Franklyn A Plus Pass
TEST BANK for Davis Advantage for
Pediatric Nursing: The Critical
Components of Nursing Care 2nd Edition
by Kathryn Rudd & Diane Kocisko
ALL CHAPTERS 1-22 WITH RATIONALES| A+ PASS
Fr
an
k ly
ne
A
pl
us
Pa
1|Page
ss
, Franklyn A Plus Pass
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
ACURATE ANSWER: 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 ACURATE ANSWER: D
Fr
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
an
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
k
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
ly
Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: p. 7 OBJ: Nursing Process
ne
Step: Implementation MSC: Health Promotion and Maintenance
A
3. In most states, adolescents who are not emancipated minors must have parental permission before:
pl
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
us
c. obtaining birth control.
Pa
2|Page
ss
, Franklyn A Plus Pass
d. surgery.
ACURATE ANSWER: 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. 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 ACURATE ANSWER: 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:
Fr
a. premature birth.
an
b. congenital anomalies.
c. accidental death.
k
d. respiratory tract illness.
ly
ACURATE ANSWER: C
ne
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
A
after the first month of life is congenital anomalies. Respiratory tract illnesses are a major cause of morbidity in
children.
pl
DIF: Cognitive Level: Application REF: p. 9 OBJ: Nursing Process Step: Implementation MSC: Safe and Effective
Care Environment
us
Pa
3|Page
ss
, Franklyn A Plus Pass
6. Which statement is true regarding the quality assurance or incident report?
a. The report assures the legal department that there is no problem.
b. Reports are a permanent part of the clients chart.
c. The nurses notes should contain the following: Incident report filed and copy placed in chart.
d. This report is a form of documentation of an event that may result in legal action.
ACURATE ANSWER: D
An incident report is a warning to the legal department to be prepared for potential legal action; it is not a part of the
clients chart or nurse documentation.
DIF: Cognitive Level: Knowledge REF: p. 14 OBJ: Nursing Process Step: Implementation MSC: Safe and Effective
Care Environment
7. Which client situation fails to meet the first requirement of informed consent?
a. The parent does not understand the physicians explanations.
b. The physician gives the parent only a partial list of possible side effects and complications.
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
ACURATE ANSWER: C
The first requirement of informed consent is that the person giving consent must be competent. Minors are not
allowed to give consent. An understanding of information, full disclosure, and voluntary consent are requirements of
informed consent, but none of these is the first requirement.
DIF: Cognitive Level: Comprehension REF: p. 12 OBJ: Nursing Process Step: Implementation MSC: Safe and
Effective Care Environment
Fr
an
8. A nurse assigned to a child does not know how to perform a treatment that has been prescribed for the child. What
should the nurses first action be?
k
a. Delay the treatment until another nurse can do it.
ly
b. Make the childs parents aware of the situation.
ne
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
A
ACURATE ANSWER: C
pl
If a nurse is not competent to perform a particular nursing task, the nurse must immediately communicate this fact to
the nursing supervisor or physician. The nurse could endanger the child by delaying the intervention until another
us
nurse is available. Telling the childs parents would most likely increase their anxiety and will not resolve the
difficulty. Transfer to another unit delays needed treatment and would create unnecessary disruption for the child
and family.
Pa
4|Page
ss
TEST BANK for Davis Advantage for
Pediatric Nursing: The Critical
Components of Nursing Care 2nd Edition
by Kathryn Rudd & Diane Kocisko
ALL CHAPTERS 1-22 WITH RATIONALES| A+ PASS
Fr
an
k ly
ne
A
pl
us
Pa
1|Page
ss
, Franklyn A Plus Pass
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
ACURATE ANSWER: 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 ACURATE ANSWER: D
Fr
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
an
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
k
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
ly
Medicare is the program for Senior Citizens. DIF: Cognitive Level: Application REF: p. 7 OBJ: Nursing Process
ne
Step: Implementation MSC: Health Promotion and Maintenance
A
3. In most states, adolescents who are not emancipated minors must have parental permission before:
pl
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
us
c. obtaining birth control.
Pa
2|Page
ss
, Franklyn A Plus Pass
d. surgery.
ACURATE ANSWER: 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. 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 ACURATE ANSWER: 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:
Fr
a. premature birth.
an
b. congenital anomalies.
c. accidental death.
k
d. respiratory tract illness.
ly
ACURATE ANSWER: C
ne
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
A
after the first month of life is congenital anomalies. Respiratory tract illnesses are a major cause of morbidity in
children.
pl
DIF: Cognitive Level: Application REF: p. 9 OBJ: Nursing Process Step: Implementation MSC: Safe and Effective
Care Environment
us
Pa
3|Page
ss
, Franklyn A Plus Pass
6. Which statement is true regarding the quality assurance or incident report?
a. The report assures the legal department that there is no problem.
b. Reports are a permanent part of the clients chart.
c. The nurses notes should contain the following: Incident report filed and copy placed in chart.
d. This report is a form of documentation of an event that may result in legal action.
ACURATE ANSWER: D
An incident report is a warning to the legal department to be prepared for potential legal action; it is not a part of the
clients chart or nurse documentation.
DIF: Cognitive Level: Knowledge REF: p. 14 OBJ: Nursing Process Step: Implementation MSC: Safe and Effective
Care Environment
7. Which client situation fails to meet the first requirement of informed consent?
a. The parent does not understand the physicians explanations.
b. The physician gives the parent only a partial list of possible side effects and complications.
c. No parent is available and the physician asks the adolescent to sign the consent form.
d. The infants teenage mother signs a consent form because her parent tells her to.
ACURATE ANSWER: C
The first requirement of informed consent is that the person giving consent must be competent. Minors are not
allowed to give consent. An understanding of information, full disclosure, and voluntary consent are requirements of
informed consent, but none of these is the first requirement.
DIF: Cognitive Level: Comprehension REF: p. 12 OBJ: Nursing Process Step: Implementation MSC: Safe and
Effective Care Environment
Fr
an
8. A nurse assigned to a child does not know how to perform a treatment that has been prescribed for the child. What
should the nurses first action be?
k
a. Delay the treatment until another nurse can do it.
ly
b. Make the childs parents aware of the situation.
ne
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
A
ACURATE ANSWER: C
pl
If a nurse is not competent to perform a particular nursing task, the nurse must immediately communicate this fact to
the nursing supervisor or physician. The nurse could endanger the child by delaying the intervention until another
us
nurse is available. Telling the childs parents would most likely increase their anxiety and will not resolve the
difficulty. Transfer to another unit delays needed treatment and would create unnecessary disruption for the child
and family.
Pa
4|Page
ss
