TEST BANK COMPLETE_
ADVANCED PEDIATRIC ASSESSMENT 4TH EDITION, (2024)
BY ELLEN M. CHIOCCA
ALL CHAPTERS 1-26| 4 UNITS| LATEST VERSION WITH DETAILED ANSWERS| GRADE A+
unit i: the foundations of child health assessment ___________________________________ 3
chapter 1. child health assessment: an overview _________________________________________ 3
, chapter 2. assessment of child development and behavior ________________________________ 16
chapter 3. communicating with children and families ____________________________________ 24
chapter 4. assessment of the family __________________________________________________ 28
chapter 5. cultural assessment of children and families ___________________________________ 34
unit ii: the pediatric history and physical examination ______________________________ 47
gathering subjective data __________________________________________________________ 47
chapter 6. obtaining the pediatric health history _______________________________________________ 47
chapter 7. assessing the health and safety of the child’s environment______________________________ 57
gathering objective data ___________________________________________________________ 79
chapter 8. the pediatric physical examination _________________________________________________ 79
chapter 9. the health supervision visit: wellness examinations in children __________________________ 81
chapter 10. assessment of nutritional status __________________________________________________ 97
chapter 11. assessment of the neonate ______________________________________________________ 113
chapter 12. assessment of the integumentary system __________________________________________ 120
chapter 13. assessment of the head, neck, and regional lymphatics ______________________________ 126
chapter 14. assessment of the ears _________________________________________________________ 139
chapter 15. assessment of the eyes _________________________________________________________ 150
chapter 16. assessment of the face, nose, and oral cavity _______________________________________ 158
chapter 17. assessment of the thorax, lungs, and regional lymphatics _____________________________ 170
chapter 18. assessment of the cardiovascular system __________________________________________ 184
chapter 19. assessment of the abdomen and regional lymphatics ________________________________ 194
chapter 20. assessment of the reproductive and genitourinary systems ___________________________ 209
chapter 21. assessment of the musculoskeletal system _________________________________________ 232
chapter 22. assessment of the neurologic system _____________________________________________ 243
unit iii: assessment of child mental health and welfare _____________________________ 253
chapter 23. assessment of mental disorders in children and adolescents ____________________ 253
chapter 24. assessment of child abuse and neglect _____________________________________ 262
unit iv: synthesizing the components of the pediatric health assessment ______________ 282
chapter 25. the complete history and physical examination: from start to finish ______________ 282
chapter 26. diagnostic reasoning and formulating a differential diagnosis __________________ 303
,unit i: the foundations of child health assessment
chapter 1. child health assessment: an overview
ellen m. chiocca: advanced pediatric assessment 4 th edition, (2024) test bank
multiple choice
1. which of the following is the primary purpose of the pediatric health assessment?
a. to diagnose medical conditions
b. to monitor growth and development
c. to conduct treatment interventions
d. to evaluate parental competencies
ANS>> b
the primary purpose of pediatric health assessment is to monitor the growth and
development of a child, identify any issues, and plan appropriate care. this includes both
medical evaluation and tracking physical, cognitive, and emotional milestones.
a. to diagnose medical conditions: while diagnosing medical conditions is part of a health
assessment, it is not the primary focus. the overall goal is to track the child's
development.
c. to conduct treatment interventions: treatment interventions may follow an assessment,
but the purpose of the assessment itself is not to perform treatment.
d. to evaluate parental competencies: while parents’ input is essential, the purpose of the
assessment is primarily to assess the child’s health, not to evaluate parental skills.
dif: cognitive level: comprehension
ref: dm 3
obj: nursing process step: planning
msc: safe and effective care environment
2. a nurse is gathering subjective data from a parent during a child health assessment.
which of the following would be included in this type of data?
, a. temperature
b. respiratory rate
c. parent's description of the child's behavior
d. weight
ANS>> c
subjective data refers to information provided by the patient or caregiver. in this case, the
parent’s description of the child's behavior is subjective because it is based on the parent's
perception and reporting.
a. temperature: this is objective data that the nurse measures directly using a
thermometer.
b. respiratory rate: this is also objective data that the nurse measures during the physical
exam.
d. weight: weight is an objective measurement taken during the physical assessment.
dif: cognitive level: knowledge
ref: dm 5
obj: nursing process step: assessment
msc: safe and effective care environment
3. the nurse is performing a pediatric assessment. which of the following is an example of
objective data?
a. the child complains of a stomach ache
b. the child’s mother reports a history of asthma
c. the nurse observes a rash on the child’s back
d. the child states feeling tired
ANS>> c
objective data refers to observable and measurable information, such as a rash on the
child’s back. this is something the nurse can see and document directly.
ADVANCED PEDIATRIC ASSESSMENT 4TH EDITION, (2024)
BY ELLEN M. CHIOCCA
ALL CHAPTERS 1-26| 4 UNITS| LATEST VERSION WITH DETAILED ANSWERS| GRADE A+
unit i: the foundations of child health assessment ___________________________________ 3
chapter 1. child health assessment: an overview _________________________________________ 3
, chapter 2. assessment of child development and behavior ________________________________ 16
chapter 3. communicating with children and families ____________________________________ 24
chapter 4. assessment of the family __________________________________________________ 28
chapter 5. cultural assessment of children and families ___________________________________ 34
unit ii: the pediatric history and physical examination ______________________________ 47
gathering subjective data __________________________________________________________ 47
chapter 6. obtaining the pediatric health history _______________________________________________ 47
chapter 7. assessing the health and safety of the child’s environment______________________________ 57
gathering objective data ___________________________________________________________ 79
chapter 8. the pediatric physical examination _________________________________________________ 79
chapter 9. the health supervision visit: wellness examinations in children __________________________ 81
chapter 10. assessment of nutritional status __________________________________________________ 97
chapter 11. assessment of the neonate ______________________________________________________ 113
chapter 12. assessment of the integumentary system __________________________________________ 120
chapter 13. assessment of the head, neck, and regional lymphatics ______________________________ 126
chapter 14. assessment of the ears _________________________________________________________ 139
chapter 15. assessment of the eyes _________________________________________________________ 150
chapter 16. assessment of the face, nose, and oral cavity _______________________________________ 158
chapter 17. assessment of the thorax, lungs, and regional lymphatics _____________________________ 170
chapter 18. assessment of the cardiovascular system __________________________________________ 184
chapter 19. assessment of the abdomen and regional lymphatics ________________________________ 194
chapter 20. assessment of the reproductive and genitourinary systems ___________________________ 209
chapter 21. assessment of the musculoskeletal system _________________________________________ 232
chapter 22. assessment of the neurologic system _____________________________________________ 243
unit iii: assessment of child mental health and welfare _____________________________ 253
chapter 23. assessment of mental disorders in children and adolescents ____________________ 253
chapter 24. assessment of child abuse and neglect _____________________________________ 262
unit iv: synthesizing the components of the pediatric health assessment ______________ 282
chapter 25. the complete history and physical examination: from start to finish ______________ 282
chapter 26. diagnostic reasoning and formulating a differential diagnosis __________________ 303
,unit i: the foundations of child health assessment
chapter 1. child health assessment: an overview
ellen m. chiocca: advanced pediatric assessment 4 th edition, (2024) test bank
multiple choice
1. which of the following is the primary purpose of the pediatric health assessment?
a. to diagnose medical conditions
b. to monitor growth and development
c. to conduct treatment interventions
d. to evaluate parental competencies
ANS>> b
the primary purpose of pediatric health assessment is to monitor the growth and
development of a child, identify any issues, and plan appropriate care. this includes both
medical evaluation and tracking physical, cognitive, and emotional milestones.
a. to diagnose medical conditions: while diagnosing medical conditions is part of a health
assessment, it is not the primary focus. the overall goal is to track the child's
development.
c. to conduct treatment interventions: treatment interventions may follow an assessment,
but the purpose of the assessment itself is not to perform treatment.
d. to evaluate parental competencies: while parents’ input is essential, the purpose of the
assessment is primarily to assess the child’s health, not to evaluate parental skills.
dif: cognitive level: comprehension
ref: dm 3
obj: nursing process step: planning
msc: safe and effective care environment
2. a nurse is gathering subjective data from a parent during a child health assessment.
which of the following would be included in this type of data?
, a. temperature
b. respiratory rate
c. parent's description of the child's behavior
d. weight
ANS>> c
subjective data refers to information provided by the patient or caregiver. in this case, the
parent’s description of the child's behavior is subjective because it is based on the parent's
perception and reporting.
a. temperature: this is objective data that the nurse measures directly using a
thermometer.
b. respiratory rate: this is also objective data that the nurse measures during the physical
exam.
d. weight: weight is an objective measurement taken during the physical assessment.
dif: cognitive level: knowledge
ref: dm 5
obj: nursing process step: assessment
msc: safe and effective care environment
3. the nurse is performing a pediatric assessment. which of the following is an example of
objective data?
a. the child complains of a stomach ache
b. the child’s mother reports a history of asthma
c. the nurse observes a rash on the child’s back
d. the child states feeling tired
ANS>> c
objective data refers to observable and measurable information, such as a rash on the
child’s back. this is something the nurse can see and document directly.
