TEST BANK - WONGS NURSING CARE
OF INFANTS AND CHILDREN, 13TH
EDITION (HOCKENBERRY,
2025), CHAPTER 1-34 | ALL CHAPTERS
The clinic nurse is reviewing statistics on infant mortality for the United States versus
other countries. Compared with other countries that have a population of at least 25
million, the nurse makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries. -
ANSWER>>ANS: A
Although the death rate has decreased, the United States still ranks last in infant
mortality among nations with a population of at least 25 million. The United States has
the highest infant mortality death rate of developed nations.
Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period - ANSWER>>ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year
compared with sudden infant death syndrome, which accounts for 8.2%; disorders
related to short gestation and unspecified low birth weight, which account for 16.5%;
and maternal complications such as infections specific to the perinatal period, which
account for 6.1% of deaths in infants younger than 1 year of age.
,What is the major cause of death for children older than 1 year in the United States? a.
Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies - ANSWER>>ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year
through adolescence. The leading cause of death for those younger than 1 year is
congenital anomalies, and childhood cancers are heart disease cause a significantly
lower percentage of deaths in children older than 1 year of age.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to
19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease - ANSWER>>ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer
account for 10.9% of deaths, heart disease and cancer for approximately 5.5%, and
homicide and heart disease account for 10.9% of the deaths in this age group.
The nurse is planning a teaching session to adolescents about deaths by unintentional
injuries. Which should the nurse include in the session with regard to deaths caused by
injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups. -
ANSWER>>ANS: A
,The majority of deaths from unintentional injuries occur in males. The pattern of death
does vary greatly among different ethnic groups, and the causes of unintentional deaths
vary with age and gender.
What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community -
ANSWER>>ANS: B
Mortality statistics refer to the number of individuals who have died over a specific
period. Morbidity statistics show the prevalence of specific illness in the population at a
particular time. Data regarding disease within a geographic region, or in greater that
expected numbers in a community, may be extrapolated from analyzing the morbidity
statistics.
The nurse should assess which age group for suicide ideation since suicide in which
age group is the third leading cause of death? a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents - ANSWER>>ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the
age group should be late school age and adolescents. Suicide is not one of the leading
causes of death for preschool and young or middle school-aged children.
Parents of a hospitalized toddler ask the nurse, what is meant by family-centered care?
The nurse should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
, c. Family-centered care recognizes that the family is the constant in a child's life.
d. Family-centered care avoids expecting families to be part of the decision-making
process. - ANSWER>>ANS: C
The three key components of family-centered care are respect, collaboration, and
support. Family-centered care recognizes the family as the constant in the child's life.
The family should be enabled and empowered to work with the health care system and
is expected to be part of the decision-making process. The nurse should also support
the family's cultural diversity, not reduce its effect.
The nurse is describing clinical reasoning to a group of nursing students. Which is most
descriptive of clinical reasoning? a. Purposeful and goal directed
b. A simple developmental process
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate - ANSWER>>ANS: A Clinical
reasoning is a complex developmental process based on rational and deliberate
thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a
logical connection develops between the elements of thought and the problem at
hand.
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child's health and family situation -
ANSWER>>ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective
interventions; and questioning what is the best approach. EBP involves decision making
based on data, not all evidence on a particular situation, and involves the latest
OF INFANTS AND CHILDREN, 13TH
EDITION (HOCKENBERRY,
2025), CHAPTER 1-34 | ALL CHAPTERS
The clinic nurse is reviewing statistics on infant mortality for the United States versus
other countries. Compared with other countries that have a population of at least 25
million, the nurse makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrialized countries. -
ANSWER>>ANS: A
Although the death rate has decreased, the United States still ranks last in infant
mortality among nations with a population of at least 25 million. The United States has
the highest infant mortality death rate of developed nations.
Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period - ANSWER>>ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year
compared with sudden infant death syndrome, which accounts for 8.2%; disorders
related to short gestation and unspecified low birth weight, which account for 16.5%;
and maternal complications such as infections specific to the perinatal period, which
account for 6.1% of deaths in infants younger than 1 year of age.
,What is the major cause of death for children older than 1 year in the United States? a.
Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies - ANSWER>>ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year
through adolescence. The leading cause of death for those younger than 1 year is
congenital anomalies, and childhood cancers are heart disease cause a significantly
lower percentage of deaths in children older than 1 year of age.
In addition to injuries, what are the leading causes of death in adolescents ages 15 to
19 years?
a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease - ANSWER>>ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer
account for 10.9% of deaths, heart disease and cancer for approximately 5.5%, and
homicide and heart disease account for 10.9% of the deaths in this age group.
The nurse is planning a teaching session to adolescents about deaths by unintentional
injuries. Which should the nurse include in the session with regard to deaths caused by
injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups. -
ANSWER>>ANS: A
,The majority of deaths from unintentional injuries occur in males. The pattern of death
does vary greatly among different ethnic groups, and the causes of unintentional deaths
vary with age and gender.
What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a community -
ANSWER>>ANS: B
Mortality statistics refer to the number of individuals who have died over a specific
period. Morbidity statistics show the prevalence of specific illness in the population at a
particular time. Data regarding disease within a geographic region, or in greater that
expected numbers in a community, may be extrapolated from analyzing the morbidity
statistics.
The nurse should assess which age group for suicide ideation since suicide in which
age group is the third leading cause of death? a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents - ANSWER>>ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the
age group should be late school age and adolescents. Suicide is not one of the leading
causes of death for preschool and young or middle school-aged children.
Parents of a hospitalized toddler ask the nurse, what is meant by family-centered care?
The nurse should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
, c. Family-centered care recognizes that the family is the constant in a child's life.
d. Family-centered care avoids expecting families to be part of the decision-making
process. - ANSWER>>ANS: C
The three key components of family-centered care are respect, collaboration, and
support. Family-centered care recognizes the family as the constant in the child's life.
The family should be enabled and empowered to work with the health care system and
is expected to be part of the decision-making process. The nurse should also support
the family's cultural diversity, not reduce its effect.
The nurse is describing clinical reasoning to a group of nursing students. Which is most
descriptive of clinical reasoning? a. Purposeful and goal directed
b. A simple developmental process
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriate - ANSWER>>ANS: A Clinical
reasoning is a complex developmental process based on rational and deliberate
thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a
logical connection develops between the elements of thought and the problem at
hand.
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child's health and family situation -
ANSWER>>ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective
interventions; and questioning what is the best approach. EBP involves decision making
based on data, not all evidence on a particular situation, and involves the latest
