@ProfdocDigitalLibraries <Best Online Study Materials>
TEST BANK
Wong's Nursing Care of Infants and Children
Marilyn J. Hockenberry, Elizabeth A. Duffy & Karen Gibbs
12th Edition
All Chapters Complete (Questions with Rationalized Answers)
,@ProfdocDigitalLibraries <Best Online Study Materials>
Table of Contents
1. Perspectives of Pediatric Nursing
2. Family, Social, Cultural, and Religious Influences on Child Health Promotion
3. Hereditary Influences on Health of the Child and Family
4. Communication and Physical Assessment of the Child and Family
5. Pain Assessment in Children
6. Childhood Communicable and Infectious Diseases
7. Health Promotion of the Newborn and Family
8. Health Problems of Newborns
9. The High-Risk Newborn and Family
10. Health Promotion of the Infant and Family
11. Health Problems of the Infant
12. Health Promotion of the Toddler and Family
13. Health Promotion of the Preschooler and Family
14. Health Problems of Early Childhood
15. Health Promotion of the School-Age Child and Family
16. Health Problems of the School-Age Child
17. Health Promotion of the Adolescent and Family
18. Health Problems of the Adolescent
19. Impact of Chronic Illness, Disability, or End of Life Care for the Child and Family
20. Impact of Cognitive or Sensory Impairment on the Child and Family
21. Family-Centered Care of the Child During Illness and Hospitalization
22. Pediatric Nursing Interventions and Skills
23. The Child with Fluid and Electrolyte Imbalance
24. The Child with Renal Dysfunction
25. The Child with Gastrointestinal Dysfunction
26. The Child with Respiratory Dysfunction
27. The Child with Cardiovascular Dysfunction
28. The Child with Hematologic or Immunologic Dysfunction
29. The Child with Cancer
30. The Child with Cerebral Dysfunction
31. The Child with Endocrine Dysfunction
32. The Child with Integumentary Dysfunction
33. The Child with Musculoskeletal or Articular Dysfunction
34. The Child with Neuromuscular or Muscular Dysfunction
,@ProfdocDigitalLibraries <Best Online Study Materials>
Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. What is the major cause of death for children in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood
cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 year
of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse
should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making
process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support. Family-
centered care recognizes the family as the constant in the child’s life. The family should be enabled
and empowered to work with the health care system and is expected to be part of the decision-making
process. The nurse should also support the family’s cultural diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
questioning the best approach. EBP involves decision making based on the integration of the best
research evidence combined with clinical expertise and patient values.
, @ProfdocDigitalLibraries <Best Online Study Materials>
DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
4. The nurse is talking to a group of parents of school-age children at an after-school program about
childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age children but may be
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse should
include information about childhood obesity because it is the most common problem among children
and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is important to
include. Immunization rates differ depending on the child’s race and ethnicity; dental caries continues
to be a common chronic disease in childhood; and mental health problems are seen in children as
young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to
ensure atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing procedures.
c. Allow the child to choose the type of juice to drink with the administration of oral
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
ANS: C
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 of procedures would increase
anxiety. The family should be allowed to stay with the child during procedures, minimizing stress.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the
prescribed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
b. During shift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
d. The nurse is working with a family to find ways to decrease the family’s
dependence on health care providers.
TEST BANK
Wong's Nursing Care of Infants and Children
Marilyn J. Hockenberry, Elizabeth A. Duffy & Karen Gibbs
12th Edition
All Chapters Complete (Questions with Rationalized Answers)
,@ProfdocDigitalLibraries <Best Online Study Materials>
Table of Contents
1. Perspectives of Pediatric Nursing
2. Family, Social, Cultural, and Religious Influences on Child Health Promotion
3. Hereditary Influences on Health of the Child and Family
4. Communication and Physical Assessment of the Child and Family
5. Pain Assessment in Children
6. Childhood Communicable and Infectious Diseases
7. Health Promotion of the Newborn and Family
8. Health Problems of Newborns
9. The High-Risk Newborn and Family
10. Health Promotion of the Infant and Family
11. Health Problems of the Infant
12. Health Promotion of the Toddler and Family
13. Health Promotion of the Preschooler and Family
14. Health Problems of Early Childhood
15. Health Promotion of the School-Age Child and Family
16. Health Problems of the School-Age Child
17. Health Promotion of the Adolescent and Family
18. Health Problems of the Adolescent
19. Impact of Chronic Illness, Disability, or End of Life Care for the Child and Family
20. Impact of Cognitive or Sensory Impairment on the Child and Family
21. Family-Centered Care of the Child During Illness and Hospitalization
22. Pediatric Nursing Interventions and Skills
23. The Child with Fluid and Electrolyte Imbalance
24. The Child with Renal Dysfunction
25. The Child with Gastrointestinal Dysfunction
26. The Child with Respiratory Dysfunction
27. The Child with Cardiovascular Dysfunction
28. The Child with Hematologic or Immunologic Dysfunction
29. The Child with Cancer
30. The Child with Cerebral Dysfunction
31. The Child with Endocrine Dysfunction
32. The Child with Integumentary Dysfunction
33. The Child with Musculoskeletal or Articular Dysfunction
34. The Child with Neuromuscular or Muscular Dysfunction
,@ProfdocDigitalLibraries <Best Online Study Materials>
Chapter 01: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. What is the major cause of death for children in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood
cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 year
of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse
should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making
process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support. Family-
centered care recognizes the family as the constant in the child’s life. The family should be enabled
and empowered to work with the health care system and is expected to be part of the decision-making
process. The nurse should also support the family’s cultural diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
questioning the best approach. EBP involves decision making based on the integration of the best
research evidence combined with clinical expertise and patient values.
, @ProfdocDigitalLibraries <Best Online Study Materials>
DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
4. The nurse is talking to a group of parents of school-age children at an after-school program about
childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age children but may be
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse should
include information about childhood obesity because it is the most common problem among children
and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is important to
include. Immunization rates differ depending on the child’s race and ethnicity; dental caries continues
to be a common chronic disease in childhood; and mental health problems are seen in children as
young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to
ensure atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing procedures.
c. Allow the child to choose the type of juice to drink with the administration of oral
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
ANS: C
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 of procedures would increase
anxiety. The family should be allowed to stay with the child during procedures, minimizing stress.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the
prescribed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
b. During shift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
d. The nurse is working with a family to find ways to decrease the family’s
dependence on health care providers.
