Wong's Essentials of Pediatric
Nursing 11th Edition Test Bank
(Chapters 1-31 Complete Guide)
QUESTION 1
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which
action by the nurse best demonstrates the principle of atraumatic care?
,A. Asking the parents to step out of the room during the procedure to minimize
distraction.
B. Telling the child that the needle stick will not hurt at all.
C. Applying a topical local anesthetic to the puncture site 60 minutes prior to
the procedure.
D. Restraining the child firmly on the examination table using a papoose board.
VERIFIED ANSWER: C. Applying a topical local anesthetic to the puncture
site 60 minutes prior to the procedure.
EXPLANATION: Atraumatic care is the provision of therapeutic care in
settings, by personnel, and through the use of interventions that eliminate or
minimize the psychological and physical distress experienced by children and
their families. Applying a topical anesthetic (such as EMLA cream) minimizes
physical pain, which is a core tenet of atraumatic care. Parents should be
encouraged to stay to provide comfort, honesty about pain is vital for trust,
and rigid mechanical restraints should be avoided if possible.
QUESTION 2
The nurse is reviewing the leading causes of death in the pediatric population.
Which factor represents the primary cause of mortality in children older than 1
year of age?
A. Congenital anomalies
B. Childhood malignancies
C. Unintentional injuries (accidents)
D. Infectious diseases
VERIFIED ANSWER: C. Unintentional injuries (accidents)
,EXPLANATION: Unintentional injuries (motor vehicle accidents, drowning,
burns, poisonings) remain the leading cause of death in children aged 1 to 19
years. Congenital anomalies are the leading cause of death during infancy
(under 1 year of age). Cancer and infectious diseases contribute significantly
to pediatric morbidity but do not surpass accidents in mortality statistics.
QUESTION 3
When assessing a toddler during a well-child visit, the nurse notes that the
child's parents are highly critical and refuse to let the child try to feed
themselves, despite the child's eagerness. According to Erikson, which
developmental crisis is this child at risk for failing to resolve?
A. Trust versus Mistrust
B. Autonomy versus Shame and Doubt
C. Initiative versus Guilt
D. Industry versus Inferiority
VERIFIED ANSWER: B. Autonomy versus Shame and Doubt
EXPLANATION: The developmental task of the toddler period (ages 1 to 3
years) is achieving autonomy while overcoming shame and doubt. Toddlers
want to exert their own will and do things for themselves (e.g., self-feeding). If
parents are overly controlling, restrictive, or punitive, the child develops a
sense of shame regarding their capabilities and doubts their own worth.
QUESTION 4
, The nurse is preparing a clinical care plan for a hospitalized 8-month-old infant.
Which developmental manifestation should the nurse anticipate when the
parents leave the bedside?
A. Separation anxiety and loud crying
B. Indifference and independent play
C. Intellectualization of the situation
D. Immediate attachment to the nursing staff
VERIFIED ANSWER: A. Separation anxiety and loud crying
EXPLANATION: Separation anxiety emerges at approximately 6 to 8 months
of age and peaks during toddlerhood. Infants during this phase experience
profound distress when separated from their primary caregivers, typically
manifesting as crying, screaming, and clinging. Indifference or immediate
attachment to strangers does not match normal developmental milestones for
this age bracket.
QUESTION 5
A nurse is reviewing a client's prenatal history during a newborn assessment.
Which prescribed medication does the nurse recognize as non-teratogenic and
safe for administration during pregnancy?
A. Phenytoin
B. Warfarin
C. Isotretinoin
D. Heparin sodium
VERIFIED ANSWER: D. Heparin sodium
Nursing 11th Edition Test Bank
(Chapters 1-31 Complete Guide)
QUESTION 1
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which
action by the nurse best demonstrates the principle of atraumatic care?
,A. Asking the parents to step out of the room during the procedure to minimize
distraction.
B. Telling the child that the needle stick will not hurt at all.
C. Applying a topical local anesthetic to the puncture site 60 minutes prior to
the procedure.
D. Restraining the child firmly on the examination table using a papoose board.
VERIFIED ANSWER: C. Applying a topical local anesthetic to the puncture
site 60 minutes prior to the procedure.
EXPLANATION: Atraumatic care is the provision of therapeutic care in
settings, by personnel, and through the use of interventions that eliminate or
minimize the psychological and physical distress experienced by children and
their families. Applying a topical anesthetic (such as EMLA cream) minimizes
physical pain, which is a core tenet of atraumatic care. Parents should be
encouraged to stay to provide comfort, honesty about pain is vital for trust,
and rigid mechanical restraints should be avoided if possible.
QUESTION 2
The nurse is reviewing the leading causes of death in the pediatric population.
Which factor represents the primary cause of mortality in children older than 1
year of age?
A. Congenital anomalies
B. Childhood malignancies
C. Unintentional injuries (accidents)
D. Infectious diseases
VERIFIED ANSWER: C. Unintentional injuries (accidents)
,EXPLANATION: Unintentional injuries (motor vehicle accidents, drowning,
burns, poisonings) remain the leading cause of death in children aged 1 to 19
years. Congenital anomalies are the leading cause of death during infancy
(under 1 year of age). Cancer and infectious diseases contribute significantly
to pediatric morbidity but do not surpass accidents in mortality statistics.
QUESTION 3
When assessing a toddler during a well-child visit, the nurse notes that the
child's parents are highly critical and refuse to let the child try to feed
themselves, despite the child's eagerness. According to Erikson, which
developmental crisis is this child at risk for failing to resolve?
A. Trust versus Mistrust
B. Autonomy versus Shame and Doubt
C. Initiative versus Guilt
D. Industry versus Inferiority
VERIFIED ANSWER: B. Autonomy versus Shame and Doubt
EXPLANATION: The developmental task of the toddler period (ages 1 to 3
years) is achieving autonomy while overcoming shame and doubt. Toddlers
want to exert their own will and do things for themselves (e.g., self-feeding). If
parents are overly controlling, restrictive, or punitive, the child develops a
sense of shame regarding their capabilities and doubts their own worth.
QUESTION 4
, The nurse is preparing a clinical care plan for a hospitalized 8-month-old infant.
Which developmental manifestation should the nurse anticipate when the
parents leave the bedside?
A. Separation anxiety and loud crying
B. Indifference and independent play
C. Intellectualization of the situation
D. Immediate attachment to the nursing staff
VERIFIED ANSWER: A. Separation anxiety and loud crying
EXPLANATION: Separation anxiety emerges at approximately 6 to 8 months
of age and peaks during toddlerhood. Infants during this phase experience
profound distress when separated from their primary caregivers, typically
manifesting as crying, screaming, and clinging. Indifference or immediate
attachment to strangers does not match normal developmental milestones for
this age bracket.
QUESTION 5
A nurse is reviewing a client's prenatal history during a newborn assessment.
Which prescribed medication does the nurse recognize as non-teratogenic and
safe for administration during pregnancy?
A. Phenytoin
B. Warfarin
C. Isotretinoin
D. Heparin sodium
VERIFIED ANSWER: D. Heparin sodium
