NURSING PEDIATRIC
Maternal Child Nursing Care - Peds
Chapter 26: 21st Century Pediatric Nursing
MULTIPLE CHOICE
1. From a worldwide perspective, infant mortality in the United States:
a. Is the highest of the other developed nations.
b. Lags behind five other developed nations.
c. Is the lowest infant death rate of developed nations.
d. Lags behind most other developed nations.
ANS: A
Although the death rate has decreased, the United States still ranks last among nations with the lowest
infant death rates. The United States has the highest infant death rate of developed nations.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 723
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. The major cause of death for children older than 1 year is:
a. Cancer. c. Unintentional injuries.
b. Infection. d. Congenital abnormalities.
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
Congenital anomalies are the leading cause of death in those younger than 1 year and are less significant
1 of 11 10/4/2019, 15
,Chapter 26: 21st Century Pediatric Nursing | Nursing School Test Banks https://nursingtestbank.info/chapter-26-21st-century-pediatric-nurs
in this age group. There have been major declines in deaths attributed infection as a result of improved
therapies. Cancer is the second leading cause of death in this age group.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 723
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
3. In addition to injuries, the leading causes of death in adolescents ages 15 to 19 years are:
a. Suicide, cancer. c. Homicide, heart disease.
b. Homicide, suicide d. Drowning, cancer.
ANS: B
In this age group the leading cause of death is accidents, followed by homicide and suicide. Other causes
of death include cancer and heart disease.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 723
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
4. The leading cause of death from unintentional injuries in children is:
a. Poisoning. c. Motor vehicle–related fatalities.
b. Drowning. d. Fire- and burn-related fatalities.
ANS: C
Motor vehicle–related fatalities comprise the leading cause of death in children, as either passengers or
pedestrians. Poisoning is the ninth leading cause of death.
Drowning is the second leading cause of death. Fire- and burn-related fatalities are the third leading
2 of 11 10/4/2019, 15
,Chapter 26: 21st Century Pediatric Nursing | Nursing School Test Banks https://nursingtestbank.info/chapter-26-21st-century-pediatric-nurs
cause of death.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 719
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
5. Which of the following is descriptive of deaths caused by unintentional injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths varies widely in Western societies.
d. The pattern of deaths does not vary according to age and sex.
ANS: A
Most deaths from unintentional injuries occur in males. The pattern of death caused by unintentional in‐
juries is consistent in Western societies. Causes of unintentional deaths vary with age and gender.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 720
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
6. The type of injury a child is especially susceptible to at a specific age is most closely related to:
a. Physical health of the child.
b. Developmental level of the child.
c. Educational level of the child.
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,Chapter 26: 21st Century Pediatric Nursing | Nursing School Test Banks https://nursingtestbank.info/chapter-26-21st-century-pediatric-nurs
d. Number of responsible adults in the home.
ANS: B
The child’s developmental stage determines the type of injury that is likely to occur. The child’s physical
health may facilitate his or her recovery from an injury. Educational level is related to developmental
level, but it is not as important as the child’s developmental level in determining the type of injury. The
number of responsible adults in the home may affect the number of unintentional injuries, but the type of
injury is related to the child’s developmental stage.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 721
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
7. Which statement regarding childhood morbidity is the most accurate?
a. Morbidity does not vary with age.
b. Morbidity is not distributed randomly.
c. Little can be done to improve morbidity.
d. Unintentional injuries do not have an effect on morbidity.
ANS: B
Morbidity is not distributed randomly in children. Increased morbidity is associated with certain groups
of children, including children living in poverty and those who were low birth weight. Morbidity does
vary with age. The types of illnesses in children are different for each age group. Morbidity can be de‐
creased with interventions focused on groups with high morbidity and on decreasing unintentional in‐
juries, which also affect morbidity.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 724
4 of 11 10/4/2019, 15
Maternal Child Nursing Care - Peds
Chapter 26: 21st Century Pediatric Nursing
MULTIPLE CHOICE
1. From a worldwide perspective, infant mortality in the United States:
a. Is the highest of the other developed nations.
b. Lags behind five other developed nations.
c. Is the lowest infant death rate of developed nations.
d. Lags behind most other developed nations.
ANS: A
Although the death rate has decreased, the United States still ranks last among nations with the lowest
infant death rates. The United States has the highest infant death rate of developed nations.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 723
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. The major cause of death for children older than 1 year is:
a. Cancer. c. Unintentional injuries.
b. Infection. d. Congenital abnormalities.
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
Congenital anomalies are the leading cause of death in those younger than 1 year and are less significant
1 of 11 10/4/2019, 15
,Chapter 26: 21st Century Pediatric Nursing | Nursing School Test Banks https://nursingtestbank.info/chapter-26-21st-century-pediatric-nurs
in this age group. There have been major declines in deaths attributed infection as a result of improved
therapies. Cancer is the second leading cause of death in this age group.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 723
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
3. In addition to injuries, the leading causes of death in adolescents ages 15 to 19 years are:
a. Suicide, cancer. c. Homicide, heart disease.
b. Homicide, suicide d. Drowning, cancer.
ANS: B
In this age group the leading cause of death is accidents, followed by homicide and suicide. Other causes
of death include cancer and heart disease.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 723
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
4. The leading cause of death from unintentional injuries in children is:
a. Poisoning. c. Motor vehicle–related fatalities.
b. Drowning. d. Fire- and burn-related fatalities.
ANS: C
Motor vehicle–related fatalities comprise the leading cause of death in children, as either passengers or
pedestrians. Poisoning is the ninth leading cause of death.
Drowning is the second leading cause of death. Fire- and burn-related fatalities are the third leading
2 of 11 10/4/2019, 15
,Chapter 26: 21st Century Pediatric Nursing | Nursing School Test Banks https://nursingtestbank.info/chapter-26-21st-century-pediatric-nurs
cause of death.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 719
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
5. Which of the following is descriptive of deaths caused by unintentional injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths varies widely in Western societies.
d. The pattern of deaths does not vary according to age and sex.
ANS: A
Most deaths from unintentional injuries occur in males. The pattern of death caused by unintentional in‐
juries is consistent in Western societies. Causes of unintentional deaths vary with age and gender.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 720
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
6. The type of injury a child is especially susceptible to at a specific age is most closely related to:
a. Physical health of the child.
b. Developmental level of the child.
c. Educational level of the child.
3 of 11 10/4/2019, 15
,Chapter 26: 21st Century Pediatric Nursing | Nursing School Test Banks https://nursingtestbank.info/chapter-26-21st-century-pediatric-nurs
d. Number of responsible adults in the home.
ANS: B
The child’s developmental stage determines the type of injury that is likely to occur. The child’s physical
health may facilitate his or her recovery from an injury. Educational level is related to developmental
level, but it is not as important as the child’s developmental level in determining the type of injury. The
number of responsible adults in the home may affect the number of unintentional injuries, but the type of
injury is related to the child’s developmental stage.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 721
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
7. Which statement regarding childhood morbidity is the most accurate?
a. Morbidity does not vary with age.
b. Morbidity is not distributed randomly.
c. Little can be done to improve morbidity.
d. Unintentional injuries do not have an effect on morbidity.
ANS: B
Morbidity is not distributed randomly in children. Increased morbidity is associated with certain groups
of children, including children living in poverty and those who were low birth weight. Morbidity does
vary with age. The types of illnesses in children are different for each age group. Morbidity can be de‐
creased with interventions focused on groups with high morbidity and on decreasing unintentional in‐
juries, which also affect morbidity.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 724
4 of 11 10/4/2019, 15
