Essentials of Pediatric b6 b6
Nursing 4th Edition
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Kyle Carman
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Test Bank Questions
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withComplete
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Solutions b6
, Essentials of Pediatric Nursing 4thEditionKyle CarmanTest Bank b6 b6 b6 b6 b6 b6 b6 6
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CHAPTER 1 Introduction to Child Health and Pediatric Nursing b6 b6 b6 b6 b6 b6 b6 b6
MULTIPLE CHOICE
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1. A nurse is planning a teaching session for parents of preschool children. Which
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statement explains why the nurse should include information about morbidity and
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mortality?
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a. Life-span statistics are included in the data. b6 b6 b6 b6 b6 b6
b. It explains effectiveness of treatment.
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c. Cost-effective treatment is detailed for the general population. b6 b6 b6 b6 b6 b6 b6
d. High-risk agegroups for certaindisorders or hazardsareidentified. b6 b6 b6 b6 b6 b6 b6 b6 b6
ANS: D
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Analysis of morbidity and mortality data provides the parents with information about which
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groups of individuals are at risk for which health problems. Life-span statistics is a part of the
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mortality data. Treatment modalities and cost are not included in morbidity and mortality
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data.
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PTS: 1 DIF: Cognitive Level: Apply REF: 6-8 TOP:
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IntegratedProcess:NursingProcess:Planning
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MSC:Area of Client Needs: Health Promotion and Maintenance
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2. A clinic nurse is planning a teaching session about childhood obesity prevention for
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parents of school-age children.The nurse should include which associated risk of obesity in
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the teaching plan?
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a. TypeIdiabetes b6 b6
b. Respiratory disease b6
c. Celiac disease b6
d. TypeIIdiabetes b6 b6
ANS: D
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Childhood obesity has been associated with the rise of type II diabetes in children.Type I b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
diabetes is not associated with obesity and has a genetic component. Respiratory disease is
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not associated with obesity, and celiac disease is the inability to metabolize gluten in foods
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and is not associated with obesity.
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PTS: 1 DIF: Cognitive Level:Apply REF: 3
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TOP: Integrated Process: Nursing Process: Planning
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MSC:Area of Client Needs: Health Promotion and Maintenance
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3. Which is the leading cause of death in infants younger than 1 year? b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
a. Congenital anomalies b6
b. Sudden infant death syndrome b6 b6 b6
c. Respiratory distress syndrome b6 b6
d. Bacterialsepsisofthenewborn b6 b6 b6 b6
ANS:A
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Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infant b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrome
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accounts for 3.4% of deaths in this age group. Infections specific to the perinatal period
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account for 2.7% of deaths in this age group.
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,PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP:
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IntegratedProcess:NursingProcess:Assessment
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MSC:Area of Client Needs: Health Promotion and Maintenance
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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?
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a. Suicide
b. Cancer
c. Firearm homicide b6
d. Occupationalinjuries b6
ANS: C
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Firearm homicide is the second overall cause of death in this age group and the leading cause of
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death inAfrican-American males. Suicide is the third-leading cause of death in this
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population. Cancer, although a major health problem, is the fourth-leading cause of death in
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this age group. Occupational injuries do not contribute to a significant death rate for this age
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group.
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PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8 TOP:
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Integrated Process: Nursing Process: Planning
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MSC:Area of Client Needs: Health Promotion and Maintenance
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5. Which is the major cause of death for children older than 1 year? b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
a. Cancer
b. Heart disease b6
c. Unintentional injuries b6
d. Congenitalanomalies b6
ANS: C
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Unintentional injuries (accidents) are the leading cause of death after age 1 year through b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
adolescence. Congenital anomalies are the leading cause of death in those younger than 1 year.
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Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in
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the majority of the age groups.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP:
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IntegratedProcess:NursingProcess:Planning
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MSC:Area of Client Needs: Health Promotion and Maintenance
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6. Which is the leading cause of death from unintentional injuries for females ranging in age
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from 1 to 14?
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a. Mechanical suffocation b6
b. Drowning
c. Motorvehicle-related fatalities b6
d. Fire-andburn-relatedfatalities b6 b6 b6
ANS: C
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Motorvehicle-related fatalities are the leading cause of death for females ranging in age from 1 to b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth, depending
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on the age. Drowning is the second- or third-leading cause of death, depending on the age. Fire-
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and burn-related fatalities are the second-leading cause of death.
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PTS: 1 DIF: Cognitive Level: Remember REF: 4 TOP:
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IntegratedProcess:NursingProcess:Assessment
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MSC:Area of Client Needs: Health Promotion and Maintenance
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, 7. Which factor most impacts the type of injury a child is susceptible to, according to the childs
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age?
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a. Physical health of the child b6 b6 b6 b6
b. Developmental level of the child b6 b6 b6 b6
c. Educational level of the child b6 b6 b6 b6
d. Number ofresponsibleadultsinthehome b6 b6 b6 b6 b6 b6
ANS: B
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The childs developmental stage determines the type of injury that is likely to occur. The childs
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physical health may facilitate the childs recovery from an injury but does not impact the type
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of injury. Educational level is related to developmental level, but it is not as important as the
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childs developmental level in determining the type of injury. The number of responsible
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adults in the home may affect the number of unintentional injuries, but the type of injury is
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related to the childs developmental stage.
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PTS: 1 DIF: Cognitive Level: Understand REF: 3-4
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TOP: Integrated Process: Nursing Process: Planning
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MSC:Area of Client Needs: Health Promotion and Maintenance
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8. Which is now referred to as the new morbidity? b6 b6 b6 b6 b6 b6 b6 b6
a. Limitations in the major activities of daily living b6 b6 b6 b6 b6 b6 b6
b. Unintentional injuries that cause chronic health problems b6 b6 b6 b6 b6 b6
c. Discoveries of new therapies to treat health problems b6 b6 b6 b6 b6 b6 b6
d. Behavioral,social,and educationalproblems thatalterhealth b6 b6 b6 b6 b6 b6 b6
ANS: D
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The new morbidity reflectsthe behavioral, social, and educational problems that interfere with
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the childs social and academic development. It is currently estimated that the incidence of
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these issues is from 5% to 30%. Limitations in major activities of daily living and
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unintentional injuries that result in chronic health problems are included in morbidity data.
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Discovery of new therapies would be reflected in changes in morbidity data over time.
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PTS: 1 DIF: Cognitive Level: Remember REF: 3 TOP:
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IntegratedProcess:NursingProcess:Assessment
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MSC:Area of Client Needs: Health Promotion and Maintenance
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9. Anurse on a pediatric unit is practicing family-centered care.Which is most
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descriptive of the care the nurse is delivering?
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a. Taking over total care of the child to reduce stress on the family b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
b. Encouraging family dependence on health care systems b6 b6 b6 b6 b6 b6
c. Recognizing that the family is the constant in a childs life b6 b6 b6 b6 b6 b6 b6 b6 b6 b6
d. Excludingfamiliesfromthedecision-making process b6 b6 b6 b6 b6
ANS: C
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The three key components of family-centered care are respect, collaboration, and support.
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Family-centered care recognizes the family as the constant in the childs life. Taking over total
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care does not include the family in the process and may increase stress instead of reducing
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stress. The family should be enabled and empowered to work with the health care system. The
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family is expected to be part of the decision-making process.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8
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TOP: Integrated Process: Nursing Process: Implementation MSC:
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Area of Client Needs: Health Promotion andMaintenance
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