TEST BANK FOR
PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 1ST EDITION
BY RUDD COMPLETE CHAPTERS 1-22
,TABLE OF CONTENTS
CHAPTER 1. ISSUES AND TRENDS IN PEDIATRIC NURSING .......................................................................3
CHAPTER 2. STANDARDS OF PRACTICE AND ETHICAL CONSIDERATIONS ......................................... 10
CHAPTER 3. FAMILY DYNAMICS AND COMMUNICATING WITH CHILDREN AND FAMILIES ............ 23
CHAPTER 4. CULTURAL, SPIRITUAL, AND ENVIRONMENTAL INFLUENCES ON THE CHILD ......... 35
CHAPTER 5. END-OF-LIFE CARE ...................................................................................................................... 51
CHAPTER 6. GROWTH AND DEVELOPMENT .................................................................................................. 69
CHAPTER 7. NEWBORNS AND INFANTS ......................................................................................................... 81
CHAPTER 8. FROM TODDLERS TO PRESCHOOLERS .................................................................................. 94
CHAPTER 9. SCHOOL-AGE CHILDREN ........................................................................................................... 110
CHAPTER 10. ADOLESCENTS ............................................................................................................................. 121
CHAPTER 11. RESPIRATORY DISORDERS ...................................................................................................... 133
CHAPTER 12. CARDIOVASCULAR DISORDERS ............................................................................................. 151
CHAPTER 13. NEUROLOGICAL AND SENSORY DISORDERS .................................................................... 170
CHAPTER 14. MENTAL HEALTH DISORDERS ...............................................................................................184
CHAPTER 15. GASTROINTESTINAL DISORDERS .......................................................................................... 198
CHAPTER 16. RENAL DISORDERS ................................................................................................................... 214
CHAPTER 17. ENDOCRINE DISORDERS ........................................................................................................ 227
CHAPTER 18. REPRODUCTIVE AND GENETIC DISORDERS ..................................................................... 240
CHAPTER 19. HEMATOLOGIC, IMMUNOLOGIC, AND NEOPLASTIC DISORDERS................................ 253
CHAPTER 20. MUSCULOSKELETAL DISORDERS ....................................................................................... 268
CHAPTER 21. DERMATOLOGIC DISEASES .................................................................................................... 282
CHAPTER 22. COMMUNICABLE DISEASES .................................................................................................. 297
,CHAPTER 1. ISSUES AND TRENDS IN PEDIATRIC NURSING
MULTIPLE CHOICE
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
ANSWER:C
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. THE NUMBER OF UNINSURED CHILDREN IN THE UNITED
STATES CONTINUES TO GROW. ONE OF THE BIGGEST CHANGES IN HEALTHCARE HAS BEEN
THE GROWTH OF MANAGED CARE.
DIF: COGNITIVE LEVEL:
COMPREHENSION
REF: P. 3
OBJ: NURSING PROCESS STEP:
PLANNING
MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
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
,ANSWER:D
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 THE MEDICAID EARLY AND PERIODIC SCREENING,
DIAGNOSTIC, AND TREATMENT (EPSDT) PROGRAM PROVIDES FOR WELL-CHILD
EXAMINATIONS AND RELATED TREATMENT OF MEDICAL PROBLEMS. CHILDREN IN THE WIC
PROGRAM ARE OFTEN REFERRED FOR IMMUNIZATIONS, BUT THAT IS NOT THE PRIMARY
FOCUS OF THE PROGRAM. 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.
MEDICARE IS THE PROGRAM FOR SENIOR CITIZENS.
DIF: COGNITIVE LEVEL: APPLICATION
REF: P. 7
OBJ: NURSING PROCESS STEP: IMPLEMENTATION
MSC: HEALTH PROMOTION AND MAINTENANCE
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.
ANSWER: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
,4. A NURSE IS COMPLETING A CLINICAL PATHWAY FOR A CHILD ADMITTED TO THE HOSPITAL
WITH PNEUMONIA. WHICH CHARACTERISTIC OF A CLINICAL PATHWAY IS CORRECT?
A. DEVELOPED AND IMPLEMENTED BY NURSES
B. USED PRIMARILY IN THE PEDIATRIC SETTING
,C. SPECIFIC TIME LINES FOR SEQUENCING INTERVENTIONS
D. ONE OF THE STEPS IN THE NURSING PROCESS
ANSWER:C
CLINICAL PATHWAYS MEASURE OUTCOMES OF CLIENT CARE AND ARE DEVELOPED BY
MULTIPLE HEALTHCARE PROFESSIONALS. EACH PATHWAY OUTLINES SPECIFIC TIME LINES
FOR SEQUENCING INTERVENTIONS AND REFLECTS INTERDISCIPLINARY INTERVENTIONS.
CLINICAL PATHWAYS ARE USED IN MULTIPLE SETTINGS AND FOR CLIENTS THROUGHOUT
THE LIFE SPAN. THE STEPS OF THE NURSING PROCESS ARE ASSESSMENT, DIAGNOSIS,
PLANNING, IMPLEMENTATION, AND EVALUATION.
DIF: COGNITIVE LEVEL:
COMPREHENSION
REF: P. 6
OBJ: NURSING PROCESS STEP: PLANNING
MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
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.
ANSWER:C
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. ONE OF THE LEADING CAUSES OF INFANT
DEATH AFTER THE FIRST MONTH OF LIFE IS CONGENITAL ANOMALIES. RESPIRATORY TRACT
ILLNESSES ARE A MAJOR CAUSE OF MORBIDITY IN CHILDREN.
DIF: COGNITIVE LEVEL:
APPLICATION
REF: P. 9
,OBJ: NURSING PROCESS STEP: IMPLEMENTATION
, MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
6. 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 CLIENTS CHART.
C. THE NURSES 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.
ANSWER:D
AN INCIDENT REPORT IS A WARNING TO THE LEGAL DEPARTMENT TO BE PREPARED FOR
POTENTIAL LEGAL ACTION; IT IS NOT A PART OF THE CLIENTS CHART OR NURSE
DOCUMENTATION.
DIF: COGNITIVE LEVEL:
KNOWLEDGE
REF: P. 14
OBJ: NURSING PROCESS
STEP:IMPLEMENTATION
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.
PEDIATRIC NURSING THE CRITICAL COMPONENTS OF NURSING CARE 1ST EDITION
BY RUDD COMPLETE CHAPTERS 1-22
,TABLE OF CONTENTS
CHAPTER 1. ISSUES AND TRENDS IN PEDIATRIC NURSING .......................................................................3
CHAPTER 2. STANDARDS OF PRACTICE AND ETHICAL CONSIDERATIONS ......................................... 10
CHAPTER 3. FAMILY DYNAMICS AND COMMUNICATING WITH CHILDREN AND FAMILIES ............ 23
CHAPTER 4. CULTURAL, SPIRITUAL, AND ENVIRONMENTAL INFLUENCES ON THE CHILD ......... 35
CHAPTER 5. END-OF-LIFE CARE ...................................................................................................................... 51
CHAPTER 6. GROWTH AND DEVELOPMENT .................................................................................................. 69
CHAPTER 7. NEWBORNS AND INFANTS ......................................................................................................... 81
CHAPTER 8. FROM TODDLERS TO PRESCHOOLERS .................................................................................. 94
CHAPTER 9. SCHOOL-AGE CHILDREN ........................................................................................................... 110
CHAPTER 10. ADOLESCENTS ............................................................................................................................. 121
CHAPTER 11. RESPIRATORY DISORDERS ...................................................................................................... 133
CHAPTER 12. CARDIOVASCULAR DISORDERS ............................................................................................. 151
CHAPTER 13. NEUROLOGICAL AND SENSORY DISORDERS .................................................................... 170
CHAPTER 14. MENTAL HEALTH DISORDERS ...............................................................................................184
CHAPTER 15. GASTROINTESTINAL DISORDERS .......................................................................................... 198
CHAPTER 16. RENAL DISORDERS ................................................................................................................... 214
CHAPTER 17. ENDOCRINE DISORDERS ........................................................................................................ 227
CHAPTER 18. REPRODUCTIVE AND GENETIC DISORDERS ..................................................................... 240
CHAPTER 19. HEMATOLOGIC, IMMUNOLOGIC, AND NEOPLASTIC DISORDERS................................ 253
CHAPTER 20. MUSCULOSKELETAL DISORDERS ....................................................................................... 268
CHAPTER 21. DERMATOLOGIC DISEASES .................................................................................................... 282
CHAPTER 22. COMMUNICABLE DISEASES .................................................................................................. 297
,CHAPTER 1. ISSUES AND TRENDS IN PEDIATRIC NURSING
MULTIPLE CHOICE
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
ANSWER:C
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. THE NUMBER OF UNINSURED CHILDREN IN THE UNITED
STATES CONTINUES TO GROW. ONE OF THE BIGGEST CHANGES IN HEALTHCARE HAS BEEN
THE GROWTH OF MANAGED CARE.
DIF: COGNITIVE LEVEL:
COMPREHENSION
REF: P. 3
OBJ: NURSING PROCESS STEP:
PLANNING
MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
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
,ANSWER:D
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 THE MEDICAID EARLY AND PERIODIC SCREENING,
DIAGNOSTIC, AND TREATMENT (EPSDT) PROGRAM PROVIDES FOR WELL-CHILD
EXAMINATIONS AND RELATED TREATMENT OF MEDICAL PROBLEMS. CHILDREN IN THE WIC
PROGRAM ARE OFTEN REFERRED FOR IMMUNIZATIONS, BUT THAT IS NOT THE PRIMARY
FOCUS OF THE PROGRAM. 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.
MEDICARE IS THE PROGRAM FOR SENIOR CITIZENS.
DIF: COGNITIVE LEVEL: APPLICATION
REF: P. 7
OBJ: NURSING PROCESS STEP: IMPLEMENTATION
MSC: HEALTH PROMOTION AND MAINTENANCE
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.
ANSWER: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
,4. A NURSE IS COMPLETING A CLINICAL PATHWAY FOR A CHILD ADMITTED TO THE HOSPITAL
WITH PNEUMONIA. WHICH CHARACTERISTIC OF A CLINICAL PATHWAY IS CORRECT?
A. DEVELOPED AND IMPLEMENTED BY NURSES
B. USED PRIMARILY IN THE PEDIATRIC SETTING
,C. SPECIFIC TIME LINES FOR SEQUENCING INTERVENTIONS
D. ONE OF THE STEPS IN THE NURSING PROCESS
ANSWER:C
CLINICAL PATHWAYS MEASURE OUTCOMES OF CLIENT CARE AND ARE DEVELOPED BY
MULTIPLE HEALTHCARE PROFESSIONALS. EACH PATHWAY OUTLINES SPECIFIC TIME LINES
FOR SEQUENCING INTERVENTIONS AND REFLECTS INTERDISCIPLINARY INTERVENTIONS.
CLINICAL PATHWAYS ARE USED IN MULTIPLE SETTINGS AND FOR CLIENTS THROUGHOUT
THE LIFE SPAN. THE STEPS OF THE NURSING PROCESS ARE ASSESSMENT, DIAGNOSIS,
PLANNING, IMPLEMENTATION, AND EVALUATION.
DIF: COGNITIVE LEVEL:
COMPREHENSION
REF: P. 6
OBJ: NURSING PROCESS STEP: PLANNING
MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
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.
ANSWER:C
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. ONE OF THE LEADING CAUSES OF INFANT
DEATH AFTER THE FIRST MONTH OF LIFE IS CONGENITAL ANOMALIES. RESPIRATORY TRACT
ILLNESSES ARE A MAJOR CAUSE OF MORBIDITY IN CHILDREN.
DIF: COGNITIVE LEVEL:
APPLICATION
REF: P. 9
,OBJ: NURSING PROCESS STEP: IMPLEMENTATION
, MSC: SAFE AND EFFECTIVE CARE ENVIRONMENT
6. 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 CLIENTS CHART.
C. THE NURSES 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.
ANSWER:D
AN INCIDENT REPORT IS A WARNING TO THE LEGAL DEPARTMENT TO BE PREPARED FOR
POTENTIAL LEGAL ACTION; IT IS NOT A PART OF THE CLIENTS CHART OR NURSE
DOCUMENTATION.
DIF: COGNITIVE LEVEL:
KNOWLEDGE
REF: P. 14
OBJ: NURSING PROCESS
STEP:IMPLEMENTATION
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.
