Test Bank for Wong’s Essentials of Pediatric Nursing,
b b b b b b b b
11th Edition, Marilyn Hockenberry, Cheryl Rodgers Chapte
b b b b b b
rs 1 - 31
b b b
,
,prepared by stevesalvardo
b b
for any inquiry and further request e
b b b b b b
mail:
Chapter 01: Perspectives of Pediatric Nursing
b b b b b
Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Edition
b b b b b b b
MULTIPLEbCHOICE
1. b Abnursebisbplanningbabteachingbsessionbforbparentsbofbpreschoolbchildren.bWhichbstatementbex-
bplainsbwhybthebnursebshouldbincludebinformationbaboutbmorbiditybandbmortality?
a. Lifebspanbstatisticsbarebincludedbinbthebdata.
b. Itbexplainsbeffectivenessbofbtreatment.
c. Cost-effectivebtreatmentbisbdetailedbforbthe
generalbpopulation.
d. High-riskbagebgroupsbforbcertainbdisordersbor
hazardsbarebidentified.
ANSWER:b D
Analysisbofbmorbiditybandbmortalitybdatabprovidesbthebparentsbwithbinformationbaboutbwhichbgroup
sbofbindividualsbarebatbriskbforbwhichbhealthbproblems.bLifebspanbstatisticsbisbabpartbofbthebmortalitybd
ata.bTreatmentbmodalitiesbandbcostbarebnotbincludedbinbmorbiditybandbmortalitybdata.
DIF: CognitivebLevel:bApply
REF:b p.b11bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
2. Abclinicbnursebisbplanningbabteachingbsessionbaboutbchildhoodbobesitybpreventionbforbparentsbofbs
chool-
agebchildren.bThebnursebshouldbincludebwhichbassociatedbriskbofbobesitybinbthebteachingbplan?
a. TypebIbdiabetes
b. Respiratorybdisease
c. Celiacbdisease
d. TypebIIbdiabetes
ANSWER:b D
ChildhoodbobesitybhasbbeenbassociatedbwithbthebrisebofbtypebIIbdiabetesbinbchildren.bTypebIbdia-
bbetesbisbnotbassociatedbwithbobesitybandbhasbabgeneticbcomponent.bRespiratorybdiseasebisbnotbasso-
bciatedbwithbobesity,bandbceliacbdiseasebisbthebinabilitybtobmetabolizebgluten binbfoodsbandbisbnotbas-
bsociatedbwithbobesity.
DIF: CognitivebLevel:bApply
REF:bp.b2bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
,3. Whichbisbthebleadingbcausebofbdeathbinbinfantsbyoungerbthanb1byear?
a. Congenitalbanomalies
b. Suddenbinfantbdeathbsyndrome
c. Respiratorybdistressbsyndrome
d. Bacterialbsepsisbofbthebnewborn
ANSWER:b A
, Congenitalbanomaliesbaccountbforb20.1%bofbdeathsbinbinfantsbyoungerbthanb1byear.bSuddenbinfantbd
eathbsyndromebaccountsbforb8.2%bofbdeathsbinbthisbagebgroup.bRespiratorybdistressbsyndromebac-
bcountsbforb3.4%bofbdeaths binbthisbagebgroup.bInfectionsbspecificbtobthebperinatalbperiodbaccountbforb2.
7%bofbdeathsbinbthisbagebgroup.
DIF: CognitivebLevel:bRemember
REF:bp.b6bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessment
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
4. WhichbleadingbcausebofbdeathbtopicbshouldbthebnursebemphasizebtobabgroupbofbAfrican-
Americanbboysbrangingbinbagebfromb15btob19byears?
a. Suicide
b. Cancer
c. Firearmbhomicide
d. Occupationalbinjuries
ANSWER:b C
Firearmbhomicidebisbthebsecondboverallbcausebofbdeathbinbthisbagebgroupbandbthebleadingbcausebofbd
eathbinbAfrican-Americanbmales.bSuicidebisbthebthird-
leadingbcausebofbdeathbinbthisbpopulation.bCancer,balthoughbabmajorbhealthbproblem,bisbthebfourth-
leadingbcausebofbdeathbinbthisbagebgroup.bOccupationalbinjuriesbdobnotbcontributebtobabsignificantbd
eathbratebforbthisbagebgroup.
DIF: CognitivebLevel:bUnderstand
REF:bp.b7bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
5. Whichbisbthebmajorbcausebofbdeathbforbchildrenbolderbthanb1byear?
a. Cancer
b. Heartbdisease
c. Unintentionalbinjuries
d. Congenitalbanomalies
ANSWER:b C
Unintentionalbinjuriesb(accidents)barebthebleadingbcausebofbdeathbafterbageb1byearbthroughbadoles-
bcence.bCongenital banomaliesbarebthebleadingbcausebofbdeathbinbthosebyoungerbthanb1byear.bCancerbra
nksbeitherbsecondborbfourth,bdependingbonbthebagebgroup,bandbheartbdiseasebranksbfifthbinbthebmajor
itybofbthebagebgroups.
DIF: CognitivebLevel:bRemember
REF:bp.b7bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
6. Whichbisbthebleadingbcausebofbdeathbfrombunintentionalbinjuriesbforbfemalesbrangingbinbagebfromb1bt
ob14?
a. Mechanicalbsuffocation
b. Drowning
c. Motorbvehicle–relatedbfatalities
d. Fire-bandbburn-relatedbfatalities
, ANSWER:b C
Motorbvehicle–
relatedbfatalitiesbarebthebleadingbcausebofbdeathbforbfemalesbrangingbinbagebfromb1btob14,beitherbasbp
assengersborbasbpedestrians.bMechanicalbsuffocationbisbfourthborbfifth,bdependingbonbthebage.bDrow
ningbisbthebsecond-borbthird-leadingbcausebofbdeath,bdependingbonbthebage.bFire-bandbburn-
relatedbfatalitiesbarebthebsecond-leadingbcausebofbdeath.
DIF: CognitivebLevel:bRemember
REF:bp.b3bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessment
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
7. Whichbfactorbmostbimpactsbthebtypebofbinjurybabchildbisbsusceptiblebto,baccordingbtobthebchild’sba
ge?
a. Physicalbhealthbofbthebchild
b. Developmentalblevelbofbthebchild
c. Educationalblevelbofbthebchild
d. Numberbofbresponsiblebadultsbinbthebhome
ANSWER:b B
Thebchild’sbdevelopmentalbstagebdeterminesbthebtypebofbinjurybthatbisblikelybtoboccur.bThebchild’sbp
hysicalbhealthbmaybfacilitatebthebchild’sbrecoverybfrombanbinjurybbutbdoesbnotbimpactbthebtypebofbinj
ury.bEducationalblevelbisbrelatedbtobdevelopmentalblevel,bbutbitbisbnotbasbimportantbasbthebchild’sbdeve
lopmentalblevelbinbdeterminingbthebtypebofbinjury.bThebnumberbofbresponsiblebadultsbinbthebhomebm
aybaffectbthebnumberbofbunintentionalbinjuries,bbutbthebtypebofbinjurybisbrelatedbtobthebchild’sbdevelo
pmentalbstage.
DIF: CognitivebLevel:bUnderstand
REF:bp.b3bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
8. Whichbisbnowbreferredbtobasbtheb“newbmorbidity”?
a. Limitationsbinbthebmajorbactivitiesbofbdaily
living
b. Unintentionalbinjuriesbthatbcausebchronic
healthbproblems
c. Discoveriesbofbnewbtherapiesbtobtreatbhealth
problems
d. Behavioral,bsocial,bandbeducationalbproblem s
thatbalterbhealth
ANSWER:b D
Thebnewbmorbiditybreflectsbthebbehavioral,bsocial,bandbeducationalbproblemsbthatbinterferebwithbth
ebchild’sbsocialbandbacademicbdevelopment.bItbisbcurrentlybestimatedbthatbthebincidencebofbthesebissu
esbisbfromb5%btob30%.bLimitationsbinbmajorbactivitiesbofbdailyblivingbandbunintentionalbin-
bjuriesbthatbresultbinbchronicbhealthbproblemsbarebincludedbinbmorbiditybdata.bDiscoverybofbnewbther
apiesbwouldbbebreflectedbinbchangesbinbmorbiditybdataboverbtime.
DIF: CognitivebLevel:bRemember
REF:bp.b2bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessment
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
, 9. Abnursebonbabpediatricbunitbisbpracticingbfamily-
centeredbcare.bWhichbisbmostbdescriptivebofbthebcarebthebnursebisbdelivering?
a. Takingboverbtotalbcarebofbthebchildbtobreduce
stressbonbthebfamily
b. Encouragingbfamilybdependencebonbhealth
carebsystems
c. Recognizingbthatbthebfamilybisbthebconstantbi n
abchild’sblife
d. Excludingbfamiliesbfrombthebdecision-making
process
ANSWER:b C
Thebthreebkeybcomponentsbofbfamily-centeredbcarebarebrespect,bcollaboration,bandbsupport.bFam-
bily-
centeredbcarebrecognizesbthebfamilybasbthebconstantbinbthebchild’sblife.bTakingboverbtotalbcarebdoesb
notbincludebthebfamilybinbthebprocessbandbmaybincreasebstressbinsteadbofbreducingbstress.bThebfamilyb
shouldbbebenabledbandbempoweredbtobworkbwithbthebhealthbcarebsystem.bThebfamilybisbex-
bpectedbtobbebpartbofbthebdecision-makingbprocess.
DIF: CognitivebLevel:bRemember
REF:bbbp.b7bTOP:b IntegratedbProcess:bNursingbProces
s:bImplementation
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
10. Thebnursebisbpreparingbanbin-servicebeducationbtobstaffbaboutbatraumaticbcarebforbpediatricbpa-
tients.bWhichbinterventionbshouldbthebnursebinclude?
b
a. Preparebthebchildbforbseparationbfrombparent sb
duringbhospitalizationbbybreviewingbabvideo.
b. Preparebthebchildbbeforebanybunfamiliarbtreab t
mentborbprocedurebbybdemonstratingbonba
stuffedbanimal.
c. Helpbthebchildbacceptbtheblossbofbcontrolbass o
ciatedbwithbhospitalization.
d. Helpbthebchildbacceptbpainbthatbisbconnected
withbabtreatmentborbprocedure.
ANSWER:b B
Preparingbthebchildbforbanybunfamiliarbtreatments,bcontrollingbpain,ballowingbprivacy,bprovidingbpl
aybactivitiesbforbexpressionbofbfearbandbaggression,bprovidingbchoices,bandbrespectingbculturalbdiffe
rencesbarebcomponentsbofbatraumaticbcare.bInbthebprovisionbofbatraumaticbcare,bthebseparationbofbchil
dbfrombparentsbduringbhospitalizationbisbminimized.bThebnursebshouldbpromotebabsensebofbcontrolbf
orbthebchild.bPreventingbandbminimizingbbodilybinjurybandbpainbarebmajorbcomponentsbofbatraumatic
bcare.
DIF: CognitivebLevel:bUnderstand
REF:bbbp.b8bTOP:b IntegratedbProcess:bNursingbProces
s:bImplementationbMSC:b AreabofbClientbNeeds:bPsychosocia
lbIntegrity
11. Whichbisbmostbsuggestivebthatbabnursebhasbabnontherapeuticbrelationshipbwithbabpatientbandbfam-
ily?
b
, a. Staffbisbconcernedbaboutbthebnurse’sbactions
withbthebpatientbandbfamily.
b. Staffbassignmentsballowbthebnursebtobcarebforb
samebpatientbandbfamilyboverbanbextended
time.
c. Nursebisbablebtobwithdrawbemotionallybwhenb
emotionalboverloadboccursbbutbstillbremains
committed.
d. Nursebusesbteachingbskillsbtobinstructbpatientb
andbfamilybratherbthanbdoingbeverythingbfor
them.
ANSWER:b A
Anbcluebtobabnontherapeuticbstaff-
patientbrelationshipbisbconcernbofbotherbstaffbmembers.bAllowingbthebnursebtobcarebforbthebsamebpatie
ntboverbtimebwouldbbebtherapeuticbforbthebpatientbandbfamily.
Nursesbwhobarebablebtobsomewhatbwithdrawbemotionallybcanbprotectbthemselvesbwhilebprovidingbther
apeuticbcare.bNursesbusingbteachingbskillsbtobinstructbpatientbandbfamilybwillbassistbinbtransi-
btioningbthebchildbandbfamilybtobself-care.
DIF: CognitivebLevel:bAnalyze
REF:bp.b8bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessmentbMSC:b AreabofbClientbNeeds:bPsychoso
cialbIntegrity
12. Whichbisbmostbdescriptivebofbclinicalbreasoning?
a. Absimplebdevelopmentalbprocess
b. Purposefulbandbgoal-directed
c. Basedbonbdeliberatebandbirrationalbthought
d. Assistsbindividualsbinbguessingbwhatbisbmost
appropriate
ANSWER:b B
Clinicalbreasoningbisbabcomplex,bdevelopmentalbprocessbbasedbonbrationalbandbdeliberatebthought.b
Clinicalbreasoningbisbnotbabdevelopmentalbprocess.bClinicalbreasoningbisbbasedbonbrationalbandbde-
bliberatebthought. bClinical breasoningbisbnotbabguessingbprocess.
DIF: CognitivebLevel:bUnderstand
REF:bp.b10bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
13. Abnursebmakesbthebdecisionbtobapplybabtopicalbanestheticbtobabchild’sbskinbbeforebdrawingbblood.b
Whichbethicalbprinciplebisbthebnursebdemonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
ANSWER:b B
Beneficencebisbthebobligationbtobpromotebthebpatient’sbwell-
being.bApplyingbabtopicalbanestheticbbeforebdrawingbbloodbpromotesbreducingbthebdiscomfortbofbthebv
enipuncture.bAutonomybisbthe
, patient’sbrightbtobbebself-
governing.bJusticebisbthebconceptbofbfairness.bTruthfulnessbisbthebconceptbofbhonesty.
DIF: CognitivebLevel:bUnderstand
REF:bp.b10bTOP:b IntegratedbProcess:bNursingbProces
s:bImplementationbMSC:b AreabofbClientbNeeds:bPhysiologica
lbIntegrity
14. Whichbactionbbybthebnursebdemonstratesbusebofbevidence-basedbpracticeb(EBP)?
a. Gatheringbequipmentbforbabprocedure
b. Documentingbchangesbinbabpatient’sbstatus
c. Questioningbthebusebofbdailybcentralbline
dressingbchanges
d. Clarifyingbabphysician’sbprescriptionbforbmor
phine
ANSWER:b C
Thebnursebwhobquestionsbthebdailybcentralblinebdressingbchangebisbascertainingbwhetherbclinicalbinter
ventionsbresultbinbpositiveboutcomesbforbpatients.bThisbdemonstratesbEBP,bwhichbimpliesbquestionin
gbwhybsomethingbisbeffectivebandbwhetherbabbetterbapproachbexists.bGatheringbequip-
bmentbforbabprocedurebandbdocumentingbchanges binbabpatient’sbstatusbarebpracticesbthatbfollowbes-
btablishedbguidelines.bClarifyingbabphysician’sbprescriptionbforbmorphinebconstitutesbsafebnursingbcare
.
DIF: CognitivebLevel:bApply
REF:bp.b10bTOP:b IntegratedbProcess:bNursingbPro
cess:bEvaluation
MSC:b AreabofbClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
15. Abnursebisbadmittingbabtoddlerbtobthebhospital.bThebtoddlerbisbwithbbothbparentsbandbisbcurrentlybsit-
tingbcomfortablybonbabparent’sblap.bThebparentsbstatebtheybwillbneedbtobleavebforbabbriefbperiod.bWhi
b
chbtypebofbnursingbdiagnosisbshouldbthebnursebformulatebforbthisbchild?
a. Riskbforbanxiety
b. Anxiety
c. Readinessbforbenhancedbcoping
d. Ineffectivebcoping
ANSWER:b A
Abpotentialbproblembisbcategorizedbasbabrisk.bThebtoddlerbhasbabriskbtobbecomebanxiousbwhenbthebparen
tsbleave.bNursingbinterventionsbwillbbebgearedbtowardbreducingbthebrisk.bThebchildbisbnotbshowingbcur
rentbanxietyborbineffectivebcoping.bThebchildbisbnotbatbabpointbforbreadinessbforben-
bhancedbcoping,bespeciallybbecausebthebparentsbwillbbebleaving.
DIF: CognitivebLevel:bRemember
REF:b p.b11bTOP:b IntegratedbProcess:bNursingbPro
cess:bDiagnosis
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
16. Abchildbhasbabpostoperativebappendectomybincisionbcoveredbbybabdressing.bThebnursebhasbjustbc
ompletedbabprescribedbdressingbchangebforbthisbchild.bWhichbdescriptionbisbanbaccuratebdocu-
bmentationbofbthisbprocedure?
a. Dressingbchangebtobappendectomybincision
b b b b b b b b
11th Edition, Marilyn Hockenberry, Cheryl Rodgers Chapte
b b b b b b
rs 1 - 31
b b b
,
,prepared by stevesalvardo
b b
for any inquiry and further request e
b b b b b b
mail:
Chapter 01: Perspectives of Pediatric Nursing
b b b b b
Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Edition
b b b b b b b
MULTIPLEbCHOICE
1. b Abnursebisbplanningbabteachingbsessionbforbparentsbofbpreschoolbchildren.bWhichbstatementbex-
bplainsbwhybthebnursebshouldbincludebinformationbaboutbmorbiditybandbmortality?
a. Lifebspanbstatisticsbarebincludedbinbthebdata.
b. Itbexplainsbeffectivenessbofbtreatment.
c. Cost-effectivebtreatmentbisbdetailedbforbthe
generalbpopulation.
d. High-riskbagebgroupsbforbcertainbdisordersbor
hazardsbarebidentified.
ANSWER:b D
Analysisbofbmorbiditybandbmortalitybdatabprovidesbthebparentsbwithbinformationbaboutbwhichbgroup
sbofbindividualsbarebatbriskbforbwhichbhealthbproblems.bLifebspanbstatisticsbisbabpartbofbthebmortalitybd
ata.bTreatmentbmodalitiesbandbcostbarebnotbincludedbinbmorbiditybandbmortalitybdata.
DIF: CognitivebLevel:bApply
REF:b p.b11bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
2. Abclinicbnursebisbplanningbabteachingbsessionbaboutbchildhoodbobesitybpreventionbforbparentsbofbs
chool-
agebchildren.bThebnursebshouldbincludebwhichbassociatedbriskbofbobesitybinbthebteachingbplan?
a. TypebIbdiabetes
b. Respiratorybdisease
c. Celiacbdisease
d. TypebIIbdiabetes
ANSWER:b D
ChildhoodbobesitybhasbbeenbassociatedbwithbthebrisebofbtypebIIbdiabetesbinbchildren.bTypebIbdia-
bbetesbisbnotbassociatedbwithbobesitybandbhasbabgeneticbcomponent.bRespiratorybdiseasebisbnotbasso-
bciatedbwithbobesity,bandbceliacbdiseasebisbthebinabilitybtobmetabolizebgluten binbfoodsbandbisbnotbas-
bsociatedbwithbobesity.
DIF: CognitivebLevel:bApply
REF:bp.b2bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
,3. Whichbisbthebleadingbcausebofbdeathbinbinfantsbyoungerbthanb1byear?
a. Congenitalbanomalies
b. Suddenbinfantbdeathbsyndrome
c. Respiratorybdistressbsyndrome
d. Bacterialbsepsisbofbthebnewborn
ANSWER:b A
, Congenitalbanomaliesbaccountbforb20.1%bofbdeathsbinbinfantsbyoungerbthanb1byear.bSuddenbinfantbd
eathbsyndromebaccountsbforb8.2%bofbdeathsbinbthisbagebgroup.bRespiratorybdistressbsyndromebac-
bcountsbforb3.4%bofbdeaths binbthisbagebgroup.bInfectionsbspecificbtobthebperinatalbperiodbaccountbforb2.
7%bofbdeathsbinbthisbagebgroup.
DIF: CognitivebLevel:bRemember
REF:bp.b6bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessment
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
4. WhichbleadingbcausebofbdeathbtopicbshouldbthebnursebemphasizebtobabgroupbofbAfrican-
Americanbboysbrangingbinbagebfromb15btob19byears?
a. Suicide
b. Cancer
c. Firearmbhomicide
d. Occupationalbinjuries
ANSWER:b C
Firearmbhomicidebisbthebsecondboverallbcausebofbdeathbinbthisbagebgroupbandbthebleadingbcausebofbd
eathbinbAfrican-Americanbmales.bSuicidebisbthebthird-
leadingbcausebofbdeathbinbthisbpopulation.bCancer,balthoughbabmajorbhealthbproblem,bisbthebfourth-
leadingbcausebofbdeathbinbthisbagebgroup.bOccupationalbinjuriesbdobnotbcontributebtobabsignificantbd
eathbratebforbthisbagebgroup.
DIF: CognitivebLevel:bUnderstand
REF:bp.b7bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
5. Whichbisbthebmajorbcausebofbdeathbforbchildrenbolderbthanb1byear?
a. Cancer
b. Heartbdisease
c. Unintentionalbinjuries
d. Congenitalbanomalies
ANSWER:b C
Unintentionalbinjuriesb(accidents)barebthebleadingbcausebofbdeathbafterbageb1byearbthroughbadoles-
bcence.bCongenital banomaliesbarebthebleadingbcausebofbdeathbinbthosebyoungerbthanb1byear.bCancerbra
nksbeitherbsecondborbfourth,bdependingbonbthebagebgroup,bandbheartbdiseasebranksbfifthbinbthebmajor
itybofbthebagebgroups.
DIF: CognitivebLevel:bRemember
REF:bp.b7bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
6. Whichbisbthebleadingbcausebofbdeathbfrombunintentionalbinjuriesbforbfemalesbrangingbinbagebfromb1bt
ob14?
a. Mechanicalbsuffocation
b. Drowning
c. Motorbvehicle–relatedbfatalities
d. Fire-bandbburn-relatedbfatalities
, ANSWER:b C
Motorbvehicle–
relatedbfatalitiesbarebthebleadingbcausebofbdeathbforbfemalesbrangingbinbagebfromb1btob14,beitherbasbp
assengersborbasbpedestrians.bMechanicalbsuffocationbisbfourthborbfifth,bdependingbonbthebage.bDrow
ningbisbthebsecond-borbthird-leadingbcausebofbdeath,bdependingbonbthebage.bFire-bandbburn-
relatedbfatalitiesbarebthebsecond-leadingbcausebofbdeath.
DIF: CognitivebLevel:bRemember
REF:bp.b3bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessment
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
7. Whichbfactorbmostbimpactsbthebtypebofbinjurybabchildbisbsusceptiblebto,baccordingbtobthebchild’sba
ge?
a. Physicalbhealthbofbthebchild
b. Developmentalblevelbofbthebchild
c. Educationalblevelbofbthebchild
d. Numberbofbresponsiblebadultsbinbthebhome
ANSWER:b B
Thebchild’sbdevelopmentalbstagebdeterminesbthebtypebofbinjurybthatbisblikelybtoboccur.bThebchild’sbp
hysicalbhealthbmaybfacilitatebthebchild’sbrecoverybfrombanbinjurybbutbdoesbnotbimpactbthebtypebofbinj
ury.bEducationalblevelbisbrelatedbtobdevelopmentalblevel,bbutbitbisbnotbasbimportantbasbthebchild’sbdeve
lopmentalblevelbinbdeterminingbthebtypebofbinjury.bThebnumberbofbresponsiblebadultsbinbthebhomebm
aybaffectbthebnumberbofbunintentionalbinjuries,bbutbthebtypebofbinjurybisbrelatedbtobthebchild’sbdevelo
pmentalbstage.
DIF: CognitivebLevel:bUnderstand
REF:bp.b3bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
8. Whichbisbnowbreferredbtobasbtheb“newbmorbidity”?
a. Limitationsbinbthebmajorbactivitiesbofbdaily
living
b. Unintentionalbinjuriesbthatbcausebchronic
healthbproblems
c. Discoveriesbofbnewbtherapiesbtobtreatbhealth
problems
d. Behavioral,bsocial,bandbeducationalbproblem s
thatbalterbhealth
ANSWER:b D
Thebnewbmorbiditybreflectsbthebbehavioral,bsocial,bandbeducationalbproblemsbthatbinterferebwithbth
ebchild’sbsocialbandbacademicbdevelopment.bItbisbcurrentlybestimatedbthatbthebincidencebofbthesebissu
esbisbfromb5%btob30%.bLimitationsbinbmajorbactivitiesbofbdailyblivingbandbunintentionalbin-
bjuriesbthatbresultbinbchronicbhealthbproblemsbarebincludedbinbmorbiditybdata.bDiscoverybofbnewbther
apiesbwouldbbebreflectedbinbchangesbinbmorbiditybdataboverbtime.
DIF: CognitivebLevel:bRemember
REF:bp.b2bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessment
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
, 9. Abnursebonbabpediatricbunitbisbpracticingbfamily-
centeredbcare.bWhichbisbmostbdescriptivebofbthebcarebthebnursebisbdelivering?
a. Takingboverbtotalbcarebofbthebchildbtobreduce
stressbonbthebfamily
b. Encouragingbfamilybdependencebonbhealth
carebsystems
c. Recognizingbthatbthebfamilybisbthebconstantbi n
abchild’sblife
d. Excludingbfamiliesbfrombthebdecision-making
process
ANSWER:b C
Thebthreebkeybcomponentsbofbfamily-centeredbcarebarebrespect,bcollaboration,bandbsupport.bFam-
bily-
centeredbcarebrecognizesbthebfamilybasbthebconstantbinbthebchild’sblife.bTakingboverbtotalbcarebdoesb
notbincludebthebfamilybinbthebprocessbandbmaybincreasebstressbinsteadbofbreducingbstress.bThebfamilyb
shouldbbebenabledbandbempoweredbtobworkbwithbthebhealthbcarebsystem.bThebfamilybisbex-
bpectedbtobbebpartbofbthebdecision-makingbprocess.
DIF: CognitivebLevel:bRemember
REF:bbbp.b7bTOP:b IntegratedbProcess:bNursingbProces
s:bImplementation
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
10. Thebnursebisbpreparingbanbin-servicebeducationbtobstaffbaboutbatraumaticbcarebforbpediatricbpa-
tients.bWhichbinterventionbshouldbthebnursebinclude?
b
a. Preparebthebchildbforbseparationbfrombparent sb
duringbhospitalizationbbybreviewingbabvideo.
b. Preparebthebchildbbeforebanybunfamiliarbtreab t
mentborbprocedurebbybdemonstratingbonba
stuffedbanimal.
c. Helpbthebchildbacceptbtheblossbofbcontrolbass o
ciatedbwithbhospitalization.
d. Helpbthebchildbacceptbpainbthatbisbconnected
withbabtreatmentborbprocedure.
ANSWER:b B
Preparingbthebchildbforbanybunfamiliarbtreatments,bcontrollingbpain,ballowingbprivacy,bprovidingbpl
aybactivitiesbforbexpressionbofbfearbandbaggression,bprovidingbchoices,bandbrespectingbculturalbdiffe
rencesbarebcomponentsbofbatraumaticbcare.bInbthebprovisionbofbatraumaticbcare,bthebseparationbofbchil
dbfrombparentsbduringbhospitalizationbisbminimized.bThebnursebshouldbpromotebabsensebofbcontrolbf
orbthebchild.bPreventingbandbminimizingbbodilybinjurybandbpainbarebmajorbcomponentsbofbatraumatic
bcare.
DIF: CognitivebLevel:bUnderstand
REF:bbbp.b8bTOP:b IntegratedbProcess:bNursingbProces
s:bImplementationbMSC:b AreabofbClientbNeeds:bPsychosocia
lbIntegrity
11. Whichbisbmostbsuggestivebthatbabnursebhasbabnontherapeuticbrelationshipbwithbabpatientbandbfam-
ily?
b
, a. Staffbisbconcernedbaboutbthebnurse’sbactions
withbthebpatientbandbfamily.
b. Staffbassignmentsballowbthebnursebtobcarebforb
samebpatientbandbfamilyboverbanbextended
time.
c. Nursebisbablebtobwithdrawbemotionallybwhenb
emotionalboverloadboccursbbutbstillbremains
committed.
d. Nursebusesbteachingbskillsbtobinstructbpatientb
andbfamilybratherbthanbdoingbeverythingbfor
them.
ANSWER:b A
Anbcluebtobabnontherapeuticbstaff-
patientbrelationshipbisbconcernbofbotherbstaffbmembers.bAllowingbthebnursebtobcarebforbthebsamebpatie
ntboverbtimebwouldbbebtherapeuticbforbthebpatientbandbfamily.
Nursesbwhobarebablebtobsomewhatbwithdrawbemotionallybcanbprotectbthemselvesbwhilebprovidingbther
apeuticbcare.bNursesbusingbteachingbskillsbtobinstructbpatientbandbfamilybwillbassistbinbtransi-
btioningbthebchildbandbfamilybtobself-care.
DIF: CognitivebLevel:bAnalyze
REF:bp.b8bTOP:b IntegratedbProcess:bNursingbPro
cess:bAssessmentbMSC:b AreabofbClientbNeeds:bPsychoso
cialbIntegrity
12. Whichbisbmostbdescriptivebofbclinicalbreasoning?
a. Absimplebdevelopmentalbprocess
b. Purposefulbandbgoal-directed
c. Basedbonbdeliberatebandbirrationalbthought
d. Assistsbindividualsbinbguessingbwhatbisbmost
appropriate
ANSWER:b B
Clinicalbreasoningbisbabcomplex,bdevelopmentalbprocessbbasedbonbrationalbandbdeliberatebthought.b
Clinicalbreasoningbisbnotbabdevelopmentalbprocess.bClinicalbreasoningbisbbasedbonbrationalbandbde-
bliberatebthought. bClinical breasoningbisbnotbabguessingbprocess.
DIF: CognitivebLevel:bUnderstand
REF:bp.b10bTOP:b IntegratedbProcess:bNursingbPro
cess:bPlanning
MSC:b AreabofbClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
13. Abnursebmakesbthebdecisionbtobapplybabtopicalbanestheticbtobabchild’sbskinbbeforebdrawingbblood.b
Whichbethicalbprinciplebisbthebnursebdemonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
ANSWER:b B
Beneficencebisbthebobligationbtobpromotebthebpatient’sbwell-
being.bApplyingbabtopicalbanestheticbbeforebdrawingbbloodbpromotesbreducingbthebdiscomfortbofbthebv
enipuncture.bAutonomybisbthe
, patient’sbrightbtobbebself-
governing.bJusticebisbthebconceptbofbfairness.bTruthfulnessbisbthebconceptbofbhonesty.
DIF: CognitivebLevel:bUnderstand
REF:bp.b10bTOP:b IntegratedbProcess:bNursingbProces
s:bImplementationbMSC:b AreabofbClientbNeeds:bPhysiologica
lbIntegrity
14. Whichbactionbbybthebnursebdemonstratesbusebofbevidence-basedbpracticeb(EBP)?
a. Gatheringbequipmentbforbabprocedure
b. Documentingbchangesbinbabpatient’sbstatus
c. Questioningbthebusebofbdailybcentralbline
dressingbchanges
d. Clarifyingbabphysician’sbprescriptionbforbmor
phine
ANSWER:b C
Thebnursebwhobquestionsbthebdailybcentralblinebdressingbchangebisbascertainingbwhetherbclinicalbinter
ventionsbresultbinbpositiveboutcomesbforbpatients.bThisbdemonstratesbEBP,bwhichbimpliesbquestionin
gbwhybsomethingbisbeffectivebandbwhetherbabbetterbapproachbexists.bGatheringbequip-
bmentbforbabprocedurebandbdocumentingbchanges binbabpatient’sbstatusbarebpracticesbthatbfollowbes-
btablishedbguidelines.bClarifyingbabphysician’sbprescriptionbforbmorphinebconstitutesbsafebnursingbcare
.
DIF: CognitivebLevel:bApply
REF:bp.b10bTOP:b IntegratedbProcess:bNursingbPro
cess:bEvaluation
MSC:b AreabofbClientbNeeds:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
15. Abnursebisbadmittingbabtoddlerbtobthebhospital.bThebtoddlerbisbwithbbothbparentsbandbisbcurrentlybsit-
tingbcomfortablybonbabparent’sblap.bThebparentsbstatebtheybwillbneedbtobleavebforbabbriefbperiod.bWhi
b
chbtypebofbnursingbdiagnosisbshouldbthebnursebformulatebforbthisbchild?
a. Riskbforbanxiety
b. Anxiety
c. Readinessbforbenhancedbcoping
d. Ineffectivebcoping
ANSWER:b A
Abpotentialbproblembisbcategorizedbasbabrisk.bThebtoddlerbhasbabriskbtobbecomebanxiousbwhenbthebparen
tsbleave.bNursingbinterventionsbwillbbebgearedbtowardbreducingbthebrisk.bThebchildbisbnotbshowingbcur
rentbanxietyborbineffectivebcoping.bThebchildbisbnotbatbabpointbforbreadinessbforben-
bhancedbcoping,bespeciallybbecausebthebparentsbwillbbebleaving.
DIF: CognitivebLevel:bRemember
REF:b p.b11bTOP:b IntegratedbProcess:bNursingbPro
cess:bDiagnosis
MSC:b AreabofbClientbNeeds:bHealthbPromotionbandbMaintenance
16. Abchildbhasbabpostoperativebappendectomybincisionbcoveredbbybabdressing.bThebnursebhasbjustbc
ompletedbabprescribedbdressingbchangebforbthisbchild.bWhichbdescriptionbisbanbaccuratebdocu-
bmentationbofbthisbprocedure?
a. Dressingbchangebtobappendectomybincision
