NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
PediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkTestkBankkC
hapterk1.k IssueskandkTrendsk inkPediatrickNursing
MULTIPLEkCHOICE
1. Aknursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrickpopulations.k
Whichkcurrentktrendk inkthekpediatricksettingkshouldk theknursekexpectktok find?
a. Increasedkhospitalizationkofkchildren
b. Decreasedknumberkofkuninsuredkchildren
c. Ankincreasekinkambulatorykcare
d. Decreasedkusekofkmanagedkcare
ANS:kC
Onekeffectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromktheka
cutekcareksettingktokthekambulatoryksetting.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreasedk
askmorekcarekiskprovidedkinkoutpatientkandkhomeksettings.kTheknumberkofkuninsuredkchildrenkinkthek
UnitedkStateskcontinuesktokgrow.kOnekofkthekbiggestkchangeskinkhealthcarekhaskbeenkthekgrowthkofk
managedkcare.
DIF:kCognitivekLevel:kComprehensionkREF:kp.k3
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
2. Aknursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokakprogramkthatkassistskwithksupplem
entalkfoodksupplies.kWhichkprogramkshouldktheknursekreferkthiskfamilykto?
a. Medicaid
b. Medicare
c. EarlykandkPeriodickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogram
d. Women,kInfants,kandkChildrenk(WIC)kprogram
,NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
ANS:kD
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreast-
feedingkandktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaidkandkthekMedicaidkEarlykandkPerio
dickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogramkprovideskforkwell-
childkexaminationskandkrelatedktreatmentkofkmedicalkproblems.kChildrenkinkthekWICkprogramkare
k oftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimarykfocuskofkthekprogram.kPublickLawk9
9-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlykinterventionkservices
kforkinfantskandktoddlerskwith,korkatkriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.k
DIF:kCognitivekLevel:kApplicationkREF:kp.k7k
OBJ:kNursingkProcesskStep:kImplementationk
MSC:kHealthkPromotionkandkMaintenance
3. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekparentalkpermissionkb
efore:
a. treatmentkforkdrugkabuse.
b. treatmentkforksexuallyktransmittedkdiseasesk(STDs).
c. obtainingkbirthkcontrol.
d. surgery.
ANS:kD
Ankemancipatedkminorkiskakminorkchildkwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselkm
aykbekconsultedktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMostkstateskallo
wkminorsktokobtainktreatmentkforkdrugkorkalcoholkabusekandkSTDskandkallowkaccessktokbirthkcontrolk
withoutkparentalkconsent.
DIF:kCognitivekLevel:kApplicationkREF:kp.k12
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
,NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
4. Aknursekiskcompletingkakclinicalkpathwaykforkakchildkadmittedktokthekhospitalkwithkpneumonia.k
Whichkcharacteristickofkakclinicalkpathwaykiskcorrect?
a. Developedkandkimplementedkbyknurses
b. Usedkprimarilykinkthekpediatricksetting
c. Specificktimeklineskforksequencingkinterventions
d. Onekofkthekstepskinktheknursingkprocess
ANS:kC
Clinicalkpathwayskmeasurekoutcomeskofkclientkcarekandkarekdevelopedkbykmultiplekhealthcarekprofes
sionals.kEachkpathwaykoutlineskspecificktimeklineskforksequencingkinterventionskandkreflectskinterdisci
plinarykinterventions.kClinicalkpathwayskarekusedkinkmultipleksettingskandkforkclientskthroughoutkthekl
ifekspan.kThekstepskofktheknursingkprocesskarekassessment,kdiagnosis,kplanning,kimplementation,k andk
evaluation.
DIF:kCognitivekLevel:kComprehensionkREF:kp.k6
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Whenkplanningkakparentingkclass,ktheknursekshouldkexplainkthatkthekleadingk causekofkdeathkinkc
hildrenk1ktok4kyearskofkagek inkthekUnitedkStateskis:
a. prematurekbirth.
b. congenitalkanomalies.
c. accidentalkdeath.
d. respiratoryktractkillness.
ANS:kC
Accidentskarekthekleadingkcausekofkdeathkinkchildrenkagesk1ktok19kyears.kDisorderskofkshortkgestatio
nkandkunspecifiedklowkbirthkweightkmakekupkonekofkthekleadingkcauseskofkdeathkinkneonates.kOnekof
kthekleadingkcauseskofkinfantkdeathkafterkthekfirstkmonthkofklifekiskcongenitalkanomalies.kRespiratorykt
ractkillnesseskarekakmajorkcausekofkmorbiditykinkchildren.
, NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
DIF:kCognitivekLevel:kApplicationkREF:kp.k9k
OBJ:kNursingkProcesskStep:kImplementationk
MSC:kSafekandkEffectivekCarekEnvironment
6. Whichkstatementkisktruekregardingkthekqualitykassurancekorkincidentkreport?
a. Thekreportkassuresktheklegalkdepartmentkthatktherekisknokproblem.
b. Reportskarekakpermanentkpartkofkthekclientskchart.
c. Theknursesknoteskshouldkcontainkthekfollowing:kIncidentkreportkfiledkandkcopykp
lacedk inkchart.
d. Thiskreportkiskakformkofkdocumentationkofkankeventk thatkmaykresultk inklegalkaction.
ANS:kD
Ankincidentkreportkiskakwarningktoktheklegalkdepartmentktokbekpreparedkforkpotentialklegalkaction;kitk
isknotkakpartkofkthekclientskchartk orknursekdocumentation.
DIF:kCognitivekLevel:kKnowledgekREF:kp.k14k
OBJ:kNursingkProcesskStep:kImplementationk
MSC:kSafekandkEffectivekCarekEnvironment
7. Whichkclientksituationkfailsktokmeetkthekfirstkrequirementkofkinformedkconsent?
a. Thekparentkdoesknotkunderstandkthekphysicianskexplanations.
b. Thekphysiciankgiveskthekparentkonlykakpartialklistkofkpossibleksidekeffectskandkc
omplications.
c. Nokparentkiskavailablekandkthekphysiciankaskskthekadolescentktoksignkthekconsentkf
orm.
d. Thekinfantskteenagekmotherksignskakconsentkformkbecausek herkparentktellskherkto.
ANS:kC
estk Bankk(1)
PediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkTestkBankkC
hapterk1.k IssueskandkTrendsk inkPediatrickNursing
MULTIPLEkCHOICE
1. Aknursekiskreviewingkchangeskinkhealthcarekdeliverykandkfundingkforkpediatrickpopulations.k
Whichkcurrentktrendk inkthekpediatricksettingkshouldk theknursekexpectktok find?
a. Increasedkhospitalizationkofkchildren
b. Decreasedknumberkofkuninsuredkchildren
c. Ankincreasekinkambulatorykcare
d. Decreasedkusekofkmanagedkcare
ANS:kC
Onekeffectkofkmanagedkcarekiskthatkpediatrickhealthcarekdeliverykhaskshiftedkdramaticallykfromktheka
cutekcareksettingktokthekambulatoryksetting.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreasedk
askmorekcarekiskprovidedkinkoutpatientkandkhomeksettings.kTheknumberkofkuninsuredkchildrenkinkthek
UnitedkStateskcontinuesktokgrow.kOnekofkthekbiggestkchangeskinkhealthcarekhaskbeenkthekgrowthkofk
managedkcare.
DIF:kCognitivekLevel:kComprehensionkREF:kp.k3
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
2. Aknursekiskreferringkaklow-
incomekfamilykwithkthreekchildrenkunderkthekagekofk5kyearsktokakprogramkthatkassistskwithksupplem
entalkfoodksupplies.kWhichkprogramkshouldktheknursekreferkthiskfamilykto?
a. Medicaid
b. Medicare
c. EarlykandkPeriodickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogram
d. Women,kInfants,kandkChildrenk(WIC)kprogram
,NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
ANS:kD
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreast-
feedingkandktoktheirkchildrenkuntilkthekagekofk5kyears.kMedicaidkandkthekMedicaidkEarlykandkPerio
dickScreening,kDiagnostic,kandkTreatmentk(EPSDT)kprogramkprovideskforkwell-
childkexaminationskandkrelatedktreatmentkofkmedicalkproblems.kChildrenkinkthekWICkprogramkare
k oftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimarykfocuskofkthekprogram.kPublickLawk9
9-
457kprovideskfinancialkincentivesktokstatesktokestablishkcomprehensivekearlykinterventionkservices
kforkinfantskandktoddlerskwith,korkatkriskkfor,kdevelopmentalkdisabilities.
MedicarekiskthekprogramkforkSeniorkCitizens.k
DIF:kCognitivekLevel:kApplicationkREF:kp.k7k
OBJ:kNursingkProcesskStep:kImplementationk
MSC:kHealthkPromotionkandkMaintenance
3. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekparentalkpermissionkb
efore:
a. treatmentkforkdrugkabuse.
b. treatmentkforksexuallyktransmittedkdiseasesk(STDs).
c. obtainingkbirthkcontrol.
d. surgery.
ANS:kD
Ankemancipatedkminorkiskakminorkchildkwhokhasktheklegalkcompetencekofkankadult.kLegalkcounselkm
aykbekconsultedktokverifykthekstatuskofkthekemancipatedkminorkforkconsentkpurposes.kMostkstateskallo
wkminorsktokobtainktreatmentkforkdrugkorkalcoholkabusekandkSTDskandkallowkaccessktokbirthkcontrolk
withoutkparentalkconsent.
DIF:kCognitivekLevel:kApplicationkREF:kp.k12
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
,NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
4. Aknursekiskcompletingkakclinicalkpathwaykforkakchildkadmittedktokthekhospitalkwithkpneumonia.k
Whichkcharacteristickofkakclinicalkpathwaykiskcorrect?
a. Developedkandkimplementedkbyknurses
b. Usedkprimarilykinkthekpediatricksetting
c. Specificktimeklineskforksequencingkinterventions
d. Onekofkthekstepskinktheknursingkprocess
ANS:kC
Clinicalkpathwayskmeasurekoutcomeskofkclientkcarekandkarekdevelopedkbykmultiplekhealthcarekprofes
sionals.kEachkpathwaykoutlineskspecificktimeklineskforksequencingkinterventionskandkreflectskinterdisci
plinarykinterventions.kClinicalkpathwayskarekusedkinkmultipleksettingskandkforkclientskthroughoutkthekl
ifekspan.kThekstepskofktheknursingkprocesskarekassessment,kdiagnosis,kplanning,kimplementation,k andk
evaluation.
DIF:kCognitivekLevel:kComprehensionkREF:kp.k6
OBJ:kNursingkProcesskStep:kPlanningkMSC:kSafekandkEffectivekCarekEnvironment
5. Whenkplanningkakparentingkclass,ktheknursekshouldkexplainkthatkthekleadingk causekofkdeathkinkc
hildrenk1ktok4kyearskofkagek inkthekUnitedkStateskis:
a. prematurekbirth.
b. congenitalkanomalies.
c. accidentalkdeath.
d. respiratoryktractkillness.
ANS:kC
Accidentskarekthekleadingkcausekofkdeathkinkchildrenkagesk1ktok19kyears.kDisorderskofkshortkgestatio
nkandkunspecifiedklowkbirthkweightkmakekupkonekofkthekleadingkcauseskofkdeathkinkneonates.kOnekof
kthekleadingkcauseskofkinfantkdeathkafterkthekfirstkmonthkofklifekiskcongenitalkanomalies.kRespiratorykt
ractkillnesseskarekakmajorkcausekofkmorbiditykinkchildren.
, NURSk3425kPediatrickNursingkThekCriticalkComponentskofkNursingkCarek2ndkEditionkRuddkT
estk Bankk(1)
DIF:kCognitivekLevel:kApplicationkREF:kp.k9k
OBJ:kNursingkProcesskStep:kImplementationk
MSC:kSafekandkEffectivekCarekEnvironment
6. Whichkstatementkisktruekregardingkthekqualitykassurancekorkincidentkreport?
a. Thekreportkassuresktheklegalkdepartmentkthatktherekisknokproblem.
b. Reportskarekakpermanentkpartkofkthekclientskchart.
c. Theknursesknoteskshouldkcontainkthekfollowing:kIncidentkreportkfiledkandkcopykp
lacedk inkchart.
d. Thiskreportkiskakformkofkdocumentationkofkankeventk thatkmaykresultk inklegalkaction.
ANS:kD
Ankincidentkreportkiskakwarningktoktheklegalkdepartmentktokbekpreparedkforkpotentialklegalkaction;kitk
isknotkakpartkofkthekclientskchartk orknursekdocumentation.
DIF:kCognitivekLevel:kKnowledgekREF:kp.k14k
OBJ:kNursingkProcesskStep:kImplementationk
MSC:kSafekandkEffectivekCarekEnvironment
7. Whichkclientksituationkfailsktokmeetkthekfirstkrequirementkofkinformedkconsent?
a. Thekparentkdoesknotkunderstandkthekphysicianskexplanations.
b. Thekphysiciankgiveskthekparentkonlykakpartialklistkofkpossibleksidekeffectskandkc
omplications.
c. Nokparentkiskavailablekandkthekphysiciankaskskthekadolescentktoksignkthekconsentkf
orm.
d. Thekinfantskteenagekmotherksignskakconsentkformkbecausek herkparentktellskherkto.
ANS:kC
