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NR328
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NR 328 Peds Exam Question Bank
1
,Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other
countries. Compared with other countries that have a population of at least 25 million, the
nurse makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality
among nations with a population of at least 25 million. The United States has the highest
infant death rate of developed nations.
DIF: Cognitive Level: Remembering REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared
with sudden infant death syndrome, which accounts for 8.2%; disorders related to short
gestation and unspecified low birth weight, which account for 16.5%; and maternal
complications such as infections specific to the perinatal period, which account for 6.1% of
deaths in infants younger than 1 year of age.
DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. What is the major cause of death for children older than 1 year in the United States?
a.. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. The leading cause of death for those younger than 1 year is congenital
anomalies, and childhood cancers and heart disease cause a significantly lower percentage of
deaths in children older than 1 year of age.
, DIF: Cognitive Level: Understanding REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group.. Suicide and cancer
account for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and
homicide and heart disease account for 10.9% of the deaths in this age group.
DIF: Cognitive Level: Remembering REF: p. 7 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
Which should the nurse include in the session with regard to deaths caused by injuries?
a.More deaths occur in males.
b.More deaths occur in females.
c.The pattern of deaths does not vary according to age and sex.
d.The pattern of deaths does not vary widely among different ethnic groups.
ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does
vary greatly among different ethnic groups, and the causes of unintentional deaths vary with
age and gender.
DIF: Cognitive Level: Applying REF: pp. 7-8
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community
ANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular
time. Data regarding disease within a geographic region, or in greater than expected numbers
in a community, may be extrapolated from analyzing the morbidity statistics.
DIF: Cognitive Level: Remembering REF: p. 3 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
7. The nurse should assess which age group for suicide ideation since suicide in which age group
is the third leading cause of death?
, a. Preschoolers
b. Young school age
c.. Middle school age
d. Late school age and adolescents
ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age
group should be late school age and adolescents. Suicide is not one of the leading causes of
death for preschool and young or middle school-aged children.
DIF: Cognitive Level: Understanding REF: p. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
8. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The
nurse should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d..Family-centered care avoids expecting families to be part of the decision-making
process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the child’s life. The family
should be enabled and empowered to work with the health care system and is expected to be
part of the decision-making process. The nurse should also support the family’s cultural
diversity, not reduce its effect.
DIF: Cognitive Level: Applying REF: p. 8
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
9. The nurse is describing clinical reasoning to a group of nursing students. Which is most
descriptive of clinical reasoning?
a. Purposeful and goal directed
b. A simple developmental process
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate
ANS: A
Clinical reasoning is a complex developmental process based on rational and deliberate
thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical
connection develops between the elements of thought and the problem at hand.
DIF: Cognitive Level: Applying REF: p. 12
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
10. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
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