Wong's7Nursing7Care7of7Infants7and7Children712th7Edition7by7Hockenberry7Test7Bank
,Chapter701:7Perspectives7of7Pediatric7Nursing
Hockenberry:7Wong’s7Nursing7Care7of7Infants7and7Children,712th7
Edition
MULTIPLE7CHOICE
1. What7is7the7major7cause7of7death7for7children7in7the7United7States?
a. Heart7disease
b. Childhood7cancer
c. Injuries
d. Congenital7anomalies
ANS:7 C
Unintentional7injuries7(accidents)7are7the7leading7cause7of7death7after7age717year7through7adolescence.7
The7leading7cause7of7death7for7those7younger7than717year7is7congenital7anomalies,7and7childhood7cance
rs7and7heart7disease7cause7a7significantly7lower7percentage7of7deaths7in7children7older7than717 year7of7age
.
DIF: Cognitive7Level:7Understanding
TOP:7Nursing7Process:7Planning7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
2. Parents7of7a7hospitalized7toddler7ask7the7nurse,7“What7is7meant7by7family-
centered7care?”7The7nurse7should7respond7with7which7statement?
a. Family-centered7care7reduces7the7effect7of7cultural7diversity7on7the7family.
b. Family-centered7care7encourages7family7dependence7on7the7health7care7system.
c. Family-centered7care7recognizes7that7the7family7is7the7constant7in7a7child’s7life.
d. Family-centered7care7avoids7expecting7families7to7be7part7of7the7decision-
making7process.
ANS:7 C
The7three7key7components7of7family-centered7care7are7respect,7collaboration,7and7support.7Family-
7centered7care7recognizes7the7family7as7the7constant7in7the7child’s7life.7The7family7should7be7enabled7a
nd7empowered7to7work7with7the7health7care7system7and7is7expected7to7be7part7of7the7decision-
making7process.7The7nurse7should7also7support7the7family’s7cultural7diversity,7 not7reduce7its7effect.
DIF: Cognitive7Level:7Applying
TOP:7Nursing7Process:7Implementation7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
3. Evidence-based7practice7(EBP),7a7decision-making7model,7is7best7described7as7which?
a. Using7information7in7textbooks7to7guide7care
b. Combining7knowledge7with7clinical7experience7and7intuition
c. Using7a7professional7code7of7ethics7as7a7means7for7decision7making
d. Gathering7all7evidence7that7applies7to7the7child’s7health7and7family7situation
ANS:7 B
EBP7helps7focus7on7measurable7outcomes;7the7use7of7demonstrated,7effective7interventions;7and7questi
oning7the7best7approach.7EBP7involves7decision7making7based7on7the7integration7of7the7best7research7ev
idence7combined7with7clinical7expertise7and7patient7values.
,Wong's7Nursing7Care7of7Infants7and7Children712th7Edition7by7Hockenberry7Test7Ban
k
DIF: Cognitive7Level:7Remembering
TOP:7Nursing7Process:7Planning7MSC:7 Client7Needs:7Safe7and7Effect
ive7Care7Environment
4. The7nurse7is7talking7to7a7group7of7parents7of7school-age7children7at7an7after-
school7program7about7childhood7health7problems.7 Which7statement7 should7the7nurse7include7in7th
e7teaching?
a. Childhood7obesity7is7the7most7common7nutritional7problem7among7children.
b. Immunization7rates7are7the7same7among7children7of7different7races7and7ethnicity.
c. Dental7caries7is7not7a7problem7commonly7seen7in7children7since7the7introduction7of7fl
uorinated7water.
d. Mental7health7problems7are7typically7not7seen7in7school-
age7children7but7may7be7diagnosed7 in7adolescents.
ANS:7 A
When7teaching7parents7of7school-
age7children7about7childhood7health7problems,7the7nurse7should7include7information7about7childhood7o
besity7because7it7is7the7most7common7problem7among7children7and7is7associated7with7type727diabetes.7
Teaching7parents7about7ways7to7prevent7obesity7is7important7to7include.7Immunization7rates7differ7depe
nding7on7the7child’s7race7and7ethnicity;7dental7caries7continues7to7be7a7common7chronic7disease7in7child
hood;7and7mental7health7problems7are7seen7in7children7as7young7as7school7age,7not7 just7 in7adolescents.
DIF: Cognitive7Level:7Applying
TOP:7Integrated7Process:7Teaching/Learning7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
5. The7nurse7is7planning7care7for7a7hospitalized7preschool-
aged7child.7Which7should7the7nurse7plan7to7ensure7atraumatic7care?
a. Limit7explanation7of7procedures7because7the7child7is7preschool7aged.
b. Ask7that7all7family7members7leave7the7room7when7performing7procedures.
c. Allow7the7child7to7choose7the7type7of7juice7to7drink7 with7the7administration7of7oral7m
edications.
d. Explain7that7EMLA7cream7cannot7be7used7for7the7morning7lab7draw7because7there7i
s7not7time7for7it7to7be7effective.
ANS:7 C
The7overriding7goal7in7providing7atraumatic7care7is7first,7do7no7harm.7Allowing7the7child,7a7choice7of7
juice7to7drink7when7taking7oral7medications7provides7the7child7with7a7sense7of7control.7The7preschool7
child7should7be7prepared7before7procedures,7so7limiting7explanations7of7procedures7would7increase7a
nxiety.7The7family7should7be7allowed7to7stay7with7the7child7during7procedures,7minimizing7 stress.
Lidocaine/prilocaine7(EMLA)7cream7is7a7topical7local7anesthetic.7The7nurse7should7plan7to7use7the7prescrib
ed7cream7in7time7for7morning7laboratory7draws7to7minimize7pain.
DIF: Cognitive7Level:7Applying
TOP:7Nursing7Process:7Planning7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
6. Which7situation7denotes7a7nontherapeutic7nurse–patient–family7relationship?
a. The7nurse7is7planning7to7read7a7favorite7fairy7tale7to7a7patient.
b. During7shift7report,7the7nurse7is7criticizing7parents7for7not7visiting7their7child.
c. The7nurse7is7discussing7with7a7fellow7nurse7the7emotional7draw7to7a7certain7patient.
d. The7nurse7is7working7with7a7family7to7find7ways7to7decrease7the7family’s7dependenc
e7on7health7care7providers.
, Wong's7Nursing7Care7of7Infants7and7Children712th7Edition7by7Hockenberry7Test7Ban
k
ANS:7 B
Criticizing7parents7for7not7visiting7in7shift7report7is7nontherapeutic7and7shows7an7under7involvement7w
ith7the7parents.7Reading7a7fairy7tale7is7a7therapeutic7and7age-
appropriate7action.7Discussing7feelings7of7an7emotional7draw7with7a7fellow7nurse7is7therapeutic7and7sh
ows7a7willingness7to7understand7feelings.7Working7with7parents7to7decrease7dependence7on7health7car
e7providers7is7therapeutic7and7helps7to7empower7the7family.
DIF: Cognitive7Level:7Analyzing
TOP:7Integrated7Process:7Caring7MSC:7 Client7Needs:7Psychosocial7I
ntegrity
7. The7nurse7is7aware7that7which7age-
group7is7at7risk7for7childhood7injury7because7of7the7cognitive7characteristic7of7magical7and7egoc
entric7thinking?
a. Preschool
b. Young7school7age
c. Middle7school7age
d. Adolescent
ANS:7 A
Preschool7children7have7the7cognitive7characteristic7of7magical7and7egocentric7thinking,7meaning7they7
are7unable7to7comprehend7danger7to7self7or7others.7Young7and7middle7school-
aged7children7have7transitional7cognitive7processes,7and7they7may7attempt7dangerous7acts7without7detai
led7planning7but7recognize7danger7to7themselves7or7others.7Adolescents7have7formal7operational7cogniti
ve7processes7and7are7preoccupied7with7abstract7thinking.
DIF: Cognitive7Level:7Understanding
TOP:7 Nursing7Process:7Assessment7MSC:7 Client7Needs:7Safe7and7Effect
ive7Care7Environment
8. The7school7nurse7is7assessing7children7for7risk7factors7related7to7childhood7injuries.7Which7child7has7
the7most7 risk7factors7related7to7childhood7injury?
a. Female,7multiple7siblings,7stable7home7life
b. Male,7high7activity7level,7stressful7home7life
c. Male,7even7tempered,7history7of7previous7injuries
d. Female,7reacts7negatively7to7new7situations,7no7serious7previous7injuries
ANS:7 B
Boys7have7a7preponderance7for7injuries7over7girls7because7of7a7difference7in7behavioral7characteristics,7
a7high7activity7temperament7is7associated7with7risk-
taking7behaviors,7and7stress7predisposes7children7to7increased7risk7taking7and7self-
destructive7behaviors.7Therefore,7a7male7child7with7a7high7activity7level7and7living7in7a7stressful7enviro
nment7has7the7highest7number7of7risk7factors.7A7girl7with7several7siblings7and7a7stable7home7life7is7low7r
isk.7A7boy7with7previous7injuries7has7two7risk7factors,7but7an7even7temper7is7not7a7risk7factor7for7injuries.
7A7girl7who7reacts7negatively7to7new7situations7but7has7no7previous7serious7 illnesses7 has7only7one7risk7 f
actor.
DIF: Cognitive7Level:7Analyzing
TOP:7 Nursing7Process:7Assessment7MSC:7 Client7Needs:7Safe7and7Effect
ive7Care7Environment
9. An7adolescent7patient7wants7to7make7decisions7about7treatment7options,7along7with7his7parents.7Which7
moral7value7is7the7nurse7displaying7when7supporting7the7adolescent7to7make7decisions?
a. Justice
,Chapter701:7Perspectives7of7Pediatric7Nursing
Hockenberry:7Wong’s7Nursing7Care7of7Infants7and7Children,712th7
Edition
MULTIPLE7CHOICE
1. What7is7the7major7cause7of7death7for7children7in7the7United7States?
a. Heart7disease
b. Childhood7cancer
c. Injuries
d. Congenital7anomalies
ANS:7 C
Unintentional7injuries7(accidents)7are7the7leading7cause7of7death7after7age717year7through7adolescence.7
The7leading7cause7of7death7for7those7younger7than717year7is7congenital7anomalies,7and7childhood7cance
rs7and7heart7disease7cause7a7significantly7lower7percentage7of7deaths7in7children7older7than717 year7of7age
.
DIF: Cognitive7Level:7Understanding
TOP:7Nursing7Process:7Planning7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
2. Parents7of7a7hospitalized7toddler7ask7the7nurse,7“What7is7meant7by7family-
centered7care?”7The7nurse7should7respond7with7which7statement?
a. Family-centered7care7reduces7the7effect7of7cultural7diversity7on7the7family.
b. Family-centered7care7encourages7family7dependence7on7the7health7care7system.
c. Family-centered7care7recognizes7that7the7family7is7the7constant7in7a7child’s7life.
d. Family-centered7care7avoids7expecting7families7to7be7part7of7the7decision-
making7process.
ANS:7 C
The7three7key7components7of7family-centered7care7are7respect,7collaboration,7and7support.7Family-
7centered7care7recognizes7the7family7as7the7constant7in7the7child’s7life.7The7family7should7be7enabled7a
nd7empowered7to7work7with7the7health7care7system7and7is7expected7to7be7part7of7the7decision-
making7process.7The7nurse7should7also7support7the7family’s7cultural7diversity,7 not7reduce7its7effect.
DIF: Cognitive7Level:7Applying
TOP:7Nursing7Process:7Implementation7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
3. Evidence-based7practice7(EBP),7a7decision-making7model,7is7best7described7as7which?
a. Using7information7in7textbooks7to7guide7care
b. Combining7knowledge7with7clinical7experience7and7intuition
c. Using7a7professional7code7of7ethics7as7a7means7for7decision7making
d. Gathering7all7evidence7that7applies7to7the7child’s7health7and7family7situation
ANS:7 B
EBP7helps7focus7on7measurable7outcomes;7the7use7of7demonstrated,7effective7interventions;7and7questi
oning7the7best7approach.7EBP7involves7decision7making7based7on7the7integration7of7the7best7research7ev
idence7combined7with7clinical7expertise7and7patient7values.
,Wong's7Nursing7Care7of7Infants7and7Children712th7Edition7by7Hockenberry7Test7Ban
k
DIF: Cognitive7Level:7Remembering
TOP:7Nursing7Process:7Planning7MSC:7 Client7Needs:7Safe7and7Effect
ive7Care7Environment
4. The7nurse7is7talking7to7a7group7of7parents7of7school-age7children7at7an7after-
school7program7about7childhood7health7problems.7 Which7statement7 should7the7nurse7include7in7th
e7teaching?
a. Childhood7obesity7is7the7most7common7nutritional7problem7among7children.
b. Immunization7rates7are7the7same7among7children7of7different7races7and7ethnicity.
c. Dental7caries7is7not7a7problem7commonly7seen7in7children7since7the7introduction7of7fl
uorinated7water.
d. Mental7health7problems7are7typically7not7seen7in7school-
age7children7but7may7be7diagnosed7 in7adolescents.
ANS:7 A
When7teaching7parents7of7school-
age7children7about7childhood7health7problems,7the7nurse7should7include7information7about7childhood7o
besity7because7it7is7the7most7common7problem7among7children7and7is7associated7with7type727diabetes.7
Teaching7parents7about7ways7to7prevent7obesity7is7important7to7include.7Immunization7rates7differ7depe
nding7on7the7child’s7race7and7ethnicity;7dental7caries7continues7to7be7a7common7chronic7disease7in7child
hood;7and7mental7health7problems7are7seen7in7children7as7young7as7school7age,7not7 just7 in7adolescents.
DIF: Cognitive7Level:7Applying
TOP:7Integrated7Process:7Teaching/Learning7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
5. The7nurse7is7planning7care7for7a7hospitalized7preschool-
aged7child.7Which7should7the7nurse7plan7to7ensure7atraumatic7care?
a. Limit7explanation7of7procedures7because7the7child7is7preschool7aged.
b. Ask7that7all7family7members7leave7the7room7when7performing7procedures.
c. Allow7the7child7to7choose7the7type7of7juice7to7drink7 with7the7administration7of7oral7m
edications.
d. Explain7that7EMLA7cream7cannot7be7used7for7the7morning7lab7draw7because7there7i
s7not7time7for7it7to7be7effective.
ANS:7 C
The7overriding7goal7in7providing7atraumatic7care7is7first,7do7no7harm.7Allowing7the7child,7a7choice7of7
juice7to7drink7when7taking7oral7medications7provides7the7child7with7a7sense7of7control.7The7preschool7
child7should7be7prepared7before7procedures,7so7limiting7explanations7of7procedures7would7increase7a
nxiety.7The7family7should7be7allowed7to7stay7with7the7child7during7procedures,7minimizing7 stress.
Lidocaine/prilocaine7(EMLA)7cream7is7a7topical7local7anesthetic.7The7nurse7should7plan7to7use7the7prescrib
ed7cream7in7time7for7morning7laboratory7draws7to7minimize7pain.
DIF: Cognitive7Level:7Applying
TOP:7Nursing7Process:7Planning7MSC:7 Client7Needs:7Health7Promoti
on7and7Maintenance
6. Which7situation7denotes7a7nontherapeutic7nurse–patient–family7relationship?
a. The7nurse7is7planning7to7read7a7favorite7fairy7tale7to7a7patient.
b. During7shift7report,7the7nurse7is7criticizing7parents7for7not7visiting7their7child.
c. The7nurse7is7discussing7with7a7fellow7nurse7the7emotional7draw7to7a7certain7patient.
d. The7nurse7is7working7with7a7family7to7find7ways7to7decrease7the7family’s7dependenc
e7on7health7care7providers.
, Wong's7Nursing7Care7of7Infants7and7Children712th7Edition7by7Hockenberry7Test7Ban
k
ANS:7 B
Criticizing7parents7for7not7visiting7in7shift7report7is7nontherapeutic7and7shows7an7under7involvement7w
ith7the7parents.7Reading7a7fairy7tale7is7a7therapeutic7and7age-
appropriate7action.7Discussing7feelings7of7an7emotional7draw7with7a7fellow7nurse7is7therapeutic7and7sh
ows7a7willingness7to7understand7feelings.7Working7with7parents7to7decrease7dependence7on7health7car
e7providers7is7therapeutic7and7helps7to7empower7the7family.
DIF: Cognitive7Level:7Analyzing
TOP:7Integrated7Process:7Caring7MSC:7 Client7Needs:7Psychosocial7I
ntegrity
7. The7nurse7is7aware7that7which7age-
group7is7at7risk7for7childhood7injury7because7of7the7cognitive7characteristic7of7magical7and7egoc
entric7thinking?
a. Preschool
b. Young7school7age
c. Middle7school7age
d. Adolescent
ANS:7 A
Preschool7children7have7the7cognitive7characteristic7of7magical7and7egocentric7thinking,7meaning7they7
are7unable7to7comprehend7danger7to7self7or7others.7Young7and7middle7school-
aged7children7have7transitional7cognitive7processes,7and7they7may7attempt7dangerous7acts7without7detai
led7planning7but7recognize7danger7to7themselves7or7others.7Adolescents7have7formal7operational7cogniti
ve7processes7and7are7preoccupied7with7abstract7thinking.
DIF: Cognitive7Level:7Understanding
TOP:7 Nursing7Process:7Assessment7MSC:7 Client7Needs:7Safe7and7Effect
ive7Care7Environment
8. The7school7nurse7is7assessing7children7for7risk7factors7related7to7childhood7injuries.7Which7child7has7
the7most7 risk7factors7related7to7childhood7injury?
a. Female,7multiple7siblings,7stable7home7life
b. Male,7high7activity7level,7stressful7home7life
c. Male,7even7tempered,7history7of7previous7injuries
d. Female,7reacts7negatively7to7new7situations,7no7serious7previous7injuries
ANS:7 B
Boys7have7a7preponderance7for7injuries7over7girls7because7of7a7difference7in7behavioral7characteristics,7
a7high7activity7temperament7is7associated7with7risk-
taking7behaviors,7and7stress7predisposes7children7to7increased7risk7taking7and7self-
destructive7behaviors.7Therefore,7a7male7child7with7a7high7activity7level7and7living7in7a7stressful7enviro
nment7has7the7highest7number7of7risk7factors.7A7girl7with7several7siblings7and7a7stable7home7life7is7low7r
isk.7A7boy7with7previous7injuries7has7two7risk7factors,7but7an7even7temper7is7not7a7risk7factor7for7injuries.
7A7girl7who7reacts7negatively7to7new7situations7but7has7no7previous7serious7 illnesses7 has7only7one7risk7 f
actor.
DIF: Cognitive7Level:7Analyzing
TOP:7 Nursing7Process:7Assessment7MSC:7 Client7Needs:7Safe7and7Effect
ive7Care7Environment
9. An7adolescent7patient7wants7to7make7decisions7about7treatment7options,7along7with7his7parents.7Which7
moral7value7is7the7nurse7displaying7when7supporting7the7adolescent7to7make7decisions?
a. Justice
