Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
Edition
MULTIPLE RESPONSE
1. The nurse is preparing to admit a 7-year-old child with ataxic cerebral palsy. What clinical
manifestations of ataxic cerebral palsy should the nurse expect to observe? (Select all that
apply.)
a. Wide-based gait
b. Rapid, repetitive movements performed poorly
c. Slow, twisting movements of the trunk or extremities
d. Hypertonicity with poor control of posture, balance, and coordinated
motion
e. Disintegration of movements of the upper extremities when the child
reaches for objects
ANS: A, B, E
Clinical manifestations of ataxic cerebral palsy include a wide-based gait; rapid, repetitive movements
performed poorly; and disintegration of movements of the upper extremities when the child reaches for
objects. Slow, twisting movements of the trunk are seen with dyskinetic cerebral palsy, and hypertonicity
with poor control of posture, balance, and coordinated motion are seen with spastic cerebral palsy.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
2. The nurse is preparing to admit a 5-year-old with spina bifida cystica that was below the second
lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar
vertebra should the nurse expect to observe? (Select all that apply.)
a. No motor impairment
b. Lack of bowel control
c. Soft, subcutaneous lipomas
d. Flaccid, partial paralysis of lower extremities
e. Overflow incontinence with constant dribbling of
urine
ANS: B, D, E
The clinical manifestations of spina bifida cystica below the second lumbar vertebra include lack of bowel
control, flaccid, partial paralysis of lower extremities, and overflow incontinence with constant dribbling of
urine. No motor impairment occurs with spina bifida cystica that was below the third lumbar vertebra,
and soft, subcutaneous lipomas occur with spina bifida occulta.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
3. The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical
manifestations of spina bifida occulta should the nurse expect to observe? (Select all that apply.)
a. Dark tufts of hair
b. Skin depression or dimple
c. Port-wine angiomatous nevi
d. Soft, subcutaneous lipomas
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
e. Bladder and sphincter
paralysis
ANS: A, B, C, D
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
Clinical manifestations of spina bifida occulta include dark tufts of hair; skin depression or dimple; port-
wine angiomatous nevi; and soft, subcutaneous lipomas. Bladder and sphincter paralysis are present with
spina bifida cystica but not occulta.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
4. The nurse is preparing to admit a 5-year-old child with a lower motor neuron syndrome. What
clinical manifestations of a lower motor neuron syndrome should the nurse expect to observe?
(Select all that apply.)
a. Loss of hair
b. Babinski reflex present
c. Skin and tissue changes
d. Marked atrophy of atonic muscle
e. Hyperreflexia with tendon reflexes
exaggerated
ANS: A, C, D
Clinical manifestations of a lower motor neuron syndrome include loss of hair, skin and tissue changes,
and marked atrophy of atonic muscle. Babinski reflex present and hyperreflexia with tendon reflexes
exaggerated are manifestations of an upper motor neuron syndrome.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
5. The nurse is preparing to admit a 7-year-old child with an upper motor neuron syndrome.
What clinical manifestations of an upper motor neuron syndrome should the nurse expect to
observe? (Select all that apply.)
a. No flexor spasms
b. Babinski reflex present
c. No wasting of muscle mass
d. Marked atrophy of atonic muscle
e. Hyperreflexia with tendon reflexes
exaggerated
ANS: B, C, E
Clinical manifestations of an upper motor neuron syndrome include Babinski reflex present, no wasting of
muscle mass, and hyperreflexia with tendon reflexes exaggerated. No flexor spasms and marked atrophy of
atonic muscle are manifestations of a lower motor neuron syndrome.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
MULTIPLE CHOICE
Test Bank 2024/2025
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
Edition
MULTIPLE RESPONSE
1. The nurse is preparing to admit a 7-year-old child with ataxic cerebral palsy. What clinical
manifestations of ataxic cerebral palsy should the nurse expect to observe? (Select all that
apply.)
a. Wide-based gait
b. Rapid, repetitive movements performed poorly
c. Slow, twisting movements of the trunk or extremities
d. Hypertonicity with poor control of posture, balance, and coordinated
motion
e. Disintegration of movements of the upper extremities when the child
reaches for objects
ANS: A, B, E
Clinical manifestations of ataxic cerebral palsy include a wide-based gait; rapid, repetitive movements
performed poorly; and disintegration of movements of the upper extremities when the child reaches for
objects. Slow, twisting movements of the trunk are seen with dyskinetic cerebral palsy, and hypertonicity
with poor control of posture, balance, and coordinated motion are seen with spastic cerebral palsy.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
2. The nurse is preparing to admit a 5-year-old with spina bifida cystica that was below the second
lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar
vertebra should the nurse expect to observe? (Select all that apply.)
a. No motor impairment
b. Lack of bowel control
c. Soft, subcutaneous lipomas
d. Flaccid, partial paralysis of lower extremities
e. Overflow incontinence with constant dribbling of
urine
ANS: B, D, E
The clinical manifestations of spina bifida cystica below the second lumbar vertebra include lack of bowel
control, flaccid, partial paralysis of lower extremities, and overflow incontinence with constant dribbling of
urine. No motor impairment occurs with spina bifida cystica that was below the third lumbar vertebra,
and soft, subcutaneous lipomas occur with spina bifida occulta.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
3. The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical
manifestations of spina bifida occulta should the nurse expect to observe? (Select all that apply.)
a. Dark tufts of hair
b. Skin depression or dimple
c. Port-wine angiomatous nevi
d. Soft, subcutaneous lipomas
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
e. Bladder and sphincter
paralysis
ANS: A, B, C, D
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
Test Bank 2024/2025
Clinical manifestations of spina bifida occulta include dark tufts of hair; skin depression or dimple; port-
wine angiomatous nevi; and soft, subcutaneous lipomas. Bladder and sphincter paralysis are present with
spina bifida cystica but not occulta.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
4. The nurse is preparing to admit a 5-year-old child with a lower motor neuron syndrome. What
clinical manifestations of a lower motor neuron syndrome should the nurse expect to observe?
(Select all that apply.)
a. Loss of hair
b. Babinski reflex present
c. Skin and tissue changes
d. Marked atrophy of atonic muscle
e. Hyperreflexia with tendon reflexes
exaggerated
ANS: A, C, D
Clinical manifestations of a lower motor neuron syndrome include loss of hair, skin and tissue changes,
and marked atrophy of atonic muscle. Babinski reflex present and hyperreflexia with tendon reflexes
exaggerated are manifestations of an upper motor neuron syndrome.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
5. The nurse is preparing to admit a 7-year-old child with an upper motor neuron syndrome.
What clinical manifestations of an upper motor neuron syndrome should the nurse expect to
observe? (Select all that apply.)
a. No flexor spasms
b. Babinski reflex present
c. No wasting of muscle mass
d. Marked atrophy of atonic muscle
e. Hyperreflexia with tendon reflexes
exaggerated
ANS: B, C, E
Clinical manifestations of an upper motor neuron syndrome include Babinski reflex present, no wasting of
muscle mass, and hyperreflexia with tendon reflexes exaggerated. No flexor spasms and marked atrophy of
atonic muscle are manifestations of a lower motor neuron syndrome.
DIF: Cognitive Level: Applying TOP: Nursing Process: Assessment MSC: Client Needs: Physiological
Integrity
MULTIPLE CHOICE
