Essentials of Pediatric L L
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
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, Essentials of Pediatric Nursing 4th Edition Kyle Carman Test Bank L L L L L L L L L
CHAPTER 1 Introduction to Child Health and Pediatric Nursing
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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. L L L L L L
b. It explains effectiveness of treatment.
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c. Cost-effective treatment is detailed for the general population. L L L L L L L
d. High-risk age groups for certain disorders or hazards are identified.
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ANS: D
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Analysis of morbidity and mortality data provides the parents with information about
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which groups of individuals are at risk for which health problems. Life-span statistics is a
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part of the mortality data. Treatment modalities and cost are not included in morbidity
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and mortality data.
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PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
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LTOP: Integrated Process: Nursing Process: 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
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in the teaching plan?
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a. Type I diabetes L L
b. Respiratory disease L
c. Celiac disease L
d. Type II diabetes L L
ANS: D
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Childhood obesity has been associated with the rise of type II diabetes in children. Type I
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diabetes is not associated with obesity and has a genetic component. Respiratory disease
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is not associated with obesity, and celiac disease is the inability to metabolize gluten in
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foods 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?
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a. Congenital anomalies L
b. Sudden infant death syndrome L L L
c. Respiratory distress syndrome L L
d. Bacterial sepsis of the newborn L L L L
ANS: A
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Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
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infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
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syndrome accounts for 3.4% of deaths in this age group. Infections specific to the
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perinatal period account for 2.7% of deaths in this age group.
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,PTS: 1 DIF: Cognitive Level: Remember REF: 7
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LTOP: Integrated Process: Nursing Process: 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 of African-
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American boys ranging in ages 15 to 19 years? L L L L L L L L
a. Suicide
b. Cancer
c. Firearm homicide L
d. Occupational injuries L
ANS: C
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Firearm homicide is the second overall cause of death in this age group and the leading
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cause of death in African-American males. Suicide is the third-leading cause of death in
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this population. Cancer, although a major health problem, is the fourth-leading cause of
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death in this age group. Occupational injuries do not contribute to a significant death rate
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for this age group.
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PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
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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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5. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease L
c. Unintentional injuries L
d. Congenital anomalies L
ANS: C
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Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. Congenital anomalies are the leading cause of death in those younger than 1
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year. Cancer ranks either second or fourth, depending on the age group, and heart disease
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ranks fifth in the majority of the age groups.
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PTS: 1 DIF: Cognitive Level: Remember REF: 8
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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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6. Which is the leading cause of death from unintentional injuries for females ranging in
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age from 1 to 14?
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a. Mechanical suffocation L
b. Drowning
c. Motorvehicle-related fatalities L
d. Fire- and burn-related fatalities
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ANS: C
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Motorvehicle-related fatalities are the leading cause of death for females ranging in age from L L L L L L L L L L L L L
1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth,
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depending on the age. Drowning is the second- or third-leading cause of death, depending
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on the age. Fire- and burn-related fatalities are the second-leading cause of death.
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PTS: 1 DIF: Cognitive Level: Remember REF: 4
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LTOP: Integrated Process: Nursing Process: 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
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childs age?
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a. Physical health of the child L L L L
b. Developmental level of the child L L L L
c. Educational level of the child L L L L
d. Number of responsible adults in the home L L L L L L
ANS: B
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The childs developmental stage determines the type of injury that is likely to occur. The
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childs physical health may facilitate the childs recovery from an injury but does not
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impact the type of injury. Educational level is related to developmental level, but it is not
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as important as the childs developmental level in determining the type of injury. The
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number of responsible adults in the home may affect the number of unintentional injuries,
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but the type of injury is 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?
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a. Limitations in the major activities of daily living L L L L L L L
b. Unintentional injuries that cause chronic health problems L L L L L L
c. Discoveries of new therapies to treat health problems L L L L L L L
d. Behavioral, social, and educational problems that alter health L L L L L L L
ANS: D
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The new morbidity reflects the behavioral, social, and educational problems that interfere
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with the childs social and academic development. It is currently estimated that the
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incidence of these issues is from 5% to 30%. Limitations in major activities of daily living
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and unintentional injuries that result in chronic health problems are included in morbidity
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data. Discovery of new therapies would be reflected in changes in morbidity data over
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time.
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PTS: 1 DIF: Cognitive Level: Remember REF: 3
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LTOP: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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9. A nurse 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
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b. Encouraging family dependence on health care systems L L L L L L
c. Recognizing that the family is the constant in a childs life L L L L L L L L L L
d. Excluding families from the decision-making process L L L L L
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
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total care does not include the family in the process and may increase stress instead of
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reducing stress. The family should be enabled and empowered to work with the health
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care system. The 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
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MSC: Area of Client Needs: Health Promotion and Maintenance
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