Test bank for Wong's Nursing Care of Infants and Child
r r r r r r r r r
ren 11th Edition by Hockenberry Chapter 1-34
r r r r r r
,Chapter 01: Perspectives of Pediatric Nursing
r r r r r
MULTIPLErCHOICE
1. Therclinicr nurser isr reviewingr statisticsr onrinfantr mortalityr forr ther Unitedr Statesr versusr otherr countries.rCo
mparedrwithrotherrcountriesrthatrhaverarpopulationrofratrleastr25rmillion,rthernursermakesrwhichrdetermi
nation?
a. Ther Unitedr Statesr isr rankedr lastr amongr 27r countries.
b. Ther Unitedr Statesr isr rankedr similarr tor 20r otherr developedr countries.
c. TherUnitedr Statesr isr rankedr inr ther middler ofr 20r otherr developedr countries.
d. Ther Unitedr Statesr isr rankedr highestr amongr 27r otherr industrializedr countries.
ANS:rA
Althoughrtherdeathr rater hasr decreased,r therUnitedr Statesr stillr ranksrlastr inrinfantr mortalityr amongr nationsr withrarpo
pulationr ofr atrleastr 25r million.r TherUnitedr Statesr hasr therhighestr infantr deathr raterofr developedr nations.
DIF:rCognitiverLevel:rRemembering
TOP:rNursingrProcess:rAssessmentrMSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
2. Whichr isr ther leadingr causer ofr deathr inr infantsr youngerr thanr 1r yearr inr ther Unitedr States?
a. Congenitalr anomalies
b. Suddenr infantr deathrsyndrome
c. Disordersr relatedr tor shortr gestationr andrlowr birthr weight
d. Maternalr complicationsr specificr tor ther perinatalr periodr
ANS:rA
Congenitalr anomaliesr accountr forr 20.1%r ofr deathsr inr infantsr youngerr thanr 1r yearr comparedr withr suddenr infantrdeat
hrsyndrome,rwhichraccountsrforr8.2%;rdisordersrrelatedrtorshortrgestationrandrunspecifiedrlowrbirthrweight,rwh
ichraccountrforr16.5%;randrmaternalrcomplicationsrsuchrasrinfectionsrspecificrtortherperinatalrperiod,rwhichracc
ountrforr6.1%rofrdeathsrinrinfantsryoungerrthanr1ryearrofrage.
DIF:rCognitiverLevel:rRemembering
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
3. Whatr isr ther majorr causer ofr deathr forr childrenr olderr thanr 1r yearr inr ther Unitedr States?
a. Heartrdisease
,b. Childhoodr cancer
c. Unintentionalr injuries
d. Congenitalranomaliesr
ANS:rC
Unintentionalrinjuriesr(accidents)rarertherleadingrcauserofrdeathrafterrager1ryearrthroughradolescence.rTherleadingr c
auser ofrdeathr forr thoser youngerrthanr 1r yearr isr congenitalr anomalies,r andrchildhoodr cancersr andr heartrdiseasercauserarsi
gnificantlyrlowerrpercentagerofrdeathsrinrchildrenrolderrthanr1ryearrofrage.
DIF:rCognitiverLevel:rUnderstanding
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
4. Inradditionr torinjuries,r whatr arer ther leadingr causesr ofr deathr inradolescentsr agesr 15r tor 19r years?
a. Suicider andrcancer
b. Suicider andrhomicide
c. Drowningr andrcancer
d. Homicider andr heartr diseaser
ANS:rB
Suiciderandrhomicideraccountrforr16.7%rofrdeathsrinrthisragergroup.rSuiciderandrcancerraccountrforr10.9%rofrdeaths,
rheartrdiseaserandrcancerraccountrforrapproximatelyr5.5%,randrhomiciderandrheartrdiseaser accountrforr10.9%r ofrther
deathsrinrthisragergroup.
DIF:rCognitiverLevel:rRemembering
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
5. Ther nurserisr planningr ar teachingr sessionrtor adolescentsr aboutr deathsr byr unintentionalr injuries.r Whichr shouldrther
nurserincluderinrthersessionrwithrregardrtordeathsrcausedrbyrinjuries?
a. Morer deathsr occurr inr males.
b. Morer deathsr occurr inr females.
c. Ther patternr ofr deathsr doesr notr varyr accordingr tor ager andr sex.
d. Ther patternr ofr deathsr doesr notr varyr widelyr amongr differentr ethnicr groups.
ANS:rA
Thermajorityrofrdeathsrfromrunintentionalrinjuriesroccurrinrmales.rTherpatternrofrdeathrdoesrvaryrgreatly
, amongr differentr ethnicr groups,r andrther causesr ofr unintentionalr deathsr varyr withr ager andr gender.rDIF:rC
ognitiverLevel:r Applying
TOP:rIntegratedrProcess:rTeaching/Learning
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
6. Whatr dor mortalityr statisticsr describe?
a. Diseaser occurringr regularlyr withinr ar geographicr location
b. Ther numberr ofr individualsr whor haver diedr overr ar specificr period
c. Ther prevalencer ofr specificr illnessr inrther populationr atr ar particularr time
d. Diseaser occurringr inr morer thanr ther numberr ofr expectedr casesrinrar communityrA
NS:rB
Mortalityrstatisticsrreferrtorthernumberrofrindividualsrwhorhaverdiedroverrarspecificrperiod.
Morbidityrstatisticsrshowrtherprevalencerofrspecificrillnessrinrtherpopulationratrarparticularrtime.rDatarregardin
gr diseaser withinr argeographicr region,rorr inr greaterr thanr expectedr numbersr inr ar community,r mayr berextrapolatedrfr
omranalyzingrthermorbidityr statistics.
DIF:rCognitiverLevel:rRemembering
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
7. Thernurser shouldr assessr whichr ager groupr forr suicider ideationr sincer suicider inr whichr agergroupr isrther thirdrlead
ingrcauserofrdeath?
a. Preschoolers
b. Youngr schoolrage
c. Middler schoolr age
d. Later schoolr ager andr adolescentsr
ANS:rD
Suiciderisrtherthirdrleadingrcauserofrdeathrinrchildrenragesr10rtor19ryears;rtherefore,rtheragergrouprshouldrberlatersch
oolragerandradolescents.rSuiciderisrnotronerofrtherleadingrcausesrofrdeathrforrpreschoolrandryoungrorrmiddlerschoo
l-agedrchildren.
DIF:rCognitiverLevel:rUnderstanding
TOP:rNursingrProcess:rAssessmentrMSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
8. Parentsr ofrar hospitalizedr toddlerr askr ther nurse,rWhatr isr meantr byrfamily-
centeredr care?r Thernurser shouldrrespondrwithrwhichrstatement?
r r r r r r r r r
ren 11th Edition by Hockenberry Chapter 1-34
r r r r r r
,Chapter 01: Perspectives of Pediatric Nursing
r r r r r
MULTIPLErCHOICE
1. Therclinicr nurser isr reviewingr statisticsr onrinfantr mortalityr forr ther Unitedr Statesr versusr otherr countries.rCo
mparedrwithrotherrcountriesrthatrhaverarpopulationrofratrleastr25rmillion,rthernursermakesrwhichrdetermi
nation?
a. Ther Unitedr Statesr isr rankedr lastr amongr 27r countries.
b. Ther Unitedr Statesr isr rankedr similarr tor 20r otherr developedr countries.
c. TherUnitedr Statesr isr rankedr inr ther middler ofr 20r otherr developedr countries.
d. Ther Unitedr Statesr isr rankedr highestr amongr 27r otherr industrializedr countries.
ANS:rA
Althoughrtherdeathr rater hasr decreased,r therUnitedr Statesr stillr ranksrlastr inrinfantr mortalityr amongr nationsr withrarpo
pulationr ofr atrleastr 25r million.r TherUnitedr Statesr hasr therhighestr infantr deathr raterofr developedr nations.
DIF:rCognitiverLevel:rRemembering
TOP:rNursingrProcess:rAssessmentrMSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
2. Whichr isr ther leadingr causer ofr deathr inr infantsr youngerr thanr 1r yearr inr ther Unitedr States?
a. Congenitalr anomalies
b. Suddenr infantr deathrsyndrome
c. Disordersr relatedr tor shortr gestationr andrlowr birthr weight
d. Maternalr complicationsr specificr tor ther perinatalr periodr
ANS:rA
Congenitalr anomaliesr accountr forr 20.1%r ofr deathsr inr infantsr youngerr thanr 1r yearr comparedr withr suddenr infantrdeat
hrsyndrome,rwhichraccountsrforr8.2%;rdisordersrrelatedrtorshortrgestationrandrunspecifiedrlowrbirthrweight,rwh
ichraccountrforr16.5%;randrmaternalrcomplicationsrsuchrasrinfectionsrspecificrtortherperinatalrperiod,rwhichracc
ountrforr6.1%rofrdeathsrinrinfantsryoungerrthanr1ryearrofrage.
DIF:rCognitiverLevel:rRemembering
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
3. Whatr isr ther majorr causer ofr deathr forr childrenr olderr thanr 1r yearr inr ther Unitedr States?
a. Heartrdisease
,b. Childhoodr cancer
c. Unintentionalr injuries
d. Congenitalranomaliesr
ANS:rC
Unintentionalrinjuriesr(accidents)rarertherleadingrcauserofrdeathrafterrager1ryearrthroughradolescence.rTherleadingr c
auser ofrdeathr forr thoser youngerrthanr 1r yearr isr congenitalr anomalies,r andrchildhoodr cancersr andr heartrdiseasercauserarsi
gnificantlyrlowerrpercentagerofrdeathsrinrchildrenrolderrthanr1ryearrofrage.
DIF:rCognitiverLevel:rUnderstanding
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
4. Inradditionr torinjuries,r whatr arer ther leadingr causesr ofr deathr inradolescentsr agesr 15r tor 19r years?
a. Suicider andrcancer
b. Suicider andrhomicide
c. Drowningr andrcancer
d. Homicider andr heartr diseaser
ANS:rB
Suiciderandrhomicideraccountrforr16.7%rofrdeathsrinrthisragergroup.rSuiciderandrcancerraccountrforr10.9%rofrdeaths,
rheartrdiseaserandrcancerraccountrforrapproximatelyr5.5%,randrhomiciderandrheartrdiseaser accountrforr10.9%r ofrther
deathsrinrthisragergroup.
DIF:rCognitiverLevel:rRemembering
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
5. Ther nurserisr planningr ar teachingr sessionrtor adolescentsr aboutr deathsr byr unintentionalr injuries.r Whichr shouldrther
nurserincluderinrthersessionrwithrregardrtordeathsrcausedrbyrinjuries?
a. Morer deathsr occurr inr males.
b. Morer deathsr occurr inr females.
c. Ther patternr ofr deathsr doesr notr varyr accordingr tor ager andr sex.
d. Ther patternr ofr deathsr doesr notr varyr widelyr amongr differentr ethnicr groups.
ANS:rA
Thermajorityrofrdeathsrfromrunintentionalrinjuriesroccurrinrmales.rTherpatternrofrdeathrdoesrvaryrgreatly
, amongr differentr ethnicr groups,r andrther causesr ofr unintentionalr deathsr varyr withr ager andr gender.rDIF:rC
ognitiverLevel:r Applying
TOP:rIntegratedrProcess:rTeaching/Learning
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
6. Whatr dor mortalityr statisticsr describe?
a. Diseaser occurringr regularlyr withinr ar geographicr location
b. Ther numberr ofr individualsr whor haver diedr overr ar specificr period
c. Ther prevalencer ofr specificr illnessr inrther populationr atr ar particularr time
d. Diseaser occurringr inr morer thanr ther numberr ofr expectedr casesrinrar communityrA
NS:rB
Mortalityrstatisticsrreferrtorthernumberrofrindividualsrwhorhaverdiedroverrarspecificrperiod.
Morbidityrstatisticsrshowrtherprevalencerofrspecificrillnessrinrtherpopulationratrarparticularrtime.rDatarregardin
gr diseaser withinr argeographicr region,rorr inr greaterr thanr expectedr numbersr inr ar community,r mayr berextrapolatedrfr
omranalyzingrthermorbidityr statistics.
DIF:rCognitiverLevel:rRemembering
MSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
7. Thernurser shouldr assessr whichr ager groupr forr suicider ideationr sincer suicider inr whichr agergroupr isrther thirdrlead
ingrcauserofrdeath?
a. Preschoolers
b. Youngr schoolrage
c. Middler schoolr age
d. Later schoolr ager andr adolescentsr
ANS:rD
Suiciderisrtherthirdrleadingrcauserofrdeathrinrchildrenragesr10rtor19ryears;rtherefore,rtheragergrouprshouldrberlatersch
oolragerandradolescents.rSuiciderisrnotronerofrtherleadingrcausesrofrdeathrforrpreschoolrandryoungrorrmiddlerschoo
l-agedrchildren.
DIF:rCognitiverLevel:rUnderstanding
TOP:rNursingrProcess:rAssessmentrMSC:rClientrNeeds:rHealthrPromotionrandrMaintenance
8. Parentsr ofrar hospitalizedr toddlerr askr ther nurse,rWhatr isr meantr byrfamily-
centeredr care?r Thernurser shouldrrespondrwithrwhichrstatement?