Wong's3Nursing3Care3of3Infants3and3Children312th3Edition3by3Hockenberry3Test3Bank
,Chapter301:3Perspectives3of3Pediatric3Nursing
Hockenberry:3Wong’s3Nursing3Care3of3Infants3and3Children,312th3
3Edition
MULTIPLE3CHOICE
1. What3is3the3major3cause3of3death3for3children3in3the3United3States?
a. Heart3disease
b. Childhood3cancer
c. Injuries
d. Congenital3anomalies
ANS:3 C
Unintentional3injuries3(accidents)3are3the3leading3cause3of3death3after3age313year3through3adolescence
.3The3leading3cause3of3death3for3those3younger3than313year3is3congenital3anomalies,3and3childhood3ca
ncers3and3heart3disease3cause3a3significantly3lower3percentage3of3deaths3in3children3older3than313year3
of3age.
DIF: Cognitive3Level:3Understanding
TOP:3Nursing3Process:3Planning3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
2. Parents3of3a3hospitalized3toddler3ask3the3nurse,3“What3is3meant3by3family-
centered3care?”3The3nurse3should3respond3with3which3statement?
a. Family-centered3care3reduces3the3effect3of3cultural3diversity3on3the3family.
b. Family-centered3care3encourages3family3dependence3on3the3health3care3system.
c. Family-centered3care3recognizes3that3the3family3is3the3constant3in3a3child’s3life.
d. Family-centered3care3avoids3expecting3families3to3be3part3of3the3decision-
making3process.
ANS:3 C
The3three3key3components3of3family-centered3care3are3respect,3collaboration,3and3support.3Family-
3centered3care 3recognizes3the3family3as3the3constant 3in3the3child’s3life.3The3family3should3be3enabled3
and3empowered3to3work3with3the3health3care3system3and3is3expected3to3be3part3of3the3decision-
making3process.3The3nurse3should3also3support3the3family’s3cultural3diversity,3not3reduce3its3effect.
DIF: Cognitive3Level:3Applying
TOP:3Nursing3Process:3Implementation3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
3. Evidence-based3practice3(EBP),3a3decision-making3model,3is3best3described3as3which?
a. Using3information3in3textbooks3to3 guide3care
b. Combining3knowledge3with3clinical3experience3and3intuition
c. Using3a3professional3code3of3ethics3as3a3means3for3decision3making
d. Gathering3all3evidence3that3 applies3to3the3child’s3health3and3family3situatio
n
ANS:3 B
EBP3helps3focus3on3measurable3outcomes;3the3use3of3demonstrated,3effective3interventions;3and3ques
tioning3the3best3approach.3EBP3involves3decision3making3based3on3the3integration3of3the3best3researc
h3evidence3combined3with3clinical3expertise3and3patient3values.
,Wong's3Nursing3Care3of3Infants3and3Children312th3Edition 3by3Hockenberry3Test3Ban
k
DIF: Cognitive3Level:3Remembering
TOP:3Nursing3Process:3Planning3MSC:3 Client3Needs:3Safe3and3Effe
ctive3Care3Environment
4. The3nurse3is3talking3to3a3group3of3parents3of3school-age3children3at3an3after-
school3program3about3childhood3health3problems.3Which3statement3should3the3nurse3include3in3t
he3teaching?
a. Childhood3obesity3is3the3most3common3nutritional3problem3among3children.
b. Immunization3rates3are3the3same3among3children3of3different3 races3and3ethnicity.
c. Dental3caries3is3not3a3problem3commonly3seen3in3children3since3the3introduction3o
f3fluorinated3water.
d. Mental3health3problems3are3typically3not3seen3in3school-
age3children3but3may3be3diagnosed3in3adolescents.
ANS:3 A
When3teaching3parents3of3school-
age3children3about3childhood3health3problems,3the3nurse3should3include3information3about3childhood3
obesity3because3it3is3the3most3common3problem3among3children3and3is3associated3with3type323diabete
s.3Teaching3parents3about3ways3to3prevent3obesity3is3important3to3include.3Immunization3rates3differ3
depending3on3the3child’s3race3and3ethnicity;3dental3caries3continues3to3be3a3common3chronic3disease3i
n3childhood;3and3mental3health3problems3are3seen3in3children3as3young3as3school3age,3not3just3in3adol
escents.
DIF: Cognitive3Level:3Applying
TOP:3Integrated3Process:3Teaching/Learning3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
5. The3nurse3is3planning3care3for3a3hospitalized3preschool-
aged3child.3Which3should3the3nurse3plan3to3ensure3atraumatic3care?
a. Limit3explanation3of3procedures3because3the3child3is3preschool3aged.
b. Ask3that3all3family3members3leave3the3room3when3performing3procedures.
c. Allow3the3child3to3choose3the3type3of3juice3to3drink3with3the3administration3of3ora
l3medications.
d. Explain3that3EMLA3cream3cannot3be3used3for3the3morning3lab3draw3because3ther
e3is3not3time3for3it3to3be3effective.
ANS:3 C
The3overriding3goal3in3providing3atraumatic3care3is3first,3do3no3harm.3Allowing3the3child,3a3choice3of
3juice3to3drink3when3taking3oral3medications3provides3the3child3with3a3sense 3of3control.3The3preschool
3child3should3be3prepared3before 3procedures,3so3limiting3explanations3of3procedures3would3increase 3a
nxiety.3The3family3should3be3allowed3to3stay3with3the3child3during3procedures,3minimizing3stress.
Lidocaine/prilocaine3(EMLA)3cream3is3a3topical3local3anesthetic.3The3nurse3should3plan3to3use3the3prescri
bed3cream3in3time3for3morning3laboratory3draws3to3minimize3pain.
DIF: Cognitive3Level:3Applying
TOP:3Nursing3Process:3Planning3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
6. Which3situation3denotes3a3nontherapeutic3nurse–patient–family3relationship?
a. The3nurse3is3planning3to3read3a3favorite3fairy3tale3to3a3patient.
b. During3shift3report,3the3nurse3is3criticizing3parents3for3not3visiting3their3child.
c. The3nurse3is3discussing3with3a3fellow3nurse3the3emotional3draw3to3a3certain3patient
.
, Wong's3Nursing3Care3of3Infants3and3Children312th3Edition 3by3Hockenberry3Test3Ban
k d. The3nurse3is3working3with3a3family3to3find3ways3to3decrease3the3family’s3depende
nce3on3health3care3providers.
,Chapter301:3Perspectives3of3Pediatric3Nursing
Hockenberry:3Wong’s3Nursing3Care3of3Infants3and3Children,312th3
3Edition
MULTIPLE3CHOICE
1. What3is3the3major3cause3of3death3for3children3in3the3United3States?
a. Heart3disease
b. Childhood3cancer
c. Injuries
d. Congenital3anomalies
ANS:3 C
Unintentional3injuries3(accidents)3are3the3leading3cause3of3death3after3age313year3through3adolescence
.3The3leading3cause3of3death3for3those3younger3than313year3is3congenital3anomalies,3and3childhood3ca
ncers3and3heart3disease3cause3a3significantly3lower3percentage3of3deaths3in3children3older3than313year3
of3age.
DIF: Cognitive3Level:3Understanding
TOP:3Nursing3Process:3Planning3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
2. Parents3of3a3hospitalized3toddler3ask3the3nurse,3“What3is3meant3by3family-
centered3care?”3The3nurse3should3respond3with3which3statement?
a. Family-centered3care3reduces3the3effect3of3cultural3diversity3on3the3family.
b. Family-centered3care3encourages3family3dependence3on3the3health3care3system.
c. Family-centered3care3recognizes3that3the3family3is3the3constant3in3a3child’s3life.
d. Family-centered3care3avoids3expecting3families3to3be3part3of3the3decision-
making3process.
ANS:3 C
The3three3key3components3of3family-centered3care3are3respect,3collaboration,3and3support.3Family-
3centered3care 3recognizes3the3family3as3the3constant 3in3the3child’s3life.3The3family3should3be3enabled3
and3empowered3to3work3with3the3health3care3system3and3is3expected3to3be3part3of3the3decision-
making3process.3The3nurse3should3also3support3the3family’s3cultural3diversity,3not3reduce3its3effect.
DIF: Cognitive3Level:3Applying
TOP:3Nursing3Process:3Implementation3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
3. Evidence-based3practice3(EBP),3a3decision-making3model,3is3best3described3as3which?
a. Using3information3in3textbooks3to3 guide3care
b. Combining3knowledge3with3clinical3experience3and3intuition
c. Using3a3professional3code3of3ethics3as3a3means3for3decision3making
d. Gathering3all3evidence3that3 applies3to3the3child’s3health3and3family3situatio
n
ANS:3 B
EBP3helps3focus3on3measurable3outcomes;3the3use3of3demonstrated,3effective3interventions;3and3ques
tioning3the3best3approach.3EBP3involves3decision3making3based3on3the3integration3of3the3best3researc
h3evidence3combined3with3clinical3expertise3and3patient3values.
,Wong's3Nursing3Care3of3Infants3and3Children312th3Edition 3by3Hockenberry3Test3Ban
k
DIF: Cognitive3Level:3Remembering
TOP:3Nursing3Process:3Planning3MSC:3 Client3Needs:3Safe3and3Effe
ctive3Care3Environment
4. The3nurse3is3talking3to3a3group3of3parents3of3school-age3children3at3an3after-
school3program3about3childhood3health3problems.3Which3statement3should3the3nurse3include3in3t
he3teaching?
a. Childhood3obesity3is3the3most3common3nutritional3problem3among3children.
b. Immunization3rates3are3the3same3among3children3of3different3 races3and3ethnicity.
c. Dental3caries3is3not3a3problem3commonly3seen3in3children3since3the3introduction3o
f3fluorinated3water.
d. Mental3health3problems3are3typically3not3seen3in3school-
age3children3but3may3be3diagnosed3in3adolescents.
ANS:3 A
When3teaching3parents3of3school-
age3children3about3childhood3health3problems,3the3nurse3should3include3information3about3childhood3
obesity3because3it3is3the3most3common3problem3among3children3and3is3associated3with3type323diabete
s.3Teaching3parents3about3ways3to3prevent3obesity3is3important3to3include.3Immunization3rates3differ3
depending3on3the3child’s3race3and3ethnicity;3dental3caries3continues3to3be3a3common3chronic3disease3i
n3childhood;3and3mental3health3problems3are3seen3in3children3as3young3as3school3age,3not3just3in3adol
escents.
DIF: Cognitive3Level:3Applying
TOP:3Integrated3Process:3Teaching/Learning3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
5. The3nurse3is3planning3care3for3a3hospitalized3preschool-
aged3child.3Which3should3the3nurse3plan3to3ensure3atraumatic3care?
a. Limit3explanation3of3procedures3because3the3child3is3preschool3aged.
b. Ask3that3all3family3members3leave3the3room3when3performing3procedures.
c. Allow3the3child3to3choose3the3type3of3juice3to3drink3with3the3administration3of3ora
l3medications.
d. Explain3that3EMLA3cream3cannot3be3used3for3the3morning3lab3draw3because3ther
e3is3not3time3for3it3to3be3effective.
ANS:3 C
The3overriding3goal3in3providing3atraumatic3care3is3first,3do3no3harm.3Allowing3the3child,3a3choice3of
3juice3to3drink3when3taking3oral3medications3provides3the3child3with3a3sense 3of3control.3The3preschool
3child3should3be3prepared3before 3procedures,3so3limiting3explanations3of3procedures3would3increase 3a
nxiety.3The3family3should3be3allowed3to3stay3with3the3child3during3procedures,3minimizing3stress.
Lidocaine/prilocaine3(EMLA)3cream3is3a3topical3local3anesthetic.3The3nurse3should3plan3to3use3the3prescri
bed3cream3in3time3for3morning3laboratory3draws3to3minimize3pain.
DIF: Cognitive3Level:3Applying
TOP:3Nursing3Process:3Planning3MSC:3 Client3Needs:3Health3Promo
tion3and3Maintenance
6. Which3situation3denotes3a3nontherapeutic3nurse–patient–family3relationship?
a. The3nurse3is3planning3to3read3a3favorite3fairy3tale3to3a3patient.
b. During3shift3report,3the3nurse3is3criticizing3parents3for3not3visiting3their3child.
c. The3nurse3is3discussing3with3a3fellow3nurse3the3emotional3draw3to3a3certain3patient
.
, Wong's3Nursing3Care3of3Infants3and3Children312th3Edition 3by3Hockenberry3Test3Ban
k d. The3nurse3is3working3with3a3family3to3find3ways3to3decrease3the3family’s3depende
nce3on3health3care3providers.