TEST BANK
Advanced Pediatric Assessment
ELLEN M. CHIOCCA
Third Edition
,Chapter 1: Child Health Assessment: An
Overview Chapter
2: Assessment of Child Development and
Behavior Chapter
3: Communicating with Children and Families
Chapter
4: Assessment of the Family
Chapter 5: Cultural Assessment of
Children and Families
Chapter 6: Obtaining the Pediatric Health
History
Chapter 7: Assessing the Health and Safety of the Child's Environment
Chapter 8: The Pediatric Physical Examination
Chapter 9: The Health Supervision Visit: Wellness
Examinations in Children
Chapter 10:A.ssessment of Nutritional Status
Chapter 11:A.ssessment of the Neonate
Chapter 12:A.ssessment of the Integumentary System
Chapter 13:A.ssessment of the Head, Keck, and
Regional Lymphatics
Chapter 14:A.ssessment of the Ears
Chapter 15:A.ssessment of the Eyes
Chapter 16:A.ssessment of the Face, Nose, and Oral Cavity
Chapter 17:A.ssessment of the Thorax, Lungs, and
Regional Lymphatics Chapter 18:A.ssessment of the
Cardiovascular System
Chapter 19:A.ssessment of the Abdomen and
Regional Lymphatics Chapter 20:A.ssessment of the
Reproductive and Genitourinary Systems Chapter
21:A.ssessment of the Musculoskeletal System
Chapter 22:A.ssessment of the Neurologic System
Chapter 23:A.ssessment of Mental Disorders in Children
and Adolescents
Chapter 24:A.ssessment of Child Abuse and Keglect
Chapter 25:The Complete Pediatric History and Physical Examination: From Start to
Finish
Chapter 26:Formulating a Differential Diagnosis
1|Page
,Chapter 1. Child Health Assessment:
An Overview 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: dm 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
2|Page
, 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: dm 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: dm 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
3|Page
Advanced Pediatric Assessment
ELLEN M. CHIOCCA
Third Edition
,Chapter 1: Child Health Assessment: An
Overview Chapter
2: Assessment of Child Development and
Behavior Chapter
3: Communicating with Children and Families
Chapter
4: Assessment of the Family
Chapter 5: Cultural Assessment of
Children and Families
Chapter 6: Obtaining the Pediatric Health
History
Chapter 7: Assessing the Health and Safety of the Child's Environment
Chapter 8: The Pediatric Physical Examination
Chapter 9: The Health Supervision Visit: Wellness
Examinations in Children
Chapter 10:A.ssessment of Nutritional Status
Chapter 11:A.ssessment of the Neonate
Chapter 12:A.ssessment of the Integumentary System
Chapter 13:A.ssessment of the Head, Keck, and
Regional Lymphatics
Chapter 14:A.ssessment of the Ears
Chapter 15:A.ssessment of the Eyes
Chapter 16:A.ssessment of the Face, Nose, and Oral Cavity
Chapter 17:A.ssessment of the Thorax, Lungs, and
Regional Lymphatics Chapter 18:A.ssessment of the
Cardiovascular System
Chapter 19:A.ssessment of the Abdomen and
Regional Lymphatics Chapter 20:A.ssessment of the
Reproductive and Genitourinary Systems Chapter
21:A.ssessment of the Musculoskeletal System
Chapter 22:A.ssessment of the Neurologic System
Chapter 23:A.ssessment of Mental Disorders in Children
and Adolescents
Chapter 24:A.ssessment of Child Abuse and Keglect
Chapter 25:The Complete Pediatric History and Physical Examination: From Start to
Finish
Chapter 26:Formulating a Differential Diagnosis
1|Page
,Chapter 1. Child Health Assessment:
An Overview 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: dm 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
2|Page
, 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: dm 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: dm 12
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
3|Page
