Test Bank for Principles of Pediatric Nursing 7th Edition by Ball

Test Bank for Principles of Pediatric Nursing 7th

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Principles of Pediatric Nursing: Caring for Children, 7e (Ball et al.)
Chapter 10 Nursing Considerations for the Child in the Community

1) The community-health nurse visits the child-care center. Which finding indicates the need for
staff education?
1. A group of 2-year-olds are eating a snack of Cheerios.
2. Several 4-year-olds are outside playing on a slide.
3. An 18-month-old is pushing a toy truck.
4. A 2-month-old is sleeping in a crib on his stomach.
Answer: 4
Explanation: 1. To decrease the incidence of sudden infant death syndrome (SIDS), infants
should be placed on their backs to sleep. All of the other examples are developmentally
appropriate activities for the specified age group.
2. To decrease the incidence of sudden infant death syndrome (SIDS), infants should be placed
on their backs to sleep. All of the other examples are developmentally appropriate activities for
the specified age group.
3. To decrease the incidence of sudden infant death syndrome (SIDS), infants should be placed
on their backs to sleep. All of the other examples are developmentally appropriate activities for
the specified age group.
4. To decrease the incidence of sudden infant death syndrome (SIDS), infants should be placed
on their backs to sleep. All of the other examples are developmentally appropriate activities for
the specified age group.
Page Ref: 210
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Evidence-based practice | AACN Essential Competencies:
Essential VII: Clinical prevention and population health | NLN Competencies: Professional
identity | Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health
promotion
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Explore the practice of pediatric healthcare.

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Copyright © 2017 Pearson Education, Inc.
2) An adolescent client has a long leg cast secondary to a fractured femur. Which action by the
nurse would effectively facilitate the adolescent's return to school?
1. Meet with teachers and administrators at the school to make sure entrances and classrooms are
wheelchair accessible.
2. Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent.
3. Prior to the student's return to school, meet with all of the other students to emphasize the
special needs of the injured teen.
4. Meet with parents of the injured student to encourage homebound schooling until a short leg
cast is applied.
Answer: 1
Explanation: 1. An adolescent with a long leg cast secondary to a fractured femur will be
dependent on a wheelchair for mobility. It is essential that the environment be wheelchair
accessible prior to the adolescent's return to school. While an IHP might be developed, short-
term needs would be the focus. It is not necessary to meet all of the students to discuss the
adolescent's needs. There is no reason to encourage the adolescent to stay at home for schooling
if he is ready to return.
2. An adolescent with a long leg cast secondary to a fractured femur will be dependent on a
wheelchair for mobility. It is essential that the environment be wheelchair accessible prior to the
adolescent's return to school. While an IHP might be developed, short-term needs would be the
focus. It is not necessary to meet all of the students to discuss the adolescent's needs. There is no
reason to encourage the adolescent to stay at home for schooling if he is ready to return.
3. An adolescent with a long leg cast secondary to a fractured femur will be dependent on a
wheelchair for mobility. It is essential that the environment be wheelchair accessible prior to the
adolescent's return to school. While an IHP might be developed, short-term needs would be the
focus. It is not necessary to meet all of the students to discuss the adolescent's needs. There is no
reason to encourage the adolescent to stay at home for schooling if he is ready to return.
4. An adolescent with a long leg cast secondary to a fractured femur will be dependent on a
wheelchair for mobility. It is essential that the environment be wheelchair accessible prior to the
adolescent's return to school. While an IHP might be developed, short-term needs would be the
focus. It is not necessary to meet all of the students to discuss the adolescent's needs. There is no
reason to encourage the adolescent to stay at home for schooling if he is ready to return.
Page Ref: 212
Cognitive Level: Applying
Client Need &Sub: Physiological Integrity
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
Planning/Coordination of care
Learning Outcome: LO 10.4 Develop a nursing care plan for a child in the school setting who
has short-term mobility limitations.
MNL LO: Differentiate treatment options and strategies for continuity of care for the child and
family.

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Copyright © 2017 Pearson Education, Inc.
3) The community-health nurse is planning an education session for recently hired teachers at a
child-care center. Which item is priority for the community-health nurse to include in the
educational session?
1. The schedule for immunizations
2. Principles of infection control
3. How to interpret healthcare records
4. How to take a temperature
Answer: 2
Explanation: 1. While all of the information is nice to know, it is most essential that teachers
know principles of infection control to decrease the spread of germs that can cause disease in
young children.
2. While all of the information is nice to know, it is most essential that teachers know principles
of infection control to decrease the spread of germs that can cause disease in young children.
3. While all of the information is nice to know, it is most essential that teachers know principles
of infection control to decrease the spread of germs that can cause disease in young children.
4. While all of the information is nice to know, it is most essential that teachers know principles
of infection control to decrease the spread of germs that can cause disease in young children.
Page Ref: 209
Cognitive Level: Analyzing
Client Need &Sub: Health Promotion and Maintenance
Standards: QSEN Competencies: Teamwork and collaboration | AACN Essential Competencies:
Essential VII: Clinical prevention and population health | NLN Competencies: Nursing
judgement | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health
promotion
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Evaluate healthcare issues related to pediatric nursing care.

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Copyright © 2017 Pearson Education, Inc.
4) The nurse is providing care for several pediatric clients. Which client would require an
Individualized Health Plan (IHP) prior to returning to school?
1. A school-age client who has recently developed a penicillin allergy
2. An adolescent client newly diagnosed with insulin-dependent diabetes mellitus
3. A school-age client who has been treated for head lice
4. An adolescent client who has missed two weeks of school due to mononucleosis
Answer: 2
Explanation: 1. An IHP that ensures appropriate management of the child's healthcare needs
must be developed for a child newly diagnosed with a chronic illness such as diabetes. A child
who is allergic to penicillin will not receive this medication any longer and therefore should not
encounter any problems related to it at school. A child who has been treated for head lice can
return to school and does not need an IHP. While a child who has missed two weeks of school
will need to make arrangements for makeup work, an IHP is not needed.
2. An IHP that ensures appropriate management of the child's healthcare needs must be
developed for a child newly diagnosed with a chronic illness such as diabetes. A child who is
allergic to penicillin will not receive this medication any longer and therefore should not
encounter any problems related to it at school. A child who has been treated for head lice can
return to school and does not need an IHP. While a child who has missed two weeks of school
will need to make arrangements for makeup work, an IHP is not needed.
3. An IHP that ensures appropriate management of the child's healthcare needs must be
developed for a child newly diagnosed with a chronic illness such as diabetes. A child who is
allergic to penicillin will not receive this medication any longer and therefore should not
encounter any problems related to it at school. A child who has been treated for head lice can
return to school and does not need an IHP. While a child who has missed two weeks of school
will need to make arrangements for makeup work, an IHP is not needed.
4. An IHP that ensures appropriate management of the child's healthcare needs must be
developed for a child newly diagnosed with a chronic illness such as diabetes. A child who is
allergic to penicillin will not receive this medication any longer and therefore should not
encounter any problems related to it at school. A child who has been treated for head lice can
return to school and does not need an IHP. While a child who has missed two weeks of school
will need to make arrangements for makeup work, an IHP is not needed.
Page Ref: 211
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional
identity | Nursing/Integrated Concepts: Nursing Process: Planning/Coordination of care
Learning Outcome: LO 10.1 Discuss the community healthcare settings where nurses provide
health services to children.
MNL LO: Evaluate healthcare issues related to pediatric nursing care.

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Copyright © 2017 Pearson Education, Inc.
5) The school nurse is preparing a plan of care specific to several children in the school who
have asthma. What is the initial action on the plan of care?
1. Call 911 to request emergency medical assistance.
2. Call the child's parents to come and pick up the child.
3. Have the child use his or her metered-dose inhaler.
4. Have the child lie down to see if the symptoms subside.
Answer: 3
Explanation: 1. A child with a history of asthma may have episodes of wheezing that can be
controlled by prompt use of the child's rescue inhaler. An inhaler should be readily available in
the school setting for a child previously diagnosed with asthma. This should be tried first.
Emergency personnel should be notified if the inhaler does not provide relief and the child is in
respiratory distress. Parents may be notified if the child does not feel well, but this is not the
initial action. Having the child lie down will likely worsen his condition.
2. A child with a history of asthma may have episodes of wheezing that can be controlled by
prompt use of the child's rescue inhaler. An inhaler should be readily available in the school
setting for a child previously diagnosed with asthma. This should be tried first. Emergency
personnel should be notified if the inhaler does not provide relief and the child is in respiratory
distress. Parents may be notified if the child does not feel well, but this is not the initial action.
Having the child lie down will likely worsen his condition.
3. A child with a history of asthma may have episodes of wheezing that can be controlled by
prompt use of the child's rescue inhaler. An inhaler should be readily available in the school
setting for a child previously diagnosed with asthma. This should be tried first. Emergency
personnel should be notified if the inhaler does not provide relief and the child is in respiratory
distress. Parents may be notified if the child does not feel well, but this is not the initial action.
Having the child lie down will likely worsen his condition.
4. A child with a history of asthma may have episodes of wheezing that can be controlled by
prompt use of the child's rescue inhaler. An inhaler should be readily available in the school
setting for a child previously diagnosed with asthma. This should be tried first. Emergency
personnel should be notified if the inhaler does not provide relief and the child is in respiratory
distress. Parents may be notified if the child does not feel well, but this is not the initial action.
Having the child lie down will likely worsen his condition.
Page Ref: 211, 212
Cognitive Level: Analyzing
Client Need &Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement
| Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Apply the general concepts related to caring for a child with a chronic illness.

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6) The telephone triage nurse receives a call from a parent who states that her 18-month-old is
making a crowing sound when he breathes and is hard to wake up. Which action by the nurse is
the most appropriate?
1. Obtain the history of the illness from the parent.
2. Advise the parent to hang up and call 9-1-1.
3. Make an appointment for the child to see the healthcare provider.
4. Reassure the parent and provide instructions on home care for the child.
Answer: 2
Explanation: 1. The nurse should immediately recognize the symptoms of severe upper
respiratory distress and advise the parent to call 9-1-1. Crowing is heard when there is severe
narrowing of the airway. The other actions would be appropriate in nonemergency situations.
2. The nurse should immediately recognize the symptoms of severe upper respiratory distress
and advise the parent to call 9-1-1. Crowing is heard when there is severe narrowing of the
airway. The other actions would be appropriate in nonemergency situations.
3. The nurse should immediately recognize the symptoms of severe upper respiratory distress
and advise the parent to call 9-1-1. Crowing is heard when there is severe narrowing of the
airway. The other actions would be appropriate in nonemergency situations.
4. The nurse should immediately recognize the symptoms of severe upper respiratory distress
and advise the parent to call 9-1-1. Crowing is heard when there is severe narrowing of the
airway. The other actions would be appropriate in nonemergency situations.
Page Ref: 209
Cognitive Level: Analyzing
Client Need &Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional
identity | Nursing/Integrated Concepts: Nursing Process: Assessment/Quality of practice
Learning Outcome: LO 10.1 Discuss the community healthcare settings where nurses provide
health services to children.
MNL LO: Respiratory Disorders/Examine etiology, risk factors, pathophysiology, and clinical
manifestations as seen in children.

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Copyright © 2017 Pearson Education, Inc.
7) A young school-age client who has had a tracheostomy for several years is scheduled to begin
school in the fall. The teacher is concerned about this child's being in her class and consults the
school nurse. Which action by the nurse is the most appropriate?
1. Make arrangements for the child to go to a special school.
2. Ask the parents of the child to provide a caregiver during school hours.
3. Recommend that the child be home schooled.
4. Teach the teacher how to care for the child in the classroom.
Answer: 4
Explanation: 1. Section 504 of the Rehabilitation Act of 1973 guarantees access for children
with disabilities to federally funded programs, including public schools. The child may need
little extra attention while in the school setting, since he has had the tracheostomy for several
years. The teacher should be taught how to care for the child if needed and the signs of distress.
If needed, a health aide may be assigned to the child, but this is not the responsibility of the
parents.
2. Section 504 of the Rehabilitation Act of 1973 guarantees access for children with disabilities
to federally funded programs, including public schools. The child may need little extra attention
while in the school setting, since he has had the tracheostomy for several years. The teacher
should be taught how to care for the child if needed and the signs of distress. If needed, a health
aide may be assigned to the child, but this is not the responsibility of the parents.
3. Section 504 of the Rehabilitation Act of 1973 guarantees access for children with disabilities
to federally funded programs, including public schools. The child may need little extra attention
while in the school setting, since he has had the tracheostomy for several years. The teacher
should be taught how to care for the child if needed and the signs of distress. If needed, a health
aide may be assigned to the child, but this is not the responsibility of the parents.
4. Section 504 of the Rehabilitation Act of 1973 guarantees access for children with disabilities
to federally funded programs, including public schools. The child may need little extra attention
while in the school setting, since he has had the tracheostomy for several years. The teacher
should be taught how to care for the child if needed and the signs of distress. If needed, a health
aide may be assigned to the child, but this is not the responsibility of the parents.
Page Ref: 211, 212
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Teamwork and collaboration | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional
identity | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health
promotion
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Respiratory Disorders/Examine etiology, risk factors, pathophysiology, and clinical
manifestations as seen in children.

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Copyright © 2017 Pearson Education, Inc.
8) A 2-month-old infant with bronchopulmonary dysplasia (BPD) is being prepared for discharge
from the neonatal intensive-care unit (NICU). The infant will continue to receive oxygen via
nasal cannula at home. Prior to discharge, the home-health nurse assesses the home. Which
finding poses the greatest risk to this infant?
1. Small toys strewn on the floor
2. A woodstove used for heating
3. A sibling who has an ear infection
4. Paint peeling on the walls
Answer: 2
Explanation: 1. Assessment of the home environment is essential prior to discharge of a
medically fragile infant. The use of a woodstove poses great risk to the infant who already has
fragile lungs. Oxygen and woodstove heat will produce a flammable reaction. Small toy pieces
and paint peeling from the wall will pose a choking risk to the older infant who is crawling. Ear
infections are not contagious.
2. Assessment of the home environment is essential prior to discharge of a medically fragile
infant. The use of a woodstove poses great risk to the infant who already has fragile lungs.
Oxygen and woodstove heat will produce a flammable reaction. Small toy pieces and paint
peeling from the wall will pose a choking risk to the older infant who is crawling. Ear infections
are not contagious.
3. Assessment of the home environment is essential prior to discharge of a medically fragile
infant. The use of a woodstove poses great risk to the infant who already has fragile lungs.
Oxygen and woodstove heat will produce a flammable reaction. Small toy pieces and paint
peeling from the wall will pose a choking risk to the older infant who is crawling. Ear infections
are not contagious.
4. Assessment of the home environment is essential prior to discharge of a medically fragile
infant. The use of a woodstove poses great risk to the infant who already has fragile lungs.
Oxygen and woodstove heat will produce a flammable reaction. Small toy pieces and paint
peeling from the wall will pose a choking risk to the older infant who is crawling. Ear infections
are not contagious.
Page Ref: 214, 215
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement
| Nursing/Integrated Concepts: Nursing Process: Assessment/Health teaching and health
promotion
Learning Outcome: LO 10.5 Examine five ways in which nurses assist families in the home
healthcare setting.
MNL LO: Respiratory Disorders/Differentiate treatment options and strategies for continuity of
care for the child and family.

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Copyright © 2017 Pearson Education, Inc.
9) A child who is dependent on a ventilator is being discharged from the hospital. Prior to
discharge, the home-health nurse discusses development of an emergency plan of care with the
family. Which is the most essential part of the plan?
1. Acquisition of a backup generator
2. Designation of an emergency shelter site
3. Provision for an alternate heating source if power is lost
4. Notifying the power company that the child is on life support
Answer: 1
Explanation: 1. Prior to discharge to home, it is essential that the family acquire a generator so
that the child's life support will continue to function effectively should power be lost. While all
other actions are very important, it is most essential that the ventilator has power to continue to
function at all times.
2. Prior to discharge to home, it is essential that the family acquire a generator so that the child's
life support will continue to function effectively should power be lost. While all other actions are
very important, it is most essential that the ventilator has power to continue to function at all
times.
3. Prior to discharge to home, it is essential that the family acquire a generator so that the child's
life support will continue to function effectively should power be lost. While all other actions are
very important, it is most essential that the ventilator has power to continue to function at all
times.
4. Prior to discharge to home, it is essential that the family acquire a generator so that the child's
life support will continue to function effectively should power be lost. While all other actions are
very important, it is most essential that the ventilator has power to continue to function at all
times.
Page Ref: 214
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Planning/Health teaching and health promotion
Learning Outcome: LO 10.6 Summarize the special developmental needs of children to consider
in disaster preparedness planning.
MNL LO: Respiratory Disorders/Differentiate treatment options and strategies for continuity of
care for the child and family.

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Copyright © 2017 Pearson Education, Inc.
10) What must a home-health nurse realize prior to accepting an assignment?
1. All decisions will be made by the healthcare provider.
2. The family will adapt their lifestyle to the needs of the nurse.
3. Independent decisions regarding emergency care of the child will be made by the nurse.
4. The family is in charge.
Answer: 4
Explanation: 1. The home-health nurse must realize that the family is in charge. The nurse must
be flexible and adaptable to the lifestyle of the family. The family must provide informed
consent for emergency care.
2. The home-health nurse must realize that the family is in charge. The nurse must be flexible
and adaptable to the lifestyle of the family. The family must provide informed consent for
emergency care.
3. The home-health nurse must realize that the family is in charge. The nurse must be flexible
and adaptable to the lifestyle of the family. The family must provide informed consent for
emergency care.
4. The home-health nurse must realize that the family is in charge. The nurse must be flexible
and adaptable to the lifestyle of the family. The family must provide informed consent for
emergency care.
Page Ref: 214, 215
Cognitive Level: Applying
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional
identity | Nursing/Integrated Concepts: Nursing Process: Planning/Quality of practice
Learning Outcome: LO 10.5 Examine five ways in which nurses assist families in the home
healthcare setting.
MNL LO: Explore the practice of pediatric healthcare.

10
Copyright © 2017 Pearson Education, Inc.
11) Which aspect of an Emergency Medical Services (EMS) system is most indicative that EMS
providers are prepared to provide emergency care to children?
1. Placement of small stretchers in emergency vehicles
2. Lists of hospitals in the area that treat children
3. Staff education related to assessment and treatment of children of all ages
4. Pediatric-sized equipment and supplies
Answer: 3
Explanation: 1. While size-appropriate equipment and lists of hospitals that treat children are
essential parts of an EMS system, the aspect that is most indicative that EMS providers are
actually prepared to take care of children is evidence of education related to assessment and
emergency treatment.
2. While size-appropriate equipment and lists of hospitals that treat children are essential parts of
an EMS system, the aspect that is most indicative that EMS providers are actually prepared to
take care of children is evidence of education related to assessment and emergency treatment.
3. While size-appropriate equipment and lists of hospitals that treat children are essential parts of
an EMS system, the aspect that is most indicative that EMS providers are actually prepared to
take care of children is evidence of education related to assessment and emergency treatment.
4. While size-appropriate equipment and lists of hospitals that treat children are essential parts of
an EMS system, the aspect that is most indicative that EMS providers are actually prepared to
take care of children is evidence of education related to assessment and emergency treatment.
Page Ref: 212
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process:
Evaluation/Education
Learning Outcome: LO 10.6 Summarize the special developmental needs of children to consider
in disaster preparedness planning.
MNL LO: Explore the practice of pediatric healthcare.

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Copyright © 2017 Pearson Education, Inc.
12) The number of serious injuries in children has doubled in the past year. Based on this
information, which is the most appropriate community nursing diagnosis?
1. Noncompliance Related to Inappropriate Use of Child Safety Seats
2. Risk for Injury Related to Inadequate Use of Bicycle Helmets
3. Altered Family Processes Related to Hospitalization of an Injured Child
4. Knowledge Deficit Related to Injury Prevention in Children
Answer: 4
Explanation: 1. All of these diagnoses might be appropriate in specific situations, but
Knowledge Deficit Related to Injury Prevention in Children is the only one that is general to the
problem as a whole and is therefore the most appropriate community nursing diagnosis.
2. All of these diagnoses might be appropriate in specific situations, but Knowledge Deficit
Related to Injury Prevention in Children is the only one that is general to the problem as a whole
and is therefore the most appropriate community nursing diagnosis.
3. All of these diagnoses might be appropriate in specific situations, but Knowledge Deficit
Related to Injury Prevention in Children is the only one that is general to the problem as a whole
and is therefore the most appropriate community nursing diagnosis.
4. All of these diagnoses might be appropriate in specific situations, but Knowledge Deficit
Related to Injury Prevention in Children is the only one that is general to the problem as a whole
and is therefore the most appropriate community nursing diagnosis.
Page Ref: 210
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Safety | AACN Essential Competencies: Essential IX:
Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement |
Nursing/Integrated Concepts: Nursing Process: Diagnosis/Quality of practice
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Evaluate healthcare issues related to pediatric nursing care.

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Copyright © 2017 Pearson Education, Inc.
13) Some nursing students are discussing job options. One of the student states that a position as
a school nurse sounds interesting. What is an important role of the school nurse?
1. Screening for congenital heart disease
2. Prescribing antibiotics for streptococcal pharyngitis
3. Developing a plan for emergency care of injured children
4. Diagnosing an ear infection
Answer: 3
Explanation: 1. Screening of students for certain conditions; educating students, teachers, and
staff; and developing emergency plans are all roles of the school nurse. Diagnosing acute illness
and prescribing medication for a new illness are beyond the scope of practice for the school
nurse unless the nurse is licensed as an advance-practice nurse.
2. Screening of students for certain conditions; educating students, teachers, and staff; and
developing emergency plans are all roles of the school nurse. Diagnosing acute illness and
prescribing medication for a new illness are beyond the scope of practice for the school nurse
unless the nurse is licensed as an advance-practice nurse.
3. Screening of students for certain conditions; educating students, teachers, and staff; and
developing emergency plans are all roles of the school nurse. Diagnosing acute illness and
prescribing medication for a new illness are beyond the scope of practice for the school nurse
unless the nurse is licensed as an advance-practice nurse.
4. Screening of students for certain conditions; educating students, teachers, and staff; and
developing emergency plans are all roles of the school nurse. Diagnosing acute illness and
prescribing medication for a new illness are beyond the scope of practice for the school nurse
unless the nurse is licensed as an advance-practice nurse.
Page Ref: 211, 212
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement
| Nursing/Integrated Concepts: Nursing Process: Implementation/Quality of practice
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Explore the practice of pediatric healthcare.

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Copyright © 2017 Pearson Education, Inc.
14) Which would be an acceptable community-health diagnosis?
1. Risk for Injury Related to Lack of Safe Bicycle Paths in High-Traffic Areas
2. Ineffective Family Coping Related to Lack of Time Together
3. Alterations in Nutrition Related to Use of Fast Food Restaurants
4. Ineffective Communication Related to Lack of Community Newsletter
Answer: 1
Explanation: 1. The lack of safe bicycle paths in high-traffic areas is a community hazard
affecting a large population of people. Ineffective family coping is appropriate for one family;
alterations in nutrition and ineffective communication are not appropriate for the community as a
whole.
2. The lack of safe bicycle paths in high-traffic areas is a community hazard affecting a large
population of people. Ineffective family coping is appropriate for one family; alterations in
nutrition and ineffective communication are not appropriate for the community as a whole.
3. The lack of safe bicycle paths in high-traffic areas is a community hazard affecting a large
population of people. Ineffective family coping is appropriate for one family; alterations in
nutrition and ineffective communication are not appropriate for the community as a whole.
4. The lack of safe bicycle paths in high-traffic areas is a community hazard affecting a large
population of people. Ineffective family coping is appropriate for one family; alterations in
nutrition and ineffective communication are not appropriate for the community as a whole.
Page Ref: 209, 210
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Safety | AACN Essential Competencies: Essential VII:
Clinical prevention and population health | NLN Competencies: Professional identity |
Nursing/Integrated Concepts: Nursing Process: Planning/Quality of practice
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Evaluate healthcare issues related to pediatric nursing care.

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15) The nurse is providing care to a school-age client and family. The family, which consists of
two parents and 4 children, live in a one-bedroom apartment. The father recently lost his job and
the mother stays at home with the children. Which community resources would most benefit this
family?
Select all that apply.
1. Play groups
2. Parenting programs
3. Social services programs
4. Job skills training
5. Respite care
Answer: 3, 4
Explanation: 1. This family is currently living in a one-bedroom apartment and the sole income
earner recently lost his job. This family would most benefit from social services programs for
monetary assistance and job skills training which would allow the parents to learn a trade and
become employed. Play groups, parenting programs, and respite care are not applicable to this
family's situation.
2. This family is currently living in a one-bedroom apartment and the sole income earner recently
lost his job. This family would most benefit from social services programs for monetary
assistance and job skills training which would allow the parents to learn a trade and become
employed. Play groups, parenting programs, and respite care are not applicable to this family's
situation.
3. This family is currently living in a one-bedroom apartment and the sole income earner recently
lost his job. This family would most benefit from social services programs for monetary
assistance and job skills training which would allow the parents to learn a trade and become
employed. Play groups, parenting programs, and respite care are not applicable to this family's
situation.
4. This family is currently living in a one-bedroom apartment and the sole income earner recently
lost his job. This family would most benefit from social services programs for monetary
assistance and job skills training which would allow the parents to learn a trade and become
employed. Play groups, parenting programs, and respite care are not applicable to this family's
situation.
5. This family is currently living in a one-bedroom apartment and the sole income earner recently
lost his job. This family would most benefit from social services programs for monetary
assistance and job skills training which would allow the parents to learn a trade and become
employed. Play groups, parenting programs, and respite care are not applicable to this family's
situation.
Page Ref: 210
Cognitive Level: Applying
Client Need &Sub: Psychosocial Integrity
Standards: QSEN Competencies: Quality Improvement | AACN Essential Competencies:
Essential II: Basic organizational and systems leadership for quality care and patient safety |
NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing Process:
Planning/Coordination of care
Learning Outcome: LO 10.3 Assemble a list of family support services that might be available
in a community.
MNL LO: Examine the role of the nurse in promoting culturally competent family-centered
care.
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16) The nurse manager is assisting the organization to open a healthcare center. What items must
the manager include in pediatric inventory? Select all that apply.
1. Preprinted drug dosage chart
2. Oxygen face masks
3. Pediatric chairs and litters
4. Length-based resuscitation tape
5. Oral and NG airways and laryngoscope blades
Answer: 1, 2, 4, 5
Explanation: 1. Essential equipment: child/neonate sized, proper weight dosage medications,
smaller bags of IV fluids and special IV tubing, pediatric external defibrillator, pediatric oxygen
masks/oral/NG airways and laryngoscope blades, length based resuscitation tapes and preprinted
dosage chart to quickly identify equipment sizes and drug dosages by the length or weight of the
child, essential emergency pediatric drugs and equipment.
2. Essential equipment: be child/neonate sized, proper weight dosage medications, smaller bags
of IV fluids and special IV tubing, pediatric external defibrillator, pediatric oxygen
masks/oral/NG airways and laryngoscope blades, length based resuscitation tapes and preprinted
dosage chart to quickly identify equipment sizes and drug dosages by the length or weight of the
child, essential emergency pediatric drugs and equipment.
3. Essential equipment: child/neonate sized, proper weight dosage medications, smaller bags of
IV fluids and special IV tubing, pediatric external defibrillator, pediatric oxygen masks/oral/NG
airways and laryngoscope blades, length based resuscitation tapes and preprinted dosage chart to
quickly identify equipment sizes and drug dosages by the length or weight of the child, essential
emergency pediatric drugs and equipment. Pediatric chairs and litters would be nice, but not
essential.
4. Essential equipment: child/neonate sized, proper weight dosage medications, smaller bags of
IV fluids and special IV tubing, pediatric external defibrillator, pediatric oxygen masks/oral/NG
airways and laryngoscope blades, length based resuscitation tapes and preprinted dosage chart to
quickly identify equipment sizes and drug dosages by the length or weight of the child, essential
emergency pediatric drugs and equipment.
5. Essential equipment: child/neonate sized, proper weight dosage medications, smaller bags of
IV fluids and special IV tubing, pediatric external defibrillator, pediatric oxygen masks/oral/NG
airways and laryngoscope blades, length based resuscitation tapes and preprinted dosage chart to
quickly identify equipment sizes and drug dosages by the length or weight of the child, essential
emergency pediatric drugs and equipment.
Page Ref: 210
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional
identity | Nursing/Integrated Concepts: Nursing Process: Planning/Quality of practice
Learning Outcome: LO 10.1 Discuss the community healthcare settings where nurses provide
health services to children.
MNL LO: Differentiate developmentally appropriate care environments for the pediatric client
and family.

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Test Bank for Principles of Pediatric Nursing 7th Edition by Ball

17) The school nurse plans, develops, manages, and evaluates healthcare services to all children
while they are in the educational setting. With which healthcare providers will the nurse be
collaborating?
Select all that apply.
1. School physician
2. Teachers
3. Cafeteria staff
4. Primary physician
5. Bus driver
Answer: 1, 4
Explanation: 1. Partnering with the school physician consultant to discuss and update standing
orders for the care of children; these standing orders usually address urgent and emergency care
potentially needed by students.
2. The school nurse may need to educate the teachers, cafeteria staff, and bus drivers regarding
detecting complications and alerting emergency personnel.
3. The school nurse may need to educate the teachers, cafeteria staff, and bus drivers regarding
detecting complications and alerting emergency personnel.
4. Communicating with the child's primary healthcare provider or pediatric specialist about a
child's specific health condition that needs to be effectively managed in the school setting.
5. The school nurse may need to educate the teachers, cafeteria staff, and bus drivers regarding
detecting complications and alerting emergency personnel.
Page Ref: 211, 212
Cognitive Level: Analyzing
Client Need &Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
Essential VI: Interprofessional communication and collaboration for improving patient health
outcomes | NLN Competencies: Professional identity | Nursing/Integrated Concepts: Nursing
Process: Planning/Collaboration
Learning Outcome: LO 10.2 Compare the roles of the nurse in each identified healthcare setting.
MNL LO: Analyze the role of the nurse and the role of the family in pediatric care.

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