1
TEST BANK FOR PEDIATRIC NURSING
THE CRITICAL COMPONENTS OF
NURSING CARE 2ND EDITION BY RUDD
, 2
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
ANS: 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
, 3
ANS: 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
3. In most states, adolescents who are not emancipated minors must have
parental permission before:
a. treatment for drug abuse.
b. treatment for sexually trANSmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANS: 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
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
ANS: 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.
ANS: C
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 of infant
death after the first month of life is congenital anomalies. Respiratory tract
illnesses are a major cause of morbidity in children.
TEST BANK FOR PEDIATRIC NURSING
THE CRITICAL COMPONENTS OF
NURSING CARE 2ND EDITION BY RUDD
, 2
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
ANS: 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
, 3
ANS: 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
3. In most states, adolescents who are not emancipated minors must have
parental permission before:
a. treatment for drug abuse.
b. treatment for sexually trANSmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANS: 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
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
ANS: 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.
ANS: C
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 of infant
death after the first month of life is congenital anomalies. Respiratory tract
illnesses are a major cause of morbidity in children.
