Davis Advantage for Pediatric Nursing: Critical
Components of Nursing Care Newest Exam Preparation
With Complete Questions And Correct Answers With
Rationales Already Graded A+ Brand New Version!!
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
Rationale: A significant trend in pediatric healthcare is the shift from
acute care inpatient settings to ambulatory and home care. Managed
care has been a major driver of this change, resulting in decreased
hospital bed utilization as more procedures and treatments are
performed on an outpatient basis. The number of uninsured children in
the United States continues to be a challenge rather than a decreased
issue .
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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
Rationale: The Special Supplemental Nutrition Program for Women,
Infants, and Children (WIC) is a federal program specifically designed to
provide supplemental foods, nutrition education, and healthcare
referrals to low-income pregnant, postpartum, and breastfeeding
women, and to infants and children up to age 5 who are at nutritional
risk. While Medicaid and EPSDT provide health examinations and
treatment, their primary focus is not supplemental food supplies.
Medicare is a federal health insurance program primarily for people
aged 65 and older .
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.
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D) Surgery.
Answer: D
Rationale: An emancipated minor is a minor who has the legal
competence of an adult. In most states, unemancipated minors can
consent to treatment for drug or alcohol abuse, STDs, and birth control
without parental permission. However, surgery is generally considered a
more invasive procedure requiring parental consent, except in life-
threatening emergencies .
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
Rationale: Clinical pathways are interdisciplinary tools that outline a
specific timeline for sequencing interventions to achieve optimal patient
outcomes. They are not developed exclusively by nurses but by a
multidisciplinary team. While used in pediatrics, they are not limited to
this setting. The nursing process consists of assessment, diagnosis,
planning, implementation, and evaluation, which are distinct from
clinical pathways .
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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
Rationale: Accidents (unintentional injuries) are the leading cause of
death in children ages 1 to 19 years. Disorders of short gestation and
low birth weight are leading causes of neonatal death, and congenital
anomalies are a leading cause of infant death after the first month of
life. While respiratory illnesses are a major cause of morbidity, they are
not the leading cause of death in this age group .
6. What is the primary purpose of a Child Life Department in a family-
centered care model?
A) To prepare the child for procedures.
B) To offer time to be a kid.
C) To provide the staff with information about child development.
D) To be the liaison between the hospital and the school system.