Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
z z z z z z z z z z z z
,Chapter 01: Perspectives of Pediatric Nursing
z z z z z
Hockenberry: Wong’s Nursing Care of Infants and Children, 12thE
z z z z z z z z z
dition
MULTIPLEzCHOICE
1. WhatziszthezmajorzcausezofzdeathzforzchildrenzinzthezUnitedzStates?
a. Heartzdisease
b. Childhoodzcancer
c. Injuries
d. Congenitalzanomalies
ANS:z C
Unintentionalzinjuriesz(accidents)zarezthezleadingzcausezofzdeathzafterzagez1zyearzthroughzadolescence.zTh
ezleadingzcausezofzdeathzforzthosezyoungerzthanz1zyearziszcongenitalzanomalies,zandzchildhoodzcancerszan
dzheartzdiseasezcausezazsignificantlyzlowerzpercentagezofzdeathszinzchildrenzolderzthanz1zyearzofzage.
DIF: CognitivezLevel:zUnderstanding
TOP:zNursingzProcess:zPlanningzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
2. Parentszofzazhospitalizedztoddlerzaskztheznurse,z“Whatziszmeantzbyzfamily-
centeredzcare?”zTheznursezshouldzrespondzwithzwhichzstatement?
a. Family-centeredzcarezreduceszthezeffectzofzculturalzdiversityzonzthezfamily.
b. Family-centeredzcarezencourageszfamilyzdependencezonzthezhealthzcarezsystem.
c. Family-centeredzcarezrecognizeszthatzthezfamilyziszthezconstantzinzazchild’szlife.
d. Family-centeredzcarezavoidszexpectingzfamiliesztozbezpartzofzthezdecision-
makingzprocess.
ANS:z C
Thezthreezkeyzcomponentszofzfamily-centeredzcarezarezrespect,zcollaboration,zandzsupport.zFamily-
zcenteredzcarezrecognizeszthezfamilyz aszthezconstantzinzthezchild’szlife.zThezfamilyzshouldzbezenabledzandz
empoweredztozworkzwithzthezhealthzcarezsystemzandziszexpectedztozbezpartzofzthezdecision-
makingzprocess.zTheznursezshouldzalsozsupportzthezfamily’szculturalzdiversity,z notzreducezitszeffect.
DIF: CognitivezLevel:zApplying
TOP:zNursingzProcess:zImplementationzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
3. Evidence-basedzpracticez(EBP),zazdecision-makingzmodel,ziszbestzdescribedzaszwhich?
a. Usingzinformationzinztextbooksztozguidezcare
b. Combiningzknowledgezwithzclinicalzexperiencezandzintuition
c. Usingzazprofessionalzcodezofzethicszaszazmeanszforzdecisionzmaking
d. Gatheringzallzevidencezthatzappliesztozthezchild’szhealthzandzfamilyzsituation
ANS:z B
EBPzhelpszfocuszonzmeasurablezoutcomes;zthezusezofzdemonstrated,zeffectivezinterventions;zandzquestion
ingzthezbestzapproach.zEBPzinvolveszdecisionzmakingzbasedzonzthezintegrationzofzthezbestzresearchzevidenc
ezcombinedzwithzclinicalzexpertisezandzpatientz values.
,Wong'szNursingzCarezofzInfantszandzChildrenz12thzEditionzbyzHockenberryzTestzBank
DIF: CognitivezLevel:zRemembering
TOP:zNursingzProcess:zPlanningzMSC:z ClientzNeeds:zSafezandzEffecti
vezCarezEnvironment
4. Theznursezisztalkingztozazgroupzofzparentszofzschool-agezchildrenzatzanzafter-
schoolzprogramzaboutzchildhoodzhealthzproblems.z Whichzstatementz shouldztheznursezincludezinzthezt
eaching?
a. Childhoodzobesityziszthezmostzcommonznutritionalzproblemzamongzchildren.
b. Immunizationzrateszarezthezsamezamongzchildrenzofzdifferentzraceszandzethnicity.
c. Dentalzcarieszisznotzazproblemzcommonlyzseenzinzchildrenzsincezthezintroductionzofzfluo
rinatedzwater.
d. Mentalzhealthzproblemszareztypicallyznotzseenzinzschool-
agezchildrenzbutz mayzbezdiagnosedz inzadolescents.
ANS:z A
Whenzteachingzparentszofzschool-
agezchildrenzaboutzchildhoodzhealthzproblems,ztheznursezshouldzincludezinformationzaboutzchildhoodzobe
sityzbecausezitziszthezmostzcommonzproblemzamongzchildrenzandziszassociatedzwithztypez2zdiabetes.zTeach
ingzparentszaboutzwaysztozpreventzobesityziszimportantztozinclude.zImmunizationzrateszdifferzdependingzon
zthezchild’szracezandzethnicity;zdentalzcarieszcontinuesztozbezazcommonzchroniczdiseasezinzchildhood;zandz
mentalzhealthzproblemszarezseenzinzchildrenzaszyoungzaszschoolzage,znotz justz inzadolescents.
DIF: CognitivezLevel:zApplying
TOP:zIntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
5. Theznurseziszplanningzcarezforzazhospitalizedzpreschool-
agedzchild.zWhichzshouldztheznursezplanztozensurezatraumaticzcare?
a. Limitzexplanationzofzprocedureszbecausezthezchildziszpreschoolzaged.
b. Askzthatzallzfamilyzmemberszleavezthezroomzwhenzperformingzprocedures.
c. Allowzthezchildztozchooseztheztypezofzjuiceztozdrinkzwithzthezadministrationzofzoralzmed
ications.
d. ExplainzthatzEMLAzcreamzcannotzbezusedzforzthezmorningzlabzdrawzbecausezthereziszn
otztimezforzitztozbezeffective.
ANS:z C
Thezoverridingzgoalzinzprovidingzatraumaticzcareziszfirst,zdoznozharm.zAllowingzthezchild,zazchoicezofzjui
ceztozdrinkzwhenztakingzoralzmedicationszprovideszthezchildzwithzazsensezofzcontrol.zThezpreschoolzchild
zshouldzbezpreparedzbeforezprocedures,zsozlimitingzexplanationszofzprocedureszwouldzincreasezanxiety.z
Thezfamilyzshouldzbezallowedztozstayzwithzthezchildzduringzprocedures,zminimizingz stress.
Lidocaine/prilocainez(EMLA)zcreamziszaztopicalzlocalzanesthetic.zTheznursezshouldzplanztozusezthezprescribedz
creamzinztimezforzmorningzlaboratoryzdrawsztozminimizezpain.
DIF: CognitivezLevel:zApplying
TOP:zNursingzProcess:zPlanningzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
6. Whichzsituationzdenoteszaznontherapeuticznurse–patient–familyzrelationship?
a. Theznurseziszplanningztozreadzazfavoritezfairyztaleztozazpatient.
b. Duringzshiftzreport,ztheznurseziszcriticizingzparentszforznotzvisitingztheirzchild.
c. Theznurseziszdiscussingzwithzazfellowznursezthezemotionalzdrawztozazcertainzpatient.
d. Theznurseziszworkingzwithzazfamilyztozfindzwaysztozdecreasezthezfamily’szdependencezo
nzhealthzcarezproviders.
, Wong'szNursingzCarezofzInfantszandzChildrenz12thzEditionzbyzHockenberryzTestzBank
ANS:z B
Criticizingzparentszforznotzvisitingzinzshiftzreportzisznontherapeuticzandzshowszanzunderzinvolvementzwit
hzthezparents.zReadingzazfairyztaleziszaztherapeuticzandzage-
appropriatezaction.zDiscussingzfeelingszofzanzemotionalzdrawzwithzazfellowznursezisztherapeuticzandzshow
szazwillingnessztozunderstandzfeelings.zWorkingzwithzparentsztozdecreasezdependencezonzhealthzcarezpro
viderszisztherapeuticzandzhelpsztozempowerzthezfamily.
DIF: CognitivezLevel:zAnalyzing
TOP:zIntegratedzProcess:zCaringzMSC:z ClientzNeeds:zPsychosocialzInt
egrity
7. Theznurseziszawarezthatzwhichzage-
groupziszatzriskzforzchildhoodzinjuryzbecausezofzthezcognitivezcharacteristiczofzmagicalzandzegocent
riczthinking?
a. Preschool
b. Youngzschoolzage
c. Middlezschoolzage
d. Adolescent
ANS:z A
Preschoolzchildrenzhavezthezcognitivezcharacteristiczofzmagicalzandzegocentriczthinking,zmeaningztheyzar
ezunableztozcomprehendzdangerztozselfzorzothers.zYoungzandzmiddlezschool-
agedzchildrenzhaveztransitionalzcognitivezprocesses,zandztheyzmayzattemptzdangerouszactszwithoutzdetaile
dzplanningzbutzrecognizezdangerztozthemselveszorzothers.zAdolescentszhavezformalzoperationalzcognitivezp
rocesseszandzarezpreoccupiedzwithzabstractzthinking.
DIF: CognitivezLevel:zUnderstanding
TOP:z NursingzProcess:zAssessmentzMSC:z ClientzNeeds:zSafezandzEffecti
vezCarezEnvironment
8. Thezschoolznurseziszassessingzchildrenzforzriskzfactorszrelatedztozchildhoodzinjuries.zWhichzchildzhaszth
ezmostz riskzfactorszrelatedztoz childhoodzinjury?
a. Female,zmultiplezsiblings,zstablezhomezlife
b. Male,zhighzactivityzlevel,zstressfulzhomezlife
c. Male,zevenztempered,zhistoryzofzpreviouszinjuries
d. Female,zreactsznegativelyztoznewzsituations,znozseriouszpreviouszinjuries
ANS:z B
Boyszhavezazpreponderancezforzinjurieszoverzgirlszbecausezofzazdifferencezinzbehavioralzcharacteristics,zaz
highzactivityztemperamentziszassociatedzwithzrisk-
takingzbehaviors,zandzstresszpredisposeszchildrenztozincreasedzriskztakingzandzself-
destructivezbehaviors.zTherefore,zazmalezchildzwithzazhighzactivityzlevelzandzlivingzinzazstressfulzenvironm
entzhaszthezhighestznumberzofzriskzfactors.zAzgirlzwithzseveralzsiblingszandzazstablezhomezlifeziszlowzrisk.zAz
boyzwithzpreviouszinjurieszhasztwozriskzfactors,zbutzanzevenztemperzisznotzazriskzfactorzforzinjuries.zAzgirlzw
hozreactsznegativelyztoznewzsituationszbutzhasznozpreviouszseriouszillnesseszhaszonlyzonezriskz factor.
DIF: CognitivezLevel:zAnalyzing
TOP:z NursingzProcess:zAssessmentzMSC:z ClientzNeeds:zSafezandzEffecti
vezCarezEnvironment
9. Anzadolescentzpatientzwantsztozmakezdecisionszaboutztreatmentzoptions,zalongzwithzhiszparents.zWhichzm
oralzvaluezisztheznursezdisplayingzwhenzsupportingzthezadolescentztozmakezdecisions?
a. Justice
z z z z z z z z z z z z
,Chapter 01: Perspectives of Pediatric Nursing
z z z z z
Hockenberry: Wong’s Nursing Care of Infants and Children, 12thE
z z z z z z z z z
dition
MULTIPLEzCHOICE
1. WhatziszthezmajorzcausezofzdeathzforzchildrenzinzthezUnitedzStates?
a. Heartzdisease
b. Childhoodzcancer
c. Injuries
d. Congenitalzanomalies
ANS:z C
Unintentionalzinjuriesz(accidents)zarezthezleadingzcausezofzdeathzafterzagez1zyearzthroughzadolescence.zTh
ezleadingzcausezofzdeathzforzthosezyoungerzthanz1zyearziszcongenitalzanomalies,zandzchildhoodzcancerszan
dzheartzdiseasezcausezazsignificantlyzlowerzpercentagezofzdeathszinzchildrenzolderzthanz1zyearzofzage.
DIF: CognitivezLevel:zUnderstanding
TOP:zNursingzProcess:zPlanningzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
2. Parentszofzazhospitalizedztoddlerzaskztheznurse,z“Whatziszmeantzbyzfamily-
centeredzcare?”zTheznursezshouldzrespondzwithzwhichzstatement?
a. Family-centeredzcarezreduceszthezeffectzofzculturalzdiversityzonzthezfamily.
b. Family-centeredzcarezencourageszfamilyzdependencezonzthezhealthzcarezsystem.
c. Family-centeredzcarezrecognizeszthatzthezfamilyziszthezconstantzinzazchild’szlife.
d. Family-centeredzcarezavoidszexpectingzfamiliesztozbezpartzofzthezdecision-
makingzprocess.
ANS:z C
Thezthreezkeyzcomponentszofzfamily-centeredzcarezarezrespect,zcollaboration,zandzsupport.zFamily-
zcenteredzcarezrecognizeszthezfamilyz aszthezconstantzinzthezchild’szlife.zThezfamilyzshouldzbezenabledzandz
empoweredztozworkzwithzthezhealthzcarezsystemzandziszexpectedztozbezpartzofzthezdecision-
makingzprocess.zTheznursezshouldzalsozsupportzthezfamily’szculturalzdiversity,z notzreducezitszeffect.
DIF: CognitivezLevel:zApplying
TOP:zNursingzProcess:zImplementationzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
3. Evidence-basedzpracticez(EBP),zazdecision-makingzmodel,ziszbestzdescribedzaszwhich?
a. Usingzinformationzinztextbooksztozguidezcare
b. Combiningzknowledgezwithzclinicalzexperiencezandzintuition
c. Usingzazprofessionalzcodezofzethicszaszazmeanszforzdecisionzmaking
d. Gatheringzallzevidencezthatzappliesztozthezchild’szhealthzandzfamilyzsituation
ANS:z B
EBPzhelpszfocuszonzmeasurablezoutcomes;zthezusezofzdemonstrated,zeffectivezinterventions;zandzquestion
ingzthezbestzapproach.zEBPzinvolveszdecisionzmakingzbasedzonzthezintegrationzofzthezbestzresearchzevidenc
ezcombinedzwithzclinicalzexpertisezandzpatientz values.
,Wong'szNursingzCarezofzInfantszandzChildrenz12thzEditionzbyzHockenberryzTestzBank
DIF: CognitivezLevel:zRemembering
TOP:zNursingzProcess:zPlanningzMSC:z ClientzNeeds:zSafezandzEffecti
vezCarezEnvironment
4. Theznursezisztalkingztozazgroupzofzparentszofzschool-agezchildrenzatzanzafter-
schoolzprogramzaboutzchildhoodzhealthzproblems.z Whichzstatementz shouldztheznursezincludezinzthezt
eaching?
a. Childhoodzobesityziszthezmostzcommonznutritionalzproblemzamongzchildren.
b. Immunizationzrateszarezthezsamezamongzchildrenzofzdifferentzraceszandzethnicity.
c. Dentalzcarieszisznotzazproblemzcommonlyzseenzinzchildrenzsincezthezintroductionzofzfluo
rinatedzwater.
d. Mentalzhealthzproblemszareztypicallyznotzseenzinzschool-
agezchildrenzbutz mayzbezdiagnosedz inzadolescents.
ANS:z A
Whenzteachingzparentszofzschool-
agezchildrenzaboutzchildhoodzhealthzproblems,ztheznursezshouldzincludezinformationzaboutzchildhoodzobe
sityzbecausezitziszthezmostzcommonzproblemzamongzchildrenzandziszassociatedzwithztypez2zdiabetes.zTeach
ingzparentszaboutzwaysztozpreventzobesityziszimportantztozinclude.zImmunizationzrateszdifferzdependingzon
zthezchild’szracezandzethnicity;zdentalzcarieszcontinuesztozbezazcommonzchroniczdiseasezinzchildhood;zandz
mentalzhealthzproblemszarezseenzinzchildrenzaszyoungzaszschoolzage,znotz justz inzadolescents.
DIF: CognitivezLevel:zApplying
TOP:zIntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
5. Theznurseziszplanningzcarezforzazhospitalizedzpreschool-
agedzchild.zWhichzshouldztheznursezplanztozensurezatraumaticzcare?
a. Limitzexplanationzofzprocedureszbecausezthezchildziszpreschoolzaged.
b. Askzthatzallzfamilyzmemberszleavezthezroomzwhenzperformingzprocedures.
c. Allowzthezchildztozchooseztheztypezofzjuiceztozdrinkzwithzthezadministrationzofzoralzmed
ications.
d. ExplainzthatzEMLAzcreamzcannotzbezusedzforzthezmorningzlabzdrawzbecausezthereziszn
otztimezforzitztozbezeffective.
ANS:z C
Thezoverridingzgoalzinzprovidingzatraumaticzcareziszfirst,zdoznozharm.zAllowingzthezchild,zazchoicezofzjui
ceztozdrinkzwhenztakingzoralzmedicationszprovideszthezchildzwithzazsensezofzcontrol.zThezpreschoolzchild
zshouldzbezpreparedzbeforezprocedures,zsozlimitingzexplanationszofzprocedureszwouldzincreasezanxiety.z
Thezfamilyzshouldzbezallowedztozstayzwithzthezchildzduringzprocedures,zminimizingz stress.
Lidocaine/prilocainez(EMLA)zcreamziszaztopicalzlocalzanesthetic.zTheznursezshouldzplanztozusezthezprescribedz
creamzinztimezforzmorningzlaboratoryzdrawsztozminimizezpain.
DIF: CognitivezLevel:zApplying
TOP:zNursingzProcess:zPlanningzMSC:z ClientzNeeds:zHealthzPromotio
nzandzMaintenance
6. Whichzsituationzdenoteszaznontherapeuticznurse–patient–familyzrelationship?
a. Theznurseziszplanningztozreadzazfavoritezfairyztaleztozazpatient.
b. Duringzshiftzreport,ztheznurseziszcriticizingzparentszforznotzvisitingztheirzchild.
c. Theznurseziszdiscussingzwithzazfellowznursezthezemotionalzdrawztozazcertainzpatient.
d. Theznurseziszworkingzwithzazfamilyztozfindzwaysztozdecreasezthezfamily’szdependencezo
nzhealthzcarezproviders.
, Wong'szNursingzCarezofzInfantszandzChildrenz12thzEditionzbyzHockenberryzTestzBank
ANS:z B
Criticizingzparentszforznotzvisitingzinzshiftzreportzisznontherapeuticzandzshowszanzunderzinvolvementzwit
hzthezparents.zReadingzazfairyztaleziszaztherapeuticzandzage-
appropriatezaction.zDiscussingzfeelingszofzanzemotionalzdrawzwithzazfellowznursezisztherapeuticzandzshow
szazwillingnessztozunderstandzfeelings.zWorkingzwithzparentsztozdecreasezdependencezonzhealthzcarezpro
viderszisztherapeuticzandzhelpsztozempowerzthezfamily.
DIF: CognitivezLevel:zAnalyzing
TOP:zIntegratedzProcess:zCaringzMSC:z ClientzNeeds:zPsychosocialzInt
egrity
7. Theznurseziszawarezthatzwhichzage-
groupziszatzriskzforzchildhoodzinjuryzbecausezofzthezcognitivezcharacteristiczofzmagicalzandzegocent
riczthinking?
a. Preschool
b. Youngzschoolzage
c. Middlezschoolzage
d. Adolescent
ANS:z A
Preschoolzchildrenzhavezthezcognitivezcharacteristiczofzmagicalzandzegocentriczthinking,zmeaningztheyzar
ezunableztozcomprehendzdangerztozselfzorzothers.zYoungzandzmiddlezschool-
agedzchildrenzhaveztransitionalzcognitivezprocesses,zandztheyzmayzattemptzdangerouszactszwithoutzdetaile
dzplanningzbutzrecognizezdangerztozthemselveszorzothers.zAdolescentszhavezformalzoperationalzcognitivezp
rocesseszandzarezpreoccupiedzwithzabstractzthinking.
DIF: CognitivezLevel:zUnderstanding
TOP:z NursingzProcess:zAssessmentzMSC:z ClientzNeeds:zSafezandzEffecti
vezCarezEnvironment
8. Thezschoolznurseziszassessingzchildrenzforzriskzfactorszrelatedztozchildhoodzinjuries.zWhichzchildzhaszth
ezmostz riskzfactorszrelatedztoz childhoodzinjury?
a. Female,zmultiplezsiblings,zstablezhomezlife
b. Male,zhighzactivityzlevel,zstressfulzhomezlife
c. Male,zevenztempered,zhistoryzofzpreviouszinjuries
d. Female,zreactsznegativelyztoznewzsituations,znozseriouszpreviouszinjuries
ANS:z B
Boyszhavezazpreponderancezforzinjurieszoverzgirlszbecausezofzazdifferencezinzbehavioralzcharacteristics,zaz
highzactivityztemperamentziszassociatedzwithzrisk-
takingzbehaviors,zandzstresszpredisposeszchildrenztozincreasedzriskztakingzandzself-
destructivezbehaviors.zTherefore,zazmalezchildzwithzazhighzactivityzlevelzandzlivingzinzazstressfulzenvironm
entzhaszthezhighestznumberzofzriskzfactors.zAzgirlzwithzseveralzsiblingszandzazstablezhomezlifeziszlowzrisk.zAz
boyzwithzpreviouszinjurieszhasztwozriskzfactors,zbutzanzevenztemperzisznotzazriskzfactorzforzinjuries.zAzgirlzw
hozreactsznegativelyztoznewzsituationszbutzhasznozpreviouszseriouszillnesseszhaszonlyzonezriskz factor.
DIF: CognitivezLevel:zAnalyzing
TOP:z NursingzProcess:zAssessmentzMSC:z ClientzNeeds:zSafezandzEffecti
vezCarezEnvironment
9. Anzadolescentzpatientzwantsztozmakezdecisionszaboutztreatmentzoptions,zalongzwithzhiszparents.zWhichzm
oralzvaluezisztheznursezdisplayingzwhenzsupportingzthezadolescentztozmakezdecisions?
a. Justice
