PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
Chapterx1.xIssuesxandxTrendsxinxPediatricxNursing
x
MULTIPLExCHOICE
1. Axnursexisxreviewingxchangesxinxhealthcarexdeliveryxandxfundingxforxpediatricxpopulations.x
Whichxcurrentxtrendxinxthexpediatricxsettingxshouldx thexnursexexpectxtoxfind?
a. Increasedxhospitalizationxofxchildren
b. Decreasedxnumberxofxuninsuredxchildren
c. Anxincreasexinxambulatoryxcare
d. Decreasedxusexofxmanagedxcare
ANS:xC
Onexeffectxofxmanagedxcarexisxthatxpediatricxhealthcarexdeliveryxhasxshiftedxdramaticallyxfromxthexa
cutexcarexsettingxtoxthexambulatoryxsetting.xThexnumberxofxhospitalxbedsxbeingxusedxhasxdecreasedx
asxmorexcarexisxprovidedxinxoutpatientxandxhomexsettings.xThexnumberxofxuninsuredxchildrenxinxthex
UnitedxStatesxcontinuesxtoxgrow.xOnexofxthexbiggestxchangesxinxhealthcarexhasxbeenxthexgrowthxofx
managedxcare.
DIF:xCognitivexLevel:xComprehensionxREF:xp.x3
OBJ:xNursingxProcessxStep:xPlanningxMSC:xSafexandxEffectivexCarexEnvironment
2. Axnursexisxreferringxaxlow-
incomexfamilyxwithxthreexchildrenxunderxthexagexofx5xyearsxtoxaxprogramxthatxassistsxwithxsupplem
entalxfoodxsupplies.xWhichxprogramxshouldxthexnursexreferxthisxfamilyxto?
a. Medicaid
b. Medicare
c. EarlyxandxPeriodicxScreening,xDiagnostic,xandxTreatmentx(EPSDT)xprogram
d. Women,xInfants,xandxChildrenx(WIC)xprogram
,PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
ANS:xD
WICxisxaxfederalxprogramxthatxprovidesxsupplementalxfoodxsuppliesxtoxlow-
incomexwomenxwhoxarexpregnantxorxbreast-
feedingxandxtoxtheirxchildrenxuntilxthexagexofx5xyears.xMedicaidxandxthexMedicaidxEarlyxandxPerio
dicxScreening,xDiagnostic,xandxTreatmentx(EPSDT)xprogramxprovidesxforxwell-
childxexaminationsxandxrelatedxtreatmentxofxmedicalxproblems.xChildrenxinxthexWICxprogramxare
x oftenxreferredxforximmunizations,xbutxthatxisxnotxthexprimaryxfocusxofxthexprogram.xPublicxLawx9
9-
457xprovidesxfinancialxincentivesxtoxstatesxtoxestablishxcomprehensivexearlyxinterventionxservices
x forxinfantsxandxtoddlersxwith,xorxatxriskxfor,xdevelopmentalxdisabilities.
MedicarexisxthexprogramxforxSeniorxCitizens.x
DIF:xCognitivexLevel:xApplicationxREF:xp.x7x
OBJ:xNursingxProcessxStep:xImplementationx
MSC:xHealthxPromotionxandxMaintenance
3. Inxmostxstates,xadolescentsxwhoxarexnotxemancipatedxminorsxmustxhavexparentalxpermissionxb
efore:
a. treatmentxforxdrugxabuse.
b. treatmentxforxsexuallyxtransmittedxdiseasesx(STDs).
c. obtainingxbirthxcontrol.
d. surgery.
ANS:xD
Anxemancipatedxminorxisxaxminorxchildxwhoxhasxthexlegalxcompetencexofxanxadult.xLegalxcounselxma
yxbexconsultedxtoxverifyxthexstatusxofxthexemancipatedxminorxforxconsentxpurposes.xMostxstatesxallowx
minorsxtoxobtainxtreatmentxforxdrugxorxalcoholxabusexandxSTDsxandxallowxaccessxtoxbirthxcontrolxwit
houtxparentalxconsent.
DIF:xCognitivexLevel:xApplicationxREF:xp.x12
OBJ:xNursingxProcessxStep:xPlanningxMSC:xSafexandxEffectivexCarexEnvironment
,PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
4. Axnursexisxcompletingxaxclinicalxpathwayxforxaxchildxadmittedxtoxthexhospitalxwithxpneumonia.x
Whichxcharacteristicxofxaxclinicalxpathwayxisxcorrect?
a. Developedxandximplementedxbyxnurses
b. Usedxprimarilyxinxthexpediatricxsetting
c. Specificxtimexlinesxforxsequencingxinterventions
d. Onexofxthexstepsxinxthexnursingxprocess
ANS:xC
Clinicalxpathwaysxmeasurexoutcomesxofxclientxcarexandxarexdevelopedxbyxmultiplexhealthcarexprofes
sionals.xEachxpathwayxoutlinesxspecificxtimexlinesxforxsequencingxinterventionsxandxreflectsxinterdisc
iplinaryxinterventions.xClinicalxpathwaysxarexusedxinxmultiplexsettingsxandxforxclientsxthroughoutxthe
x lifexspan.xThexstepsxofxthexnursingxprocessxarexassessment,xdiagnosis,xplanning,ximplementation,xan
dxevaluation.
DIF:xCognitivexLevel:xComprehensionxREF:xp.x6
OBJ:xNursingxProcessxStep:xPlanningxMSC:xSafexandxEffectivexCarexEnvironment
5. Whenxplanningxaxparentingxclass,xthexnursexshouldxexplainxthatxthexleadingxcausexofxdeathxinxc
hildrenx1xtox4xyearsxofxagexinxthexUnitedxStatesxis:
a. prematurexbirth.
b. congenitalxanomalies.
c. accidentalxdeath.
d. respiratoryxtractxillness.
ANS:xC
Accidentsxarexthexleadingxcausexofxdeathxinxchildrenxagesx1xtox19xyears.xDisordersxofxshortxgestatio
nxandxunspecifiedxlowxbirthxweightxmakexupxonexofxthexleadingxcausesxofxdeathxinxneonates.xOnexof
xthexleadingxcausesxofxinfantxdeathxafterxthexfirstxmonthxofxlifexisxcongenitalxanomalies.xRespiratoryxt
ractxillnessesxarexaxmajorxcausexofxmorbidityxinxchildren.
, PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
DIF:xCognitivexLevel:xApplicationxREF:xp.x9x
OBJ:xNursingxProcessxStep:xImplementationx
MSC:xSafexandxEffectivexCarexEnvironment
6. Whichxstatementxisxtruexregardingxthexqualityxassurancexorxincidentxreport?
a. Thexreportxassuresxthexlegalxdepartmentxthatxtherexisxnoxproblem.
b. Reportsxarexaxpermanentxpartxofxthexclientsxchart.
c. Thexnursesxnotesxshouldxcontainxthexfollowing:xIncidentxreportxfiledxandxcopyxp
lacedxinxchart.
d. Thisxreportxisxaxformxofxdocumentationxofxanxeventx thatxmayxresultx inxlegalxaction.
ANS:xD
Anxincidentxreportxisxaxwarningxtoxthexlegalxdepartmentxtoxbexpreparedxforxpotentialxlegalxaction;xitx i
sxnotxaxpartxofxthexclientsxchartxorxnursexdocumentation.
DIF:xCognitivexLevel:xKnowledgexREF:xp.x14x
OBJ:xNursingxProcessxStep:xImplementationx
MSC:xSafexandxEffectivexCarexEnvironment
7. Whichxclientxsituationxfailsxtoxmeetxthexfirstxrequirementxofxinformedxconsent?
a. Thexparentxdoesxnotxunderstandxthexphysiciansxexplanations.
b. Thexphysicianxgivesxthexparentxonlyxaxpartialxlistxofxpossiblexsidexeffectsxandxc
omplications.
c. Noxparentxisxavailablexandxthexphysicianxasksxthexadolescentxtoxsignxthexconsentxf
orm.
d. Thexinfantsxteenagexmotherxsignsxaxconsentxformxbecausexherxparentxtellsxherxto.
ANS:xC
Chapterx1.xIssuesxandxTrendsxinxPediatricxNursing
x
MULTIPLExCHOICE
1. Axnursexisxreviewingxchangesxinxhealthcarexdeliveryxandxfundingxforxpediatricxpopulations.x
Whichxcurrentxtrendxinxthexpediatricxsettingxshouldx thexnursexexpectxtoxfind?
a. Increasedxhospitalizationxofxchildren
b. Decreasedxnumberxofxuninsuredxchildren
c. Anxincreasexinxambulatoryxcare
d. Decreasedxusexofxmanagedxcare
ANS:xC
Onexeffectxofxmanagedxcarexisxthatxpediatricxhealthcarexdeliveryxhasxshiftedxdramaticallyxfromxthexa
cutexcarexsettingxtoxthexambulatoryxsetting.xThexnumberxofxhospitalxbedsxbeingxusedxhasxdecreasedx
asxmorexcarexisxprovidedxinxoutpatientxandxhomexsettings.xThexnumberxofxuninsuredxchildrenxinxthex
UnitedxStatesxcontinuesxtoxgrow.xOnexofxthexbiggestxchangesxinxhealthcarexhasxbeenxthexgrowthxofx
managedxcare.
DIF:xCognitivexLevel:xComprehensionxREF:xp.x3
OBJ:xNursingxProcessxStep:xPlanningxMSC:xSafexandxEffectivexCarexEnvironment
2. Axnursexisxreferringxaxlow-
incomexfamilyxwithxthreexchildrenxunderxthexagexofx5xyearsxtoxaxprogramxthatxassistsxwithxsupplem
entalxfoodxsupplies.xWhichxprogramxshouldxthexnursexreferxthisxfamilyxto?
a. Medicaid
b. Medicare
c. EarlyxandxPeriodicxScreening,xDiagnostic,xandxTreatmentx(EPSDT)xprogram
d. Women,xInfants,xandxChildrenx(WIC)xprogram
,PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
ANS:xD
WICxisxaxfederalxprogramxthatxprovidesxsupplementalxfoodxsuppliesxtoxlow-
incomexwomenxwhoxarexpregnantxorxbreast-
feedingxandxtoxtheirxchildrenxuntilxthexagexofx5xyears.xMedicaidxandxthexMedicaidxEarlyxandxPerio
dicxScreening,xDiagnostic,xandxTreatmentx(EPSDT)xprogramxprovidesxforxwell-
childxexaminationsxandxrelatedxtreatmentxofxmedicalxproblems.xChildrenxinxthexWICxprogramxare
x oftenxreferredxforximmunizations,xbutxthatxisxnotxthexprimaryxfocusxofxthexprogram.xPublicxLawx9
9-
457xprovidesxfinancialxincentivesxtoxstatesxtoxestablishxcomprehensivexearlyxinterventionxservices
x forxinfantsxandxtoddlersxwith,xorxatxriskxfor,xdevelopmentalxdisabilities.
MedicarexisxthexprogramxforxSeniorxCitizens.x
DIF:xCognitivexLevel:xApplicationxREF:xp.x7x
OBJ:xNursingxProcessxStep:xImplementationx
MSC:xHealthxPromotionxandxMaintenance
3. Inxmostxstates,xadolescentsxwhoxarexnotxemancipatedxminorsxmustxhavexparentalxpermissionxb
efore:
a. treatmentxforxdrugxabuse.
b. treatmentxforxsexuallyxtransmittedxdiseasesx(STDs).
c. obtainingxbirthxcontrol.
d. surgery.
ANS:xD
Anxemancipatedxminorxisxaxminorxchildxwhoxhasxthexlegalxcompetencexofxanxadult.xLegalxcounselxma
yxbexconsultedxtoxverifyxthexstatusxofxthexemancipatedxminorxforxconsentxpurposes.xMostxstatesxallowx
minorsxtoxobtainxtreatmentxforxdrugxorxalcoholxabusexandxSTDsxandxallowxaccessxtoxbirthxcontrolxwit
houtxparentalxconsent.
DIF:xCognitivexLevel:xApplicationxREF:xp.x12
OBJ:xNursingxProcessxStep:xPlanningxMSC:xSafexandxEffectivexCarexEnvironment
,PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
4. Axnursexisxcompletingxaxclinicalxpathwayxforxaxchildxadmittedxtoxthexhospitalxwithxpneumonia.x
Whichxcharacteristicxofxaxclinicalxpathwayxisxcorrect?
a. Developedxandximplementedxbyxnurses
b. Usedxprimarilyxinxthexpediatricxsetting
c. Specificxtimexlinesxforxsequencingxinterventions
d. Onexofxthexstepsxinxthexnursingxprocess
ANS:xC
Clinicalxpathwaysxmeasurexoutcomesxofxclientxcarexandxarexdevelopedxbyxmultiplexhealthcarexprofes
sionals.xEachxpathwayxoutlinesxspecificxtimexlinesxforxsequencingxinterventionsxandxreflectsxinterdisc
iplinaryxinterventions.xClinicalxpathwaysxarexusedxinxmultiplexsettingsxandxforxclientsxthroughoutxthe
x lifexspan.xThexstepsxofxthexnursingxprocessxarexassessment,xdiagnosis,xplanning,ximplementation,xan
dxevaluation.
DIF:xCognitivexLevel:xComprehensionxREF:xp.x6
OBJ:xNursingxProcessxStep:xPlanningxMSC:xSafexandxEffectivexCarexEnvironment
5. Whenxplanningxaxparentingxclass,xthexnursexshouldxexplainxthatxthexleadingxcausexofxdeathxinxc
hildrenx1xtox4xyearsxofxagexinxthexUnitedxStatesxis:
a. prematurexbirth.
b. congenitalxanomalies.
c. accidentalxdeath.
d. respiratoryxtractxillness.
ANS:xC
Accidentsxarexthexleadingxcausexofxdeathxinxchildrenxagesx1xtox19xyears.xDisordersxofxshortxgestatio
nxandxunspecifiedxlowxbirthxweightxmakexupxonexofxthexleadingxcausesxofxdeathxinxneonates.xOnexof
xthexleadingxcausesxofxinfantxdeathxafterxthexfirstxmonthxofxlifexisxcongenitalxanomalies.xRespiratoryxt
ractxillnessesxarexaxmajorxcausexofxmorbidityxinxchildren.
, PediatricxNursingxThexCriticalxComponentsxofxNursingxCarex2ndxEditionxRuddxTestxBank
DIF:xCognitivexLevel:xApplicationxREF:xp.x9x
OBJ:xNursingxProcessxStep:xImplementationx
MSC:xSafexandxEffectivexCarexEnvironment
6. Whichxstatementxisxtruexregardingxthexqualityxassurancexorxincidentxreport?
a. Thexreportxassuresxthexlegalxdepartmentxthatxtherexisxnoxproblem.
b. Reportsxarexaxpermanentxpartxofxthexclientsxchart.
c. Thexnursesxnotesxshouldxcontainxthexfollowing:xIncidentxreportxfiledxandxcopyxp
lacedxinxchart.
d. Thisxreportxisxaxformxofxdocumentationxofxanxeventx thatxmayxresultx inxlegalxaction.
ANS:xD
Anxincidentxreportxisxaxwarningxtoxthexlegalxdepartmentxtoxbexpreparedxforxpotentialxlegalxaction;xitx i
sxnotxaxpartxofxthexclientsxchartxorxnursexdocumentation.
DIF:xCognitivexLevel:xKnowledgexREF:xp.x14x
OBJ:xNursingxProcessxStep:xImplementationx
MSC:xSafexandxEffectivexCarexEnvironment
7. Whichxclientxsituationxfailsxtoxmeetxthexfirstxrequirementxofxinformedxconsent?
a. Thexparentxdoesxnotxunderstandxthexphysiciansxexplanations.
b. Thexphysicianxgivesxthexparentxonlyxaxpartialxlistxofxpossiblexsidexeffectsxandxc
omplications.
c. Noxparentxisxavailablexandxthexphysicianxasksxthexadolescentxtoxsignxthexconsentxf
orm.
d. Thexinfantsxteenagexmotherxsignsxaxconsentxformxbecausexherxparentxtellsxherxto.
ANS:xC
