TEST BANK
u
Advanced Pediatric Assessment
u u
Ellen M. Chiocca
u u
3rd Edition
u
,Test Bank: Advanced Pediatric Assessment Third Edition
u u u u u u
Chapteru1.uChilduHealthuAssessment:uAnuOverviewu
MULTIPLEuCHOICE
1.uuAunurseuisureviewinguchangesuinuhealthcareudeliveryuandufundinguforupediatricupopulations.uWhic
hucurrentutrenduinutheupediatricusettingushouldutheunurseuexpectutoufind?
a. Increasedu hospitalizationu ofu children
b. Decreasedu numberu ofu uninsuredu children
c. Anuincreaseuinuambulatoryucare
d. Decreaseduuseuofumanageducareu
ANS:uC
Oneueffectuofumanageducareuisuthatupediatricuhealthcareudeliveryuhasushiftedudramaticallyufromutheua
cuteucareusettingutoutheuambulatoryusetting.uTheunumberuofuhospitalubedsubeinguuseduhasudecreasedu
asumoreucareuisuprovideduinuoutpatientuanduhomeusettings.uTheunumberuofuuninsureduchildrenuinuthe
u Unitedu Statesucontinues utougrow.u Oneuofutheubiggest uchangesuinuhealthcareuhasubeenutheu growthuofu
manageducare.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu3
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
2.uAunurseuisureferringuaulow-
incomeufamilyuwithuthreeuchildrenuunderutheuageuofu5uyearsutouauprogramuthatuassistsuwithusuppleme
ntalufoodusupplies.uWhichuprogramushouldutheunurseureferuthisufamilyuto?
a. Medicaid
b. Medicare
c. Earlyu andu Periodicu Screening,u Diagnostic,u andu Treatmentu (EPSDT)u program
d. Women,uInfants,uanduChildrenu(WIC)uprogramu
ANS:uD
WICuisuaufederaluprogramuthatuprovidesusupplementalufoodusuppliesutoulow-
incomeuwomenuwhouareupregnantuorubreast-
feedinguandutoutheiruchildrenuuntilutheuageuofu5uyears.uMedicaiduandutheuMedicaiduEarlyuanduPeriod
icuScreening,uDiagnostic,uanduTreatmentu(EPSDT)uprogramuprovidesuforuwell-
childuexaminationsuandurelatedutreatmentuofumedicaluproblems.uChildrenuinutheuWICuprogramuareu
oftenureferreduforuimmunizations,ubututhatuisunotutheuprimaryufocusuofutheuprogram.uPublicuLawu99-
457uprovidesufinancialuincentivesutoustatesutouestablishucomprehensiveuearlyuinterventionuservicesu
foruinfantsuandutoddlersuwith,uoruaturiskufor,udevelopmentaludisabilities.
MedicareuisutheuprogramuforuSenioruCitizens.uDIF
:uCognitiveuLevel:uApplicationuREF:udmu7uOBJ:uN
ursinguProcessuStep:uImplementationuMSC:uHealt
huPromotionuandu Maintenance
3. Inumostustates,uadolescentsuwhouareunotuemancipateduminorsumustuhaveuparentalupermissionu
before:
a. treatmentuforudruguabuse.
b. treatmentu foru sexuallyu transmittedu diseasesu (STDs).
c. obtainingubirthucontrol.
d. surgery.
,ANS:u D
Anuemancipateduminoruisuauminoruchilduwhouhasutheulegalucompetenceuofuanuadult.uLegalucounselum
ayubeuconsultedutouverifyutheustatusuofutheuemancipateduminoruforuconsentupurposes.uMostustatesuallo
wuminorsutouobtainutreatmentuforudruguorualcoholuabuseuanduSTDsuanduallowuaccessutoubirthucontrol
u withoutuparental u consent.
DIF:uCognitiveuLevel:uApplicationuREF:udmu12
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
.
4. Aunurseuisucompletinguauclinicalupathwayuforuauchilduadmittedutoutheuhospitaluwithupneumonia.u
Whichucharacteristicuofuauclinicalupathwayuisucorrect?
a. Developeduanduimplementedubyunurses
b. Useduprimarilyuinutheupediatricusetting
c. Specificutimeulinesuforusequencinguinterventions
d. Oneuofutheustepsuinutheunursinguprocessu
ANS:uC
Clinicalupathwaysumeasureuoutcomesuofuclientucareuanduareudevelopedubyumultipleuhealthcareuprof
essionals.uEachupathwayuoutlinesuspecificutimeulinesuforusequencinguinterventionsuandureflectsuinter
disciplinaryuinterventions.uClinicalupathwaysuareuuseduinumultipleusettingsuanduforuclientsuthrougho
ututheulifeuspan.uTheustepsuofutheunursinguprocessuareuassessment,udiagnosis,uplanning,uimplementat
ion,uanduevaluation.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu6
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
5. Whenuplanninguauparentinguclass,utheunurseushoulduexplainuthatutheuleadingucauseuofudeathuinuc
hildrenu1utou4uyearsuofuageuinutheuUniteduStatesuis:
a. prematureu birth.
b. congenitalu anomalies.
c. accidentalu death.
d. respiratoryutractuillness.
u ANS:u C
Accidentsuareutheuleadingucauseuofudeathuinuchildrenuagesu1utou19uyears.uDisordersuofushortugestatio
nuanduunspecifiedulowubirthuweightumakeuupuoneuofutheuleadingucausesuofudeathuinuneonates.uOneuof
uthe uleading ucausesuofuinfant udeathuafterutheufirstumonth uofulifeuisucongenital uanomalies. u Respiratory ut
ractuillnessesuareuaumajorucauseuofumorbidityuinuchildren.
.
DIF:uCognitiveuLevel:uApplicationuREF:udmu9uOB
J:uNursinguProcessuStep:uImplementationuMSC:uS
afeuanduEffectiveuCareuEnvironment
6. Whichustatementuisutrueuregardingutheuqualityuassuranceuoruincidentureport?
a. Theureportuassuresutheulegaludepartmentuthatuthereuisunouproblem.
b. Reportsuareuaupermanentupartuofutheuclientsuchart.
, c. Theunursesunotesushoulducontainutheufollowing:uIncidentureportufileduanducopyu
placeduinuchart.
d. Thisureportuisuauformuofudocumentationuofuanueventuthatumayuresultuinulegaluaction.u
ANS:uD
Anuincidentureportuisuauwarningutoutheulegaludepartmentutoubeuprepareduforupotentialulegaluaction;uitu
isunotuaupartuofutheuclientsuchartuorunurseudocumentation.
DIF:uCognitiveuLevel:uKnowledgeuREF:udmu14uO
BJ:uNursinguProcessuStep:uImplementationuMSC:
uSafeuandu Effectiveu Careu Environment
7. Whichuclientusituationufailsutoumeetutheufirsturequirementuofuinformeduconsent?
a. Theuparentudoesunotuunderstandutheuphysiciansuexplanations.
b. Theuphysicianugivesutheuparentuonlyuaupartialulistuofupossibleusideueffectsuandu
complications.
c. Nouparentuisuavailableuandutheuphysicianuasksutheuadolescentutousignutheuconsentuf
orm.
d. Theuinfantsuteenageumotherusignsuauconsentuformubecauseuheruparentutellsuheruto.u
ANS:uC
.
Theufirsturequirementuofuinformeduconsentuisuthatutheupersonugivinguconsentumustubeucompetent.uMi
norsuareunotuallowedutougiveuconsent.uAnuunderstandinguofuinformation,ufulludisclosure,uanduvolunt
aryuconsentuareurequirementsuofuinformeduconsent,ubutunoneuofutheseuisutheufirsturequirement.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu12uOBJ
:uNursinguProcessuStep:uImplementation
MSC:uSafeuanduEffectiveuCareuEnvironment
8. Aunurseuassignedutouauchildudoesunotuknowuhowutouperformuautreatmentuthatuhasubeenuprescribeduf
orutheuchild.uWhatushouldutheunursesufirstuactionube?
a. Delayutheutreatmentuuntiluanotherunurseucanudouit.
b. Makeutheuchildsuparentsuawareuofutheusituation.
c. Informutheunursingusupervisoruofutheuproblem.
d. Arrangeutouhaveutheuchildutransferredutouanotheruunit.u
ANS:uC
Ifuaunurseuisunotucompetentutouperformuauparticularunursingutask,utheunurseumustuimmediatelyucomm
unicateuthisufactutoutheunursingusupervisoruoruphysician.uTheunurseucoulduendangerutheuchildubyudela
yingutheuinterventionuuntiluanotherunurseuisuavailable.uTellingutheuchildsuparentsuwouldumostulikelyu
increaseutheiruanxietyuanduwillunoturesolveutheudifficulty.uTransferutouanotheruunitudelaysuneededutre
atmentuanduwoulducreateuunnecessaryudisruptionuforutheuchilduandufamily.
DIF:uCognitiveuLevel:uApplicationuREF:udmu11uO
BJ:uNursinguProcessuStep:uImplementationuMSC:
uSafeuandu Effectiveu Careu Environment
9. Aunurseuisucompletinguaucareuplanuforuauchilduanduisufinishingutheuassessmentuphase.uWhichua
ctivityuisunotupartuofuaunursinguassessment?
u
Advanced Pediatric Assessment
u u
Ellen M. Chiocca
u u
3rd Edition
u
,Test Bank: Advanced Pediatric Assessment Third Edition
u u u u u u
Chapteru1.uChilduHealthuAssessment:uAnuOverviewu
MULTIPLEuCHOICE
1.uuAunurseuisureviewinguchangesuinuhealthcareudeliveryuandufundinguforupediatricupopulations.uWhic
hucurrentutrenduinutheupediatricusettingushouldutheunurseuexpectutoufind?
a. Increasedu hospitalizationu ofu children
b. Decreasedu numberu ofu uninsuredu children
c. Anuincreaseuinuambulatoryucare
d. Decreaseduuseuofumanageducareu
ANS:uC
Oneueffectuofumanageducareuisuthatupediatricuhealthcareudeliveryuhasushiftedudramaticallyufromutheua
cuteucareusettingutoutheuambulatoryusetting.uTheunumberuofuhospitalubedsubeinguuseduhasudecreasedu
asumoreucareuisuprovideduinuoutpatientuanduhomeusettings.uTheunumberuofuuninsureduchildrenuinuthe
u Unitedu Statesucontinues utougrow.u Oneuofutheubiggest uchangesuinuhealthcareuhasubeenutheu growthuofu
manageducare.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu3
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
2.uAunurseuisureferringuaulow-
incomeufamilyuwithuthreeuchildrenuunderutheuageuofu5uyearsutouauprogramuthatuassistsuwithusuppleme
ntalufoodusupplies.uWhichuprogramushouldutheunurseureferuthisufamilyuto?
a. Medicaid
b. Medicare
c. Earlyu andu Periodicu Screening,u Diagnostic,u andu Treatmentu (EPSDT)u program
d. Women,uInfants,uanduChildrenu(WIC)uprogramu
ANS:uD
WICuisuaufederaluprogramuthatuprovidesusupplementalufoodusuppliesutoulow-
incomeuwomenuwhouareupregnantuorubreast-
feedinguandutoutheiruchildrenuuntilutheuageuofu5uyears.uMedicaiduandutheuMedicaiduEarlyuanduPeriod
icuScreening,uDiagnostic,uanduTreatmentu(EPSDT)uprogramuprovidesuforuwell-
childuexaminationsuandurelatedutreatmentuofumedicaluproblems.uChildrenuinutheuWICuprogramuareu
oftenureferreduforuimmunizations,ubututhatuisunotutheuprimaryufocusuofutheuprogram.uPublicuLawu99-
457uprovidesufinancialuincentivesutoustatesutouestablishucomprehensiveuearlyuinterventionuservicesu
foruinfantsuandutoddlersuwith,uoruaturiskufor,udevelopmentaludisabilities.
MedicareuisutheuprogramuforuSenioruCitizens.uDIF
:uCognitiveuLevel:uApplicationuREF:udmu7uOBJ:uN
ursinguProcessuStep:uImplementationuMSC:uHealt
huPromotionuandu Maintenance
3. Inumostustates,uadolescentsuwhouareunotuemancipateduminorsumustuhaveuparentalupermissionu
before:
a. treatmentuforudruguabuse.
b. treatmentu foru sexuallyu transmittedu diseasesu (STDs).
c. obtainingubirthucontrol.
d. surgery.
,ANS:u D
Anuemancipateduminoruisuauminoruchilduwhouhasutheulegalucompetenceuofuanuadult.uLegalucounselum
ayubeuconsultedutouverifyutheustatusuofutheuemancipateduminoruforuconsentupurposes.uMostustatesuallo
wuminorsutouobtainutreatmentuforudruguorualcoholuabuseuanduSTDsuanduallowuaccessutoubirthucontrol
u withoutuparental u consent.
DIF:uCognitiveuLevel:uApplicationuREF:udmu12
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
.
4. Aunurseuisucompletinguauclinicalupathwayuforuauchilduadmittedutoutheuhospitaluwithupneumonia.u
Whichucharacteristicuofuauclinicalupathwayuisucorrect?
a. Developeduanduimplementedubyunurses
b. Useduprimarilyuinutheupediatricusetting
c. Specificutimeulinesuforusequencinguinterventions
d. Oneuofutheustepsuinutheunursinguprocessu
ANS:uC
Clinicalupathwaysumeasureuoutcomesuofuclientucareuanduareudevelopedubyumultipleuhealthcareuprof
essionals.uEachupathwayuoutlinesuspecificutimeulinesuforusequencinguinterventionsuandureflectsuinter
disciplinaryuinterventions.uClinicalupathwaysuareuuseduinumultipleusettingsuanduforuclientsuthrougho
ututheulifeuspan.uTheustepsuofutheunursinguprocessuareuassessment,udiagnosis,uplanning,uimplementat
ion,uanduevaluation.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu6
OBJ:uNursinguProcessuStep:uPlanninguMSC:uSafeuanduEffectiveuCareuEnvironment
5. Whenuplanninguauparentinguclass,utheunurseushoulduexplainuthatutheuleadingucauseuofudeathuinuc
hildrenu1utou4uyearsuofuageuinutheuUniteduStatesuis:
a. prematureu birth.
b. congenitalu anomalies.
c. accidentalu death.
d. respiratoryutractuillness.
u ANS:u C
Accidentsuareutheuleadingucauseuofudeathuinuchildrenuagesu1utou19uyears.uDisordersuofushortugestatio
nuanduunspecifiedulowubirthuweightumakeuupuoneuofutheuleadingucausesuofudeathuinuneonates.uOneuof
uthe uleading ucausesuofuinfant udeathuafterutheufirstumonth uofulifeuisucongenital uanomalies. u Respiratory ut
ractuillnessesuareuaumajorucauseuofumorbidityuinuchildren.
.
DIF:uCognitiveuLevel:uApplicationuREF:udmu9uOB
J:uNursinguProcessuStep:uImplementationuMSC:uS
afeuanduEffectiveuCareuEnvironment
6. Whichustatementuisutrueuregardingutheuqualityuassuranceuoruincidentureport?
a. Theureportuassuresutheulegaludepartmentuthatuthereuisunouproblem.
b. Reportsuareuaupermanentupartuofutheuclientsuchart.
, c. Theunursesunotesushoulducontainutheufollowing:uIncidentureportufileduanducopyu
placeduinuchart.
d. Thisureportuisuauformuofudocumentationuofuanueventuthatumayuresultuinulegaluaction.u
ANS:uD
Anuincidentureportuisuauwarningutoutheulegaludepartmentutoubeuprepareduforupotentialulegaluaction;uitu
isunotuaupartuofutheuclientsuchartuorunurseudocumentation.
DIF:uCognitiveuLevel:uKnowledgeuREF:udmu14uO
BJ:uNursinguProcessuStep:uImplementationuMSC:
uSafeuandu Effectiveu Careu Environment
7. Whichuclientusituationufailsutoumeetutheufirsturequirementuofuinformeduconsent?
a. Theuparentudoesunotuunderstandutheuphysiciansuexplanations.
b. Theuphysicianugivesutheuparentuonlyuaupartialulistuofupossibleusideueffectsuandu
complications.
c. Nouparentuisuavailableuandutheuphysicianuasksutheuadolescentutousignutheuconsentuf
orm.
d. Theuinfantsuteenageumotherusignsuauconsentuformubecauseuheruparentutellsuheruto.u
ANS:uC
.
Theufirsturequirementuofuinformeduconsentuisuthatutheupersonugivinguconsentumustubeucompetent.uMi
norsuareunotuallowedutougiveuconsent.uAnuunderstandinguofuinformation,ufulludisclosure,uanduvolunt
aryuconsentuareurequirementsuofuinformeduconsent,ubutunoneuofutheseuisutheufirsturequirement.
DIF:uCognitiveuLevel:uComprehensionuREF:udmu12uOBJ
:uNursinguProcessuStep:uImplementation
MSC:uSafeuanduEffectiveuCareuEnvironment
8. Aunurseuassignedutouauchildudoesunotuknowuhowutouperformuautreatmentuthatuhasubeenuprescribeduf
orutheuchild.uWhatushouldutheunursesufirstuactionube?
a. Delayutheutreatmentuuntiluanotherunurseucanudouit.
b. Makeutheuchildsuparentsuawareuofutheusituation.
c. Informutheunursingusupervisoruofutheuproblem.
d. Arrangeutouhaveutheuchildutransferredutouanotheruunit.u
ANS:uC
Ifuaunurseuisunotucompetentutouperformuauparticularunursingutask,utheunurseumustuimmediatelyucomm
unicateuthisufactutoutheunursingusupervisoruoruphysician.uTheunurseucoulduendangerutheuchildubyudela
yingutheuinterventionuuntiluanotherunurseuisuavailable.uTellingutheuchildsuparentsuwouldumostulikelyu
increaseutheiruanxietyuanduwillunoturesolveutheudifficulty.uTransferutouanotheruunitudelaysuneededutre
atmentuanduwoulducreateuunnecessaryudisruptionuforutheuchilduandufamily.
DIF:uCognitiveuLevel:uApplicationuREF:udmu11uO
BJ:uNursinguProcessuStep:uImplementationuMSC:
uSafeuandu Effectiveu Careu Environment
9. Aunurseuisucompletinguaucareuplanuforuauchilduanduisufinishingutheuassessmentuphase.uWhichua
ctivityuisunotupartuofuaunursinguassessment?
