TEST BANK COMPLETE_
ADVANCED PEDIATRIC ASSESSMENT (THIRD)3RD EDITION
BY ELLEN M. CHIOCCA
ALL CHAPTERS 1-26| 4 UNITS| UPDATED EDITION 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 _________________________________ 9
chapter 3. communicating with children and families ____________________________________ 22
chapter 4. assessment of the family __________________________________________________ 28
chapter 5. cultural assessment of children and families __________________________________ 37
unit ii: the pediatric history and physical examination ______________________________ 57
section 1: gathering subjective data __________________________________________________ 57
chapter 6. obtaining the pediatric health history _______________________________________________ 57
chapter 7. assessing safety and injury risk in children ___________________________________________ 74
section 2: gathering objective data __________________________________________________ 107
chapter 8. the pediatric physical examination ________________________________________________ 107
chapter 9. the health supervision visit: wellness examinations in children _________________________ 110
chapter 10. assessment of nutritional status _________________________________________________ 138
chapter 11. assessment of the neonate ______________________________________________________ 162
chapter 12. assessment of the integumentary system __________________________________________ 171
chapter 13. assessment of the head, neck, and regional lymphatics ______________________________ 182
chapter 14. assessment of the ears _________________________________________________________ 201
chapter 15. assessment of the eyes _________________________________________________________ 218
chapter 16. assessment of the face, nose, and oral cavity _______________________________________ 231
chapter 17. assessment of the thorax, lungs, and regional lymphatics _____________________________ 249
chapter 18. assessment of the cardiovascular system __________________________________________ 271
chapter 19. assessment of the abdomen and regional lymphatics ________________________________ 286
chapter 20. assessment of the reproductive and genitourinary systems ___________________________ 308
chapter 21. assessment of the musculoskeletal system _________________________________________ 343
chapter 22. assessment of the neurologic system _____________________________________________ 362
unit iii: assessment of child mental health and welfare _____________________________ 376
chapter 23. assessment of mental disorders in children and adolescents ___________________ 376
chapter 24. assessment of child abuse and neglect _____________________________________ 389
unit iv: synthesizing the components of the pediatric health assessment ______________ 421
chapter 25. the complete history and physical examination: from start to finish _____________ 421
chapter 26. formulating a differential diagnosis ________________________________________ 455
,unit i: the foundations of child health assessment
chapter 1. child health assessment: an overview
ellen m. chiocca: advanced pediatric assessment (third) 3rd edition, test bank
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
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: 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?
a. developed and implemented by nurses
b. used primarily in the pediatric setting
ADVANCED PEDIATRIC ASSESSMENT (THIRD)3RD EDITION
BY ELLEN M. CHIOCCA
ALL CHAPTERS 1-26| 4 UNITS| UPDATED EDITION 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 _________________________________ 9
chapter 3. communicating with children and families ____________________________________ 22
chapter 4. assessment of the family __________________________________________________ 28
chapter 5. cultural assessment of children and families __________________________________ 37
unit ii: the pediatric history and physical examination ______________________________ 57
section 1: gathering subjective data __________________________________________________ 57
chapter 6. obtaining the pediatric health history _______________________________________________ 57
chapter 7. assessing safety and injury risk in children ___________________________________________ 74
section 2: gathering objective data __________________________________________________ 107
chapter 8. the pediatric physical examination ________________________________________________ 107
chapter 9. the health supervision visit: wellness examinations in children _________________________ 110
chapter 10. assessment of nutritional status _________________________________________________ 138
chapter 11. assessment of the neonate ______________________________________________________ 162
chapter 12. assessment of the integumentary system __________________________________________ 171
chapter 13. assessment of the head, neck, and regional lymphatics ______________________________ 182
chapter 14. assessment of the ears _________________________________________________________ 201
chapter 15. assessment of the eyes _________________________________________________________ 218
chapter 16. assessment of the face, nose, and oral cavity _______________________________________ 231
chapter 17. assessment of the thorax, lungs, and regional lymphatics _____________________________ 249
chapter 18. assessment of the cardiovascular system __________________________________________ 271
chapter 19. assessment of the abdomen and regional lymphatics ________________________________ 286
chapter 20. assessment of the reproductive and genitourinary systems ___________________________ 308
chapter 21. assessment of the musculoskeletal system _________________________________________ 343
chapter 22. assessment of the neurologic system _____________________________________________ 362
unit iii: assessment of child mental health and welfare _____________________________ 376
chapter 23. assessment of mental disorders in children and adolescents ___________________ 376
chapter 24. assessment of child abuse and neglect _____________________________________ 389
unit iv: synthesizing the components of the pediatric health assessment ______________ 421
chapter 25. the complete history and physical examination: from start to finish _____________ 421
chapter 26. formulating a differential diagnosis ________________________________________ 455
,unit i: the foundations of child health assessment
chapter 1. child health assessment: an overview
ellen m. chiocca: advanced pediatric assessment (third) 3rd edition, test bank
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
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: 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?
a. developed and implemented by nurses
b. used primarily in the pediatric setting
