Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 1
Test Bank 5
Essentials of Pediatric Nursing
5 5 5
4th Edition
5
By Terri Kyle and Susan Carman
5 5 5 5 5
Downloaded5by5kaka5max5()
, Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 2
Contents
Chapter5 1-5 Introduction 5 to 5 Child 5 Health 5 and 5 Pediatric5 Nursing ........................................................................................... 3
Chapter52-5Factors5 Influencing5 Child 5 Health ............................................................................................................................ 8
Chapter53-5Growth 5and 5Development 5of 5the5Newborn 5and 5Infant ...................................................................................... 13
Chapter54-5Growth 5and 5Development 5of 5the5Toddler ............................................................................................................. 19
Chapter55-5Growth 5and 5Development 5of 5the5Preschooler ...................................................................................................... 25
Chapter5 6-5 Growth 5 and 5 Development 5of 5 the5 School-Age5Child.......................................................................................... 32
Chapter57-5Growth 5and 5Development 5of 5the5Adolescent ....................................................................................................... 39
Chapter58-5Atraumatic5Care5of 5Children 5and 5Families........................................................................................................... 46
Chapter5 9-5 Health 5 Supervision ................................................................................................................................................... 51
Chapter5 10-5 Health 5 Assessment 5of 5 Children ........................................................................................................................... 58
Chapter511-5Caring5for5Children 5in 5Diverse5Settings................................................................................................................ 65
Chapter512-5Caring5for5the5Special5Needs5Child ...................................................................................................................... 72
Chapter5 13-5 Key 5 Pediatric5 Nursing5 Interventions................................................................................................................... 78
Chapter514-5Nursing5 Care5 of 5 the5 Child 5 With 5 an 5 Alteration 5 in 5 Comfort–Pain 5 Assessment 5 and 5 Management ......... 85
Chapter515-5Nursing5Care5of 5 the5 Child 5With 5an 5 Infection .................................................................................................... 92
Chapter516-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Intracranial5 Regulation 5/5 Neurologic5Disorder ............. 99
Chapter517-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5 Sensory 5 Perception 5/ 5 Disorder5of 5 the5Eyes5or5 Ears ...106
Chapter518-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5 Gas5Exchange5/ 5 Respiratory 5Disorder..........................113
Chapter519-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Perfusion 5/ 5 Cardiovascular5Disorder ............................119
Chapter520-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Bowel5Elimination 5/5 Gastrointestinal5Disorder ...........125
Chapter521-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Urinary 5 Elimination 5/5 Genitourinary 5Disorder ............132
Chapter522-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Mobility 5/ 5Neuromuscular5or5Musculoskeletal5Disorder
.........................................................................................................................................................................................................139
Extra 5 Questions: 5 Musculoskeletal5Disorder.......................................................................................................................145
Chapter523-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Tissue5Integrity 5/5 Integumentary 5Disorder ..................152
Chapter5 24-
5 Nursing5 Care 5 of 5 the 5 Child 5 With 5 an 5 Alteration 5 in 5 Cellular5 Regulation Hematologic 5or5 Neoplastic 5 Disorder .......158
Extra 5Questions: 5Neoplastic5Disorder ..................................................................................................................................165
Chapter525-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Immunity 5or5 Immunologic 5Disorder ............................171
Chapter526-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Metabolism 5/5 Endocrine5Disorder .................................178
Chapter527-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5 Genetics .............................................................................185
Chapter528-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Behavior,5 Cognition,5or5 Development.........................192
Chapter5 29-5 Nursing5 Care5 During5 a 5 Pediatric5 Emergency ..................................................................................................199
Downloaded5by5kaka5max5()
, Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 3
Chapter 1- Introduction to Child Health and Pediatric Nursing
5 5 5 5 5 5 5 5
1. The5 United 5 States5 ranks5 50th5in5 the5world 5for5 maternal5 mortality5 and5 41st5 among5 industrialized 5
nations5 for5 infant 5mortality5 rate.5When5 developing5 programs5 to5assist 5 in5decreasing5 these5 rates,5 whi
ch5 factor5 would 5 most 5 likely5 need 5 to5 be5 addressed 5 as5 having5 the5 greatest 5 impact?
A) Resolving5 all5 language5 and 5 cultural5 differences
B) Assuring5 early5 and 5 adequate5 prenatal5 care
C) Providing5 more5 extensive5 women’s5 shelters
D) Encouraging5 all5 women5 to5 eat 5 a5 balanced 5 diet
2. When5 integrating5 the5 principles5 of 5 family-
centered 5 care,5 the5 nurse5 would 5 include5 which5 of 5 the5 following?
A) Childbirth5 is5 viewed 5 as5 a5 procedural5 event
B) Families5 are5 unable5 to5 make5 informed 5 choices
C) Childbirth5 results5 in5 changes5 in5 relationships
D) Families5 require5 little5 information5 to5 make5 appropriate5 decisions
3. When5 preparing5 a5 teaching5 plan5 for5 a5 group5 of 5 first-
time5 pregnant 5 women,5 the5 nurse5expects5 to5review 5 how5maternity5 care5 has5 changed5over5 the5 years.5
Which5 of 5 the5 following5 would 5 the5 nurse5 include5 when5 discussing5 events5 of 5 the5 20th5 century?
A) Epidemics5 of 5 puerperal5 fever
B) Performance5 of 5 the5 first 5 cesarean5 birth
C) Development 5 of 5 the5 x-ray5 to5 assess5 pelvic5 size
D) Creation5 of 5 free-standing5 birth5 centers
4. After5 teaching5 a5 group5 of 5 students5 about 5 pregnancy-
related 5 mortality,5 the5 instructor5determines5 that 5additional5 teaching5 is5 needed 5when5 the5 students5 id
entify5 which5 condition5 as5 a5 leading5 cause?
A) Hemorrhage
B) Embolism
C) Obstructed 5 labor
D) Infection
5. The5 nurse5 is5 working5 with5 a5 group5of 5community5 health5members5 to5 develop5a5 plan5to5 address5 t
he5 special5 health5 needs5 of 5 women.5 Which5 of5the5following5 conditions5 would 5the5group5 address5 as5
the5 major5 problem?
A) Smoking
B) Heart 5 disease
C) Diabetes
D) Cancer
6. When5 assessing5 a5 family5 for5 possible5 barriers5 to5 health5 care,5 the5nurse5 would 5consider5which5 f
actor5 to5 be5 most 5 important?
A) Language
B) Health5 care5 workers’5 attitudes
C) Transportation
Downloaded5by5kaka5max5()
, Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 4
D) Finances
7. After5 teaching5 a5 group5of5nursing5 students5about 5the5 issue5 of5informed 5consent.5Which5 of5the5 f
ollowing,5 if 5 identified 5 by5the5student,5would 5indicate5an5 understanding5 of 5 a5 violation5 of 5 informe
d 5 consent?
A) Performing5 a5 procedure5 on5 a5 15-year-old 5 without 5 consent
B) Serving5 as5 a5 witness5 to5 the5 signature5 process
C) Asking5 whether5 the5 client 5 understands5 what 5 she5 is5 signing
D) Getting5 verbal5 consent 5 over5 the5 phone5 for5 emergency5 procedures
8. The5 nurse5 is5 trying5 to5 get 5 consent 5 to5 care5 for5 an5 11-year-
old 5 boy5 with5 diabetic5 ketoacidosis.5 His5 parents5are5 out5of 5town5on5vacation,5and 5the5child 5 is5stayi
ng5 with5 a5 neighbor.5 Which5 action5 would 5 be5 the5 priority?
A) Getting5 telephone5 consent 5 with5 two5 people5 listening5 to5 the5 verbal5 consent
B) Providing5 emergency5 care5 without 5 parental5 consent
C) Contacting5 the5 child’s5 aunt 5 or5 uncle5 to5 obtain5 their5 consent
D) Advocating5 for5 termination5 of 5 parental5 rights5 for5 this5 situation
9. After5 teaching5 nursing5 students5 about 5 the5 basic5 concepts5 of 5 family-
centered 5 care,5 the5 instructor5determines5 that 5the5teaching5 was5 successful5 when5the5 students5 state5 w
hich5 of 5 the5 following?
A) “Childbirth5 affects5 the5 entire5 family,5 and 5 relationships5 will5 change.”
B) “Families5 are5 not 5 capable5 of 5 making5 health5 care5 decisions5 for5 themselves.”
C) “Mothers5 are5 the5 family5 members5 affected 5 by5 childbirth.”
D) “Childbirth5 is5 a5 medical5 procedure.”
10. A 5 nursing5 instructor5 is5 preparing5 a5 class5 discussion5 on5 the5trends5in5 health5care5 and5health5c
are5 delivery5 over5 the5 past 5 several5 centuries.5 When5 discussing5 the5 changes5 during5 the5 past 5 cent
ury,5 which5 of 5 the5 following5 would 5 the5 instructor5 be5 least 5 likely5 to5 include?
A) Disease5 prevention
B) Health5 promotion
C) Wellness
D) Analysis5 of 5 morbidity5 and 5 mortality
11. A 5 nurse5 is5 assigned 5 to5care5 for5 an5Asian5 American5 client.5 The5 nurse5 develops5 a5plan5 of5 care5w
ith5 the5 understanding5 that5based 5on5 this5 client’s5 cultural5 background,5 the5 client 5 most 5 likely5 view
s5 illness5 as5 which5 of 5 the5 following?
A) Caused 5 by5 supernatural5 forces.
B) A 5 punishment 5 for5 sins.
C) Due5 to5 spirits5 or5 demons.
D) From5 an5 imbalance5 of 5 yin5 and 5 yang
12. A 5 nurse5 is5 developing5 a5 plan5 of 5care5 for5a5 woman5 to5ensure5 continuity5of 5care5 during5 pregnan
cy,5 labor,5 and 5 childbirth.5 Which5 of5the5following5 would5be5 most 5important 5for5the5nurse5 to5 incorp
orate5 into5 that 5 plan?
A) Adhering5 to5 strict,5 specific5 routines
B) Involving5 a5 pediatric5 physician
C) Educating5 the5 client 5 about 5 the5 importance5 of 5 a5 support 5 person
Downloaded5by5kaka5max5()
Test Bank 5
Essentials of Pediatric Nursing
5 5 5
4th Edition
5
By Terri Kyle and Susan Carman
5 5 5 5 5
Downloaded5by5kaka5max5()
, Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 2
Contents
Chapter5 1-5 Introduction 5 to 5 Child 5 Health 5 and 5 Pediatric5 Nursing ........................................................................................... 3
Chapter52-5Factors5 Influencing5 Child 5 Health ............................................................................................................................ 8
Chapter53-5Growth 5and 5Development 5of 5the5Newborn 5and 5Infant ...................................................................................... 13
Chapter54-5Growth 5and 5Development 5of 5the5Toddler ............................................................................................................. 19
Chapter55-5Growth 5and 5Development 5of 5the5Preschooler ...................................................................................................... 25
Chapter5 6-5 Growth 5 and 5 Development 5of 5 the5 School-Age5Child.......................................................................................... 32
Chapter57-5Growth 5and 5Development 5of 5the5Adolescent ....................................................................................................... 39
Chapter58-5Atraumatic5Care5of 5Children 5and 5Families........................................................................................................... 46
Chapter5 9-5 Health 5 Supervision ................................................................................................................................................... 51
Chapter5 10-5 Health 5 Assessment 5of 5 Children ........................................................................................................................... 58
Chapter511-5Caring5for5Children 5in 5Diverse5Settings................................................................................................................ 65
Chapter512-5Caring5for5the5Special5Needs5Child ...................................................................................................................... 72
Chapter5 13-5 Key 5 Pediatric5 Nursing5 Interventions................................................................................................................... 78
Chapter514-5Nursing5 Care5 of 5 the5 Child 5 With 5 an 5 Alteration 5 in 5 Comfort–Pain 5 Assessment 5 and 5 Management ......... 85
Chapter515-5Nursing5Care5of 5 the5 Child 5With 5an 5 Infection .................................................................................................... 92
Chapter516-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Intracranial5 Regulation 5/5 Neurologic5Disorder ............. 99
Chapter517-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5 Sensory 5 Perception 5/ 5 Disorder5of 5 the5Eyes5or5 Ears ...106
Chapter518-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5 Gas5Exchange5/ 5 Respiratory 5Disorder..........................113
Chapter519-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Perfusion 5/ 5 Cardiovascular5Disorder ............................119
Chapter520-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Bowel5Elimination 5/5 Gastrointestinal5Disorder ...........125
Chapter521-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Urinary 5 Elimination 5/5 Genitourinary 5Disorder ............132
Chapter522-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Mobility 5/ 5Neuromuscular5or5Musculoskeletal5Disorder
.........................................................................................................................................................................................................139
Extra 5 Questions: 5 Musculoskeletal5Disorder.......................................................................................................................145
Chapter523-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Tissue5Integrity 5/5 Integumentary 5Disorder ..................152
Chapter5 24-
5 Nursing5 Care 5 of 5 the 5 Child 5 With 5 an 5 Alteration 5 in 5 Cellular5 Regulation Hematologic 5or5 Neoplastic 5 Disorder .......158
Extra 5Questions: 5Neoplastic5Disorder ..................................................................................................................................165
Chapter525-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Immunity 5or5 Immunologic 5Disorder ............................171
Chapter526-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Metabolism 5/5 Endocrine5Disorder .................................178
Chapter527-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5 Genetics .............................................................................185
Chapter528-5Nursing5Care5of 5the5Child 5With 5an 5Alteration 5in 5Behavior,5 Cognition,5or5 Development.........................192
Chapter5 29-5 Nursing5 Care5 During5 a 5 Pediatric5 Emergency ..................................................................................................199
Downloaded5by5kaka5max5()
, Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 3
Chapter 1- Introduction to Child Health and Pediatric Nursing
5 5 5 5 5 5 5 5
1. The5 United 5 States5 ranks5 50th5in5 the5world 5for5 maternal5 mortality5 and5 41st5 among5 industrialized 5
nations5 for5 infant 5mortality5 rate.5When5 developing5 programs5 to5assist 5 in5decreasing5 these5 rates,5 whi
ch5 factor5 would 5 most 5 likely5 need 5 to5 be5 addressed 5 as5 having5 the5 greatest 5 impact?
A) Resolving5 all5 language5 and 5 cultural5 differences
B) Assuring5 early5 and 5 adequate5 prenatal5 care
C) Providing5 more5 extensive5 women’s5 shelters
D) Encouraging5 all5 women5 to5 eat 5 a5 balanced 5 diet
2. When5 integrating5 the5 principles5 of 5 family-
centered 5 care,5 the5 nurse5 would 5 include5 which5 of 5 the5 following?
A) Childbirth5 is5 viewed 5 as5 a5 procedural5 event
B) Families5 are5 unable5 to5 make5 informed 5 choices
C) Childbirth5 results5 in5 changes5 in5 relationships
D) Families5 require5 little5 information5 to5 make5 appropriate5 decisions
3. When5 preparing5 a5 teaching5 plan5 for5 a5 group5 of 5 first-
time5 pregnant 5 women,5 the5 nurse5expects5 to5review 5 how5maternity5 care5 has5 changed5over5 the5 years.5
Which5 of 5 the5 following5 would 5 the5 nurse5 include5 when5 discussing5 events5 of 5 the5 20th5 century?
A) Epidemics5 of 5 puerperal5 fever
B) Performance5 of 5 the5 first 5 cesarean5 birth
C) Development 5 of 5 the5 x-ray5 to5 assess5 pelvic5 size
D) Creation5 of 5 free-standing5 birth5 centers
4. After5 teaching5 a5 group5 of 5 students5 about 5 pregnancy-
related 5 mortality,5 the5 instructor5determines5 that 5additional5 teaching5 is5 needed 5when5 the5 students5 id
entify5 which5 condition5 as5 a5 leading5 cause?
A) Hemorrhage
B) Embolism
C) Obstructed 5 labor
D) Infection
5. The5 nurse5 is5 working5 with5 a5 group5of 5community5 health5members5 to5 develop5a5 plan5to5 address5 t
he5 special5 health5 needs5 of 5 women.5 Which5 of5the5following5 conditions5 would 5the5group5 address5 as5
the5 major5 problem?
A) Smoking
B) Heart 5 disease
C) Diabetes
D) Cancer
6. When5 assessing5 a5 family5 for5 possible5 barriers5 to5 health5 care,5 the5nurse5 would 5consider5which5 f
actor5 to5 be5 most 5 important?
A) Language
B) Health5 care5 workers’5 attitudes
C) Transportation
Downloaded5by5kaka5max5()
, Test 5 Bank 5 – 5 Essentials5 of 5 Pediatric5 Nursing5 (4th 5 Edition)5 by 5 Kyle5 and 5 Carman 5 5 4
D) Finances
7. After5 teaching5 a5 group5of5nursing5 students5about 5the5 issue5 of5informed 5consent.5Which5 of5the5 f
ollowing,5 if 5 identified 5 by5the5student,5would 5indicate5an5 understanding5 of 5 a5 violation5 of 5 informe
d 5 consent?
A) Performing5 a5 procedure5 on5 a5 15-year-old 5 without 5 consent
B) Serving5 as5 a5 witness5 to5 the5 signature5 process
C) Asking5 whether5 the5 client 5 understands5 what 5 she5 is5 signing
D) Getting5 verbal5 consent 5 over5 the5 phone5 for5 emergency5 procedures
8. The5 nurse5 is5 trying5 to5 get 5 consent 5 to5 care5 for5 an5 11-year-
old 5 boy5 with5 diabetic5 ketoacidosis.5 His5 parents5are5 out5of 5town5on5vacation,5and 5the5child 5 is5stayi
ng5 with5 a5 neighbor.5 Which5 action5 would 5 be5 the5 priority?
A) Getting5 telephone5 consent 5 with5 two5 people5 listening5 to5 the5 verbal5 consent
B) Providing5 emergency5 care5 without 5 parental5 consent
C) Contacting5 the5 child’s5 aunt 5 or5 uncle5 to5 obtain5 their5 consent
D) Advocating5 for5 termination5 of 5 parental5 rights5 for5 this5 situation
9. After5 teaching5 nursing5 students5 about 5 the5 basic5 concepts5 of 5 family-
centered 5 care,5 the5 instructor5determines5 that 5the5teaching5 was5 successful5 when5the5 students5 state5 w
hich5 of 5 the5 following?
A) “Childbirth5 affects5 the5 entire5 family,5 and 5 relationships5 will5 change.”
B) “Families5 are5 not 5 capable5 of 5 making5 health5 care5 decisions5 for5 themselves.”
C) “Mothers5 are5 the5 family5 members5 affected 5 by5 childbirth.”
D) “Childbirth5 is5 a5 medical5 procedure.”
10. A 5 nursing5 instructor5 is5 preparing5 a5 class5 discussion5 on5 the5trends5in5 health5care5 and5health5c
are5 delivery5 over5 the5 past 5 several5 centuries.5 When5 discussing5 the5 changes5 during5 the5 past 5 cent
ury,5 which5 of 5 the5 following5 would 5 the5 instructor5 be5 least 5 likely5 to5 include?
A) Disease5 prevention
B) Health5 promotion
C) Wellness
D) Analysis5 of 5 morbidity5 and 5 mortality
11. A 5 nurse5 is5 assigned 5 to5care5 for5 an5Asian5 American5 client.5 The5 nurse5 develops5 a5plan5 of5 care5w
ith5 the5 understanding5 that5based 5on5 this5 client’s5 cultural5 background,5 the5 client 5 most 5 likely5 view
s5 illness5 as5 which5 of 5 the5 following?
A) Caused 5 by5 supernatural5 forces.
B) A 5 punishment 5 for5 sins.
C) Due5 to5 spirits5 or5 demons.
D) From5 an5 imbalance5 of 5 yin5 and 5 yang
12. A 5 nurse5 is5 developing5 a5 plan5 of 5care5 for5a5 woman5 to5ensure5 continuity5of 5care5 during5 pregnan
cy,5 labor,5 and 5 childbirth.5 Which5 of5the5following5 would5be5 most 5important 5for5the5nurse5 to5 incorp
orate5 into5 that 5 plan?
A) Adhering5 to5 strict,5 specific5 routines
B) Involving5 a5 pediatric5 physician
C) Educating5 the5 client 5 about 5 the5 importance5 of 5 a5 support 5 person
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