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Full Download PDF of Test Bank For Nursing Care of Children, 3rd Edition: Susan R. James All Chapter
Full Download PDF of Test Bank For Nursing Care of Children, 3rd Edition: Susan R. James All Chapter
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3. In most states, adolescents who are not emancipated minors must have parental permission
before:
a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. obtaining birth control.
d. surgery.
ANS: 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.
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
ANS: 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.
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:
a. premature birth.
b. congenital anomalies.
c. accidental death.
d. respiratory tract illness.
ANS: C
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 after the first month of life is congenital anomalies. Respiratory
tract illnesses are a major cause of morbidity in children.
7. Which client situation fails to meet the first requirement of informed consent?
a. The parent does not understand the physician’s 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 infant’s teenage mother signs a consent form because her parent tells her to.
ANS: 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.
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 nurse’s first action be?
a. Delay the treatment until another nurse can do it.
b. Make the child’s parents aware of the situation.
c. Inform the nursing supervisor of the problem.
d. Arrange to have the child transferred to another unit.
ANS: C
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 nurse is available. Telling the child’s 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.
MULTIPLE RESPONSE
1. A nurse is reviewing the nursing care plan for a hospitalized child. Which statements are
collaborative problems? Select all that apply.
a. Risk for injury
b. Potential complication of seizure disorder
c. Altered nutrition: Less than body requirements
d. Fluid volume deficit
e. Potential complication of respiratory acidosis
ANS: B, E
In addition to nursing diagnoses, which describe problems that respond to independent nursing
functions, nurses must also deal with problems that are beyond the scope of independent nursing
practice. These are sometimes termed collaborative problems—physiological complications that
usually occur in association with a specific pathological condition or treatment. The potential
complications of seizure disorder and respiratory acidosis are physiological complications that will
require physician collaboration to treat. Risk for injury, altered nutrition, and fluid volume deficit
will respond to independent nursing functions.
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