TEST BANK FOR NURSING CARE OF CHILDREN, 4TH EDITION, SUSAN R. JAMES , KRISTINE NELSON, JEAN ASHWILL, ISBN: 9781455703661

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? 4 Delay the treatment until another nurse can do it. 5 Make the child’s parents aware of the situation. 6 Inform the nursing supervisor of the problem. 7 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? 4 Writing nursing diagnoses 5 Reviewing diagnostic reports 6 Collecting data 7 Setting priorities 10. Which patient outcome is stated correctly? 4 The child will administer his insulin injection before breakfast on 10/31. 4 The child will accept the diagnosis of type 1 diabetes mellitus before discharge. 5 The parents will understand how to determine the child’s daily insulin dosage. 6 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. 4 Risk for injury 5 Potential complication of seizure disorder 6 Altered nutrition: Less than body requirements 7 Fluid volume deficit 8 Potential complication of respiratory acidosis 2. Which nursing activities do not meet the standard of care? Select all that apply. 4 Failure to notify a physician about a child’s worsening condition 5 Calling the supervisor about staffing concerns 6 Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP) 7 Asking the Unlicensed Assistive Personnel (UAP) to take vital signs 4 Documenting that a physician was unavailable and the nursing supervisor was notified