Pediatric Nursing The Critical Components of Nursing
Care 2nd Edition Rudd Test Bank Chapter 1. Issues and Trends in
Pediatric Nursing
MULTIPLE CHOICE
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: p. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care
Environment 7. Which client situation fails to meet the first requirement of
informed consent?
a. The parent does not understand the physicians explanations.
, b. The physician gives the parent only a partial list of possible side effects and complications.
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
ANS: C
The first requirement of informed consent is that the person giving consent must be competent.
Minors are not allowed to give consent. An understanding of information, full disclosure, and
voluntary consent are requirements of informed consent, but none of these is the first
requirement.
DIF: Cognitive Level: Comprehension REF: p. 12
OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
8. A nurse assigned to a child does not know how to perform a treatment that has been
prescribed for the child. What should the nurses first action be?
a. Delay the treatment until another nurse can do it.
b. Make the childs parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
ANS: C
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. The nurse could endanger the child
by delaying the intervention until another nurse is available. Telling the childs parents would
most likely increase their anxiety and will not resolve the difficulty. Transfer to another unit
delays needed treatment and would create unnecessary disruption for the child and family.
DIF: Cognitive Level: Application REF: p. 11
OBJ: Nursing Process Step: Implementation
,MSC: Safe and Effective Care Environment
9. A nurse is completing a care plan for a child and is finishing the assessment phase. Which
activity is not part of a nursing assessment?
a. Writing nursing diagnoses
b. Reviewing diagnostic reports
c. Collecting data
d. Setting priorities
ANS: D
Setting priorities is a part of planning. Writing nursing diagnoses, reviewing diagnostic reports,
and collecting data are parts of assessment.
DIF: Cognitive Level: Comprehension REF: p. 19
OBJ: Nursing Process Step: Planning MSC: Physiological Integrity
10. Which patient outcome is stated
correctly?
a. The child will administer his insulin injection before breakfast on 10/31.
b. The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
c. The parents will understand how to determine the childs daily insulin dosage.
d. The nurse will monitor blood glucose levels before meals and at bedtime.
ANS: A
The outcome is stated in client terms, with a measurable verb and a time frame for action. The
verb accept is difficult to measure. The goal of accepting a diagnosis before hospital discharge is
unrealistic. Outcomes should be stated in client terms. Nursing actions are determined after
outcomes are developed in the implementation phase of the nursing process.
DIF: Cognitive Level: Application REF: p. 20
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
, MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are
collaborative problems? Select all that apply.
a. Risk for injury
b. Potential complication of seizure disorder
c. Altered nutrition: Less than body requirements
d. Fluid volume deficit
e. Potential complication of respiratory acidosis
ANS: B, E
In addition to nursing diagnoses, which describe problems that respond to independent nursing
functions, nurses must also deal with problems that are beyond the scope of independent nursing
practice. These are sometimes termed collaborative problemsphysiological complications that
usually occur in association with a specific pathological condition or treatment. The potential
complications of seizure disorder and respiratory acidosis are physiological complications that
will require physician collaboration to treat. Risk for injury, altered nutrition, and fluid volume
deficit will respond to independent nursing functions.
DIF: Cognitive Level: Application REF: p. 20
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. Which nursing activities do not meet the standard of care? Select all that
apply.
a. Failure to notify a physician about a childs worsening condition
b. Calling the supervisor about staffing concerns
c. Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
d. Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
e. Documenting that a physician was unavailable and the nursing supervisor was notified
ANS: A, C
Care 2nd Edition Rudd Test Bank Chapter 1. Issues and Trends in
Pediatric Nursing
MULTIPLE CHOICE
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: p. 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care
Environment 7. Which client situation fails to meet the first requirement of
informed consent?
a. The parent does not understand the physicians explanations.
, b. The physician gives the parent only a partial list of possible side effects and complications.
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
ANS: C
The first requirement of informed consent is that the person giving consent must be competent.
Minors are not allowed to give consent. An understanding of information, full disclosure, and
voluntary consent are requirements of informed consent, but none of these is the first
requirement.
DIF: Cognitive Level: Comprehension REF: p. 12
OBJ: Nursing Process Step: Implementation
MSC: Safe and Effective Care Environment
8. A nurse assigned to a child does not know how to perform a treatment that has been
prescribed for the child. What should the nurses first action be?
a. Delay the treatment until another nurse can do it.
b. Make the childs parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
ANS: C
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. The nurse could endanger the child
by delaying the intervention until another nurse is available. Telling the childs parents would
most likely increase their anxiety and will not resolve the difficulty. Transfer to another unit
delays needed treatment and would create unnecessary disruption for the child and family.
DIF: Cognitive Level: Application REF: p. 11
OBJ: Nursing Process Step: Implementation
,MSC: Safe and Effective Care Environment
9. A nurse is completing a care plan for a child and is finishing the assessment phase. Which
activity is not part of a nursing assessment?
a. Writing nursing diagnoses
b. Reviewing diagnostic reports
c. Collecting data
d. Setting priorities
ANS: D
Setting priorities is a part of planning. Writing nursing diagnoses, reviewing diagnostic reports,
and collecting data are parts of assessment.
DIF: Cognitive Level: Comprehension REF: p. 19
OBJ: Nursing Process Step: Planning MSC: Physiological Integrity
10. Which patient outcome is stated
correctly?
a. The child will administer his insulin injection before breakfast on 10/31.
b. The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
c. The parents will understand how to determine the childs daily insulin dosage.
d. The nurse will monitor blood glucose levels before meals and at bedtime.
ANS: A
The outcome is stated in client terms, with a measurable verb and a time frame for action. The
verb accept is difficult to measure. The goal of accepting a diagnosis before hospital discharge is
unrealistic. Outcomes should be stated in client terms. Nursing actions are determined after
outcomes are developed in the implementation phase of the nursing process.
DIF: Cognitive Level: Application REF: p. 20
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
, MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are
collaborative problems? Select all that apply.
a. Risk for injury
b. Potential complication of seizure disorder
c. Altered nutrition: Less than body requirements
d. Fluid volume deficit
e. Potential complication of respiratory acidosis
ANS: B, E
In addition to nursing diagnoses, which describe problems that respond to independent nursing
functions, nurses must also deal with problems that are beyond the scope of independent nursing
practice. These are sometimes termed collaborative problemsphysiological complications that
usually occur in association with a specific pathological condition or treatment. The potential
complications of seizure disorder and respiratory acidosis are physiological complications that
will require physician collaboration to treat. Risk for injury, altered nutrition, and fluid volume
deficit will respond to independent nursing functions.
DIF: Cognitive Level: Application REF: p. 20
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
2. Which nursing activities do not meet the standard of care? Select all that
apply.
a. Failure to notify a physician about a childs worsening condition
b. Calling the supervisor about staffing concerns
c. Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
d. Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
e. Documenting that a physician was unavailable and the nursing supervisor was notified
ANS: A, C
