Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
n n n n n n n n n n n n
,Chapter 01: Perspectives of Pediatric Nursing
n n n n n
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
n n n n n n n n n
Edition
MULTIPLEnCHOICE
1. Whatn isnthenmajorncausenofndeathnfornchildrenninnthenUnitednStates?
a. Heartndisease
b. Childhoodncancer
c. Injuries
d. Congenitalnanomalies
ANS:n C
Unintentionalninjuriesn(accidents)narenthenleadingncausenofndeathnafternagen1nyearnthroughnadolescence.nT
henleadingncausenofndeathnfornthosenyoungernthann1nyearnisncongenitalnanomalies,nandnchildhoodncancersna
ndnheartndiseasencausenansignificantlynlowernpercentagenofndeathsninnchildrennoldernthann1nyearnofnage.
DIF: CognitivenLevel:nUnderstanding
TOP:nNursingnProcess:nPlanningnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
2. Parentsnofnanhospitalizedntoddlernasknthennurse,n“Whatnisnmeantnbynfamily-
centeredncare?”nThennursenshouldnrespondnwithnwhichnstatement?
a. Family-centeredncarenreducesntheneffectnofnculturalndiversitynonnthenfamily.
b. Family-centeredncarenencouragesnfamilyndependencenonnthenhealthncarensystem.
c. Family-centeredncarenrecognizesnthatnthenfamilynisnthenconstantninnanchild’snlife.
d. Family-centeredncarenavoidsnexpectingnfamiliesntonbenpartnofnthendecision-
makingnprocess.
ANS:n C
Thenthreenkeyncomponentsnofnfamily-centeredncarenarenrespect,ncollaboration,nandnsupport.nFamily-
ncenteredncarenrecognizesnthenfamilynasnthenconstantninnthenchild’snlife.nThenfamilynshouldnbenenablednan
dnempoweredntonworknwithnthenhealthncarensystemnandnisnexpectedntonbenpartnofnthendecision-
makingnprocess.nThennursenshouldnalsonsupportnthenfamily’snculturalndiversity,n notnreducenitsneffect.
DIF: CognitivenLevel:nApplying
TOP:nNursingnProcess:nImplementationnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
3. Evidence-basednpracticen(EBP),nandecision-makingnmodel,nisnbestndescribednasnwhich?
a. Usingninformationninntextbooksnton guidencare
b. Combiningnknowledgenwithnclinicalnexperiencenandnintuition
c. Usingnanprofessionalncodenofnethicsnasnanmeansnforndecisionnmaking
d. Gatheringnallnevidencenthatn appliesntonthenchild’snhealthnandnfamilynsituation
ANS:n B
EBPnhelpsnfocusnonnmeasurablenoutcomes;nthenusenofndemonstrated,neffectiveninterventions;nandnquestio
ningnthenbestnapproach.nEBPninvolvesndecisionnmakingnbasednonnthenintegrationnofnthenbestnresearchnevide
ncencombinednwithnclinicalnexpertisenandnpatientn values.
,Wong'snNursingnCarenofnInfantsnandnChildrenn12thnEditionnbynHockenberrynTestnBank
DIF: CognitivenLevel:nRemembering
TOP:nNursingnProcess:nPlanningnMSC:n ClientnNeeds:nSafenandnEffecti
venCarenEnvironment
4. Thennursenisntalkingntonangroupnofnparentsnofnschool-agenchildrennatnannafter-
schoolnprogramnaboutnchildhoodnhealthnproblems.n Whichnstatementn shouldnthennursen includeninnthen
teaching?
a. Childhoodnobesitynisnthenmostncommonnnutritionalnproblemnamongnchildren.
b. Immunizationnratesnarenthensamenamongnchildrennofndifferentn racesnandnethnicity.
c. Dentalncariesn isnnotnanproblemncommonlynseenninnchildrennsincenthenintroductionnofnflu
orinatednwater.
d. Mentalnhealthnproblemsnarentypicallynnotnseenninnschool-
agenchildrennbutnmaynbendiagnosedn innadolescents.
ANS:n A
Whennteachingnparentsnofnschool-
agenchildrennaboutnchildhoodnhealthnproblems,nthennursenshouldnincludeninformationnaboutnchildhoodnob
esitynbecausenitnisnthenmostncommonnproblemnamongnchildrennandnisnassociatednwithntypen2ndiabetes.nTea
chingnparentsnaboutnwaysntonpreventnobesitynisnimportantntoninclude.nImmunizationnratesndifferndepending
nonnthenchild’snracenandnethnicity;ndentalncariesncontinuesntonbenancommonnchronicndiseaseninnchildhood;na
ndnmentalnhealthnproblemsnarenseenninnchildrennasnyoungnasnschoolnage,nnotn justn innadolescents.
DIF: CognitivenLevel:nApplying
TOP:nIntegratednProcess:nTeaching/LearningnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
5. Thennursenisnplanningncarenfornanhospitalizednpreschool-
agednchild.nWhichnshouldnthennursenplanntonensurenatraumaticncare?
a. Limitn explanationnofnproceduresnbecausenthenchildnisnpreschoolnaged.
b. Asknthatnallnfamilynmembersnleaventhenroomnwhennperformingnprocedures.
c. Allownthenchildntonchoosenthentypenofnjuicentondrinknwithnthenadministrationnofnoralnme
dications.
d. ExplainnthatnEMLAncreamncannotnbenusednfornthenmorningnlabndrawnbecausentherenisn
notntimen fornitntonbeneffective.
ANS:n C
Thenoverridingngoalninnprovidingnatraumaticncarenisnfirst,ndonnonharm.nAllowingnthenchild,nanchoicenofnju
icentondrinknwhenntakingnoralnmedicationsnprovidesnthenchildnwithnansensenofncontrol.nThenpreschoolnchil
dnshouldnbenpreparednbeforenprocedures,nsonlimitingnexplanationsnofnproceduresnwouldnincreasenanxiet
y.nThenfamilynshouldnbenallowedntonstaynwithnthenchildnduringnprocedures,nminimizingn stress.
Lidocaine/prilocainen(EMLA)ncreamnisnan topicalnlocalnanesthetic.nThennursenshouldnplanntonusenthenprescribed
n creamninntimen forn morningn laboratoryndrawsntonminimizenpain.
DIF: CognitivenLevel:nApplying
TOP:nNursingnProcess:nPlanningnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
6. Whichnsituationndenotesnannontherapeuticnnurse–patient–familynrelationship?
a. Thennursenisnplanningntonreadnanfavoritenfairyntalentonanpatient.
b. Duringnshiftnreport,nthennursenisncriticizingnparentsnfornnotnvisitingntheirnchild.
c. Thennursenisndiscussingnwithnanfellownnursenthenemotionalndrawntonancertainnpatient.
d. Thennursenisnworkingnwithnanfamilyntonfindnwaysntondecreasenthenfamily’sndependencen
onnhealthncarenproviders.
, Wong'snNursingnCarenofnInfantsnandnChildrenn12thnEditionnbynHockenberrynTestnBank
ANS:n B
Criticizingnparentsnfornnotnvisitingninnshiftnreportnisnnontherapeuticnandnshowsnannunderninvolvementnwit
hnthenparents.nReadingnanfairyntalenisnantherapeuticnandnage-
appropriatenaction.nDiscussingnfeelingsnofnannemotionalndrawnwithnanfellownnursenisntherapeuticnandnsho
wsnanwillingnessntonunderstandnfeelings.nWorkingnwithnparentsntondecreasendependencenonnhealthncarenp
rovidersnisntherapeuticnandnhelpsntonempowernthenfamily.
DIF: CognitivenLevel:nAnalyzing
TOP:nIntegratednProcess:nCaringnMSC:n ClientnNeeds:nPsychosocialnIn
tegrity
7. Thennursenisnawarenthatnwhichnage-
groupnisnatnrisknfornchildhoodninjurynbecausenofnthencognitivencharacteristicnofnmagicalnandnegocen
tricnthinking?
a. Preschool
b. Youngnschoolnage
c. Middlenschoolnage
d. Adolescent
ANS:n A
Preschoolnchildrennhaventhencognitivencharacteristicnofnmagicalnandnegocentricnthinking,nmeaningntheynar
enunablentoncomprehendndangerntonselfnornothers.nYoungnandnmiddlenschool-
agednchildrennhaventransitionalncognitivenprocesses,nandntheynmaynattemptndangerousnactsnwithoutndetaile
dnplanningnbutnrecognizendangerntonthemselvesnornothers.nAdolescentsnhavenformalnoperationalncognitiven
processesnandnarenpreoccupiednwithnabstractnthinking.
DIF: CognitivenLevel:nUnderstanding
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
venCarenEnvironment
8. Thenschoolnnursenisnassessingnchildrennfornrisknfactorsnrelatedntonchildhoodninjuries.nWhichnchildnhasnth
enmostn risknfactorsnrelatednton childhoodninjury?
a. Female,nmultiplensiblings,nstablenhomenlife
b. Male,nhighnactivitynlevel,nstressfulnhomenlife
c. Male,nevenntempered,nhistorynofnpreviousninjuries
d. Female,nreactsnnegativelyntonnewnsituations,nnonseriousnpreviousninjuries
ANS:n B
Boysnhavenanpreponderancenforninjuriesnoverngirlsnbecausenofnandifferenceninnbehavioralncharacteristics,nan
highnactivityntemperamentnisnassociatednwithnrisk-
takingnbehaviors,nandnstressnpredisposesnchildrenntonincreasednriskntakingnandnself-
destructivenbehaviors.nTherefore,nanmalenchildnwithnanhighnactivitynlevelnandnlivingninnanstressfulnenviron
mentnhasnthenhighestnnumbernofnrisknfactors.nAngirlnwithnseveralnsiblingsnandnanstablenhomenlifenisnlownrisk.
n Anboynwithnpreviousninjuriesnhasntwon riskn factors,nbutn annevenntempernisnnotnanrisknfactornforninjuries.nAngir
lnwhonreactsnnegativelyntonnewnsituationsnbutnhasnnonpreviousnseriousn illnessesn hasnonlynonenriskn factor.
DIF: CognitivenLevel:nAnalyzing
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
venCarenEnvironment
9. Annadolescentnpatientnwantsntonmakendecisionsnaboutntreatmentnoptions,nalongnwithnhisnparents.nWhichn
moralnvaluenisnthennursendisplayingnwhennsupportingnthenadolescentntonmakendecisions?
a. Justice
n n n n n n n n n n n n
,Chapter 01: Perspectives of Pediatric Nursing
n n n n n
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
n n n n n n n n n
Edition
MULTIPLEnCHOICE
1. Whatn isnthenmajorncausenofndeathnfornchildrenninnthenUnitednStates?
a. Heartndisease
b. Childhoodncancer
c. Injuries
d. Congenitalnanomalies
ANS:n C
Unintentionalninjuriesn(accidents)narenthenleadingncausenofndeathnafternagen1nyearnthroughnadolescence.nT
henleadingncausenofndeathnfornthosenyoungernthann1nyearnisncongenitalnanomalies,nandnchildhoodncancersna
ndnheartndiseasencausenansignificantlynlowernpercentagenofndeathsninnchildrennoldernthann1nyearnofnage.
DIF: CognitivenLevel:nUnderstanding
TOP:nNursingnProcess:nPlanningnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
2. Parentsnofnanhospitalizedntoddlernasknthennurse,n“Whatnisnmeantnbynfamily-
centeredncare?”nThennursenshouldnrespondnwithnwhichnstatement?
a. Family-centeredncarenreducesntheneffectnofnculturalndiversitynonnthenfamily.
b. Family-centeredncarenencouragesnfamilyndependencenonnthenhealthncarensystem.
c. Family-centeredncarenrecognizesnthatnthenfamilynisnthenconstantninnanchild’snlife.
d. Family-centeredncarenavoidsnexpectingnfamiliesntonbenpartnofnthendecision-
makingnprocess.
ANS:n C
Thenthreenkeyncomponentsnofnfamily-centeredncarenarenrespect,ncollaboration,nandnsupport.nFamily-
ncenteredncarenrecognizesnthenfamilynasnthenconstantninnthenchild’snlife.nThenfamilynshouldnbenenablednan
dnempoweredntonworknwithnthenhealthncarensystemnandnisnexpectedntonbenpartnofnthendecision-
makingnprocess.nThennursenshouldnalsonsupportnthenfamily’snculturalndiversity,n notnreducenitsneffect.
DIF: CognitivenLevel:nApplying
TOP:nNursingnProcess:nImplementationnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
3. Evidence-basednpracticen(EBP),nandecision-makingnmodel,nisnbestndescribednasnwhich?
a. Usingninformationninntextbooksnton guidencare
b. Combiningnknowledgenwithnclinicalnexperiencenandnintuition
c. Usingnanprofessionalncodenofnethicsnasnanmeansnforndecisionnmaking
d. Gatheringnallnevidencenthatn appliesntonthenchild’snhealthnandnfamilynsituation
ANS:n B
EBPnhelpsnfocusnonnmeasurablenoutcomes;nthenusenofndemonstrated,neffectiveninterventions;nandnquestio
ningnthenbestnapproach.nEBPninvolvesndecisionnmakingnbasednonnthenintegrationnofnthenbestnresearchnevide
ncencombinednwithnclinicalnexpertisenandnpatientn values.
,Wong'snNursingnCarenofnInfantsnandnChildrenn12thnEditionnbynHockenberrynTestnBank
DIF: CognitivenLevel:nRemembering
TOP:nNursingnProcess:nPlanningnMSC:n ClientnNeeds:nSafenandnEffecti
venCarenEnvironment
4. Thennursenisntalkingntonangroupnofnparentsnofnschool-agenchildrennatnannafter-
schoolnprogramnaboutnchildhoodnhealthnproblems.n Whichnstatementn shouldnthennursen includeninnthen
teaching?
a. Childhoodnobesitynisnthenmostncommonnnutritionalnproblemnamongnchildren.
b. Immunizationnratesnarenthensamenamongnchildrennofndifferentn racesnandnethnicity.
c. Dentalncariesn isnnotnanproblemncommonlynseenninnchildrennsincenthenintroductionnofnflu
orinatednwater.
d. Mentalnhealthnproblemsnarentypicallynnotnseenninnschool-
agenchildrennbutnmaynbendiagnosedn innadolescents.
ANS:n A
Whennteachingnparentsnofnschool-
agenchildrennaboutnchildhoodnhealthnproblems,nthennursenshouldnincludeninformationnaboutnchildhoodnob
esitynbecausenitnisnthenmostncommonnproblemnamongnchildrennandnisnassociatednwithntypen2ndiabetes.nTea
chingnparentsnaboutnwaysntonpreventnobesitynisnimportantntoninclude.nImmunizationnratesndifferndepending
nonnthenchild’snracenandnethnicity;ndentalncariesncontinuesntonbenancommonnchronicndiseaseninnchildhood;na
ndnmentalnhealthnproblemsnarenseenninnchildrennasnyoungnasnschoolnage,nnotn justn innadolescents.
DIF: CognitivenLevel:nApplying
TOP:nIntegratednProcess:nTeaching/LearningnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
5. Thennursenisnplanningncarenfornanhospitalizednpreschool-
agednchild.nWhichnshouldnthennursenplanntonensurenatraumaticncare?
a. Limitn explanationnofnproceduresnbecausenthenchildnisnpreschoolnaged.
b. Asknthatnallnfamilynmembersnleaventhenroomnwhennperformingnprocedures.
c. Allownthenchildntonchoosenthentypenofnjuicentondrinknwithnthenadministrationnofnoralnme
dications.
d. ExplainnthatnEMLAncreamncannotnbenusednfornthenmorningnlabndrawnbecausentherenisn
notntimen fornitntonbeneffective.
ANS:n C
Thenoverridingngoalninnprovidingnatraumaticncarenisnfirst,ndonnonharm.nAllowingnthenchild,nanchoicenofnju
icentondrinknwhenntakingnoralnmedicationsnprovidesnthenchildnwithnansensenofncontrol.nThenpreschoolnchil
dnshouldnbenpreparednbeforenprocedures,nsonlimitingnexplanationsnofnproceduresnwouldnincreasenanxiet
y.nThenfamilynshouldnbenallowedntonstaynwithnthenchildnduringnprocedures,nminimizingn stress.
Lidocaine/prilocainen(EMLA)ncreamnisnan topicalnlocalnanesthetic.nThennursenshouldnplanntonusenthenprescribed
n creamninntimen forn morningn laboratoryndrawsntonminimizenpain.
DIF: CognitivenLevel:nApplying
TOP:nNursingnProcess:nPlanningnMSC:n Clientn Needs:nHealthnPromoti
onnandnMaintenance
6. Whichnsituationndenotesnannontherapeuticnnurse–patient–familynrelationship?
a. Thennursenisnplanningntonreadnanfavoritenfairyntalentonanpatient.
b. Duringnshiftnreport,nthennursenisncriticizingnparentsnfornnotnvisitingntheirnchild.
c. Thennursenisndiscussingnwithnanfellownnursenthenemotionalndrawntonancertainnpatient.
d. Thennursenisnworkingnwithnanfamilyntonfindnwaysntondecreasenthenfamily’sndependencen
onnhealthncarenproviders.
, Wong'snNursingnCarenofnInfantsnandnChildrenn12thnEditionnbynHockenberrynTestnBank
ANS:n B
Criticizingnparentsnfornnotnvisitingninnshiftnreportnisnnontherapeuticnandnshowsnannunderninvolvementnwit
hnthenparents.nReadingnanfairyntalenisnantherapeuticnandnage-
appropriatenaction.nDiscussingnfeelingsnofnannemotionalndrawnwithnanfellownnursenisntherapeuticnandnsho
wsnanwillingnessntonunderstandnfeelings.nWorkingnwithnparentsntondecreasendependencenonnhealthncarenp
rovidersnisntherapeuticnandnhelpsntonempowernthenfamily.
DIF: CognitivenLevel:nAnalyzing
TOP:nIntegratednProcess:nCaringnMSC:n ClientnNeeds:nPsychosocialnIn
tegrity
7. Thennursenisnawarenthatnwhichnage-
groupnisnatnrisknfornchildhoodninjurynbecausenofnthencognitivencharacteristicnofnmagicalnandnegocen
tricnthinking?
a. Preschool
b. Youngnschoolnage
c. Middlenschoolnage
d. Adolescent
ANS:n A
Preschoolnchildrennhaventhencognitivencharacteristicnofnmagicalnandnegocentricnthinking,nmeaningntheynar
enunablentoncomprehendndangerntonselfnornothers.nYoungnandnmiddlenschool-
agednchildrennhaventransitionalncognitivenprocesses,nandntheynmaynattemptndangerousnactsnwithoutndetaile
dnplanningnbutnrecognizendangerntonthemselvesnornothers.nAdolescentsnhavenformalnoperationalncognitiven
processesnandnarenpreoccupiednwithnabstractnthinking.
DIF: CognitivenLevel:nUnderstanding
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
venCarenEnvironment
8. Thenschoolnnursenisnassessingnchildrennfornrisknfactorsnrelatedntonchildhoodninjuries.nWhichnchildnhasnth
enmostn risknfactorsnrelatednton childhoodninjury?
a. Female,nmultiplensiblings,nstablenhomenlife
b. Male,nhighnactivitynlevel,nstressfulnhomenlife
c. Male,nevenntempered,nhistorynofnpreviousninjuries
d. Female,nreactsnnegativelyntonnewnsituations,nnonseriousnpreviousninjuries
ANS:n B
Boysnhavenanpreponderancenforninjuriesnoverngirlsnbecausenofnandifferenceninnbehavioralncharacteristics,nan
highnactivityntemperamentnisnassociatednwithnrisk-
takingnbehaviors,nandnstressnpredisposesnchildrenntonincreasednriskntakingnandnself-
destructivenbehaviors.nTherefore,nanmalenchildnwithnanhighnactivitynlevelnandnlivingninnanstressfulnenviron
mentnhasnthenhighestnnumbernofnrisknfactors.nAngirlnwithnseveralnsiblingsnandnanstablenhomenlifenisnlownrisk.
n Anboynwithnpreviousninjuriesnhasntwon riskn factors,nbutn annevenntempernisnnotnanrisknfactornforninjuries.nAngir
lnwhonreactsnnegativelyntonnewnsituationsnbutnhasnnonpreviousnseriousn illnessesn hasnonlynonenriskn factor.
DIF: CognitivenLevel:nAnalyzing
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
venCarenEnvironment
9. Annadolescentnpatientnwantsntonmakendecisionsnaboutntreatmentnoptions,nalongnwithnhisnparents.nWhichn
moralnvaluenisnthennursendisplayingnwhennsupportingnthenadolescentntonmakendecisions?
a. Justice
