,Pediatric Nursing The Critical Components of Nursing Care 2nd Edition Rudd Test Bank (ALL
COMPLETE CHAPTERS)
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 theacute 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 thisfamily to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
,ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women whoare
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 providesfor 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 permissionbefore:
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 statesallow 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
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 reflectsinterdisciplinary
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 inchildren
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 congenitalanomalies. Respiratory tract illnesses are a
major cause of morbidity in children.
COMPLETE CHAPTERS)
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 theacute 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 thisfamily to?
a. Medicaid
b. Medicare
c. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program
d. Women, Infants, and Children (WIC) program
,ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women whoare
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 providesfor 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 permissionbefore:
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 statesallow 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
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 reflectsinterdisciplinary
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 inchildren
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 congenitalanomalies. Respiratory tract illnesses are a
major cause of morbidity in children.
