyear?
a. Cancer
b. Heartndisease
c. Unintentionalninjuries
d. Congenitalnanomalies
nANS:nC
Unintentionalninjuriesn(accidents)narenthenleadingncausenofndeathnafternagen1nyearnthroughnado
lescence.nCongenitalnanomaliesnarenthenleadingncausenofndeathninnthosenyoungernthann1nyear.n
Cancernranksneithernsecondnornfourth,ndependingnonnthenagengroup,nandnheartndiseasenranksnfif
thninnthenmajoritynofnthenagengroups.
PTS:n1nDIF:nCognitivenLevel:nRemembernREF:n8nTO
P:nIntegratednProcess:nNursingnProcess:nPlanning
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
6. Whichnisnthenleadingncausenofndeathnfromnunintentionalninjuriesnfornfemalesnrangingninna
genfromn1nton14?
a. Mechanicalnsuffocation
b. Drowning
c. Motorvehicle-relatednfatalities
d. Fire-nandnburn-
relatednfatalitiesnANS:nC
Motorvehicle-
relatednfatalitiesnarenthenleadingncausenofndeathnfornfemalesnrangingninnagenfromn1nton14,neither
nasnpassengersnornasnpedestrians.nMechanicalnsuffocationnisnfourthnornfifth,ndependingnonnthen
age.nDrowningnisnthensecond-nornthird-leadingncausenofndeath,ndependingnonnthenage.nFire-
nandnburn-relatednfatalitiesnarenthensecond-leadingncausenofndeath.
PTS:n1nDIF:nCognitivenLevel:nRemembernREF:n4n TOP:
nIntegratednProcess:nNursingnProcess:nAssessment
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
,7. Whichnfactornmostnimpactsnthentypenofninjurynanchildnisnsusceptiblento,naccordingntonthenc
hildsnage?
a. Physicalnhealthnofnthenchild
b. Developmentalnlevelnofnthenchild
c. Educationalnlevelnofnthenchild
d. Numbernofnresponsiblenadultsninnthenhomen
ANS:nB
Thenchildsndevelopmentalnstagendeterminesnthentypenofninjurynthatnisnlikelyntonoccur.nThench
ildsnphysicalnhealthnmaynfacilitatenthenchildsnrecoverynfromnanninjurynbutndoesnnotnimpactnth
entypenofninjury.nEducationalnlevelnisnrelatedntondevelopmentalnlevel,nbutnitnisnnotnasnimporta
ntnasnthenchildsndevelopmentalnlevelninndeterminingnthentypenofninjury.nThennumbernofnrespo
nsiblenadultsninnthenhomenmaynaffectnthennumbernofnunintentionalninjuries,nbutnthentypenofnin
jurynisnrelatedntonthenchildsndevelopmentalnstage.
PTS:n1nDIF:nCognitivenLevel:nUnderstandnREF:n3-
4nTOP:nIntegratednProcess:nNursingnProcess:nPlannin
g
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
8. Whichnisnnownreferredntonasnthennewnmorbidity?
a. Limitationsninnthenmajornactivitiesnofndailynliving
b. Unintentionalninjuriesnthatncausenchronicnhealthnproblems
c. Discoveriesnofnnewntherapiesntontreatnhealthnproblems
d. Behavioral,nsocial,nandneducationalnproblemsnthatnalternhealthn
ANS:nD
Thennewnmorbiditynreflectsnthenbehavioral,nsocial,nandneducationalnproblemsnthatninterferen
withnthenchildsnsocialnandnacademicndevelopment.nItnisncurrentlynestimatednthatntheninciden
cenofnthesenissuesnisnfromn5%nton30%.nLimitationsninnmajornactivitiesnofndailynlivingnandnuni
ntentionalninjuriesnthatnresultninnchronicnhealthnproblemsnarenincludedninnmorbidityndata.nDi
scoverynofnnewntherapiesnwouldnbenreflectedninnchangesninnmorbidityndatanoverntime.
PTS:n1nDIF:nCognitivenLevel:nRemembernREF:n3n TOP:
nIntegratednProcess:nNursingnProcess:nAssessment
MSC:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
9. Annursenonnanpediatricnunitnisnpracticingnfamily-
centeredncare.nWhichnisnmostndescriptivenofnthencarenthennursenisndelivering?
a. Takingnoverntotalncarenofnthenchildntonreducenstressnonnthenfamily
b. Encouragingnfamilyndependencenonnhealthncarensystems
c. Recognizingnthatnthenfamilynisnthenconstantninnanchildsnlife
d. Excludingnfamiliesnfromnthendecision-
makingnprocessnANS:nC
Thenthreenkeyncomponentsnofnfamily-
centeredncarenarenrespect,ncollaboration,nandnsupport.nFamily-
centeredncarenrecognizesnthenfamilynasnthenconstantninnthenchildsnlife.nTakingnoverntotalncaren
doesnnotnincludenthenfamilyninnthenprocessnandnmaynincreasenstressninsteadnofnreducingnstres
s.nThenfamilynshouldnbenenablednandnempoweredntonworknwithnthenhealthncarensystem.nThenf
amilynisnexpectedntonbenpartnofnthendecision-makingnprocess.
PTS:n1nDIF:nCognitivenLevel:nRemembernREF:n8
TOP:nIntegratednProcess:nNursingnProcess:nImplementationnMSC
:nAreanofnClientnNeeds:nHealthnPromotionnandnMaintenance
, 10. Thennursenisnpreparingnannin-
serviceneducationntonstaffnaboutnatraumaticncarenfornpediatricnpatients.nWhichninterve
ntionnshouldnthennurseninclude?
a. Preparenthenchildnfornseparationnfromnparentsnduringnhospitalizationnbynreviewingnan
video.
b. Preparenthenchildnbeforenanynunfamiliarntreatmentnornprocedurenbyndemonstratingnonnans
tuffednanimal.
c. Helpnthenchildnacceptnthenlossnofncontrolnassociatednwithnhospitalization.
d. Helpnthenchildnacceptnpainnthatnisnconnectednwithnantreatmentnornprocedure.n
ANS:nB
Preparingnthenchildnfornanynunfamiliarntreatments,ncontrollingnpain,nallowingnprivacy,nprovid
ingnplaynactivitiesnfornexpressionnofnfearnandnaggression,nprovidingnchoices,nandnrespectingnc
ulturalndifferencesnarencomponentsnofnatraumaticncare.nInnthenprovisionnofnatraumaticncare,nth
enseparationnofnchildnfromnparentsnduringnhospitalizationnisnminimized.nThennursenshouldnpro
motenansensenofncontrolnfornthenchild.nPreventingnandnminimizingnbodilyninjurynandnpainnaren
majorncomponentsnofnatraumaticncare.
PTS:n1nDIF:nCognitivenLevel:nUnderstandnREF:n9
TOP:nIntegratednProcess:nNursingnProcess:nImplementationn
MSC:nAreanofnClientnNeeds:nPsychosocialnIntegrity
11. Whichnisnmostnsuggestiventhatnannursenhasnannontherapeuticnrelationshipnwithnanpatientna
ndnfamily?
a. Staffnisnconcernednaboutnthennursesnactionsnwithnthenpatientnandnfamily.
b. Staffnassignmentsnallownthennursentoncarenfornsamenpatientnandnfamilynovernannextendednti
me.
c. Nursenisnablentonwithdrawnemotionallynwhennemotionalnoverloadnoccursnbutnstillnr
emainsncommitted.
d. Nursenusesnteachingnskillsntoninstructnpatientnandnfamilynrathernthanndoingneverythingnf
ornthem.
ANS:nA
Annimportantncluentonannontherapeuticnstaff-
patientnrelationshipnisnconcernnofnothernstaffnmembers.nAllowingnthennursentoncarenfornthensa
menpatientnoverntimenwouldnbentherapeuticnfornthenpatientnandnfamily.nNursesnwhonarenablent
onsomewhatnwithdrawnemotionallyncannprotectnthemselvesnwhilenprovidingntherapeuticncar
e.nNursesnusingnteachingnskillsntoninstructnpatientnandnfamilynwillnassistninntransitioningnthen
childnandnfamilyntonself-care.
PTS:n1nDIF:nCognitivenLevel:nAnalyzenREF:n9
TOP:nIntegratednProcess:nNursingnProcess:nAssessmentn
MSC:nAreanofnClientnNeeds:nPsychosocialnIntegrity
12. Whichnisnmostndescriptivenofnclinicalnreasoning?
a. Ansimplendevelopmentalnprocess
b. Purposefulnandngoal-directed
c. Basednonndeliberatenandnirrationalnthought
d. Assistsnindividualsninnguessingnwhatnisnmostnappropriaten
ANS:nB
Clinicalnreasoningnisnancomplex,ndevelopmentalnprocessnbasednonnrationalnandndeliberatentho
ught.nClinicalnreasoningnisnnotnandevelopmentalnprocess.nClinicalnreasoningnisnbasednonnratio
nalnandndeliberatenthought.nClinicalnreasoningnisnnotnanguessingnprocess.
PTS:n1nDIF:nCognitivenLevel:nUnderstandnREF:n12