Test Bank Complete_
Advanced Pediatric Assessment (Third)3rd Edition
By Ellen M. Chiocca
All Chapters 1-26| 4 Units| Updated Edition With Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT I: THE FOUNDATIONS OF CHILD HEALTH ASSESSMENT ___________________________ 3
Chapter 1. Child Health Assessment: An Overview _______________________________________ 3
Chapter 2. Assessment Of Child Development And Behavior _______________________________ 9
Chapter 3. Communicating With Children And Families __________________________________ 22
Chapter 4. Assessment Of The Family _________________________________________________ 29
Chapter 5. Cultural Assessment Of Children And Families _________________________________ 38
UNIT II: THE PEDIATRIC HISTORY AND PHYSICAL EXAMINATION ______________________ 59
SECTION 1: GATHERING SUBJECTIVE DATA _____________________________________________ 59
Chapter 6. Obtaining The Pediatric Health History ______________________________________________ 59
Chapter 7. Assessing Safety And Injury Risk In Children __________________________________________ 76
SECTION 2: GATHERING OBJECTIVE DATA_____________________________________________ 111
Chapter 8. The Pediatric Physical Examination ________________________________________________ 111
Chapter 9. The Health Supervision Visit: Wellness Examinations In Children _______________________ 114
Chapter 10. Assessment Of Nutritional Status ________________________________________________ 143
Chapter 11. Assessment Of The Neonate ____________________________________________________ 168
Chapter 12. Assessment Of The Integumentary System _________________________________________ 178
Chapter 13. Assessment Of The Head, Neck, And Regional Lymphatics ____________________________ 189
Chapter 14. Assessment Of The Ears ________________________________________________________ 209
Chapter 15. Assessment Of The Eyes ________________________________________________________ 227
Chapter 16. Assessment Of The Face, Nose, And Oral Cavity_____________________________________ 240
Chapter 17. Assessment Of The Thorax, Lungs, And Regional Lymphatics __________________________ 259
Chapter 18. Assessment Of The Cardiovascular System _________________________________________ 282
Chapter 19. Assessment Of The Abdomen And Regional Lymphatics ______________________________ 299
Chapter 20. Assessment Of The Reproductive And Genitourinary Systems _________________________ 321
Chapter 21. Assessment Of The Musculoskeletal System _______________________________________ 358
Chapter 22. Assessment Of The Neurologic System ____________________________________________ 377
UNIT III: ASSESSMENT OF CHILD MENTAL HEALTH AND WELFARE ____________________ 392
Chapter 23. Assessment Of Mental Disorders In Children And Adolescents __________________ 392
Chapter 24. Assessment Of Child Abuse And Neglect ___________________________________ 405
UNIT IV: SYNTHESIZING THE COMPONENTS OF THE PEDIATRIC HEALTH ASSESSMENT ____ 439
Chapter 25. The Complete History And Physical Examination: From Start To Finish ___________ 439
Chapter 26. Formulating A Differential Diagnosis ______________________________________ 476
,UNIT I: THE FOUNDATIONS OF CHILD HEALTH ASSESSMENT
Chapter 1. Child Health Assessment: An Overview
Ellen M. Chiocca: Advanced Pediatric Assessment (Third) 3rd Edition, 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?
A. Increased Hospitalization Of Children
B. Decreased Number Of Uninsured Children
C. An Increase In Ambulatory Care
D. Decreased Use Of Managed Care
ANS: 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
ANS: 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.
ANS: 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.
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
ANS: C
Clinical Pathways Measure Outcomes Of Client Care And Are Developed By Multiple
Healthcare Professionals. Each Pathway Outlines Specific Time Lines For Sequencing
Interventions And Reflects Interdisciplinary Interventions. Clinical Pathways Are Used
In Multiple Settings And For Clients Throughout The Life Span. The Steps Of The
Nursing Process Are Assessment, Diagnosis, Planning, Implementation, And Evaluation.
Dif: Cognitive Level: Comprehension Ref: Dm 6
Obj: Nursing Process Step: Planning Msc: Safe And Effective Care Environment
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.
ANS: C
Accidents Are The Leading Cause Of Death In Children Ages 1 To 19 Years. Disorders
Of Short Gestation And Unspecified Low Birth Weight Make Up One Of The Leading
Causes Of Death In Neonates. One Of The Leading Causes Of Infant Death After The
First Month Of Life Is Congenital Anomalies. Respiratory Tract Illnesses Are A Major
Cause Of Morbidity In Children.
.
Dif: Cognitive Level: Application Ref: Dm 9 Obj: Nursing Process Step: Implementation
Msc: Safe And Effective Care Environment
, 6. Which Statement Is True Regarding The Quality Assurance Or Incident Report?
A. The Report Assures The Legal Department That There Is No Problem.
B. Reports Are A Permanent Part Of The Clients Chart.
C. The Nurses Notes Should Contain The Following: Incident Report Filed And Copy
Placed In Chart.
D. This Report Is A Form Of Documentation Of An Event That May Result In Legal
Action.
ANS: D
An Incident Report Is A Warning To The Legal Department To Be Prepared For
Potential Legal Action; It Is Not A Part Of The Clients Chart Or Nurse Documentation.
Dif: Cognitive Level: Knowledge Ref: Dm 14 Obj: Nursing Process Step: Implementation
Msc: Safe And Effective Care Environment
7. Which Client Situation Fails To Meet The First Requirement Of Informed Consent?
A. The Parent Does Not Understand The Physicians Explanations.
B. The Physician Gives The Parent Only A Partial List Of Possible Side Effects And
Complications.
C. No Parent Is Available And The Physician Asks The Adolescent To Sign The Consent
Form.
D. The Infants Teenage Mother Signs A Consent Form Because Her Parent Tells Her To.
ANS: C.
The First Requirement Of Informed Consent Is That The Person Giving Consent Must Be
Competent. Minors Are Not Allowed To Give Consent. An Understanding Of
Information, Full Disclosure, And Voluntary Consent Are Requirements Of Informed
Consent, But None Of These Is The First Requirement.
Dif: Cognitive Level: Comprehension Ref: Dm 12 Obj: Nursing Process Step:
Implementation
Msc: Safe And Effective Care Environment
Advanced Pediatric Assessment (Third)3rd Edition
By Ellen M. Chiocca
All Chapters 1-26| 4 Units| Updated Edition With Detailed Answers| Grade A+
From: [Bestmaxsolutions.stuvia
,UNIT I: THE FOUNDATIONS OF CHILD HEALTH ASSESSMENT ___________________________ 3
Chapter 1. Child Health Assessment: An Overview _______________________________________ 3
Chapter 2. Assessment Of Child Development And Behavior _______________________________ 9
Chapter 3. Communicating With Children And Families __________________________________ 22
Chapter 4. Assessment Of The Family _________________________________________________ 29
Chapter 5. Cultural Assessment Of Children And Families _________________________________ 38
UNIT II: THE PEDIATRIC HISTORY AND PHYSICAL EXAMINATION ______________________ 59
SECTION 1: GATHERING SUBJECTIVE DATA _____________________________________________ 59
Chapter 6. Obtaining The Pediatric Health History ______________________________________________ 59
Chapter 7. Assessing Safety And Injury Risk In Children __________________________________________ 76
SECTION 2: GATHERING OBJECTIVE DATA_____________________________________________ 111
Chapter 8. The Pediatric Physical Examination ________________________________________________ 111
Chapter 9. The Health Supervision Visit: Wellness Examinations In Children _______________________ 114
Chapter 10. Assessment Of Nutritional Status ________________________________________________ 143
Chapter 11. Assessment Of The Neonate ____________________________________________________ 168
Chapter 12. Assessment Of The Integumentary System _________________________________________ 178
Chapter 13. Assessment Of The Head, Neck, And Regional Lymphatics ____________________________ 189
Chapter 14. Assessment Of The Ears ________________________________________________________ 209
Chapter 15. Assessment Of The Eyes ________________________________________________________ 227
Chapter 16. Assessment Of The Face, Nose, And Oral Cavity_____________________________________ 240
Chapter 17. Assessment Of The Thorax, Lungs, And Regional Lymphatics __________________________ 259
Chapter 18. Assessment Of The Cardiovascular System _________________________________________ 282
Chapter 19. Assessment Of The Abdomen And Regional Lymphatics ______________________________ 299
Chapter 20. Assessment Of The Reproductive And Genitourinary Systems _________________________ 321
Chapter 21. Assessment Of The Musculoskeletal System _______________________________________ 358
Chapter 22. Assessment Of The Neurologic System ____________________________________________ 377
UNIT III: ASSESSMENT OF CHILD MENTAL HEALTH AND WELFARE ____________________ 392
Chapter 23. Assessment Of Mental Disorders In Children And Adolescents __________________ 392
Chapter 24. Assessment Of Child Abuse And Neglect ___________________________________ 405
UNIT IV: SYNTHESIZING THE COMPONENTS OF THE PEDIATRIC HEALTH ASSESSMENT ____ 439
Chapter 25. The Complete History And Physical Examination: From Start To Finish ___________ 439
Chapter 26. Formulating A Differential Diagnosis ______________________________________ 476
,UNIT I: THE FOUNDATIONS OF CHILD HEALTH ASSESSMENT
Chapter 1. Child Health Assessment: An Overview
Ellen M. Chiocca: Advanced Pediatric Assessment (Third) 3rd Edition, 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?
A. Increased Hospitalization Of Children
B. Decreased Number Of Uninsured Children
C. An Increase In Ambulatory Care
D. Decreased Use Of Managed Care
ANS: 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
ANS: 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.
ANS: 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.
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
ANS: C
Clinical Pathways Measure Outcomes Of Client Care And Are Developed By Multiple
Healthcare Professionals. Each Pathway Outlines Specific Time Lines For Sequencing
Interventions And Reflects Interdisciplinary Interventions. Clinical Pathways Are Used
In Multiple Settings And For Clients Throughout The Life Span. The Steps Of The
Nursing Process Are Assessment, Diagnosis, Planning, Implementation, And Evaluation.
Dif: Cognitive Level: Comprehension Ref: Dm 6
Obj: Nursing Process Step: Planning Msc: Safe And Effective Care Environment
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.
ANS: C
Accidents Are The Leading Cause Of Death In Children Ages 1 To 19 Years. Disorders
Of Short Gestation And Unspecified Low Birth Weight Make Up One Of The Leading
Causes Of Death In Neonates. One Of The Leading Causes Of Infant Death After The
First Month Of Life Is Congenital Anomalies. Respiratory Tract Illnesses Are A Major
Cause Of Morbidity In Children.
.
Dif: Cognitive Level: Application Ref: Dm 9 Obj: Nursing Process Step: Implementation
Msc: Safe And Effective Care Environment
, 6. Which Statement Is True Regarding The Quality Assurance Or Incident Report?
A. The Report Assures The Legal Department That There Is No Problem.
B. Reports Are A Permanent Part Of The Clients Chart.
C. The Nurses Notes Should Contain The Following: Incident Report Filed And Copy
Placed In Chart.
D. This Report Is A Form Of Documentation Of An Event That May Result In Legal
Action.
ANS: D
An Incident Report Is A Warning To The Legal Department To Be Prepared For
Potential Legal Action; It Is Not A Part Of The Clients Chart Or Nurse Documentation.
Dif: Cognitive Level: Knowledge Ref: Dm 14 Obj: Nursing Process Step: Implementation
Msc: Safe And Effective Care Environment
7. Which Client Situation Fails To Meet The First Requirement Of Informed Consent?
A. The Parent Does Not Understand The Physicians Explanations.
B. The Physician Gives The Parent Only A Partial List Of Possible Side Effects And
Complications.
C. No Parent Is Available And The Physician Asks The Adolescent To Sign The Consent
Form.
D. The Infants Teenage Mother Signs A Consent Form Because Her Parent Tells Her To.
ANS: C.
The First Requirement Of Informed Consent Is That The Person Giving Consent Must Be
Competent. Minors Are Not Allowed To Give Consent. An Understanding Of
Information, Full Disclosure, And Voluntary Consent Are Requirements Of Informed
Consent, But None Of These Is The First Requirement.
Dif: Cognitive Level: Comprehension Ref: Dm 12 Obj: Nursing Process Step:
Implementation
Msc: Safe And Effective Care Environment
