TestoBanko(1)
PediatricoNursingoTheoCriticaloComponentsoofoNursingoCareo2ndoEditionoRuddoTestoBankoCh
aptero1.o IssuesoandoTrendsoinoPediatricoNursing
MULTIPLEoCHOICE
1. Aonurseoisoreviewingochangesoinohealthcareodeliveryoandofundingoforopediatricopopulations.o
Whichocurrentotrendoinotheopediatricosettingoshouldo theonurseoexpectotoo find?
a. Increasedohospitalizationoofochildren
b. Decreasedonumberoofouninsuredochildren
c. Anoincreaseoinoambulatoryocare
d. Decreasedouseoofomanagedocare
ANS:oC
Oneoeffectoofomanagedocareoisothatopediatricohealthcareodeliveryohasoshiftedodramaticallyofromotheoa
cuteocareosettingotootheoambulatoryosetting.oTheonumberoofohospitalobedsobeingousedohasodecreasedo
asomoreocareoisoprovidedoinooutpatientoandohomeosettings.oTheonumberoofouninsuredochildrenoinotheo
UnitedoStatesocontinuesotoogrow.oOneoofotheobiggestochangesoinohealthcareohasobeenotheogrowthoofo
managedocare.
DIF:oCognitiveoLevel:oComprehensionoREF:op.o3
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
2. Aonurseoisoreferringoaolow-
incomeofamilyowithothreeochildrenounderotheoageoofo5oyearsotooaoprogramothatoassistsowithosupplem
entalofoodosupplies.oWhichoprogramoshouldotheonurseoreferothisofamilyoto?
a. Medicaid
b. Medicare
c. EarlyoandoPeriodicoScreening,oDiagnostic,oandoTreatmento(EPSDT)oprogram
d. Women,oInfants,oandoChildreno(WIC)oprogram
,NURSo3425oPediatricoNursingoTheoCriticaloComponentsoofoNursingoCareo2ndoEditionoRuddo
TestoBanko(1)
ANS:oD
WICoisoaofederaloprogramothatoprovidesosupplementalofoodosuppliesotoolow-
incomeowomenowhooareopregnantoorobreast-
feedingoandotootheirochildrenountilotheoageoofo5oyears.oMedicaidoandotheoMedicaidoEarlyoandoPerio
dicoScreening,oDiagnostic,oandoTreatmento(EPSDT)oprogramoprovidesoforowell-
childoexaminationsoandorelatedotreatmentoofomedicaloproblems.oChildrenoinotheoWICoprogramoare
ooftenoreferredoforoimmunizations,obutothatoisonototheoprimaryofocusoofotheoprogram.oPublicoLawo9
9-
457oprovidesofinancialoincentivesotoostatesotooestablishocomprehensiveoearlyointerventionoservices
oforoinfantsoandotoddlersowith,ooroatoriskofor,odevelopmentalodisabilities.
MedicareoisotheoprogramoforoSenioroCitizens.o
DIF:oCognitiveoLevel:oApplicationoREF:op.o7o
OBJ:oNursingoProcessoStep:oImplementationo
MSC:oHealthoPromotionoandoMaintenance
3. Inomostostates,oadolescentsowhooareonotoemancipatedominorsomustohaveoparentalopermissionob
efore:
a. treatmentoforodrugoabuse.
b. treatmentoforosexuallyotransmittedodiseaseso(STDs).
c. obtainingobirthocontrol.
d. surgery.
ANS:oD
Anoemancipatedominoroisoaominorochildowhoohasotheolegalocompetenceoofoanoadult.oLegalocounselom
ayobeoconsultedotooverifyotheostatusoofotheoemancipatedominoroforoconsentopurposes.oMostostatesoallo
wominorsotooobtainotreatmentoforodrugooroalcoholoabuseoandoSTDsoandoallowoaccessotoobirthocontrolo
withoutoparentaloconsent.
DIF:oCognitiveoLevel:oApplicationoREF:op.o12
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
,NURSo3425oPediatricoNursingoTheoCriticaloComponentsoofoNursingoCareo2ndoEditionoRuddo
TestoBanko(1)
4. Aonurseoisocompletingoaoclinicalopathwayoforoaochildoadmittedotootheohospitalowithopneumonia.o
Whichocharacteristicoofoaoclinicalopathwayoisocorrect?
a. Developedoandoimplementedobyonurses
b. Usedoprimarilyoinotheopediatricosetting
c. Specificotimeolinesoforosequencingointerventions
d. Oneoofotheostepsoinotheonursingoprocess
ANS:oC
Clinicalopathwaysomeasureooutcomesoofoclientocareoandoareodevelopedobyomultipleohealthcareoprofes
sionals.oEachopathwayooutlinesospecificotimeolinesoforosequencingointerventionsoandoreflectsointerdisci
plinaryointerventions.oClinicalopathwaysoareousedoinomultipleosettingsoandoforoclientsothroughoutotheol
ifeospan.oTheostepsoofotheonursingoprocessoareoassessment,odiagnosis,oplanning,oimplementation,oando
evaluation.
DIF:oCognitiveoLevel:oComprehensionoREF:op.o6
OBJ:oNursingoProcessoStep:oPlanningoMSC:oSafeoandoEffectiveoCareoEnvironment
5. Whenoplanningoaoparentingoclass,otheonurseoshouldoexplainothatotheoleadingocauseoofodeathoinoc
hildreno1otoo4oyearsoofoageo inotheoUnitedoStatesois:
a. prematureobirth.
b. congenitaloanomalies.
c. accidentalodeath.
d. respiratoryotractoillness.
ANS:oC
Accidentsoareotheoleadingocauseoofodeathoinochildrenoageso1otoo19oyears.oDisordersoofoshortogestatio
noandounspecifiedolowobirthoweightomakeoupooneoofotheoleadingocausesoofodeathoinoneonates.oOneoof
otheoleadingocausesoofoinfantodeathoafterotheofirstomonthoofolifeoisocongenitaloanomalies.oRespiratoryot
ractoillnessesoareoaomajorocauseoofomorbidityoinochildren.
, NURSo3425oPediatricoNursingoTheoCriticaloComponentsoofoNursingoCareo2ndoEditionoRuddo
TestoBanko(1)
DIF:oCognitiveoLevel:oApplicationoREF:op.o9o
OBJ:oNursingoProcessoStep:oImplementationo
MSC:oSafeoandoEffectiveoCareoEnvironment
6. Whichostatementoisotrueoregardingotheoqualityoassuranceooroincidentoreport?
a. Theoreportoassuresotheolegalodepartmentothatothereoisonooproblem.
b. Reportsoareoaopermanentopartoofotheoclientsochart.
c. Theonursesonotesoshouldocontainotheofollowing:oIncidentoreportofiledoandocopyop
lacedoinochart.
d. Thisoreportoisoaoformoofodocumentationoofoanoeventothatomayoresulto inolegaloaction.
ANS:oD
Anoincidentoreportoisoaowarningotootheolegalodepartmentotoobeopreparedoforopotentialolegaloaction;oito
isonotoaopartoofotheoclientsochartooronurseodocumentation.
DIF:oCognitiveoLevel:oKnowledgeoREF:op.o14o
OBJ:oNursingoProcessoStep:oImplementationo
MSC:oSafeoandoEffectiveoCareoEnvironment
7. Whichoclientosituationofailsotoomeetotheofirstorequirementoofoinformedoconsent?
a. Theoparentodoesonotounderstandotheophysiciansoexplanations.
b. Theophysicianogivesotheoparentoonlyoaopartialolistoofopossibleosideoeffectsoandoc
omplications.
c. Nooparentoisoavailableoandotheophysicianoasksotheoadolescentotoosignotheoconsentof
orm.
d. Theoinfantsoteenageomotherosignsoaoconsentoformobecauseoheroparentotellsoheroto.
ANS:oC