, vb vb vb vb vb
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Edition
MULTIPLE CHOICE vb
1. What is the major cause of death for children in the United States?
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a. Heart disease j9
b. Childhood cancer j9
c. Injuries
d. Congenital anomalies j9
ANS: C j 9
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood canc
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of ag
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 Z# Z# j9 j9 j9 j9 j9 j9
e.
DIF: j 9 Cognitive Level: Understanding j9 j9
TOP: Nursing Process: Planning MSC:
j9 j9 j9 Z#
Client Needs: Health Promot i j9 j9 j9 j9 j
9 on and Maintenance
j9 j9
2. Parents ofa hospitalized toddler ask the nurse, “What is meant by family-
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
centered care?” The nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversityon the family. Z# j9 j9 j9 j9 j9 j9 j9 j9 j9
b. Family-centered care encourages familydependence on the health care system. j9 j9 j9 j9 j9 j9 j9 j9 j9
c. Family-centered care recognizes that the family is the constant in a child’s life. vb j9 j9 vj9 j9 j9 j9 j9 j9 j9 Z# j9
d. Family-centered care avoids expecting families tobe part ofthe decision- j9 j9 j9 j9 j9 j9 j9 j9 j9
making process. j9
ANS: C j 9
The three key components of family-centered care are respect, collaboration, and support. Family-
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
centered care recognizes the family as the constant in the child’s life. The family should be enabled
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
a nd empowered to work with the health care system and is expected to be part of the decision-
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
DIF: Cognitive Level: Applying j9 j9
TOP: Nursing Process: Implementation MSC:
j9 j9 j9 j9
Client Needs: Health Promot j9 j9 j9 j
9 j9i on and Maintenance
j9 j9
3. Evidence-based practice (EBP), adecision-making model, is best described as which? j9 j9 j9 j9 j9 j9 j9 j9 Z#
a. Using information in textbooksto guide care j9 j9 Z# j9 j9
b. Combining knowledge with clinical experience and intuition j9 j9 j9 j9 j9 vj 9
c. Using a professional code of ethics as a means for decision making
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
d. Gathering all evidence that applies to the child’s health and familysituation
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ANS: j 9 B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and quest
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j
i oning the best approach. EBP involves decision making based on the integration of the best research e
9 j9 Z# j9 j9 j9 j9 j9 Z# j9 j9 Z# j9 j9 j9 j9 j9 j9 j9
v idence combined with clinical expertise and patient values.
j9 j9 j9 j9 j9 j9 j9 j9
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
DIF: j 9 Cognitive Level: Remembering j9 j9
TOP: Nursing Process: Planning MSC:
j9 j9 j9 j9
Client Needs: Safe and Effec t j9 j9 j9 j9 j9
j9 ive Care Environment
j9 j9
4. The nurse is talking to a group of parents of school-age children at an after-
j9 j9 j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9 j9
school program about childhood health problems. Which statement should the nurse include in th
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
e teaching?
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a. Childhood obesity is the most common nutritional problemamong children. Z# j9 j9 j9 j9 j9 j9 j9
b. Immunization rates arethe same among children of different races and ethnicity. j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
c. Dental caries is not a problem commonly seen in children since the introduction of f l
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
uorinated water. j9
d. Mentalhealth problems are typically not seen inschool- j9 j9 j9 j9 j9 j9
age children but may be diagnosed in adolescents.
j9 j9 j9 j9 j9 j9 j9
ANS: j 9 A
When teaching parents of school- j9 j9 j9 j9
age children about childhood health problems, the nurse should include information about childhood
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 vj 9 vj9
o besity because it is the most common problem among children and is associated with type 2 diabetes
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ dep
j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
e nding on the child’s race and ethnicity; dentalcaries continues to be a common chronic disease in chil
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
d hood; and mental health problems are seen in children as young as school age, not just in adolesce
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
nts.
DIF: j 9 Cognitive Level: Applying j9 j9
TOP: Integrated Process: Teaching/Learning MSC:
j9 Z# j9 j9
Client Needs: Health Promot i j9 j9 j9 j9 j
9 on and Maintenance
j9 j9
5. The nurse is planning care for a hospitalized preschool-
j9 j9 j9 j9 j9 j9 j9 j9
aged child. Which should the nurse plan to ensure atraumatic care?
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
a. Limit explanation ofprocedures because the child is preschool aged.
j9 j9 j9 j9 j9 j9 j9 j9
b. Ask that all family members leave the room when performing procedures.
j9 Z# j9 j9 j9 j9 j9 Z# j9
c. Allow the child to choose the type of juice to drink with the administration of oral
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
medications.
d. Explain that EMLA creamcannot be used for the morning lab draw because there i s
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
not time for it to be effective.
j9 j9 j9 j9 j9 j9 j9
ANS: C j 9
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of ju
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ice to drink when taking oral medications provides the child with a sense of control. The preschool chi
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
l d should be prepared before procedures, so limiting explanations of procedures would increase anxi
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
et
y. The family should be allowed to stay with the child during procedures, minimizing stress. Lidocaine/pril
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribe d cream in time f
Z# j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
or morning laboratory draws to minimize pain.
j9 j9 j9 j9 j9 j9
DIF: Cognitive Level: Applying j9 j9
TOP: Nursing Process: Planning MSC:
j9 j9 j9 Z#
Client Needs: Health Promot i j9 j9 j9 j9 j
9 on and Maintenance
j9 j9
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
j9 Z# j9 j9 j 9 j9
a. The nurse is planning to read a favorite fairytale to a patient.
j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
b. During shift report, the nurse is criticizing parents for not visiting their child.
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
c. The nurse is discussing with a fellow nurse the emotionaldraw to a certain patient.
Z# j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
d. The nurse is working with a familyto find ways todecrease the family’s dependenc e
j9 j9 j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9
j9 on health care providers.
j9 j9 j9
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Edition
MULTIPLE CHOICE vb
1. What is the major cause of death for children in the United States?
j9 j9 j9 j9 j9 j9 j9 j9 j9 Z# j9 j9
a. Heart disease j9
b. Childhood cancer j9
c. Injuries
d. Congenital anomalies j9
ANS: C j 9
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood canc
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of ag
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 Z# Z# j9 j9 j9 j9 j9 j9
e.
DIF: j 9 Cognitive Level: Understanding j9 j9
TOP: Nursing Process: Planning MSC:
j9 j9 j9 Z#
Client Needs: Health Promot i j9 j9 j9 j9 j
9 on and Maintenance
j9 j9
2. Parents ofa hospitalized toddler ask the nurse, “What is meant by family-
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
centered care?” The nurse should respond with which statement?
j9 j9 j9 j9 j9 j9 j9 j9
a. Family-centered care reduces the effect of cultural diversityon the family. Z# j9 j9 j9 j9 j9 j9 j9 j9 j9
b. Family-centered care encourages familydependence on the health care system. j9 j9 j9 j9 j9 j9 j9 j9 j9
c. Family-centered care recognizes that the family is the constant in a child’s life. vb j9 j9 vj9 j9 j9 j9 j9 j9 j9 Z# j9
d. Family-centered care avoids expecting families tobe part ofthe decision- j9 j9 j9 j9 j9 j9 j9 j9 j9
making process. j9
ANS: C j 9
The three key components of family-centered care are respect, collaboration, and support. Family-
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
centered care recognizes the family as the constant in the child’s life. The family should be enabled
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
a nd empowered to work with the health care system and is expected to be part of the decision-
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
DIF: Cognitive Level: Applying j9 j9
TOP: Nursing Process: Implementation MSC:
j9 j9 j9 j9
Client Needs: Health Promot j9 j9 j9 j
9 j9i on and Maintenance
j9 j9
3. Evidence-based practice (EBP), adecision-making model, is best described as which? j9 j9 j9 j9 j9 j9 j9 j9 Z#
a. Using information in textbooksto guide care j9 j9 Z# j9 j9
b. Combining knowledge with clinical experience and intuition j9 j9 j9 j9 j9 vj 9
c. Using a professional code of ethics as a means for decision making
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
d. Gathering all evidence that applies to the child’s health and familysituation
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ANS: j 9 B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and quest
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j
i oning the best approach. EBP involves decision making based on the integration of the best research e
9 j9 Z# j9 j9 j9 j9 j9 Z# j9 j9 Z# j9 j9 j9 j9 j9 j9 j9
v idence combined with clinical expertise and patient values.
j9 j9 j9 j9 j9 j9 j9 j9
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
DIF: j 9 Cognitive Level: Remembering j9 j9
TOP: Nursing Process: Planning MSC:
j9 j9 j9 j9
Client Needs: Safe and Effec t j9 j9 j9 j9 j9
j9 ive Care Environment
j9 j9
4. The nurse is talking to a group of parents of school-age children at an after-
j9 j9 j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9 j9
school program about childhood health problems. Which statement should the nurse include in th
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
e teaching?
j9
a. Childhood obesity is the most common nutritional problemamong children. Z# j9 j9 j9 j9 j9 j9 j9
b. Immunization rates arethe same among children of different races and ethnicity. j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
c. Dental caries is not a problem commonly seen in children since the introduction of f l
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
uorinated water. j9
d. Mentalhealth problems are typically not seen inschool- j9 j9 j9 j9 j9 j9
age children but may be diagnosed in adolescents.
j9 j9 j9 j9 j9 j9 j9
ANS: j 9 A
When teaching parents of school- j9 j9 j9 j9
age children about childhood health problems, the nurse should include information about childhood
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 vj 9 vj9
o besity because it is the most common problem among children and is associated with type 2 diabetes
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ dep
j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
e nding on the child’s race and ethnicity; dentalcaries continues to be a common chronic disease in chil
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
d hood; and mental health problems are seen in children as young as school age, not just in adolesce
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
nts.
DIF: j 9 Cognitive Level: Applying j9 j9
TOP: Integrated Process: Teaching/Learning MSC:
j9 Z# j9 j9
Client Needs: Health Promot i j9 j9 j9 j9 j
9 on and Maintenance
j9 j9
5. The nurse is planning care for a hospitalized preschool-
j9 j9 j9 j9 j9 j9 j9 j9
aged child. Which should the nurse plan to ensure atraumatic care?
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
a. Limit explanation ofprocedures because the child is preschool aged.
j9 j9 j9 j9 j9 j9 j9 j9
b. Ask that all family members leave the room when performing procedures.
j9 Z# j9 j9 j9 j9 j9 Z# j9
c. Allow the child to choose the type of juice to drink with the administration of oral
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
medications.
d. Explain that EMLA creamcannot be used for the morning lab draw because there i s
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
not time for it to be effective.
j9 j9 j9 j9 j9 j9 j9
ANS: C j 9
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of ju
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ice to drink when taking oral medications provides the child with a sense of control. The preschool chi
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
l d should be prepared before procedures, so limiting explanations of procedures would increase anxi
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
et
y. The family should be allowed to stay with the child during procedures, minimizing stress. Lidocaine/pril
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
ocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribe d cream in time f
Z# j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
or morning laboratory draws to minimize pain.
j9 j9 j9 j9 j9 j9
DIF: Cognitive Level: Applying j9 j9
TOP: Nursing Process: Planning MSC:
j9 j9 j9 Z#
Client Needs: Health Promot i j9 j9 j9 j9 j
9 on and Maintenance
j9 j9
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
j9 Z# j9 j9 j 9 j9
a. The nurse is planning to read a favorite fairytale to a patient.
j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
b. During shift report, the nurse is criticizing parents for not visiting their child.
j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
c. The nurse is discussing with a fellow nurse the emotionaldraw to a certain patient.
Z# j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9 j9
d. The nurse is working with a familyto find ways todecrease the family’s dependenc e
j9 j9 j9 j9 j9 Z# j9 j9 j9 j9 j9 j9 j9
j9 on health care providers.
j9 j9 j9
