Chapter #: 1 1
1. TESTBANK Chapter Title: Foundations of Child Health Nursing
Chapter #: 1
1. Which current trend in the pediatric setting has resulted from Nursing Process Step: Planning
changes in health care delivery and funding? Cognitive Level: Knowledge
1. Increased hospitalization of children Correct Answer: 3
2. Decreased number of uninsured children Rationale:
3. An increase in ambulatory care 1. The number of hospital beds being utilized has decreased
4. Decreased use of managed care as more care is provided in outpatient and home settings.
2. The number of uninsured children in the United States
continues to grow.
3. One effect of managed care is that pediatric health care
delivery has shifted dramatically from the acute care setting to
the ambulatory setting.
4. One of the biggest changes in health care has been the
growth of managed care.
2. Which of the following statements describes the Women, Nursing Process Step: Planning
Infants and Children (WIC) program? Cognitive Level: Knowledge
1. Well-child examinations for infants and children living at Correct Answer: 4
the poverty level Rationale:
2. Immunizations for high-risk infants and children 1. The Medicaid Early and Periodic Screening, Diagnostic, and
3. Screening for infants with developmental disorders Treatment (EPSDT) program provides for well-child
4. Supplemental food supplies to low-income women who examinations and related treatment of medical problems.
are pregnant or breast-feeding 2. Children in the WIC program are often referred for
immunizations, but that is not the primary focus of the program.
3. 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.
4. 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.
3. In most states adolescents who are not emancipated minors Nursing Process Step: Planning
must have parental permission prior to: Cognitive Level: Application
1. treatment for drug abuse. Correct Answer: 4
2. treatment for sexually transmitted diseases (STDs). Rationale:
3. obtaining birth control. 1. Most states allow minors to obtain treatment for drug or
4. surgery. alcohol abuse without parental consent.
2. Most states allow minors to obtain treatment for STDs
without parental consent.
3. In most states minors are allowed access to birth control
without parental consent.
4. An emancipated minor is a minor child who has the legal
competency of an adult. Legal counsel may be consulted to
verify the status of the emancipated minor for consent
purposes.
4. One characteristic of clinical pathways is that they are: Nursing Process Step: Implementation
1. developed and implemented by nurses. Cognitive Level: Knowledge
2. used primarily in the pediatric setting. Correct Answer: 3
3. specific time lines for sequencing interventions. Rationale:
4. one of the steps in the nursing process. 1. Clinical pathways are developed by multiple health care
professionals and reflect interdisciplinary interventions.
2. Clinical pathways are used in multiple settings and for clients
throughout the life span.
3. Clinical pathways measure outcomes of client care. Each
pathway outlines specific time lines for sequencing
interventions.
4. The steps of the nursing process are assessment, diagnosis,
planning, implementation, and evaluation.
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
, Chapter #: 1 2
5. Which of the following is the leading cause of infant mortality Nursing Process Step: Assessment
in the United States? Cognitive Level: Knowledge
1. Premature birth Correct Answer: 2
2. Congenital anomalies Rationale:
3. Accidental death 1. Disorders of short gestation and unspecified low birth weight
4. Respiratory tract illness make up the second leading cause of death in infants.
2. The leading cause of infant mortality is congenital
anomalies.
3. Accidents are the leading cause of death in children ages 1
to 19 years.
4. Respiratory tract illnesses are the leading cause of morbidity
in children.
6. Which statement is true regarding the "quality assurance" or Nursing Process Step: Implementation
"incident" report? Cognitive Level: Knowledge
1. The report assures the legal department that there is no Correct Answer: 4
problem. Rationale:
2. Reports are a permanent part of the client's chart. 1. An incident report warns the agency’s legal department that
3. The nurse's notes should contain, "Incident report filed there may be a problem.
and copy placed in chart." 2. Incident reports are not a part of the client’s chart.
4. This report is a form of documentation of an event that 3. There should be no reference made to an incident report in
may result in legal action. the nurse’s documentation in the client’s chart.
4. An incident report is a warning to the legal department to be
prepared for potential legal action.
7. Which of the following client situations fails to meet the first Nursing Process Step: Implementation
requirement of informed consent? Cognitive Level: Comprehension
1. The parent does not understand the physician's Correct Answer: 3
explanations. Rationale:
2. The physician gives the parent only a partial list of 1. Understanding of information is a requirement of informed
possible side effects and complications. consent, but not the first requirement.
3. No parent is available and the physician asks the 2. Full disclosure of information is a requirement of informed
adolescent to sign the consent form. consent, but not the first requirement.
4. The infant’s teenage mother signs a consent form 3. The first requirement of informed consent is that the person
because her parent tells her to. giving consent must be competent. Minors are not allowed to
give consent.
4. Voluntary consent is a requirement of informed consent, but
not the first requirement.
8. What should be the nurse’s first action when she realizes Nursing Process Step: Implementation
that she does not know how to perform a treatment on a child Cognitive Level: Application
to whom she is assigned? Correct Answer: 3
1. Delay the treatment until another nurse can do it. Rationale:
2. Make the child’s parents aware of the situation. 1. The nurse could endanger the child by delaying the
3. Inform the nursing supervisor of the problem. intervention until another nurse is available.
4. Arrange to have the child transferred to another unit. 2. Telling the child’s parents would most likely increase their
anxiety and will not resolve the difficulty.
3. If a nurse is not competent to perform a particular nursing
task, the nurse must immediately communicate this fact to the
nursing supervisor or physician.
4. Transfer to another unit delays needed treatment and would
create unnecessary disruption for the child and family.
9. Which of the following activities is not part of a nursing Nursing Process Step: Assessment
assessment? Cognitive Level: Knowledge
1. Writing nursing diagnoses Correct Answer: 4
2. Reviewing diagnostic reports Rationale:
3. Collecting data 1. Writing nursing diagnoses is a part of assessment.
4. Setting priorities 2. Reviewing diagnostic reports is a part of assessment.
3. Collecting data is a part of assessment.
4. Setting priorities is a part of planning.
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
, Chapter #: 1 3
10. Which of the following outcomes is stated correctly? Nursing Process Step: Planning
1. The child will administer his insulin injection before Cognitive Level: Application
breakfast on 10/31. Correct Answer: 1
2. The child will accept the diagnosis of type 1 diabetes Rationale:
mellitus before discharge. 1. The outcome is stated in client terms, with a measurable
3. The parents will understand how to determine the child’s verb and a time frame for action.
daily insulin dosage. 2. The verb “accept” is difficult to measure. The goal of
4. The nurse will monitor blood glucose before meals and at accepting a diagnosis before hospital discharge is unrealistic.
bedtime. 3. The verb “understand” is difficult to measure.
4. Outcomes should be stated in client terms. Nursing actions
are determined after outcomes are developed in the
implementation phase of the nursing process.
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
, Chapter 1 1
TESTBANK Chapter Title: Foundations of Child Health Nursing
Chapter #: 1
1. Which current trend in the pediatric setting has resulted from changes in health care delivery and funding?
1. Increased hospitalization of children
2. Decreased number of uninsured children
3. An increase in ambulatory care
4. Decreased use of managed care
2. Which of the following statements describes the Women, Infants and Children (WIC) program?
1. Well-child examinations for infants and children living at the poverty level
2. Immunizations for high-risk infants and children
3. Screening for infants with developmental disorders
4. Supplemental food supplies to low-income women who are pregnant or breast-feeding
3. In most states adolescents who are not emancipated minors must have parental permission prior to:
1. treatment for drug abuse.
2. treatment for sexually transmitted diseases (STDs).
3. obtaining birth control.
4. surgery.
4. One characteristic of clinical pathways is that they are:
1. developed and implemented by nurses.
2. used primarily in the pediatric setting.
3. specific time lines for sequencing interventions.
4. one of the steps in the nursing process.
5. Which of the following is the leading cause of infant mortality in the United States?
1. Premature birth
2. Congenital anomalies
3. Accidental death
4. Respiratory tract illness
6. Which statement is true regarding the "quality assurance" or "incident" report?
1. The report assures the legal department that there is no problem.
2. Reports are a permanent part of the client's chart.
3. The nurse's notes should contain, "Incident report filed and copy placed in chart."
4. This report is a form of documentation of an event that may result in legal action.
7. Which of the following client situations fails to meet the first requirement of informed consent?
1. The parent does not understand the physician's explanations.
2. The physician gives the parent only a partial list of possible side effects and complications.
3. No parent is available and the physician asks the adolescent to sign the consent form.
4. The infant’s teenage mother signs a consent form because her parent tells her to.
8. What should be the nurse’s first action when she realizes that she does not know how to perform a treatment on a child to
whom she is assigned?
1. Delay the treatment until another nurse can do it.
2. Make the child’s parents aware of the situation.
3. Inform the nursing supervisor of the problem.
4. Arrange to have the child transferred to another unit.
9. Which of the following activities is not part of a nursing assessment?
1. Writing nursing diagnoses
2. Reviewing diagnostic reports
3. Collecting data
4. Setting priorities
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
1. TESTBANK Chapter Title: Foundations of Child Health Nursing
Chapter #: 1
1. Which current trend in the pediatric setting has resulted from Nursing Process Step: Planning
changes in health care delivery and funding? Cognitive Level: Knowledge
1. Increased hospitalization of children Correct Answer: 3
2. Decreased number of uninsured children Rationale:
3. An increase in ambulatory care 1. The number of hospital beds being utilized has decreased
4. Decreased use of managed care as more care is provided in outpatient and home settings.
2. The number of uninsured children in the United States
continues to grow.
3. One effect of managed care is that pediatric health care
delivery has shifted dramatically from the acute care setting to
the ambulatory setting.
4. One of the biggest changes in health care has been the
growth of managed care.
2. Which of the following statements describes the Women, Nursing Process Step: Planning
Infants and Children (WIC) program? Cognitive Level: Knowledge
1. Well-child examinations for infants and children living at Correct Answer: 4
the poverty level Rationale:
2. Immunizations for high-risk infants and children 1. The Medicaid Early and Periodic Screening, Diagnostic, and
3. Screening for infants with developmental disorders Treatment (EPSDT) program provides for well-child
4. Supplemental food supplies to low-income women who examinations and related treatment of medical problems.
are pregnant or breast-feeding 2. Children in the WIC program are often referred for
immunizations, but that is not the primary focus of the program.
3. 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.
4. 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.
3. In most states adolescents who are not emancipated minors Nursing Process Step: Planning
must have parental permission prior to: Cognitive Level: Application
1. treatment for drug abuse. Correct Answer: 4
2. treatment for sexually transmitted diseases (STDs). Rationale:
3. obtaining birth control. 1. Most states allow minors to obtain treatment for drug or
4. surgery. alcohol abuse without parental consent.
2. Most states allow minors to obtain treatment for STDs
without parental consent.
3. In most states minors are allowed access to birth control
without parental consent.
4. An emancipated minor is a minor child who has the legal
competency of an adult. Legal counsel may be consulted to
verify the status of the emancipated minor for consent
purposes.
4. One characteristic of clinical pathways is that they are: Nursing Process Step: Implementation
1. developed and implemented by nurses. Cognitive Level: Knowledge
2. used primarily in the pediatric setting. Correct Answer: 3
3. specific time lines for sequencing interventions. Rationale:
4. one of the steps in the nursing process. 1. Clinical pathways are developed by multiple health care
professionals and reflect interdisciplinary interventions.
2. Clinical pathways are used in multiple settings and for clients
throughout the life span.
3. Clinical pathways measure outcomes of client care. Each
pathway outlines specific time lines for sequencing
interventions.
4. The steps of the nursing process are assessment, diagnosis,
planning, implementation, and evaluation.
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
, Chapter #: 1 2
5. Which of the following is the leading cause of infant mortality Nursing Process Step: Assessment
in the United States? Cognitive Level: Knowledge
1. Premature birth Correct Answer: 2
2. Congenital anomalies Rationale:
3. Accidental death 1. Disorders of short gestation and unspecified low birth weight
4. Respiratory tract illness make up the second leading cause of death in infants.
2. The leading cause of infant mortality is congenital
anomalies.
3. Accidents are the leading cause of death in children ages 1
to 19 years.
4. Respiratory tract illnesses are the leading cause of morbidity
in children.
6. Which statement is true regarding the "quality assurance" or Nursing Process Step: Implementation
"incident" report? Cognitive Level: Knowledge
1. The report assures the legal department that there is no Correct Answer: 4
problem. Rationale:
2. Reports are a permanent part of the client's chart. 1. An incident report warns the agency’s legal department that
3. The nurse's notes should contain, "Incident report filed there may be a problem.
and copy placed in chart." 2. Incident reports are not a part of the client’s chart.
4. This report is a form of documentation of an event that 3. There should be no reference made to an incident report in
may result in legal action. the nurse’s documentation in the client’s chart.
4. An incident report is a warning to the legal department to be
prepared for potential legal action.
7. Which of the following client situations fails to meet the first Nursing Process Step: Implementation
requirement of informed consent? Cognitive Level: Comprehension
1. The parent does not understand the physician's Correct Answer: 3
explanations. Rationale:
2. The physician gives the parent only a partial list of 1. Understanding of information is a requirement of informed
possible side effects and complications. consent, but not the first requirement.
3. No parent is available and the physician asks the 2. Full disclosure of information is a requirement of informed
adolescent to sign the consent form. consent, but not the first requirement.
4. The infant’s teenage mother signs a consent form 3. The first requirement of informed consent is that the person
because her parent tells her to. giving consent must be competent. Minors are not allowed to
give consent.
4. Voluntary consent is a requirement of informed consent, but
not the first requirement.
8. What should be the nurse’s first action when she realizes Nursing Process Step: Implementation
that she does not know how to perform a treatment on a child Cognitive Level: Application
to whom she is assigned? Correct Answer: 3
1. Delay the treatment until another nurse can do it. Rationale:
2. Make the child’s parents aware of the situation. 1. The nurse could endanger the child by delaying the
3. Inform the nursing supervisor of the problem. intervention until another nurse is available.
4. Arrange to have the child transferred to another unit. 2. Telling the child’s parents would most likely increase their
anxiety and will not resolve the difficulty.
3. If a nurse is not competent to perform a particular nursing
task, the nurse must immediately communicate this fact to the
nursing supervisor or physician.
4. Transfer to another unit delays needed treatment and would
create unnecessary disruption for the child and family.
9. Which of the following activities is not part of a nursing Nursing Process Step: Assessment
assessment? Cognitive Level: Knowledge
1. Writing nursing diagnoses Correct Answer: 4
2. Reviewing diagnostic reports Rationale:
3. Collecting data 1. Writing nursing diagnoses is a part of assessment.
4. Setting priorities 2. Reviewing diagnostic reports is a part of assessment.
3. Collecting data is a part of assessment.
4. Setting priorities is a part of planning.
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
, Chapter #: 1 3
10. Which of the following outcomes is stated correctly? Nursing Process Step: Planning
1. The child will administer his insulin injection before Cognitive Level: Application
breakfast on 10/31. Correct Answer: 1
2. The child will accept the diagnosis of type 1 diabetes Rationale:
mellitus before discharge. 1. The outcome is stated in client terms, with a measurable
3. The parents will understand how to determine the child’s verb and a time frame for action.
daily insulin dosage. 2. The verb “accept” is difficult to measure. The goal of
4. The nurse will monitor blood glucose before meals and at accepting a diagnosis before hospital discharge is unrealistic.
bedtime. 3. The verb “understand” is difficult to measure.
4. Outcomes should be stated in client terms. Nursing actions
are determined after outcomes are developed in the
implementation phase of the nursing process.
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
, Chapter 1 1
TESTBANK Chapter Title: Foundations of Child Health Nursing
Chapter #: 1
1. Which current trend in the pediatric setting has resulted from changes in health care delivery and funding?
1. Increased hospitalization of children
2. Decreased number of uninsured children
3. An increase in ambulatory care
4. Decreased use of managed care
2. Which of the following statements describes the Women, Infants and Children (WIC) program?
1. Well-child examinations for infants and children living at the poverty level
2. Immunizations for high-risk infants and children
3. Screening for infants with developmental disorders
4. Supplemental food supplies to low-income women who are pregnant or breast-feeding
3. In most states adolescents who are not emancipated minors must have parental permission prior to:
1. treatment for drug abuse.
2. treatment for sexually transmitted diseases (STDs).
3. obtaining birth control.
4. surgery.
4. One characteristic of clinical pathways is that they are:
1. developed and implemented by nurses.
2. used primarily in the pediatric setting.
3. specific time lines for sequencing interventions.
4. one of the steps in the nursing process.
5. Which of the following is the leading cause of infant mortality in the United States?
1. Premature birth
2. Congenital anomalies
3. Accidental death
4. Respiratory tract illness
6. Which statement is true regarding the "quality assurance" or "incident" report?
1. The report assures the legal department that there is no problem.
2. Reports are a permanent part of the client's chart.
3. The nurse's notes should contain, "Incident report filed and copy placed in chart."
4. This report is a form of documentation of an event that may result in legal action.
7. Which of the following client situations fails to meet the first requirement of informed consent?
1. The parent does not understand the physician's explanations.
2. The physician gives the parent only a partial list of possible side effects and complications.
3. No parent is available and the physician asks the adolescent to sign the consent form.
4. The infant’s teenage mother signs a consent form because her parent tells her to.
8. What should be the nurse’s first action when she realizes that she does not know how to perform a treatment on a child to
whom she is assigned?
1. Delay the treatment until another nurse can do it.
2. Make the child’s parents aware of the situation.
3. Inform the nursing supervisor of the problem.
4. Arrange to have the child transferred to another unit.
9. Which of the following activities is not part of a nursing assessment?
1. Writing nursing diagnoses
2. Reviewing diagnostic reports
3. Collecting data
4. Setting priorities
W.B. Saunders Company items and derived items copyright © 2002 by W.B. Saunders Company
