TEST BANK For Wong's Nursing Care of Infants and Children, 12th Edition (Hockenberry, 2024), Verified Chapters 1 - 34, Complete Newest Version

Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition

MULTIPLE CHOICE u/




1. What is the major cause of death for children in the United States?
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a. Heart disease u/


b. Childhood cancer u/


c. Injuries
d. Congenital anomalies u/




ANS: C u/


Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
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The leading cause of death for those younger than 1 year is congenital anomalies, and childhood canc
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ers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of a
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ge.

DIF: Cognitive Level: Understanding u/ u/


TOP: Nursing Process: Planning MSC: Client Needs: Health Promot
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ion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
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centered care?” The nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. u/ u/ u/ u/ u/ u/ u/ u/ u/ u/


b. Family-centered care encourages family dependence on the health care system. u/ u/ u/ u/ u/ u/ u/ u/ u/


c. Family-centered care recognizes that the family is the constant in a child’s life. u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/


d. Family-centered care avoids expecting families to be part of the decision- u/ u/ u/ u/ u/ u/ u/ u/ u/ u/


making process. u/




ANS: C u/


The three key components of family-centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child’s life. The family should be enabled a
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nd empowered to work with the health care system and is expected to be part of the decision-
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making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
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DIF: Cognitive Level: Applying u/ u/


TOP: Nursing Process: Implementation MSC: Client Needs: Health Promot
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ion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? u/ u/ u/ u/ u/ u/ u/ u/ u/ u/


a. Using information in textbooks to guide care u/ u/ u/ u/ u/ u/


b. Combining knowledge with clinical experience and intuition u/ u/ u/ u/ u/ u/


c. Using a professional code of ethics as a means for decision making
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d. Gathering all evidence that applies to the child’s health and family situation
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ANS: B u/


EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questi
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oning the best approach. EBP involves decision making based on the integration of the best research ev
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idence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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DIF: Cognitive Level: Remembering u/ u/


TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effec
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tive Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-
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school program about childhood health problems. Which statement should the nurse include in th
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e teaching?
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a. Childhood obesity is the most common nutritional problem among children. u/ u/ u/ u/ u/ u/ u/ u/ u/


b. Immunization rates are the same among children of different races and ethnicity. u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/


c. Dental caries is not a problem commonly seen in children since the introduction of
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fluorinated water. u/


d. Mental health problems are typically not seen in school-
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age children but may be diagnosed in adolescents.
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ANS: A u/


When teaching parents of school-
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age children about childhood health problems, the nurse should include information about childhood o
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besity because it is the most common problem among children and is associated with type 2 diabetes.
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Teaching parents about ways to prevent obesity is important to include. Immunization rates differ dep
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ending on the child’s race and ethnicity; dental caries continues to be a common chronic disease in chi
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ldhood; and mental health problems are seen in children as young as school age, not just in adolescent
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s.

DIF: Cognitive Level: Applying u/ u/


TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promot
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ion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-
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aged child. Which should the nurse plan to ensure atraumatic care?
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a. Limit explanation of procedures because the child is preschool aged.
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b. Ask that all family members leave the room when performing procedures.
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c. Allow the child to choose the type of juice to drink with the administration of oral
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medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there i
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s not time for it to be effective.
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ANS: C u/


The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of j
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uice to drink when taking oral medications provides the child with a sense of control. The preschool ch
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ild should be prepared before procedures, so limiting explanations of procedures would increase anxie
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ty. The family should be allowed to stay with the child during procedures, minimizing stress.
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Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescrib u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/ u/


ed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying u/ u/


TOP: Nursing Process: Planning MSC: Client Needs: Health Promot
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ion and Maintenance
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6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
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b. During shift report, the nurse is criticizing parents for not visiting their child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
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d. The nurse is working with a family to find ways to decrease the family’s dependenc
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e on health care providers.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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ANS: B u/


Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement
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with the parents. Reading a fairy tale is a therapeutic and age-
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appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and s
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hows a willingness to understand feelings. Working with parents to decrease dependence on health c
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are providers is therapeutic and helps to empower the family.
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DIF: Cognitive Level: Analyzing u/ u/


TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial I
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ntegrity

7. The nurse is aware that which age-
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group is at risk for childhood injury because of the cognitive characteristic of magical and egoc
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entric thinking? u/


a. Preschool
b. Young school age u/ u/


c. Middle school age u/ u/


d. Adolescent

ANS: A u/


Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they
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are unable to comprehend danger to self or others. Young and middle school-
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aged children have transitional cognitive processes, and they may attempt dangerous acts without detai
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led planning but recognize danger to themselves or others. Adolescents have formal operational cogniti
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ve processes and are preoccupied with abstract thinking.
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DIF: Cognitive Level: Understanding u/ u/


TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effe
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ctive Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has
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the most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life u/ u/ u/ u/ u/


b. Male, high activity level, stressful home life
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c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious previous injuries
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ANS: B u/


Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics,
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a high activity temperament is associated with risk-
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taking behaviors, and stress predisposes children to increased risk taking and self-
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destructive behaviors. Therefore, a male child with a high activity level and living in a stressful enviro
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nment has the highest number of risk factors. A girl with several siblings and a stable home life is low r
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isk. A boy with previous injuries has two risk factors, but an even temper is not a risk factor for injuries
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. A girl who reacts negatively to new situations but has no previous serious illnesses has only one risk
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factor.

DIF: Cognitive Level: Analyzing u/ u/


TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effe
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ctive Care Environment
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9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which
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moral value is the nurse displaying when supporting the adolescent to make decisions?
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a. Justice