FULL TESTBANK FOR NURSING CARE OF CHILDREN PRINCIPLES AND PRACTICE,
JAMES, 4TH EDITION COMPLETE GUIDE A+
,Contents
Chapter 01: Introduction to Nursing Care of Children.............................................................................. 3
Chapter 02: Family-Centered Nursing Care .............................................................................................. 6
Chapter 03: Communicating with Children .............................................................................................. 9
Chapter 04: Health Promotion for the Developing Child ........................................................................ 12
Chapter 05: Health Promotion for the Infant ......................................................................................... 16
Chapter 06: Health Promotion During Early Childhood .......................................................................... 20
Chapter 07: Health Promotion for the School-Age Child ........................................................................ 24
Chapter 08: Health Promotion for the Adolescent ................................................................................. 27
Chapter 09: Physical Assessment of Children ......................................................................................... 30
Chapter 10: Emergency Care of Children................................................................................................ 34
Chapter 11: The Ill Child in the Hospital and Other Care Settings .......................................................... 36
Chapter 12: The Child with a Chronic Condition or Terminal Illness ...................................................... 42
Chapter 13: Principles and Procedures for Nursing Care of Children ..................................................... 47
Chapter 14: Medication and Administration Safety of Infants and Children ......................................... 51
Chapter 15: Pain Management for Children ........................................................................................... 56
Chapter 16: The Child with a Fluid and Electrolyte Alteration ............................................................... 59
Chapter 17: The Child with an Infectious Disease .................................................................................. 63
Chapter 18: The Child with an Immunologic Alteration ......................................................................... 68
Chapter 19: The Child with a Gastrointestinal Alteration ....................................................................... 73
Chapter 20: The Child with a Genitourinary Alteration .......................................................................... 83
Chapter 21: The Child with a Respiratory Alteration .............................................................................. 87
Chapter 22: The Child with a Cardiovascular Alteration ......................................................................... 98
Chapter 23: The Child with a Haematological Alteration ..................................................................... 105
Chapter 24: The Child with Cancer ....................................................................................................... 110
Chapter 25: The Child with an Integumentary Alteration .................................................................... 116
Chapter 26: The Child with a Musculoskeletal Alteration .................................................................... 120
Chapter 27: The Child with an Endocrine or Metabolic Alteration ...................................................... 128
Chapter 28: The Child with a Neurological Alteration .......................................................................... 134
Chapter 29: Psychosocial Problems in Children and Families .............................................................. 141
Chapter 30: The Child with a Developmental Disability ....................................................................... 146
Chapter 31: The Child with a Sensory Alteration .................................................................................. 151
,Chapter 01: Introduction to Nursing Care of Children
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?
• Increased hospitalization of children
• Decreased number of uninsured children
• An increase in ambulatory care
• Decreased use of managed care
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?
• Medicaid
• Medicare
• Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
• Women, Infants, and Children (WIC) program
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
• treatment for drug abuse.
• treatment for sexually transmitted diseases (STDs).
• obtaining birth control.
• surgery.
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?
• Developed and implemented by nurses
• Used primarily in the pediatric setting
• Specific time lines for sequencing interventions
• One of the steps in the nursing process
,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:
• premature birth.
• congenital anomalies.
• accidental death.
• respiratory tract illness.
6. Which statement is true regarding the “quality assurance” or “incident” report?
• The report assures the legal department that there is no problem.
• Reports are a permanent part of the client’s chart.
• The nurse’s notes should contain the following: “Incident report filed and copy placed in chart.”
• This report is a form of documentation of an event that may result in legal action.
7. Which client situation fails to meet the first requirement of informed consent?
• The parent does not understand the physician’s explanations.
• The physician gives the parent only a partial list of possible side effects and complications.
• No parent is available and the physician asks the adolescent to sign the consent form.
• The infant’s teenage mother signs a consent form because her parent tells her to.
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 nurse’s first action be?
• Delay the treatment until another nurse can do it.
• Make the child’s parents aware of the situation.
• Inform the nursing supervisor of the problem.
• Arrange to have the child transferred to another unit.
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?
• Writing nursing diagnoses
, • Reviewing diagnostic reports
• Collecting data
• Setting priorities
10. Which patient outcome is stated correctly?
• The child will administer his insulin injection before breakfast on 10/31.
• The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
• The parents will understand how to determine the child’s daily insulin dosage.
• The nurse will monitor blood glucose levels before meals and at bedtime.
MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are
collaborative problems? Select all that apply.
• Risk for injury
• Potential complication of seizure disorder Altered nutrition: Less than body requirements Fluid
volume deficit
• Potential complication of respiratory acidosis
2. Which nursing activities do not meet the standard of care? Select all that apply.
• Failure to notify a physician about a child’s worsening condition
• Calling the supervisor about staffing concerns
• Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
• Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
• Documenting that a physician was unavailable and the nursing supervisor was notified
, Chapter 02: Family-Centered Nursing Care
MULTIPLE CHOICE
1. A nurse is teaching parents how to apply “time-out” as a disciplinary method for their 4 year old.
Parents have understood the teaching if they state which formula correctly guides the use of
“time-out”?
Use the guideline of 1 minute per each year of the child’s age. Relate the length of the time-out to the
severity of the behavior. Never use time-out for a child younger than age 4 years.
Follow the time-out with a treat.
2. What is the nurse’s best approach when an 8-year-old boy frequently causes a disruption in the
playroom by taking toys from other children?
• Exclude the child from the playroom.
• Explain to the children in the playroom that he is very ill and should be allowed to have the toys.
• Approach the child in his room and ask, “Would you like it if the other children took your toys
from y Approach the child in his room and state, “I am concerned that you are taking the other
children’s toy
• me.”
3. Families that deal most effectively with stress have which behavior patterns? Focus on family
problems.
• Feel weakened by stress.
• Expect that some stress is normal.
• Feel guilty when stress exists.
4. Which family will most likely have the greatest difficulty in coping with an ill child?
• A single-parent mother who has the support of her parents and siblings
• Parents who have just moved to the area and are living in an apartment while they look for a
house
• The family of a child who has had multiple hospitalizations related to asthma and has adequate
relation nursing staff
• A family in which there is a young child and four older married children who live in the area
JAMES, 4TH EDITION COMPLETE GUIDE A+
,Contents
Chapter 01: Introduction to Nursing Care of Children.............................................................................. 3
Chapter 02: Family-Centered Nursing Care .............................................................................................. 6
Chapter 03: Communicating with Children .............................................................................................. 9
Chapter 04: Health Promotion for the Developing Child ........................................................................ 12
Chapter 05: Health Promotion for the Infant ......................................................................................... 16
Chapter 06: Health Promotion During Early Childhood .......................................................................... 20
Chapter 07: Health Promotion for the School-Age Child ........................................................................ 24
Chapter 08: Health Promotion for the Adolescent ................................................................................. 27
Chapter 09: Physical Assessment of Children ......................................................................................... 30
Chapter 10: Emergency Care of Children................................................................................................ 34
Chapter 11: The Ill Child in the Hospital and Other Care Settings .......................................................... 36
Chapter 12: The Child with a Chronic Condition or Terminal Illness ...................................................... 42
Chapter 13: Principles and Procedures for Nursing Care of Children ..................................................... 47
Chapter 14: Medication and Administration Safety of Infants and Children ......................................... 51
Chapter 15: Pain Management for Children ........................................................................................... 56
Chapter 16: The Child with a Fluid and Electrolyte Alteration ............................................................... 59
Chapter 17: The Child with an Infectious Disease .................................................................................. 63
Chapter 18: The Child with an Immunologic Alteration ......................................................................... 68
Chapter 19: The Child with a Gastrointestinal Alteration ....................................................................... 73
Chapter 20: The Child with a Genitourinary Alteration .......................................................................... 83
Chapter 21: The Child with a Respiratory Alteration .............................................................................. 87
Chapter 22: The Child with a Cardiovascular Alteration ......................................................................... 98
Chapter 23: The Child with a Haematological Alteration ..................................................................... 105
Chapter 24: The Child with Cancer ....................................................................................................... 110
Chapter 25: The Child with an Integumentary Alteration .................................................................... 116
Chapter 26: The Child with a Musculoskeletal Alteration .................................................................... 120
Chapter 27: The Child with an Endocrine or Metabolic Alteration ...................................................... 128
Chapter 28: The Child with a Neurological Alteration .......................................................................... 134
Chapter 29: Psychosocial Problems in Children and Families .............................................................. 141
Chapter 30: The Child with a Developmental Disability ....................................................................... 146
Chapter 31: The Child with a Sensory Alteration .................................................................................. 151
,Chapter 01: Introduction to Nursing Care of Children
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?
• Increased hospitalization of children
• Decreased number of uninsured children
• An increase in ambulatory care
• Decreased use of managed care
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?
• Medicaid
• Medicare
• Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
• Women, Infants, and Children (WIC) program
3. In most states, adolescents who are not emancipated minors must have parental permission
before:
• treatment for drug abuse.
• treatment for sexually transmitted diseases (STDs).
• obtaining birth control.
• surgery.
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?
• Developed and implemented by nurses
• Used primarily in the pediatric setting
• Specific time lines for sequencing interventions
• One of the steps in the nursing process
,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:
• premature birth.
• congenital anomalies.
• accidental death.
• respiratory tract illness.
6. Which statement is true regarding the “quality assurance” or “incident” report?
• The report assures the legal department that there is no problem.
• Reports are a permanent part of the client’s chart.
• The nurse’s notes should contain the following: “Incident report filed and copy placed in chart.”
• This report is a form of documentation of an event that may result in legal action.
7. Which client situation fails to meet the first requirement of informed consent?
• The parent does not understand the physician’s explanations.
• The physician gives the parent only a partial list of possible side effects and complications.
• No parent is available and the physician asks the adolescent to sign the consent form.
• The infant’s teenage mother signs a consent form because her parent tells her to.
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 nurse’s first action be?
• Delay the treatment until another nurse can do it.
• Make the child’s parents aware of the situation.
• Inform the nursing supervisor of the problem.
• Arrange to have the child transferred to another unit.
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?
• Writing nursing diagnoses
, • Reviewing diagnostic reports
• Collecting data
• Setting priorities
10. Which patient outcome is stated correctly?
• The child will administer his insulin injection before breakfast on 10/31.
• The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
• The parents will understand how to determine the child’s daily insulin dosage.
• The nurse will monitor blood glucose levels before meals and at bedtime.
MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are
collaborative problems? Select all that apply.
• Risk for injury
• Potential complication of seizure disorder Altered nutrition: Less than body requirements Fluid
volume deficit
• Potential complication of respiratory acidosis
2. Which nursing activities do not meet the standard of care? Select all that apply.
• Failure to notify a physician about a child’s worsening condition
• Calling the supervisor about staffing concerns
• Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
• Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
• Documenting that a physician was unavailable and the nursing supervisor was notified
, Chapter 02: Family-Centered Nursing Care
MULTIPLE CHOICE
1. A nurse is teaching parents how to apply “time-out” as a disciplinary method for their 4 year old.
Parents have understood the teaching if they state which formula correctly guides the use of
“time-out”?
Use the guideline of 1 minute per each year of the child’s age. Relate the length of the time-out to the
severity of the behavior. Never use time-out for a child younger than age 4 years.
Follow the time-out with a treat.
2. What is the nurse’s best approach when an 8-year-old boy frequently causes a disruption in the
playroom by taking toys from other children?
• Exclude the child from the playroom.
• Explain to the children in the playroom that he is very ill and should be allowed to have the toys.
• Approach the child in his room and ask, “Would you like it if the other children took your toys
from y Approach the child in his room and state, “I am concerned that you are taking the other
children’s toy
• me.”
3. Families that deal most effectively with stress have which behavior patterns? Focus on family
problems.
• Feel weakened by stress.
• Expect that some stress is normal.
• Feel guilty when stress exists.
4. Which family will most likely have the greatest difficulty in coping with an ill child?
• A single-parent mother who has the support of her parents and siblings
• Parents who have just moved to the area and are living in an apartment while they look for a
house
• The family of a child who has had multiple hospitalizations related to asthma and has adequate
relation nursing staff
• A family in which there is a young child and four older married children who live in the area
