TESTBANK
h h h h
h
Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care
h h h h h
3rd Edition
h
TESTBANK h
,Kathryn Rudd: Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition
h h h h h h h h h h h h h
Chapter 1 Issues andTrends in Pediatric Nursing
h h h h h h h
Multiple Choice
h
Identify the choice that best completes the statement or answers the question.
h h h h h h h h h h h
1. The nurse has provided a presentation to middle school children about nursing as a career. One of the
h h h h h h h h h h h h h h h h h
children stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little
h h h h h h h h h h h h h h h h h h h h
“kids.” What would be an appropriate response to this middle school–aged child?
h h h h h h h h h h h h
1. “Nursing is a general practice; all nurses must know how to take care of all ages of h h h h h h h h h h h h h h h h
patients.” h
2. “As a pediatric nurse, you would get to care for babies and little kids as well as
h h h h h h h h h h h h h h h h
children through their teenage years.”
h h h h h
3. “What you aredescribing is actually a neonatal nurse. Neonatal nurses work with h h h h h h h h h h h h
newborn babies, toddlers, and preschool-age children.”
h h h h h h
4. “Being a pediatric nurse requires a master’s degree, so be sureto work hard in h h h h h h h h h h h h h h
school!” h
2. The medical-surgical float nurse is assigned to thepediatric unit for the first time and states that the
h h h h h h h h h h h h h h h h h
skills are “the same as general nursing since children are little adults with smaller bodies.” What
h h h h h h h h h h h h h h h h
component of pediatric nursing contraindicates this statement?
h h h h h h h
1. Pediatric nursing involves care based on the developmental level of the patient. h h h h h h h h h h h
2. Pediatric nursing involves the patient’s family in the plan of care. h h h h h h h h h h
3. Pediatric nursing in based on prevention ofinfectious diseases. h h h h h h h h
4. Pediatric nursing involves cultural sensitivity in patient care. h h h h h h h
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population. Which
h h h h h h h h h h h h h h h
ofthe following reflects the demographics ofthe U.S. pediatric population in 2018, based on U.S.
h h h h h h h h h h h h h h h h
Census Bureau data?
h h h
1. The American Indian and Alaska Native population represent one-fifth ofthe
h h h h h h h h h h
pediatric population.
h h
2. About half of the children fall in the category of something other than White non-
h h h h h h h h h h h h h h
Hispanic. h
3. The population of Asian children decreased from 2015 to 2018.
h h h h h h h h h
4. There was no change in the population ofNon-Hispanic children who represent two
h h h h h h h h h h h h
or more races between 2015 and 2018.
h h h h h h h
4. The nurse at a familyclinic is providing care to an adolescent patient diagnosed with diabetes. The
h h h h h h h h h h h h h h h h
patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their
h h h h h h h h h h h h h h h h
friends. Which of the following would be the most appropriate response to this statement?
h h h h h h h h h h h h h h
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control and h h h h h h h h h h h h h
overall well-being.”
h h
2. “You can still drink alcohol, in moderation, if you control the sugar spike with more
h h h h h h h h h h h h h h
insulin.” h
3. “Prepare for alcohol intake with morewater and less carbohydrates before drinking to h h h h h h h h h h h h
slow sugar spikes.”
h h h
4. “It is understandable that you want to be included, but perhaps we can work out a plan
h h h h h h h h h h h h h h h h
on how to work through those situations.”
h h h h h h h
,5. Which statement best describes the common core concepts ofthe different models ofpediatric
h h h h h h h h h h h h h
nursing?
h
1. All models focus on the open communication between the child and nurse.
h h h h h h h h h h h
2. All models focus on importance of family relationship to the child.
h h h h h h h h h h
3. All models focus on safeguarding the child’s dignityduring care.
h h h h h h h h h
4. All models focus on coordination of care needs that arise during illness.
h h h h h h h h h h h
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
h h h h h h h h h h h h h h h
nursing?
h
1. The nurse refers the family to a childhood cancer support group prior to discharge from
h h h h h h h h h h h h h h
the hospital.
h h
2. The nurse includes a simple explanation ofthe procedure to the child based onthe
h h h h h h h h h h h h h h
child’s developmental level.
h h h
3. The nurse includes the family’s cultural celebrations and observations while
h h h h h h h h h
providing care to the child.
h h h h h
4. The nurse develops the plan of care with the child and family as the focal point of the
h h h h h h h h h h h h h h h h h
interventions.
h
7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
h h h h h h h h h h h h h h
pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research,
h h h h h h h h h h h h
but as the nurse begins to administer the intervention, the patient refuses to cooperate. What is the
h h h h h h h h h h h h h h h h h
appropriate response to this refusal?
h h h h h
1. The nurse should discuss with the familythe options ofperforming the
h h h h h h h h h h h
intervention without the child’s knowledge.
h h h h h
2. The nurse should explain to the child that this is necessary and promise a reward at the
h h h h h h h h h h h h h h h h
end of the research project.
h h h h h
3. The nurse should refuse to perform the intervention untilthe child consents to the
h h h h h h h h h h h h h
intervention and project.
h h h
4. The nurse should discuss the pros and cons ofthe research project with the child and
h h h h h h h h h h h h h h h
focus on the outcomes.
h h h h
8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
h h h h h h h h h h h h h h h
challenge the nurse is likely to encounter while using this model of care?
h h h h h h h h h h h h h
1. Maintaining a sterile field for a procedure with a restless toddler h h h h h h h h h h
2. Communicating with the blended family on regular basis h h h h h h h
3. Treating children with antibiotic-resistant illnesses h h h h
4. Caring for alarger number ofchildren with autism spectrum disorders and
h h h h h h h h h h h
childhood depression
h h
9. The pediatric nurse desires to expand his or her career options to become the hospital’s nurse
h h h h h h h h h h h h h h h
educator of pediatrics. Which of the following is necessary for this nurse to achieve this career goal?
h h h h h h h h h h h h h h h h h
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
h h h h h h h h h h h h h
2. The nurse must earn a minimum of a doctorate degree in nursing.
h h h h h h h h h h h
3. Thenurse must implement and develop research in nursing practice.
h h h h h h h h h
4. The nurse must implement a plan to obtain certification in pediatrics.
h h h h h h h h h h
, h 10. The school nurse is developing a teaching session for the population of children in a middle school.
h h h h h h h h h h h h h h h h h
The nurse has determined that the greatest need for the overall health of the children is promotion of
h h h h h h h h h h h h h h h h h h
healthy foods. Which ofthe following interventions is most likely to be effective?
h h h h h h h h h h h h h
1. Remove all unhealthy snacks from the vending machines. h h h h h h h
2. Have a poster contest on healthy eating options.
h h h h h h h
3. Survey the student population during lunch breaks. h h h h h h
4. Engage the students in healthy choices with cooking lessons. h h h h h h h h
h 11. The nurse recognizes the needs of professional development to provide safe and effective care to the
h h h h h h h h h h h h h h h h
pediatric population by attending which of the following courses?
h h h h h h h h h
1. Procedure with rationale to administer human papilloma vaccine to the middle h h h h h h h h h h
school population
h h
2. Studyreview of the incidence of bullying and intimidation in the elementary
h h h h h h h h h h h
school population
h h
3. Demographic study of the U.S. population with regard to cultural diversity and h h h h h h h h h h h
practices h
4. How to provide individual health care education for the children without parental
h h h h h h h h h h h
interference h
h 12. Which ofthe following continuing education courses would best enhance the pediatric nurse’s
h h h h h h h h h h h h h
practice in relationship to current trends?
h h h h h h
1. Evidence-based practice on improving antibiotic adherence with education to the h h h h h h h h h
family unit h h
2. Evidence-based practice on proper administration ofantibiotics for children with h h h h h h h h h
autoimmune diseases
h h
3. How to enhance communication with children in regards to adherence to antibiotic use
h h h h h h h h h h h h
4. How to decrease instances ofexacerbation of infections ofchildren with
h h h h h h h h h h
autoimmune diseases with antibiotics
h h h h
h 13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis
h h h h h h h h h h h h h h h
of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices as evidenced by
h h h h h h h h h h h h h h h h h h h
patient’s mother’s food diary for the family and child’s statements of food preferences. Which of the
h h h h h h h h h h h h h h h h
following would be an appropriate nursing intervention?
h h h h h h h
1. Provide the child and family with information from https://www.MyPlate.gov for
h h h h h h h h h
healthy food options.
h h h
2. Increase the child’s activity byincorporating the child’s friends into a plan of
h h h h h h h h h h h h
healthy exercise options.
h h h
3. Explain the importance ofbalancing diet and exercise to prevent obesityto the
h h h h h h h h h h h h
child and family.
h h h
4. Provide information on the increased risk for potential disease processes such as
h h h h h h h h h h h
diabetes and hypertension.
h h h
h h 14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis
h h h h h h h h h h h h h h
decreased self-esteem related to transgender identity as evidenced by statements of feeling
h h h h h h h h h h h
“worthless, different, andalone.” What would be the most appropriate intervention based on the diagnosis?
h h h h h h h h h h h h h h
1. Givepositive feedback on personal choices as appropriate.
h h h h h h h
h h h h
h
Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care
h h h h h
3rd Edition
h
TESTBANK h
,Kathryn Rudd: Davis Advantage for Pediatric Nursing: Critical Components of Nursing Care, 3rd Edition
h h h h h h h h h h h h h
Chapter 1 Issues andTrends in Pediatric Nursing
h h h h h h h
Multiple Choice
h
Identify the choice that best completes the statement or answers the question.
h h h h h h h h h h h
1. The nurse has provided a presentation to middle school children about nursing as a career. One of the
h h h h h h h h h h h h h h h h h
children stated that he wanted to be a pediatric nurse, because he wants to take care of babies and little
h h h h h h h h h h h h h h h h h h h h
“kids.” What would be an appropriate response to this middle school–aged child?
h h h h h h h h h h h h
1. “Nursing is a general practice; all nurses must know how to take care of all ages of h h h h h h h h h h h h h h h h
patients.” h
2. “As a pediatric nurse, you would get to care for babies and little kids as well as
h h h h h h h h h h h h h h h h
children through their teenage years.”
h h h h h
3. “What you aredescribing is actually a neonatal nurse. Neonatal nurses work with h h h h h h h h h h h h
newborn babies, toddlers, and preschool-age children.”
h h h h h h
4. “Being a pediatric nurse requires a master’s degree, so be sureto work hard in h h h h h h h h h h h h h h
school!” h
2. The medical-surgical float nurse is assigned to thepediatric unit for the first time and states that the
h h h h h h h h h h h h h h h h h
skills are “the same as general nursing since children are little adults with smaller bodies.” What
h h h h h h h h h h h h h h h h
component of pediatric nursing contraindicates this statement?
h h h h h h h
1. Pediatric nursing involves care based on the developmental level of the patient. h h h h h h h h h h h
2. Pediatric nursing involves the patient’s family in the plan of care. h h h h h h h h h h
3. Pediatric nursing in based on prevention ofinfectious diseases. h h h h h h h h
4. Pediatric nursing involves cultural sensitivity in patient care. h h h h h h h
3. The culturally sensitive pediatric nurse is aware of the racial makeup of the U.S. population. Which
h h h h h h h h h h h h h h h
ofthe following reflects the demographics ofthe U.S. pediatric population in 2018, based on U.S.
h h h h h h h h h h h h h h h h
Census Bureau data?
h h h
1. The American Indian and Alaska Native population represent one-fifth ofthe
h h h h h h h h h h
pediatric population.
h h
2. About half of the children fall in the category of something other than White non-
h h h h h h h h h h h h h h
Hispanic. h
3. The population of Asian children decreased from 2015 to 2018.
h h h h h h h h h
4. There was no change in the population ofNon-Hispanic children who represent two
h h h h h h h h h h h h
or more races between 2015 and 2018.
h h h h h h h
4. The nurse at a familyclinic is providing care to an adolescent patient diagnosed with diabetes. The
h h h h h h h h h h h h h h h h
patient has verbalized discomfort with the feelings of isolation when unable to drink alcohol with their
h h h h h h h h h h h h h h h h
friends. Which of the following would be the most appropriate response to this statement?
h h h h h h h h h h h h h h
1. “Drinking alcohol is not only illegal but dangerous for your blood sugar control and h h h h h h h h h h h h h
overall well-being.”
h h
2. “You can still drink alcohol, in moderation, if you control the sugar spike with more
h h h h h h h h h h h h h h
insulin.” h
3. “Prepare for alcohol intake with morewater and less carbohydrates before drinking to h h h h h h h h h h h h
slow sugar spikes.”
h h h
4. “It is understandable that you want to be included, but perhaps we can work out a plan
h h h h h h h h h h h h h h h h
on how to work through those situations.”
h h h h h h h
,5. Which statement best describes the common core concepts ofthe different models ofpediatric
h h h h h h h h h h h h h
nursing?
h
1. All models focus on the open communication between the child and nurse.
h h h h h h h h h h h
2. All models focus on importance of family relationship to the child.
h h h h h h h h h h
3. All models focus on safeguarding the child’s dignityduring care.
h h h h h h h h h
4. All models focus on coordination of care needs that arise during illness.
h h h h h h h h h h h
6. Which of the following tasks is associated with the pediatric medical home care model of pediatric
h h h h h h h h h h h h h h h
nursing?
h
1. The nurse refers the family to a childhood cancer support group prior to discharge from
h h h h h h h h h h h h h h
the hospital.
h h
2. The nurse includes a simple explanation ofthe procedure to the child based onthe
h h h h h h h h h h h h h h
child’s developmental level.
h h h
3. The nurse includes the family’s cultural celebrations and observations while
h h h h h h h h h
providing care to the child.
h h h h h
4. The nurse develops the plan of care with the child and family as the focal point of the
h h h h h h h h h h h h h h h h h
interventions.
h
7. The pediatric nurse begins a research project on 8-year-old patients with the medical diagnosis of
h h h h h h h h h h h h h h
pediatric acute-onset neuropsychiatric syndrome (PANS). The family has consented to the research,
h h h h h h h h h h h h
but as the nurse begins to administer the intervention, the patient refuses to cooperate. What is the
h h h h h h h h h h h h h h h h h
appropriate response to this refusal?
h h h h h
1. The nurse should discuss with the familythe options ofperforming the
h h h h h h h h h h h
intervention without the child’s knowledge.
h h h h h
2. The nurse should explain to the child that this is necessary and promise a reward at the
h h h h h h h h h h h h h h h h
end of the research project.
h h h h h
3. The nurse should refuse to perform the intervention untilthe child consents to the
h h h h h h h h h h h h h
intervention and project.
h h h
4. The nurse should discuss the pros and cons ofthe research project with the child and
h h h h h h h h h h h h h h h
focus on the outcomes.
h h h h
8. A nurse is providing relationship-based care to a pediatric patient. Which of the following is a
h h h h h h h h h h h h h h h
challenge the nurse is likely to encounter while using this model of care?
h h h h h h h h h h h h h
1. Maintaining a sterile field for a procedure with a restless toddler h h h h h h h h h h
2. Communicating with the blended family on regular basis h h h h h h h
3. Treating children with antibiotic-resistant illnesses h h h h
4. Caring for alarger number ofchildren with autism spectrum disorders and
h h h h h h h h h h h
childhood depression
h h
9. The pediatric nurse desires to expand his or her career options to become the hospital’s nurse
h h h h h h h h h h h h h h h
educator of pediatrics. Which of the following is necessary for this nurse to achieve this career goal?
h h h h h h h h h h h h h h h h h
1. The nurse is recommended to earn a minimum of a master’s degree in nursing.
h h h h h h h h h h h h h
2. The nurse must earn a minimum of a doctorate degree in nursing.
h h h h h h h h h h h
3. Thenurse must implement and develop research in nursing practice.
h h h h h h h h h
4. The nurse must implement a plan to obtain certification in pediatrics.
h h h h h h h h h h
, h 10. The school nurse is developing a teaching session for the population of children in a middle school.
h h h h h h h h h h h h h h h h h
The nurse has determined that the greatest need for the overall health of the children is promotion of
h h h h h h h h h h h h h h h h h h
healthy foods. Which ofthe following interventions is most likely to be effective?
h h h h h h h h h h h h h
1. Remove all unhealthy snacks from the vending machines. h h h h h h h
2. Have a poster contest on healthy eating options.
h h h h h h h
3. Survey the student population during lunch breaks. h h h h h h
4. Engage the students in healthy choices with cooking lessons. h h h h h h h h
h 11. The nurse recognizes the needs of professional development to provide safe and effective care to the
h h h h h h h h h h h h h h h h
pediatric population by attending which of the following courses?
h h h h h h h h h
1. Procedure with rationale to administer human papilloma vaccine to the middle h h h h h h h h h h
school population
h h
2. Studyreview of the incidence of bullying and intimidation in the elementary
h h h h h h h h h h h
school population
h h
3. Demographic study of the U.S. population with regard to cultural diversity and h h h h h h h h h h h
practices h
4. How to provide individual health care education for the children without parental
h h h h h h h h h h h
interference h
h 12. Which ofthe following continuing education courses would best enhance the pediatric nurse’s
h h h h h h h h h h h h h
practice in relationship to current trends?
h h h h h h
1. Evidence-based practice on improving antibiotic adherence with education to the h h h h h h h h h
family unit h h
2. Evidence-based practice on proper administration ofantibiotics for children with h h h h h h h h h
autoimmune diseases
h h
3. How to enhance communication with children in regards to adherence to antibiotic use
h h h h h h h h h h h h
4. How to decrease instances ofexacerbation of infections ofchildren with
h h h h h h h h h h
autoimmune diseases with antibiotics
h h h h
h 13. The pediatric nurse is developing interventions for a school-aged child based on the nursing diagnosis
h h h h h h h h h h h h h h h
of imbalanced nutrition related to a body mass index (BMI) of 37 and poor food choices as evidenced by
h h h h h h h h h h h h h h h h h h h
patient’s mother’s food diary for the family and child’s statements of food preferences. Which of the
h h h h h h h h h h h h h h h h
following would be an appropriate nursing intervention?
h h h h h h h
1. Provide the child and family with information from https://www.MyPlate.gov for
h h h h h h h h h
healthy food options.
h h h
2. Increase the child’s activity byincorporating the child’s friends into a plan of
h h h h h h h h h h h h
healthy exercise options.
h h h
3. Explain the importance ofbalancing diet and exercise to prevent obesityto the
h h h h h h h h h h h h
child and family.
h h h
4. Provide information on the increased risk for potential disease processes such as
h h h h h h h h h h h
diabetes and hypertension.
h h h
h h 14. The nurse is developing interventions for a transgender adolescent based on the nursing diagnosis
h h h h h h h h h h h h h h
decreased self-esteem related to transgender identity as evidenced by statements of feeling
h h h h h h h h h h h
“worthless, different, andalone.” What would be the most appropriate intervention based on the diagnosis?
h h h h h h h h h h h h h h
1. Givepositive feedback on personal choices as appropriate.
h h h h h h h
