CHILDREN PRINCIPLES
AND PRACTICE 4TH
EDITION JAMES EXAM
STUDY TEST BANK
,01: Introduction to Nursing Care of
Children
Chapter 01: Introduction to Nursing Care of Children
, Test Bank
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?
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