TEST BANK FOR
NURSING
CARE OF CHILDREN
PRINCIPLES AND
PRACTICE, (JAMES,
NURSING CARE OF
CHILDREN) 4TH
01: Introduction to Nursing Care of Children
Chapter 01: Introduction to Nursing Care of Children
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?
• Increased hospitalization of children
• Decreased number of uninsured children
• An increase in ambulatory care
• Decreased use of managed care
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?
• Medicaid
• Medicare
• Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
• Women, Infants, and Children (WIC) program
3. In most states, adolescents who are not emancipated minors must have
parental permission before:
,• treatment for drug abuse.
• treatment for sexually transmitted diseases (STDs).
• obtaining birth control.
• surgery.
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?
• Developed and implemented by nurses
• Used primarily in the pediatric setting
• Specific time lines for sequencing interventions
• One of the steps in the nursing process
,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:
• premature birth.
• congenital anomalies.
• accidental death.
• respiratory tract illness.
6. Which statement is true regarding the “quality assurance” or “incident” report?
• The report assures the legal department that there is no problem.
• Reports are a permanent part of the client’s chart.
• The nurse’s notes should contain the following: “Incident report filed and copy
placed in chart.”
• This report is a form of documentation of an event that may result in legal action.
7. Which client situation fails to meet the first requirement of informed consent?
• The parent does not understand the physician’s explanations.
• The physician gives the parent only a partial list of possible side effects and
complications.
• No parent is available and the physician asks the adolescent to sign the consent form.
• The infant’s teenage mother signs a consent form because her parent tells her to.
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 nurse’s first action be?
4 Delay the treatment until another nurse can do it.
5 Make the child’s parents aware of the situation.
6 Inform the nursing supervisor of the problem.
7 Arrange to have the child transferred to another unit.
9. A nurse is completing a care plan for a child and is finishing the assessment
phase. Which activity is not part of a nursing assessment?
4 Writing nursing diagnoses
5 Reviewing diagnostic reports
6 Collecting data
7 Setting priorities
, 10. Which patient outcome is stated correctly?
4 The child will administer his insulin injection before breakfast on 10/31.
4 The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
5 The parents will understand how to determine the child’s daily insulin dosage.
6 The nurse will monitor blood glucose levels before meals and at bedtime.
MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which
statements are collaborative problems? Select all that apply.
4 Risk for injury
5 Potential complication of seizure disorder
6 Altered nutrition: Less than body requirements
7 Fluid volume deficit
8 Potential complication of respiratory acidosis
2. Which nursing activities do not meet the standard of care? Select all that apply.
4 Failure to notify a physician about a child’s worsening condition
5 Calling the supervisor about staffing concerns
6 Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
7 Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
NURSING
CARE OF CHILDREN
PRINCIPLES AND
PRACTICE, (JAMES,
NURSING CARE OF
CHILDREN) 4TH
01: Introduction to Nursing Care of Children
Chapter 01: Introduction to Nursing Care of Children
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?
• Increased hospitalization of children
• Decreased number of uninsured children
• An increase in ambulatory care
• Decreased use of managed care
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?
• Medicaid
• Medicare
• Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
• Women, Infants, and Children (WIC) program
3. In most states, adolescents who are not emancipated minors must have
parental permission before:
,• treatment for drug abuse.
• treatment for sexually transmitted diseases (STDs).
• obtaining birth control.
• surgery.
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?
• Developed and implemented by nurses
• Used primarily in the pediatric setting
• Specific time lines for sequencing interventions
• One of the steps in the nursing process
,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:
• premature birth.
• congenital anomalies.
• accidental death.
• respiratory tract illness.
6. Which statement is true regarding the “quality assurance” or “incident” report?
• The report assures the legal department that there is no problem.
• Reports are a permanent part of the client’s chart.
• The nurse’s notes should contain the following: “Incident report filed and copy
placed in chart.”
• This report is a form of documentation of an event that may result in legal action.
7. Which client situation fails to meet the first requirement of informed consent?
• The parent does not understand the physician’s explanations.
• The physician gives the parent only a partial list of possible side effects and
complications.
• No parent is available and the physician asks the adolescent to sign the consent form.
• The infant’s teenage mother signs a consent form because her parent tells her to.
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 nurse’s first action be?
4 Delay the treatment until another nurse can do it.
5 Make the child’s parents aware of the situation.
6 Inform the nursing supervisor of the problem.
7 Arrange to have the child transferred to another unit.
9. A nurse is completing a care plan for a child and is finishing the assessment
phase. Which activity is not part of a nursing assessment?
4 Writing nursing diagnoses
5 Reviewing diagnostic reports
6 Collecting data
7 Setting priorities
, 10. Which patient outcome is stated correctly?
4 The child will administer his insulin injection before breakfast on 10/31.
4 The child will accept the diagnosis of type 1 diabetes mellitus before discharge.
5 The parents will understand how to determine the child’s daily insulin dosage.
6 The nurse will monitor blood glucose levels before meals and at bedtime.
MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which
statements are collaborative problems? Select all that apply.
4 Risk for injury
5 Potential complication of seizure disorder
6 Altered nutrition: Less than body requirements
7 Fluid volume deficit
8 Potential complication of respiratory acidosis
2. Which nursing activities do not meet the standard of care? Select all that apply.
4 Failure to notify a physician about a child’s worsening condition
5 Calling the supervisor about staffing concerns
6 Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
7 Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
