TEST BANK FOR
Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd
Chapter 1-22
Law ExamsLaw exams typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to
apply issues. It prepares students for legal practice, with specializations that may include constitutional law, criminal law, corporate law, human rights law, or intellectual property law.2.2. Structure
Chapter 1. Issues and Trends in Pediatric Nursing
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: p. 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
,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: p. 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
Law ExamsLaw issues. It prepares students for legal practice, with specializations that
may include constitutional law, criminal law, corporate law, human rights law, or
intellectual property law.2.2. Structure exams typically have a more structured format
compared to business exams, often requiring students to demonstrate knowledge of legal
statutes, case law, and their ability to apply
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: p. 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?
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
Law ExamsLaw exams typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply
ANS: C
issues. It prepares students for legal practice, with specializations that may include constitutional law, criminal law, corporate law, human rights law, or intellectual property law.2.2. Structure
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 i
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning, i
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: p. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment i i
5. When planning a parenting class, the nurse should explain that the leading cause of death in
i
children 1 to 4 years of age in the United States is: i
a. premature birth.
b. congenitalanomalies.
c. accidental death. i
d. respiratorytract 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 deathafter the first monthof life is congenitalanomalies. Respiratory
tract illnesses are a major cause of morbidityin children.
, DIF: Cognitive Level: Application REF: p. 9
OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
6. Whichstatement is true regarding the qualityassurance or incident report?
a. The report assures the legaldepartment that there is no problem.
b. Reports are apermanent part ofthe clients chart.
c. The nurses notes should containthe following: Incident report filed and copy i i
placed in chart.
d. This report is a formofdocumentation of an event that mayresult in legal action. i
Law ExamsLaw exams typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply
ANS: D
issues. It prepares students for legal practice, with specializations that may include constitutional law, criminal law, corporate law, human rights law, or intellectual property law.2.2. Structure
An incident report is a warning tothe legaldepartment to be prepared for potentiallegalaction;it is i i i
not a part ofthe clients chart or nurse documentation.
DIF: Cognitive Level: Knowledge REF: p. 14 i i
OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment i
7. Whichclient situation fails to meet the first requirement ofinformed consent?
i
a. The parent does not understand the physicians explanations.
i i
b. The physician gives the parent onlya partial list of possible side effects and
complications.
c. No parent is available and the physicianasks the adolescent to signthe consent i
form.
d. The infants teenage mother signs a consent formbecause her parent tells her to.
ANS: C
Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd
Chapter 1-22
Law ExamsLaw exams typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to
apply issues. It prepares students for legal practice, with specializations that may include constitutional law, criminal law, corporate law, human rights law, or intellectual property law.2.2. Structure
Chapter 1. Issues and Trends in Pediatric Nursing
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: p. 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
,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: p. 7
OBJ: Nursing Process Step: Implementation
MSC: Health Promotion and Maintenance
Law ExamsLaw issues. It prepares students for legal practice, with specializations that
may include constitutional law, criminal law, corporate law, human rights law, or
intellectual property law.2.2. Structure exams typically have a more structured format
compared to business exams, often requiring students to demonstrate knowledge of legal
statutes, case law, and their ability to apply
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: p. 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?
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
Law ExamsLaw exams typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply
ANS: C
issues. It prepares students for legal practice, with specializations that may include constitutional law, criminal law, corporate law, human rights law, or intellectual property law.2.2. Structure
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 i
throughout the life span. The steps of the nursing process are assessment, diagnosis, planning, i
implementation, and evaluation.
DIF: Cognitive Level: Comprehension REF: p. 6
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment i i
5. When planning a parenting class, the nurse should explain that the leading cause of death in
i
children 1 to 4 years of age in the United States is: i
a. premature birth.
b. congenitalanomalies.
c. accidental death. i
d. respiratorytract 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 deathafter the first monthof life is congenitalanomalies. Respiratory
tract illnesses are a major cause of morbidityin children.
, DIF: Cognitive Level: Application REF: p. 9
OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
6. Whichstatement is true regarding the qualityassurance or incident report?
a. The report assures the legaldepartment that there is no problem.
b. Reports are apermanent part ofthe clients chart.
c. The nurses notes should containthe following: Incident report filed and copy i i
placed in chart.
d. This report is a formofdocumentation of an event that mayresult in legal action. i
Law ExamsLaw exams typically have a more structured format compared to business exams, often requiring students to demonstrate knowledge of legal statutes, case law, and their ability to apply
ANS: D
issues. It prepares students for legal practice, with specializations that may include constitutional law, criminal law, corporate law, human rights law, or intellectual property law.2.2. Structure
An incident report is a warning tothe legaldepartment to be prepared for potentiallegalaction;it is i i i
not a part ofthe clients chart or nurse documentation.
DIF: Cognitive Level: Knowledge REF: p. 14 i i
OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment i
7. Whichclient situation fails to meet the first requirement ofinformed consent?
i
a. The parent does not understand the physicians explanations.
i i
b. The physician gives the parent onlya partial list of possible side effects and
complications.
c. No parent is available and the physicianasks the adolescent to signthe consent i
form.
d. The infants teenage mother signs a consent formbecause her parent tells her to.
ANS: C
