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Complete Test Bank
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Advanced Pediatric Assessment 4th Edition,
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By Ellen M. Chiocca
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(All Chapters, Latest Edition, with Rationales)
Ex
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er
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Table of Contents
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Chapter 1: Child Health Assessment: An Overview
Chapter 2: Assessment of Child Development and Behavior
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Chapter 3: Communicating with Children and Families
Chapter 4: Assessment of the Family
Chapter 5: Cultural Assessment of Children and Families
Chapter 6: Obtaining the Pediatric Health History
Chapter 7: Assessing the Health and Safety of the Child’s Environment
Chapter 8: The Pediatric Physical Examination
Chapter 9: The Health Supervision Visit: Wellness Examinations in Children
Chapter 10: Assessment of Nutritional Status
Chapter 11: Assessment of the Neonate
Chapter 12: Assessment of the Integumentary System
Chapter 13: Assessment of the Head, Neck, and Regional Lymphatics
Chapter 14: Assessment of the Ears
Chapter 15: Assessment of the Eyes
Chapter 16: Assessment of the Face, Nose, and Oral Cavity
Chapter 17: Assessment of the Thorax, Lungs, and Regional Lymphatics
Chapter 18: Assessment of the Cardiovascular System
Chapter 19: Assessment of the Abdomen and Regional Lymphatics
Chapter 20: Assessment of the Reproductive and Genitourinary Systems
Chapter 21: Assessment of the Musculoskeletal System
Chapter 22: Assessment of the Neurologic System
Chapter 23: Assessment of Mental Disorders in Children and Adolescents
Chapter 24: Assessment of Child Abuse and Neglect
Chapter 25: The Complete Pediatric History and Physical Examination: From Start to Finish
Chapter 26: Diagnostic Reasoning Formulating a Differential Diagnos
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Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
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1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Ex
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
ANSWER: 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.
DIF: Cognitive Level: Comprehension REF: dm 3
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?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
ANSWER: 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
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intervention services for infants and toddlers with, or at risk for, developmental disabilities.
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Medicare is the program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
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OBJ: Nursing Process Step: Implementation
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MSC: Health Promotion and Maintenance
Ex
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: 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
A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which characterist
of a clinical pathway is correct?
e. Developed and implemented by nurses
f. Used primarily in the pediatric setting
g. Specific time lines for sequencing interventions
h. One of the steps in the nursing process
ANSWER: 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 the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm 6
Complete Test Bank
er
Advanced Pediatric Assessment 4th Edition,
M
By Ellen M. Chiocca
rt
pe
(All Chapters, Latest Edition, with Rationales)
Ex
, cy
er
M
Table of Contents
rt
pe
Chapter 1: Child Health Assessment: An Overview
Chapter 2: Assessment of Child Development and Behavior
Ex
Chapter 3: Communicating with Children and Families
Chapter 4: Assessment of the Family
Chapter 5: Cultural Assessment of Children and Families
Chapter 6: Obtaining the Pediatric Health History
Chapter 7: Assessing the Health and Safety of the Child’s Environment
Chapter 8: The Pediatric Physical Examination
Chapter 9: The Health Supervision Visit: Wellness Examinations in Children
Chapter 10: Assessment of Nutritional Status
Chapter 11: Assessment of the Neonate
Chapter 12: Assessment of the Integumentary System
Chapter 13: Assessment of the Head, Neck, and Regional Lymphatics
Chapter 14: Assessment of the Ears
Chapter 15: Assessment of the Eyes
Chapter 16: Assessment of the Face, Nose, and Oral Cavity
Chapter 17: Assessment of the Thorax, Lungs, and Regional Lymphatics
Chapter 18: Assessment of the Cardiovascular System
Chapter 19: Assessment of the Abdomen and Regional Lymphatics
Chapter 20: Assessment of the Reproductive and Genitourinary Systems
Chapter 21: Assessment of the Musculoskeletal System
Chapter 22: Assessment of the Neurologic System
Chapter 23: Assessment of Mental Disorders in Children and Adolescents
Chapter 24: Assessment of Child Abuse and Neglect
Chapter 25: The Complete Pediatric History and Physical Examination: From Start to Finish
Chapter 26: Diagnostic Reasoning Formulating a Differential Diagnos
, cy
er
M
Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
rt
pe
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
Ex
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
ANSWER: 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.
DIF: Cognitive Level: Comprehension REF: dm 3
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?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
ANSWER: 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
, cy
er
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
M
Medicare is the program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
rt
OBJ: Nursing Process Step: Implementation
pe
MSC: Health Promotion and Maintenance
Ex
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANSWER: 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
A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which characterist
of a clinical pathway is correct?
e. Developed and implemented by nurses
f. Used primarily in the pediatric setting
g. Specific time lines for sequencing interventions
h. One of the steps in the nursing process
ANSWER: 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 the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm 6
