TEST BANK for Davis Advantage for
n n n n n
Pediatric Nursing Critical Components of
n n n n n
Nursing Care 3rd Edition byDiane Rudd,
n n n n n n n
Kathryn ; Kocisko n n n
ALL CHAPTERS 1-22 WITH RATIONALES| A+ PASS
n n n n n n
Page | 1 n n
, Chapter 1. Issues and Trends in Pediatric Nursing MULTIPLE n n n n n n n n
n CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
n n n n n n n n n n n n n
current trend in the pediatric setting should the nurse expect to find?
n n n n n n n n n n n n
a. Increased hospitalization of children n n n
b. Decreased number of uninsured children n n n n
c. An increase in ambulatory care n n n n
d. Decreased use of managed care n n n n
n ACURATE ANSWER: C n n
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute care
n n n n n n n n n n n n n n n n
setting to the ambulatory setting. The number of hospital beds being used has decreased as more care is
n n n n n n n n n n n n n n n n n n
provided in outpatient and home settings. The number of uninsured children in the United States continues to
n n n n n n n n n n n n n n n n n
grow. One of the biggest changes in healthcare has been the growth of managed care.
n n n n n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 3
n n n n n n
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n n
2. A nurse is referring a low-income family with three children under the age of 5 years to a program that
n n n n n n n n n n n n n n n n n n n
assists with supplemental food supplies. Which program should the nurse refer this family to?
n n n n n n n n n n n n n n
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
n n n n n n n n
d. Women, Infants, and Children (WIC) program ACURATE ANSWER: D n n n n n n n n
WIC is a federal program that provides supplemental food supplies to low-income women who are pregnant
n n n n n n n n n n n n n n n
or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic
n n n n n n n n n n n n n n n n n n n
Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child examinations and related
n n n n n n n n n n n n
treatment of medical problems. Children in the WIC program are often referred for immunizations, but that is
n n n n n n n n n n n n n n n n n
not the primary focus of the program. Public Law 99-457 provides financial incentives to states to establish
n n n n n n n n n n n n n n n n n
comprehensive early intervention services for infants and toddlers with, or at risk for, developmental
n n n n n n n n n n n n n n
disabilities.
n
Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: p. 7 OBJ: Nursing
n n n n n n n n n n n n n n n
Process Step: Implementation MSC: Health Promotion and Maintenance
n n n n n n n n
Page | 2 n n
,3. In most states, adolescents who are not emancipated minors must have parental permission before:
n n n n n n n n n n n n n
a. treatment for drug abuse. n n n
b. treatment for sexually transmitted diseases (STDs). n n n n n
c. obtaining birth control. n n
d. surgery.
ACURATE ANSWER: D n n
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may be
n n n n n n n n n n n n n n n n n n
consulted to verify the status of the emancipated minor for consent purposes. Most states allow minors to
n n n n n n n n n n n n n n n n n
obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental
n n n n n n n n n n n n n n n n n
consent.
n
DIF: Cognitive Level: Application REF: p. 12
n n n n n n
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n n
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which
n n n n n n n n n n n n n n n n
characteristic of a clinical pathway is correct?
n n n n n n n
a. Developed and implemented by nurses n n n n
b. Used primarily in the pediatric setting
n n n n n
c. Specific time lines for sequencing interventionsn n n n n
d. One of the steps in the nursing process ACURATE ANSWER: C
n n n n n n n n n n
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals.
n n n n n n n n n n n n n
Each pathway outlines specific time lines for sequencing interventions and reflects interdisciplinary
n n n n n n n n n n n n
interventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The steps
n n n n n n n n n n n n n n n n n
of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 6
n n n n n n
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n n
Page | 3 n n
, 5. When planning a parenting class, the nurse should explain that the leading cause of death in children 1 to 4
n n n n n n n n n n n n n n n n n n n
years of age in the United States is:
n n n n n n n n
a. premature birth. n
b. congenital anomalies. n
c. accidental death. n
d. respiratory tract illness. n n
ACURATE ANSWER: C n n
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and
n n n n n n n n n n n n n n n n n n
unspecified low birth weight make up one of the leading causes of death in neonates. One of the leading causes
n n n n n n n n n n n n n n n n n n n n
of infant death after the first month of life is congenital anomalies. Respiratory tract illnesses are a major cause
n n n n n n n n n n n n n n n n n n n
of morbidity in children.
n n n n
DIF: Cognitive Level: Application REF: p. 9 OBJ: Nursing Process Step: Implementation MSC: Safe and
n n n n n n n n n n n n n n
Effective Care Environment
n n n
6. Which statement is true regarding the quality assurance or incident report?
n n n n n n n n n n
a. The report assures the legal department that there is no problem.
n n n n n n n n n n
b. Reports are a permanent part of the clients chart. n n n n n n n n
c. The nurses notes should contain the following: Incident report filed and copy placed in chart.
n n n n n n n n n n n n n n
d. This report is a form of documentation of an event that may result in legal action.
n n n n n n n n n n n n n n n
ACURATE ANSWER: D n n
An incident report is a warning to the legal department to be prepared for potential legal action; it is not a part of
n n n n n n n n n n n n n n n n n n n n n n
the clients chart or nurse documentation.
n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 14 OBJ: Nursing Process Step: Implementation MSC: Safe and
n n n n n n n n n n n n n n
Effective Care Environment
n n n
7. Which client situation fails to meet the first requirement of informed consent?
n n n n n n n n n n n
a. The parent does not understand the physicians explanations.
n n n n n n n
b. The physician gives the parent only a partial list of possible side effects and complications.
n n n n n n n n n n n n n n
c. No parent is available and the physician asks the adolescent to sign the consent form.
n n n n n n n n n n n n n n
Page | 4 n n
n n n n n
Pediatric Nursing Critical Components of
n n n n n
Nursing Care 3rd Edition byDiane Rudd,
n n n n n n n
Kathryn ; Kocisko n n n
ALL CHAPTERS 1-22 WITH RATIONALES| A+ PASS
n n n n n n
Page | 1 n n
, Chapter 1. Issues and Trends in Pediatric Nursing MULTIPLE n n n n n n n n
n CHOICE
1. A nurse is reviewing changes in healthcare delivery and funding for pediatric populations. Which
n n n n n n n n n n n n n
current trend in the pediatric setting should the nurse expect to find?
n n n n n n n n n n n n
a. Increased hospitalization of children n n n
b. Decreased number of uninsured children n n n n
c. An increase in ambulatory care n n n n
d. Decreased use of managed care n n n n
n ACURATE ANSWER: C n n
One effect of managed care is that pediatric healthcare delivery has shifted dramatically from the acute care
n n n n n n n n n n n n n n n n
setting to the ambulatory setting. The number of hospital beds being used has decreased as more care is
n n n n n n n n n n n n n n n n n n
provided in outpatient and home settings. The number of uninsured children in the United States continues to
n n n n n n n n n n n n n n n n n
grow. One of the biggest changes in healthcare has been the growth of managed care.
n n n n n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 3
n n n n n n
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n n
2. A nurse is referring a low-income family with three children under the age of 5 years to a program that
n n n n n n n n n n n n n n n n n n n
assists with supplemental food supplies. Which program should the nurse refer this family to?
n n n n n n n n n n n n n n
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
n n n n n n n n
d. Women, Infants, and Children (WIC) program ACURATE ANSWER: D n n n n n n n n
WIC is a federal program that provides supplemental food supplies to low-income women who are pregnant
n n n n n n n n n n n n n n n
or breast-feeding and to their children until the age of 5 years. Medicaid and the Medicaid Early and Periodic
n n n n n n n n n n n n n n n n n n n
Screening, Diagnostic, and Treatment (EPSDT) program provides for well-child examinations and related
n n n n n n n n n n n n
treatment of medical problems. Children in the WIC program are often referred for immunizations, but that is
n n n n n n n n n n n n n n n n n
not the primary focus of the program. Public Law 99-457 provides financial incentives to states to establish
n n n n n n n n n n n n n n n n n
comprehensive early intervention services for infants and toddlers with, or at risk for, developmental
n n n n n n n n n n n n n n
disabilities.
n
Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: p. 7 OBJ: Nursing
n n n n n n n n n n n n n n n
Process Step: Implementation MSC: Health Promotion and Maintenance
n n n n n n n n
Page | 2 n n
,3. In most states, adolescents who are not emancipated minors must have parental permission before:
n n n n n n n n n n n n n
a. treatment for drug abuse. n n n
b. treatment for sexually transmitted diseases (STDs). n n n n n
c. obtaining birth control. n n
d. surgery.
ACURATE ANSWER: D n n
An emancipated minor is a minor child who has the legal competence of an adult. Legal counsel may be
n n n n n n n n n n n n n n n n n n
consulted to verify the status of the emancipated minor for consent purposes. Most states allow minors to
n n n n n n n n n n n n n n n n n
obtain treatment for drug or alcohol abuse and STDs and allow access to birth control without parental
n n n n n n n n n n n n n n n n n
consent.
n
DIF: Cognitive Level: Application REF: p. 12
n n n n n n
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n n
4. A nurse is completing a clinical pathway for a child admitted to the hospital with pneumonia. Which
n n n n n n n n n n n n n n n n
characteristic of a clinical pathway is correct?
n n n n n n n
a. Developed and implemented by nurses n n n n
b. Used primarily in the pediatric setting
n n n n n
c. Specific time lines for sequencing interventionsn n n n n
d. One of the steps in the nursing process ACURATE ANSWER: C
n n n n n n n n n n
Clinical pathways measure outcomes of client care and are developed by multiple healthcare professionals.
n n n n n n n n n n n n n
Each pathway outlines specific time lines for sequencing interventions and reflects interdisciplinary
n n n n n n n n n n n n
interventions. Clinical pathways are used in multiple settings and for clients throughout the life span. The steps
n n n n n n n n n n n n n n n n n
of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 6
n n n n n n
OBJ: Nursing Process Step: Planning MSC: Safe and Effective Care Environment
n n n n n n n n n n
Page | 3 n n
, 5. When planning a parenting class, the nurse should explain that the leading cause of death in children 1 to 4
n n n n n n n n n n n n n n n n n n n
years of age in the United States is:
n n n n n n n n
a. premature birth. n
b. congenital anomalies. n
c. accidental death. n
d. respiratory tract illness. n n
ACURATE ANSWER: C n n
Accidents are the leading cause of death in children ages 1 to 19 years. Disorders of short gestation and
n n n n n n n n n n n n n n n n n n
unspecified low birth weight make up one of the leading causes of death in neonates. One of the leading causes
n n n n n n n n n n n n n n n n n n n n
of infant death after the first month of life is congenital anomalies. Respiratory tract illnesses are a major cause
n n n n n n n n n n n n n n n n n n n
of morbidity in children.
n n n n
DIF: Cognitive Level: Application REF: p. 9 OBJ: Nursing Process Step: Implementation MSC: Safe and
n n n n n n n n n n n n n n
Effective Care Environment
n n n
6. Which statement is true regarding the quality assurance or incident report?
n n n n n n n n n n
a. The report assures the legal department that there is no problem.
n n n n n n n n n n
b. Reports are a permanent part of the clients chart. n n n n n n n n
c. The nurses notes should contain the following: Incident report filed and copy placed in chart.
n n n n n n n n n n n n n n
d. This report is a form of documentation of an event that may result in legal action.
n n n n n n n n n n n n n n n
ACURATE ANSWER: D n n
An incident report is a warning to the legal department to be prepared for potential legal action; it is not a part of
n n n n n n n n n n n n n n n n n n n n n n
the clients chart or nurse documentation.
n n n n n n
DIF: Cognitive Level: Knowledge REF: p. 14 OBJ: Nursing Process Step: Implementation MSC: Safe and
n n n n n n n n n n n n n n
Effective Care Environment
n n n
7. Which client situation fails to meet the first requirement of informed consent?
n n n n n n n n n n n
a. The parent does not understand the physicians explanations.
n n n n n n n
b. The physician gives the parent only a partial list of possible side effects and complications.
n n n n n n n n n n n n n n
c. No parent is available and the physician asks the adolescent to sign the consent form.
n n n n n n n n n n n n n n
Page | 4 n n
