TEST BANK for Advanced Pediatric
Assessment 4th Edition by Ellen M.
Chiocca
ALL CHAPTERS COVERED 1-26|
EXPERT VERIFIED QUESTIONS AND
ACCURATE ANSWERS
TB
Ac
1|Page
er
,TB
Ac
2|Page
er
, Chapter 1: Child Health Assessment: An Overview
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 ACCURATE ANSWER: 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
ACCURATE ANSWER: 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
TB
3. In most states, adolescents who are not emancipated minors must have parental permission before:
a. treatment for drug abuse.
Ac
3|Page
er
, b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ACCURATE ANSWER: 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 ACCURATE ANSWER: 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. ACCURATE ANSWER: C
TB
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
Ac
4|Page
er
Assessment 4th Edition by Ellen M.
Chiocca
ALL CHAPTERS COVERED 1-26|
EXPERT VERIFIED QUESTIONS AND
ACCURATE ANSWERS
TB
Ac
1|Page
er
,TB
Ac
2|Page
er
, Chapter 1: Child Health Assessment: An Overview
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 ACCURATE ANSWER: 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
ACCURATE ANSWER: 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
TB
3. In most states, adolescents who are not emancipated minors must have parental permission before:
a. treatment for drug abuse.
Ac
3|Page
er
, b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ACCURATE ANSWER: 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 ACCURATE ANSWER: 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. ACCURATE ANSWER: C
TB
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
Ac
4|Page
er
