NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
PediatricmNursingmThemCriticalmComponentsmof mNursingmCarem2ndmEditionmRuddmTestmBa
nkmChapterm1.mIssuesmand mTrendsminmPediatricmNursing
MULTIPLE mCHOICE
1. A mnursemismreviewingmchangesminmhealthcare mdeliverymand mfundingmformpediatricmpopulatio
ns.mWhichmcurrent mtrend minmthempediatricmsettingmshould mthemnursemexpect mtomfind?
a. Increased mhospitalizationmof mchildren
b. Decreased mnumbermof muninsured mchildren
c. Anmincreaseminmambulatorymcare
d. Decreased musemof mmanaged mcare
ANS:mC
Onemeffect mof mmanaged mcaremismthat mpediatricmhealthcaremdeliverymhasmshifted mdramaticallymfrommt
hemacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermof mhospitalmbedsmbeingmused mhasmd
ecreased masmmoremcaremismprovided minmoutpatient mand mhomemsettings.mThemnumbermof muninsured mc
hildrenminmthemUnited mStatesmcontinuesmtomgrow.mOnemof mthembiggest mchangesminmhealthcaremhasmb
eenmthemgrowthmof mmanaged mcare.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
2. A mnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemof m5myearsmtomamprogrammthat massistsmwithmsup
plementalmfood msupplies.mWhichmprogrammshould mthemnursemrefermthismfamilymto?
a. Medicaid
b. Medicare
c. Earlymand mPeriodicmScreening,mDiagnostic,mand mTreatment m(EPSDT)mprogram
d. Women,mInfants,mand mChildrenm(WIC)mprogram
,NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
ANS:mD
WICmismamfederalmprogrammthat mprovidesmsupplementalmfood msuppliesmtomlow-
incomemwomenmwhomarempregnant mormbreast-
feedingmand mtomtheirmchildrenmuntilmthemagemof m5myears.mMedicaid mand mthemMedicaid mEarlymand mPe
riodicmScreening,mDiagnostic,mand mTreatment m(EPSDT)mprogrammprovidesmformwell-
child mexaminationsmand mrelated mtreatment mof mmedicalmproblems.mChildrenminmthemWICmprogramma
remoftenmreferred mformimmunizations,mbut mthat mismnot mthemprimarymfocusmof mthemprogram.mPublicmL
aw m99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlym interventionmservic
esmforminfantsmand mtoddlersmwith,mormat mriskmfor,mdevelopmentalmdisabilities.
Medicaremismthemprogram mformSeniormCitizen
s.mDIF:mCognitivemLevel:mApplication mREF:m
p.m7mOBJ:mNursingmProcessmStep:mImplement
ationmMSC:mHealthmPromotionmand mMainten
ance
3. Inmmost mstates,madolescentsmwhomaremnot memancipated mminorsmmust mhavemparentalmpermissi
onmbefore:
a. treatment mformdrugmabuse.
b. treatment mformsexuallymtransmitted mdiseasesm(STDs).
c. obtainingmbirthmcontrol.
d. surgery.
ANS:mD
Anmemancipated mminormismamminormchild mwhomhasmthemlegalmcompetencemof manmadult.mLegalmcouns
elmmaymbemconsulted mtomverifymthemstatusmof mthememancipated mminormformconsent mpurposes.mMost mst
atesmallow mminorsmtomobtainmtreatment mformdrugmormalcoholmabusemand mSTDsmand mallow maccessmtom
birthmcontrolmwithout mparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
,NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
4. A mnursemismcompletingmamclinicalmpathwaymformamchild madmitted mtomthemhospitalmwithmpneumon
ia.mWhichmcharacteristicmof mamclinicalmpathwaymism correct?
a. Developed mand mimplemented mbymnurses
b. Used mprimarilyminmthempediatricmsetting
c. Specificmtimemlinesmformsequencingminterventions
d. Onemof mthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmof mclient mcaremand maremdeveloped mbymmultiplemhealthcaremp
rofessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingm interventionsmand mreflects
minterdisciplinaryminterventions.mClinicalmpathwaysmaremused minmmultiplemsettingsmand mformclientsm
throughout mthemlifemspan.mThemstepsmof mthemnursingmprocessmaremassessment,mdiagnosis,mplanning,m
implementation,mand mevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshould mexplainmthat mthemleadingmcausemof mdeath
minmchildrenm1mtom4myearsmof mageminmthemUnited mStatesmis:
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtract millness.
ANS:mC
Accidentsmaremthemleadingmcausemof mdeathminmchildrenmagesm1mtom19myears.mDisordersmof mshort mgest
ationmand munspecified mlowmbirthmweight mmakemupmonemof mthemleadingmcausesmof mdeathminmneonates.
mOnemof mthemleadingmcausesmof minfant mdeathmaftermthemfirst mmonthmof mlifemismcongenitalmanomalies.m
Respiratorymtract millnessesmaremammajorm causemof mmorbidityminmchildren.
, NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
DIF:mCognitivemLevel:mApplicationmREF:mp.m
9mOBJ:mNursingmProcessmStep:mImplementati
onmMSC:mSafemand mEffectivemCaremEnviron
ment
6. Whichmstatement mismtruemregardingmthemqualitymassurancemormincident mreport?
a. Themreport massuresmthemlegalmdepartment mthat mtheremismnomproblem.
b. Reportsmaremampermanent mpart mof mthemclientsmchart.
c. Themnursesmnotesmshould mcontainmthemfollowing:mIncident mreport mfiled mand mco
pymplaced minmchart.
d. Thismreport mismamformmof mdocumentationmof manmevent mthat mmaymresult m inmlegalmaction.
ANS:mD
Anmincident mreport mismamwarningmtomthemlegalmdepartment mtombemprepared mformpotentialmlegalmacti
on;mit mismnot mampart mof mthemclientsmchart mormnursemdocumentation.
DIF:mCognitivemLevel:mKnowledgemREF:mp.m14mO
BJ:mNursingmProcessmStep:mImplementationmMSC:
mSafemand mEffectivemCaremEnvironment
7. Whichmclient msituationmfailsmtommeet mthemfirst mrequirement mof minformed mconsent?
a. Themparent mdoesmnot munderstand mthemphysiciansmexplanations.
b. Themphysicianmgivesmthemparent monlymampartialmlist mof mpossiblemsidemeffectsma
nd mcomplications.
c. Nomparent mismavailablemand mthemphysicianmasksmthemadolescent mtomsignmthemconse
nt mform.
d. Theminfantsmteenagemmothermsignsmamconsent mformmbecausemhermparent mtellsmhermto.
ANS:mC
ddmmTestmBank m(1)
PediatricmNursingmThemCriticalmComponentsmof mNursingmCarem2ndmEditionmRuddmTestmBa
nkmChapterm1.mIssuesmand mTrendsminmPediatricmNursing
MULTIPLE mCHOICE
1. A mnursemismreviewingmchangesminmhealthcare mdeliverymand mfundingmformpediatricmpopulatio
ns.mWhichmcurrent mtrend minmthempediatricmsettingmshould mthemnursemexpect mtomfind?
a. Increased mhospitalizationmof mchildren
b. Decreased mnumbermof muninsured mchildren
c. Anmincreaseminmambulatorymcare
d. Decreased musemof mmanaged mcare
ANS:mC
Onemeffect mof mmanaged mcaremismthat mpediatricmhealthcaremdeliverymhasmshifted mdramaticallymfrommt
hemacutemcaremsettingmtomthemambulatorymsetting.mThemnumbermof mhospitalmbedsmbeingmused mhasmd
ecreased masmmoremcaremismprovided minmoutpatient mand mhomemsettings.mThemnumbermof muninsured mc
hildrenminmthemUnited mStatesmcontinuesmtomgrow.mOnemof mthembiggest mchangesminmhealthcaremhasmb
eenmthemgrowthmof mmanaged mcare.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m3
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
2. A mnursemismreferringmamlow-
incomemfamilymwithmthreemchildrenmundermthemagemof m5myearsmtomamprogrammthat massistsmwithmsup
plementalmfood msupplies.mWhichmprogrammshould mthemnursemrefermthismfamilymto?
a. Medicaid
b. Medicare
c. Earlymand mPeriodicmScreening,mDiagnostic,mand mTreatment m(EPSDT)mprogram
d. Women,mInfants,mand mChildrenm(WIC)mprogram
,NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
ANS:mD
WICmismamfederalmprogrammthat mprovidesmsupplementalmfood msuppliesmtomlow-
incomemwomenmwhomarempregnant mormbreast-
feedingmand mtomtheirmchildrenmuntilmthemagemof m5myears.mMedicaid mand mthemMedicaid mEarlymand mPe
riodicmScreening,mDiagnostic,mand mTreatment m(EPSDT)mprogrammprovidesmformwell-
child mexaminationsmand mrelated mtreatment mof mmedicalmproblems.mChildrenminmthemWICmprogramma
remoftenmreferred mformimmunizations,mbut mthat mismnot mthemprimarymfocusmof mthemprogram.mPublicmL
aw m99-
457mprovidesmfinancialmincentivesmtomstatesmtomestablishmcomprehensivemearlym interventionmservic
esmforminfantsmand mtoddlersmwith,mormat mriskmfor,mdevelopmentalmdisabilities.
Medicaremismthemprogram mformSeniormCitizen
s.mDIF:mCognitivemLevel:mApplication mREF:m
p.m7mOBJ:mNursingmProcessmStep:mImplement
ationmMSC:mHealthmPromotionmand mMainten
ance
3. Inmmost mstates,madolescentsmwhomaremnot memancipated mminorsmmust mhavemparentalmpermissi
onmbefore:
a. treatment mformdrugmabuse.
b. treatment mformsexuallymtransmitted mdiseasesm(STDs).
c. obtainingmbirthmcontrol.
d. surgery.
ANS:mD
Anmemancipated mminormismamminormchild mwhomhasmthemlegalmcompetencemof manmadult.mLegalmcouns
elmmaymbemconsulted mtomverifymthemstatusmof mthememancipated mminormformconsent mpurposes.mMost mst
atesmallow mminorsmtomobtainmtreatment mformdrugmormalcoholmabusemand mSTDsmand mallow maccessmtom
birthmcontrolmwithout mparentalmconsent.
DIF:mCognitivemLevel:mApplicationmREF:mp.m12
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
,NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
4. A mnursemismcompletingmamclinicalmpathwaymformamchild madmitted mtomthemhospitalmwithmpneumon
ia.mWhichmcharacteristicmof mamclinicalmpathwaymism correct?
a. Developed mand mimplemented mbymnurses
b. Used mprimarilyminmthempediatricmsetting
c. Specificmtimemlinesmformsequencingminterventions
d. Onemof mthemstepsminmthemnursingmprocess
ANS:mC
Clinicalmpathwaysmmeasuremoutcomesmof mclient mcaremand maremdeveloped mbymmultiplemhealthcaremp
rofessionals.mEachmpathwaymoutlinesmspecificmtimemlinesmformsequencingm interventionsmand mreflects
minterdisciplinaryminterventions.mClinicalmpathwaysmaremused minmmultiplemsettingsmand mformclientsm
throughout mthemlifemspan.mThemstepsmof mthemnursingmprocessmaremassessment,mdiagnosis,mplanning,m
implementation,mand mevaluation.
DIF:mCognitivemLevel:mComprehensionmREF:mp.m6
OBJ:mNursingmProcessmStep:mPlanningmMSC:mSafemand mEffectivemCaremEnvironment
5. Whenmplanningmamparentingmclass,mthemnursemshould mexplainmthat mthemleadingmcausemof mdeath
minmchildrenm1mtom4myearsmof mageminmthemUnited mStatesmis:
a. prematurembirth.
b. congenitalmanomalies.
c. accidentalmdeath.
d. respiratorymtract millness.
ANS:mC
Accidentsmaremthemleadingmcausemof mdeathminmchildrenmagesm1mtom19myears.mDisordersmof mshort mgest
ationmand munspecified mlowmbirthmweight mmakemupmonemof mthemleadingmcausesmof mdeathminmneonates.
mOnemof mthemleadingmcausesmof minfant mdeathmaftermthemfirst mmonthmof mlifemismcongenitalmanomalies.m
Respiratorymtract millnessesmaremammajorm causemof mmorbidityminmchildren.
, NURSm3425mPediatric mNursingmThemCritical mCom ponentsmof mNursingmCarem2ndmEditionmRu
ddmmTestmBank m(1)
DIF:mCognitivemLevel:mApplicationmREF:mp.m
9mOBJ:mNursingmProcessmStep:mImplementati
onmMSC:mSafemand mEffectivemCaremEnviron
ment
6. Whichmstatement mismtruemregardingmthemqualitymassurancemormincident mreport?
a. Themreport massuresmthemlegalmdepartment mthat mtheremismnomproblem.
b. Reportsmaremampermanent mpart mof mthemclientsmchart.
c. Themnursesmnotesmshould mcontainmthemfollowing:mIncident mreport mfiled mand mco
pymplaced minmchart.
d. Thismreport mismamformmof mdocumentationmof manmevent mthat mmaymresult m inmlegalmaction.
ANS:mD
Anmincident mreport mismamwarningmtomthemlegalmdepartment mtombemprepared mformpotentialmlegalmacti
on;mit mismnot mampart mof mthemclientsmchart mormnursemdocumentation.
DIF:mCognitivemLevel:mKnowledgemREF:mp.m14mO
BJ:mNursingmProcessmStep:mImplementationmMSC:
mSafemand mEffectivemCaremEnvironment
7. Whichmclient msituationmfailsmtommeet mthemfirst mrequirement mof minformed mconsent?
a. Themparent mdoesmnot munderstand mthemphysiciansmexplanations.
b. Themphysicianmgivesmthemparent monlymampartialmlist mof mpossiblemsidemeffectsma
nd mcomplications.
c. Nomparent mismavailablemand mthemphysicianmasksmthemadolescent mtomsignmthemconse
nt mform.
d. Theminfantsmteenagemmothermsignsmamconsent mformmbecausemhermparent mtellsmhermto.
ANS:mC
