TEST BANK for Davis Advantage for
Pediatric Nursing Critical Components of
Nursing Care, 3rd Edition by Diane Rudd,
Kathryn; Kocisko
VERIFIED CHAPTERS 1-22| EXAM
QUESTIONS & 100% CORRECT ANSWERS
WITH RATIONALES| A+ PASS
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, Chapter 1: Issues and Trends in Pediatric Nursing
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
ACURATE 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: p. 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 ACURATE 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: p. 7 OBJ: Nursing
Process Step: Implementation MSC: Health Promotion and Maintenance
M
as
3. In most states, adolescents who are not emancipated minors must have parental permission before:
t
a. treatment for drug abuse.
er
b. treatment for sexually transmitted diseases (STDs).
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ss
,c. obtaining birth control.
d. surgery.
ACURATE 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: p. 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 ACURATE 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: p. 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.
M
ACURATE ANSWER: C
as
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
t
of infant death after the first month of life is congenital anomalies. Respiratory tract illnesses are a major cause
er
of morbidity in children.
Cl
a
3
ss
, DIF: Cognitive Level: Application REF: p. 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.
ACURATE ANSWER: 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: p. 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.
ACURATE ANSWER: 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: p. 12 OBJ: Nursing Process Step: Implementation MSC: Safe and
Effective Care Environment
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 nurses first action be?
a. Delay the treatment until another nurse can do it.
M
b. Make the childs parents aware of the situation.
as
c. Inform the nursing supervisor of the problem.
t
d. Arrange to have the child transferred to another unit.
er
Cl
a
4
ss
Pediatric Nursing Critical Components of
Nursing Care, 3rd Edition by Diane Rudd,
Kathryn; Kocisko
VERIFIED CHAPTERS 1-22| EXAM
QUESTIONS & 100% CORRECT ANSWERS
WITH RATIONALES| A+ PASS
M
as
ter
Cl
a
1
ss
, Chapter 1: Issues and Trends in Pediatric Nursing
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
ACURATE 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: p. 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 ACURATE 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: p. 7 OBJ: Nursing
Process Step: Implementation MSC: Health Promotion and Maintenance
M
as
3. In most states, adolescents who are not emancipated minors must have parental permission before:
t
a. treatment for drug abuse.
er
b. treatment for sexually transmitted diseases (STDs).
Cl
a
2
ss
,c. obtaining birth control.
d. surgery.
ACURATE 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: p. 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 ACURATE 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: p. 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.
M
ACURATE ANSWER: C
as
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
t
of infant death after the first month of life is congenital anomalies. Respiratory tract illnesses are a major cause
er
of morbidity in children.
Cl
a
3
ss
, DIF: Cognitive Level: Application REF: p. 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.
ACURATE ANSWER: 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: p. 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.
ACURATE ANSWER: 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: p. 12 OBJ: Nursing Process Step: Implementation MSC: Safe and
Effective Care Environment
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 nurses first action be?
a. Delay the treatment until another nurse can do it.
M
b. Make the childs parents aware of the situation.
as
c. Inform the nursing supervisor of the problem.
t
d. Arrange to have the child transferred to another unit.
er
Cl
a
4
ss
