TEST BANK FOR
ADVANCED PEDIATRIC
ASSESSMENT 4TH EDITION
BY ELLEN M. CHIOCCA| ALL
CHAPTERS 1-26| LATEST
2026
Advanced Pediatric Assessment — Practice Exam
Unit I: The Foundations of Child Health Assessment
Chapter 1: Child Health Assessment: An Overview
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
,Rationale: 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 .
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
Rationale: 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 EPSDT provide well-child examinations and related treatment
of medical problems, but WIC specifically addresses nutritional supplementation .
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
Rationale: An emancipated minor is a minor child who has the legal competence of an
adult. Most states allow minors to obtain treatment for drug or alcohol abuse and STDs
and allow access to birth control without parental consent. However, surgery generally
requires parental consent for non-emancipated minors .
4. Which statement is true regarding the quality assurance or incident report?
A. The report assures the legal department that there is no problem
B. Reports are a permanent part of the client's chart
C. The nurse's notes should contain the following: Incident report filed and copy placed
in chart
D. This report is a form of documentation of an event that may result in legal
action
, Rationale: An incident report is a warning to the legal department to be prepared for
potential legal action; it is not a part of the client's chart or nurse documentation .
5. When planning a parenting class, the nurse should explain that the leading
cause of death in children 1 to 4 years of age in the United States is:
A. Premature birth
B. Congenital anomalies
C. Accidental death
D. Respiratory tract illness
Rationale: 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. Respiratory tract illnesses are a major cause of
morbidity in children .
Chapter 2: Assessment of Child Development and Behavior
6. The nurse is assessing a 6-month-old infant's development. Which milestone
would the nurse expect the infant to have achieved?
A. Rolling from back to stomach
B. Sitting without support
C. Pulling to stand
D. Walking independently
Rationale: At 6 months, infants typically can roll from back to stomach and back. Sitting
without support is usually achieved by 8 months, pulling to stand by 9-10 months, and
walking independently by 12-15 months.
7. Which reflex should disappear by 6 months of age?
A. Moro reflex
B. Palmar grasp reflex
C. Babinski reflex
D. Tonic neck reflex
Rationale: The palmar grasp reflex typically disappears by 3-6 months of age. The Moro
reflex disappears by 3-4 months, the tonic neck reflex by 4-6 months, and the Babinski
reflex by 12 months.
ADVANCED PEDIATRIC
ASSESSMENT 4TH EDITION
BY ELLEN M. CHIOCCA| ALL
CHAPTERS 1-26| LATEST
2026
Advanced Pediatric Assessment — Practice Exam
Unit I: The Foundations of Child Health Assessment
Chapter 1: Child Health Assessment: An Overview
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
,Rationale: 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 .
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
Rationale: 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 EPSDT provide well-child examinations and related treatment
of medical problems, but WIC specifically addresses nutritional supplementation .
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
Rationale: An emancipated minor is a minor child who has the legal competence of an
adult. Most states allow minors to obtain treatment for drug or alcohol abuse and STDs
and allow access to birth control without parental consent. However, surgery generally
requires parental consent for non-emancipated minors .
4. Which statement is true regarding the quality assurance or incident report?
A. The report assures the legal department that there is no problem
B. Reports are a permanent part of the client's chart
C. The nurse's notes should contain the following: Incident report filed and copy placed
in chart
D. This report is a form of documentation of an event that may result in legal
action
, Rationale: An incident report is a warning to the legal department to be prepared for
potential legal action; it is not a part of the client's chart or nurse documentation .
5. When planning a parenting class, the nurse should explain that the leading
cause of death in children 1 to 4 years of age in the United States is:
A. Premature birth
B. Congenital anomalies
C. Accidental death
D. Respiratory tract illness
Rationale: 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. Respiratory tract illnesses are a major cause of
morbidity in children .
Chapter 2: Assessment of Child Development and Behavior
6. The nurse is assessing a 6-month-old infant's development. Which milestone
would the nurse expect the infant to have achieved?
A. Rolling from back to stomach
B. Sitting without support
C. Pulling to stand
D. Walking independently
Rationale: At 6 months, infants typically can roll from back to stomach and back. Sitting
without support is usually achieved by 8 months, pulling to stand by 9-10 months, and
walking independently by 12-15 months.
7. Which reflex should disappear by 6 months of age?
A. Moro reflex
B. Palmar grasp reflex
C. Babinski reflex
D. Tonic neck reflex
Rationale: The palmar grasp reflex typically disappears by 3-6 months of age. The Moro
reflex disappears by 3-4 months, the tonic neck reflex by 4-6 months, and the Babinski
reflex by 12 months.
