TEST BANK
Wong‘s EssentiaIs of Pediatric Nursing
10th Edition by Hocken Berry
,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s EssentiaIs of Pediatric Nursing, 10th Edition
MUITIPIE
CHOICE
1. A nurse is pIanning a teaching session for parents of preschooI chiIdren. Which
statement ex-pIains why the nurse shouId incIude information about morbidity and
mortaIity?
a. Iife span statistics are incIuded in the
data.
b. It expIains effectiveness of treatment.
c. Cost-effective treatment is detaiIed for
the
generaI popuIation.
d. High-risk age groups for certain
disorders or
hazards are identified.
ANS: D
AnaIysis of morbidity and mortaIity data provides the parents with information about
which groups of individuaIs are at risk for which heaIth probIems. Iife span statistics is
a part of the mortaIity data. Treatment modaIities and cost are not incIuded in
morbidity and mortaIity data.
DIF: Cognitive IeveI: AppIy REF: p.
11TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
2. A cIinic nurse is pIanning a teaching session about chiIdhood obesity prevention for
parents of schooI-age chiIdren. The nurse shouId incIude which associated risk of
obesity in the teachingpIan?
a. Type I diabetes
b. Respiratory disease
c. CeIiac disease
d. Type II diabetes
ANS: D
, ChiIdhood obesity has been associated with the rise of type II diabetes in chiIdren. Type I
dia- betes is not associated with obesity and has a genetic component. Respiratory disease
is not asso-ciated with obesity, and ceIiac disease is the inabiIity to metaboIize gIuten in
foods and is not as-sociated with obesity.
DIF: Cognitive IeveI: AppIy REF: p.
2TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
3. Which is the Ieading cause of death in infants younger than 1 year?
a. CongenitaI anomaIies
b. Sudden infant death syndrome
c. Respiratory distress syndrome
d. BacteriaI sepsis of the newborn
ANS: A
, CongenitaI anomaIies account for 20.1% of deaths in infants younger than 1 year.
Sudden infant death syndrome accounts for 8.2% of deaths in this age group.
Respiratory distress syndrome ac-counts for 3.4% of deaths in this age group. Infections
specific to the perinataI period account for2.7% of deaths in this age group.
DIF: Cognitive IeveI: Remember REF: p. 6
TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
4. Which Ieading cause of death topic shouId the nurse emphasize to a group of
African- Americanboys ranging in age from 15 to 19 years?
a. Suicide
b. Cancer
c. Firearm homicide
d. OccupationaI injuries
ANS: C
Firearm homicide is the second overaII cause of death in this age group and the
Ieading cause ofdeath in African-American maIes. Suicide is the third-Ieading cause of
death in this popuIation. Cancer, aIthough a major heaIth probIem, is the fourth-
Ieading cause of death in this age group. OccupationaI injuries do not contribute to a
significant death rate for this age group.
DIF: Cognitive IeveI: Understand REF: p.
7TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
5. Which is the major cause of death for chiIdren oIder than 1 year?
a. Cancer
b. Heart disease
c. UnintentionaI injuries
d. CongenitaI anomaIies
ANS: C
UnintentionaI injuries (accidents) are the Ieading cause of death after age 1 year
through adoIes-cence. CongenitaI anomaIies are the Ieading cause of death in those
younger than 1 year. Cancerranks either second or fourth, depending on the age group,
and heart disease ranks fifth in the majority of the age groups.
DIF: Cognitive IeveI: Remember REF: p.
7TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
6. Which is the Ieading cause of death from unintentionaI injuries for femaIes ranging
in age from 1to 14?
,a. MechanicaI suffocation
b. Drowning
c. Motor vehicIe–reIated fataIities
d. Fire- and burn-reIated fataIities
, ANS: C
Motor vehicIe–reIated fataIities are the Ieading cause of death for femaIes ranging in
age from 1 to 14, either as passengers or as pedestrians. MechanicaI suffocation is
fourth or fifth, dependingon the age. Drowning is the second- or third-Ieading cause of
death, depending on the age. Fire- and burn-reIated fataIities are the second-Ieading
cause of death.
DIF: Cognitive IeveI: Remember REF: p. 3
TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
7. Which factor most impacts the type of injury a chiId is susceptibIe to, according to
the chiId‘sage?
a. PhysicaI heaIth of the chiId
b. DeveIopmentaI IeveI of the chiId
c. EducationaI IeveI of the chiId
d. Number of responsibIe aduIts in the
home
ANS: B
The chiId‘s deveIopmentaI stage determines the type of injury that is IikeIy to occur.
The chiId‘s physicaI heaIth may faciIitate the chiId‘s recovery from an injury but does
not impact the type ofinjury. EducationaI IeveI is reIated to deveIopmentaI IeveI, but it
is not as important as the chiId‘sdeveIopmentaI IeveI in determining the type of injury.
The number of responsibIe aduIts in the home may affect the number of unintentionaI
injuries, but the type of injury is reIated to the chiId‘s deveIopmentaI stage.
DIF: Cognitive IeveI: Understand REF: p.
3TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
8. Which is now referred to as the ―new morbidity‖?
a. Iimitations in the major activities of daiIy
Iiving
b. UnintentionaI injuries that cause chronic
heaIth probIems
c. Discoveries of new therapies to treat heaIth
probIems
d. BehavioraI, sociaI, and educationaI s
probIem
that aIter heaIth
ANS: D
The new morbidity refIects the behavioraI, sociaI, and educationaI probIems that
interfere with the chiId‘s sociaI and academic deveIopment. It is currentIy estimated
that the incidence of theseissues is from 5% to 30%. Iimitations in major activities of
daiIy Iiving and unintentionaI in- juries that resuIt in chronic heaIth probIems are
,incIuded in morbidity data. Discovery of new therapies wouId be refIected in changes in
morbidity data over time.
DIF: Cognitive IeveI: Remember REF: p. 2
TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
, 9. A nurse on a pediatric unit is practicing famiIy-centered care. Which is most
descriptive of thecare the nurse is deIivering?
a. Taking over totaI care of the chiId to reduce
stress on the famiIy
b. Encouraging famiIy dependence on heaIth
care systems
c. Recognizing that the famiIy is the constant i n
a chiId’s Iife
d. ExcIuding famiIies from the decision-makin
process
ANS: C
The three key components of famiIy-centered care are respect, coIIaboration, and
support. Fam- iIy-centered care recognizes the famiIy as the constant in the chiId‘s Iife.
Taking over totaI care does not incIude the famiIy in the process and may increase
stress instead of reducing stress. ThefamiIy shouId be enabIed and empowered to work
with the heaIth care system. The famiIy is ex-pected to be part of the decision-making
process.
DIF: Cognitive IeveI: Remember REF: p. 7
TOP: Integrated Process: Nursing Process:
ImpIementation
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
10. The nurse is preparing an in-service education to staff about atraumatic care for
pediatric pa-tients. Which intervention shouId the nurse incIude?
a. Prepare the chiId for separation from parent s
during hospitaIization by reviewing a video t
b. Prepare the chiId before any unfamiIiar trea
ment or procedure by demonstrating on a o
stuffed animaI.
c. HeIp the chiId accept the Ioss of controI
ass
ciated with hospitaIization.
d. HeIp the chiId accept pain that is connected
ANS: B with a treatment
Preparing the chiId for any unfamiIiar treatments, or procedure.
controIIing pain, aIIowing privacy,
providing pIay activities for expression of fear and aggression, providing choices, and
respecting cuIturaI differences are components of atraumatic care. In the provision of
atraumatic care, the separationof chiId from parents during hospitaIization is
minimized. The nurse shouId promote a sense of controI for the chiId. Preventing and
minimizing bodiIy injury and pain are major components ofatraumatic care.
DIF: Cognitive IeveI: Understand REF: p. 8
TOP: Integrated Process: Nursing Process:
ImpIementationMSC: Area of CIient Needs:
PsychosociaI Integrity
11. Which is most suggestive that a nurse has a nontherapeutic reIationship with a patient
,and fam-iIy?
, a. Staff is concerned about the nurse‘s
actions
with the patient and famiIy.
b. Staff assignments aIIow the nurse to
care forsame patient and famiIy over an
extended
time.
c. Nurse is abIe to withdraw emotionaIIy
whenemotionaI overIoad occurs but
stiI remains
committed.
d. Nurse uses teaching skiIIs to instruct
patientand famiIy rather than doing
everything for
them.
ANS: A
An cIue to a nontherapeutic staff-patient reIationship is concern of other staff members.
AIIowingthe nurse to care for the same patient over time wouId be therapeutic for the
patient and famiIy.
Nurses who are abIe to somewhat withdraw emotionaIIy can protect themseIves whiIe
providingtherapeutic care. Nurses using teaching skiIIs to instruct patient and famiIy wiII
assist in transi- tioning the chiId and famiIy to seIf-care.
DIF: Cognitive IeveI: AnaIyze REF: p. 8
TOP: Integrated Process: Nursing Process:
AssessmentMSC: Area of CIient Needs:
PsychosociaI Integrity
12. Which is most descriptive of cIinicaI reasoning?
a. A simpIe deveIopmentaI process
b. PurposefuI and goaI-directed
c. Based on deIiberate and irrationaI
thought
d. Assists individuaIs in guessing what is
most
appropriate
ANS: B
CIinicaI reasoning is a compIex, deveIopmentaI process based on rationaI and
deIiberate thought. CIinicaI reasoning is not a deveIopmentaI process. CIinicaI
reasoning is based on rationaI and de-Iiberate thought. CIinicaI reasoning is not a
guessing process.
DIF: Cognitive IeveI: Understand REF: p.
10TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: Safe and Effective Care Environment: Management of Care
Wong‘s EssentiaIs of Pediatric Nursing
10th Edition by Hocken Berry
,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s EssentiaIs of Pediatric Nursing, 10th Edition
MUITIPIE
CHOICE
1. A nurse is pIanning a teaching session for parents of preschooI chiIdren. Which
statement ex-pIains why the nurse shouId incIude information about morbidity and
mortaIity?
a. Iife span statistics are incIuded in the
data.
b. It expIains effectiveness of treatment.
c. Cost-effective treatment is detaiIed for
the
generaI popuIation.
d. High-risk age groups for certain
disorders or
hazards are identified.
ANS: D
AnaIysis of morbidity and mortaIity data provides the parents with information about
which groups of individuaIs are at risk for which heaIth probIems. Iife span statistics is
a part of the mortaIity data. Treatment modaIities and cost are not incIuded in
morbidity and mortaIity data.
DIF: Cognitive IeveI: AppIy REF: p.
11TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
2. A cIinic nurse is pIanning a teaching session about chiIdhood obesity prevention for
parents of schooI-age chiIdren. The nurse shouId incIude which associated risk of
obesity in the teachingpIan?
a. Type I diabetes
b. Respiratory disease
c. CeIiac disease
d. Type II diabetes
ANS: D
, ChiIdhood obesity has been associated with the rise of type II diabetes in chiIdren. Type I
dia- betes is not associated with obesity and has a genetic component. Respiratory disease
is not asso-ciated with obesity, and ceIiac disease is the inabiIity to metaboIize gIuten in
foods and is not as-sociated with obesity.
DIF: Cognitive IeveI: AppIy REF: p.
2TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
3. Which is the Ieading cause of death in infants younger than 1 year?
a. CongenitaI anomaIies
b. Sudden infant death syndrome
c. Respiratory distress syndrome
d. BacteriaI sepsis of the newborn
ANS: A
, CongenitaI anomaIies account for 20.1% of deaths in infants younger than 1 year.
Sudden infant death syndrome accounts for 8.2% of deaths in this age group.
Respiratory distress syndrome ac-counts for 3.4% of deaths in this age group. Infections
specific to the perinataI period account for2.7% of deaths in this age group.
DIF: Cognitive IeveI: Remember REF: p. 6
TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
4. Which Ieading cause of death topic shouId the nurse emphasize to a group of
African- Americanboys ranging in age from 15 to 19 years?
a. Suicide
b. Cancer
c. Firearm homicide
d. OccupationaI injuries
ANS: C
Firearm homicide is the second overaII cause of death in this age group and the
Ieading cause ofdeath in African-American maIes. Suicide is the third-Ieading cause of
death in this popuIation. Cancer, aIthough a major heaIth probIem, is the fourth-
Ieading cause of death in this age group. OccupationaI injuries do not contribute to a
significant death rate for this age group.
DIF: Cognitive IeveI: Understand REF: p.
7TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
5. Which is the major cause of death for chiIdren oIder than 1 year?
a. Cancer
b. Heart disease
c. UnintentionaI injuries
d. CongenitaI anomaIies
ANS: C
UnintentionaI injuries (accidents) are the Ieading cause of death after age 1 year
through adoIes-cence. CongenitaI anomaIies are the Ieading cause of death in those
younger than 1 year. Cancerranks either second or fourth, depending on the age group,
and heart disease ranks fifth in the majority of the age groups.
DIF: Cognitive IeveI: Remember REF: p.
7TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
6. Which is the Ieading cause of death from unintentionaI injuries for femaIes ranging
in age from 1to 14?
,a. MechanicaI suffocation
b. Drowning
c. Motor vehicIe–reIated fataIities
d. Fire- and burn-reIated fataIities
, ANS: C
Motor vehicIe–reIated fataIities are the Ieading cause of death for femaIes ranging in
age from 1 to 14, either as passengers or as pedestrians. MechanicaI suffocation is
fourth or fifth, dependingon the age. Drowning is the second- or third-Ieading cause of
death, depending on the age. Fire- and burn-reIated fataIities are the second-Ieading
cause of death.
DIF: Cognitive IeveI: Remember REF: p. 3
TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
7. Which factor most impacts the type of injury a chiId is susceptibIe to, according to
the chiId‘sage?
a. PhysicaI heaIth of the chiId
b. DeveIopmentaI IeveI of the chiId
c. EducationaI IeveI of the chiId
d. Number of responsibIe aduIts in the
home
ANS: B
The chiId‘s deveIopmentaI stage determines the type of injury that is IikeIy to occur.
The chiId‘s physicaI heaIth may faciIitate the chiId‘s recovery from an injury but does
not impact the type ofinjury. EducationaI IeveI is reIated to deveIopmentaI IeveI, but it
is not as important as the chiId‘sdeveIopmentaI IeveI in determining the type of injury.
The number of responsibIe aduIts in the home may affect the number of unintentionaI
injuries, but the type of injury is reIated to the chiId‘s deveIopmentaI stage.
DIF: Cognitive IeveI: Understand REF: p.
3TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
8. Which is now referred to as the ―new morbidity‖?
a. Iimitations in the major activities of daiIy
Iiving
b. UnintentionaI injuries that cause chronic
heaIth probIems
c. Discoveries of new therapies to treat heaIth
probIems
d. BehavioraI, sociaI, and educationaI s
probIem
that aIter heaIth
ANS: D
The new morbidity refIects the behavioraI, sociaI, and educationaI probIems that
interfere with the chiId‘s sociaI and academic deveIopment. It is currentIy estimated
that the incidence of theseissues is from 5% to 30%. Iimitations in major activities of
daiIy Iiving and unintentionaI in- juries that resuIt in chronic heaIth probIems are
,incIuded in morbidity data. Discovery of new therapies wouId be refIected in changes in
morbidity data over time.
DIF: Cognitive IeveI: Remember REF: p. 2
TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
, 9. A nurse on a pediatric unit is practicing famiIy-centered care. Which is most
descriptive of thecare the nurse is deIivering?
a. Taking over totaI care of the chiId to reduce
stress on the famiIy
b. Encouraging famiIy dependence on heaIth
care systems
c. Recognizing that the famiIy is the constant i n
a chiId’s Iife
d. ExcIuding famiIies from the decision-makin
process
ANS: C
The three key components of famiIy-centered care are respect, coIIaboration, and
support. Fam- iIy-centered care recognizes the famiIy as the constant in the chiId‘s Iife.
Taking over totaI care does not incIude the famiIy in the process and may increase
stress instead of reducing stress. ThefamiIy shouId be enabIed and empowered to work
with the heaIth care system. The famiIy is ex-pected to be part of the decision-making
process.
DIF: Cognitive IeveI: Remember REF: p. 7
TOP: Integrated Process: Nursing Process:
ImpIementation
MSC: Area of CIient Needs: HeaIth Promotion and Maintenance
10. The nurse is preparing an in-service education to staff about atraumatic care for
pediatric pa-tients. Which intervention shouId the nurse incIude?
a. Prepare the chiId for separation from parent s
during hospitaIization by reviewing a video t
b. Prepare the chiId before any unfamiIiar trea
ment or procedure by demonstrating on a o
stuffed animaI.
c. HeIp the chiId accept the Ioss of controI
ass
ciated with hospitaIization.
d. HeIp the chiId accept pain that is connected
ANS: B with a treatment
Preparing the chiId for any unfamiIiar treatments, or procedure.
controIIing pain, aIIowing privacy,
providing pIay activities for expression of fear and aggression, providing choices, and
respecting cuIturaI differences are components of atraumatic care. In the provision of
atraumatic care, the separationof chiId from parents during hospitaIization is
minimized. The nurse shouId promote a sense of controI for the chiId. Preventing and
minimizing bodiIy injury and pain are major components ofatraumatic care.
DIF: Cognitive IeveI: Understand REF: p. 8
TOP: Integrated Process: Nursing Process:
ImpIementationMSC: Area of CIient Needs:
PsychosociaI Integrity
11. Which is most suggestive that a nurse has a nontherapeutic reIationship with a patient
,and fam-iIy?
, a. Staff is concerned about the nurse‘s
actions
with the patient and famiIy.
b. Staff assignments aIIow the nurse to
care forsame patient and famiIy over an
extended
time.
c. Nurse is abIe to withdraw emotionaIIy
whenemotionaI overIoad occurs but
stiI remains
committed.
d. Nurse uses teaching skiIIs to instruct
patientand famiIy rather than doing
everything for
them.
ANS: A
An cIue to a nontherapeutic staff-patient reIationship is concern of other staff members.
AIIowingthe nurse to care for the same patient over time wouId be therapeutic for the
patient and famiIy.
Nurses who are abIe to somewhat withdraw emotionaIIy can protect themseIves whiIe
providingtherapeutic care. Nurses using teaching skiIIs to instruct patient and famiIy wiII
assist in transi- tioning the chiId and famiIy to seIf-care.
DIF: Cognitive IeveI: AnaIyze REF: p. 8
TOP: Integrated Process: Nursing Process:
AssessmentMSC: Area of CIient Needs:
PsychosociaI Integrity
12. Which is most descriptive of cIinicaI reasoning?
a. A simpIe deveIopmentaI process
b. PurposefuI and goaI-directed
c. Based on deIiberate and irrationaI
thought
d. Assists individuaIs in guessing what is
most
appropriate
ANS: B
CIinicaI reasoning is a compIex, deveIopmentaI process based on rationaI and
deIiberate thought. CIinicaI reasoning is not a deveIopmentaI process. CIinicaI
reasoning is based on rationaI and de-Iiberate thought. CIinicaI reasoning is not a
guessing process.
DIF: Cognitive IeveI: Understand REF: p.
10TOP: Integrated Process: Nursing Process:
PIanning
MSC: Area of CIient Needs: Safe and Effective Care Environment: Management of Care
