TEST BANK
Advanced Pediatric Assessment
Ellen M. Chiocca
4th Edition
Chapter 1-26 (Questions & Answers with Rationales)
JN
U
R
SE
,Table of Contents
Chapter 1. Child Health Assessment: An Overview
Chapter 2. Assessment of Child Development and Behavior
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 Safety and Injury Risk in Children
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
JN
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
U
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
R
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
SE
Chapter 25. The Complete History and Physical Examination: From Start to Finish
Chapter 26. Formulating a Differential Diagnosis
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
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
ANS: 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
JN
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
U
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
R
SE
ANS: 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
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
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.
ANS: 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
.
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
JN
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANS: C
U
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
R
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm 6
SE
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANS: C
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short
gestation and unspecified low birth weight make up one of the leading causes of death in
neonates. One of the leading causes of infant death after the first month of life is congenital
anomalies. Respiratory tract illnesses are a major cause of morbidity in children.
.
DIF: Cognitive Level: Application REF: dm 9
OBJ: Nursing Process Step: Implementation
Advanced Pediatric Assessment
Ellen M. Chiocca
4th Edition
Chapter 1-26 (Questions & Answers with Rationales)
JN
U
R
SE
,Table of Contents
Chapter 1. Child Health Assessment: An Overview
Chapter 2. Assessment of Child Development and Behavior
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 Safety and Injury Risk in Children
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
JN
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
U
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
R
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
SE
Chapter 25. The Complete History and Physical Examination: From Start to Finish
Chapter 26. Formulating a Differential Diagnosis
,Chapter 1. Child Health Assessment: An Overview
MULTIPLE CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations.
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
ANS: 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
JN
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
U
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
R
SE
ANS: 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
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
Medicare is the program for Senior Citizens.
DIF: Cognitive Level: Application REF: dm 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
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.
ANS: 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
.
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia.
Which characteristic of a clinical pathway is correct?
JN
a. Developed and implemented by nurses
b. Used primarily in the pediatric setting
c. Specific time lines for sequencing interventions
d. One of the steps in the nursing process
ANS: C
U
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
R
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning,
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: dm 6
SE
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
5. When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANS: C
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short
gestation and unspecified low birth weight make up one of the leading causes of death in
neonates. One of the leading causes of infant death after the first month of life is congenital
anomalies. Respiratory tract illnesses are a major cause of morbidity in children.
.
DIF: Cognitive Level: Application REF: dm 9
OBJ: Nursing Process Step: Implementation
