Wong’s Essentials of Pediatric Nursing
11th Edition Test Bank Hockenberry
Detail Information
Title Wong's Essentials of Pediatric Nursing, 11th Edition – Test Bank
Authors Hockenberry, Wilson & Rodgers
Edition 11th Edition
Questions Covered 1 – 200
Includes Correct Answers in Bold Italics + Detailed Rationales
Format NCLEX-Style Multiple Choice
CHAPTER 01: CHILDREN, THEIR FAMILIES, AND THE
NURSE
Question 1
Topic: Infant Mortality Statistics
Question: 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 similar to 20 other developed countries.
B) The United States is ranked in the middle of 20 other developed countries.
,C) The United States is ranked highest among 27 other industrialized countries.
D) *The United States is ranked last among 27 countries. *
Rationale: 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. This is an important
consideration for pediatric nurses when planning care and health promotion
activities.
Question 2
Topic: Leading Causes of Infant Mortality
Question: 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
Rationale: Congenital anomalies account for 20.1% of deaths in infants younger
than 1 year compared with sudden infant death syndrome (8.2%), disorders related
to short gestation and unspecified low birth weight (16.5%), and maternal
complications such as infections specific to the perinatal period (6.1%). Congenital
anomalies remain the leading cause of infant mortality in the United States.
Question 3
Topic: Leading Causes of Death in Children
,Question: What is the major cause of death for children older than 1 year in the
United States?
A) Cancer
B) Heart disease
C) Congenital anomalies
D) *Unintentional injuries *
Rationale: Unintentional injuries (accidents) are the leading cause of death after age
1 year through adolescence. Congenital anomalies are the leading cause of death in
infants younger than 1 year. Cancer and heart disease are significant causes but do
not surpass unintentional injuries in this age group. This highlights the importance of
injury prevention education for families.
Question 4
Topic: Atraumatic Care
Question: Which intervention should the nurse include when planning atraumatic
care for a hospitalized preschool-aged child?
A) Limit explanation of procedures because the child is preschool aged.
B) Ask that all family members leave the room when performing procedures.
C) Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
D) *Allow the child to choose the type of juice to drink with the administration
of oral medications. *
Rationale: The overriding goal in providing atraumatic care is "first, do no harm."
Allowing the child a choice of juice to drink when taking oral medications provides
the child with a sense of control. The preschool child should be prepared before
procedures, so limiting explanations would increase anxiety. The family should be
allowed to stay with the child during procedures, minimizing stress. EMLA cream
should be used when appropriate for painful procedures.
, Question 5
Topic: Nontherapeutic Nurse-Family Relationship
Question: Which situation denotes a nontherapeutic RN-client-family relationship?
A) The RN is planning to read a favorite fairy tale to a client.
B) *During shift report, the RN is criticizing parents for not visiting their child. *
C) The RN is discussing with a fellow RN the emotional draw to a certain client.
D) The RN is working with a family to find ways to decrease the family's dependence
on health care providers.
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and
shows an under-involvement with the parents. Reading a fairy tale is a therapeutic
and age-appropriate action. Discussing feelings of an emotional draw with a fellow
RN is therapeutic and shows a willingness to understand feelings. Working with
parents to decrease dependence on health care providers is therapeutic and helps to
empower the family.
Question 6
Topic: Family-Centered Care
Question: A nurse on a pediatric unit is practicing family-centered care. Which is
most descriptive of the care the nurse is delivering?
A) Taking over total care of the child to reduce stress on the family
B) Encouraging family dependence on health care systems
C) *Recognizing that the family is the constant in a child's life *
D) Excluding families from the decision-making process
Rationale: The three key components of family-centered care are respect,
collaboration, and support. Family-centered care recognizes the family as the
11th Edition Test Bank Hockenberry
Detail Information
Title Wong's Essentials of Pediatric Nursing, 11th Edition – Test Bank
Authors Hockenberry, Wilson & Rodgers
Edition 11th Edition
Questions Covered 1 – 200
Includes Correct Answers in Bold Italics + Detailed Rationales
Format NCLEX-Style Multiple Choice
CHAPTER 01: CHILDREN, THEIR FAMILIES, AND THE
NURSE
Question 1
Topic: Infant Mortality Statistics
Question: 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 similar to 20 other developed countries.
B) The United States is ranked in the middle of 20 other developed countries.
,C) The United States is ranked highest among 27 other industrialized countries.
D) *The United States is ranked last among 27 countries. *
Rationale: 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. This is an important
consideration for pediatric nurses when planning care and health promotion
activities.
Question 2
Topic: Leading Causes of Infant Mortality
Question: 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
Rationale: Congenital anomalies account for 20.1% of deaths in infants younger
than 1 year compared with sudden infant death syndrome (8.2%), disorders related
to short gestation and unspecified low birth weight (16.5%), and maternal
complications such as infections specific to the perinatal period (6.1%). Congenital
anomalies remain the leading cause of infant mortality in the United States.
Question 3
Topic: Leading Causes of Death in Children
,Question: What is the major cause of death for children older than 1 year in the
United States?
A) Cancer
B) Heart disease
C) Congenital anomalies
D) *Unintentional injuries *
Rationale: Unintentional injuries (accidents) are the leading cause of death after age
1 year through adolescence. Congenital anomalies are the leading cause of death in
infants younger than 1 year. Cancer and heart disease are significant causes but do
not surpass unintentional injuries in this age group. This highlights the importance of
injury prevention education for families.
Question 4
Topic: Atraumatic Care
Question: Which intervention should the nurse include when planning atraumatic
care for a hospitalized preschool-aged child?
A) Limit explanation of procedures because the child is preschool aged.
B) Ask that all family members leave the room when performing procedures.
C) Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
D) *Allow the child to choose the type of juice to drink with the administration
of oral medications. *
Rationale: The overriding goal in providing atraumatic care is "first, do no harm."
Allowing the child a choice of juice to drink when taking oral medications provides
the child with a sense of control. The preschool child should be prepared before
procedures, so limiting explanations would increase anxiety. The family should be
allowed to stay with the child during procedures, minimizing stress. EMLA cream
should be used when appropriate for painful procedures.
, Question 5
Topic: Nontherapeutic Nurse-Family Relationship
Question: Which situation denotes a nontherapeutic RN-client-family relationship?
A) The RN is planning to read a favorite fairy tale to a client.
B) *During shift report, the RN is criticizing parents for not visiting their child. *
C) The RN is discussing with a fellow RN the emotional draw to a certain client.
D) The RN is working with a family to find ways to decrease the family's dependence
on health care providers.
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and
shows an under-involvement with the parents. Reading a fairy tale is a therapeutic
and age-appropriate action. Discussing feelings of an emotional draw with a fellow
RN is therapeutic and shows a willingness to understand feelings. Working with
parents to decrease dependence on health care providers is therapeutic and helps to
empower the family.
Question 6
Topic: Family-Centered Care
Question: A nurse on a pediatric unit is practicing family-centered care. Which is
most descriptive of the care the nurse is delivering?
A) Taking over total care of the child to reduce stress on the family
B) Encouraging family dependence on health care systems
C) *Recognizing that the family is the constant in a child's life *
D) Excluding families from the decision-making process
Rationale: The three key components of family-centered care are respect,
collaboration, and support. Family-centered care recognizes the family as the
