,
,Chapter 01: Perspectives of Pediatric Nursing
sd sd sd sd sd
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E sd sd sd sd sd sd sd sd sdsd
dition
MULTIPLE CHOICE sd
1. What is the major cause of death for children in the United States?
sd sd sd sd sd sd sd sd sd sd sd sd
a. Heart disease sd
b. Childhood cancer sd
c. Injuries
d. Congenital anomalies sd
ANS: C sd
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. T
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
he leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
and heart disease cause a significantly lower percentage of deaths in children older than 1 year of age.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Understanding sd sd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
sd sd sd sd sd sd sd sd sd sd sd sd
centered care?” The nurse should respond with which statement?
sd sd sd sd sd sd sd sd
a. Family-centered care reduces the effect of cultural diversity on the family. sd sd sd sd sd sd sd sd sd sd
b. Family-centered care encourages family dependence on the health care system. sd sd sd sd sd sd sd sd sd
c. Family-centered care recognizes that the family is the constant in a child’s life. sd sd sd sd sd sd sd sd sd sd sd sd
d. Family-centered care avoids expecting families to be part of the decision- sd sd sd sd sd sd sd sd sd sd
making process. sd
ANS: C sd
The three key components of family-centered care are respect, collaboration, and support. Family-
sd sd sd sd sd sd sd sd sd sd sd sd
centered care recognizes the family as the constant in the child’s life. The family should be enabled an
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
d empowered to work with the health care system and is expected to be part of the decision-
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Applying sd sd
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promoti
sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
3. Evidence-based practice (EBP), a decision-making model, is best described as which? sd sd sd sd sd sd sd sd sd sd
a. Using information in textbooks to guide care sd sd sd sd sd sd
b. Combining knowledge with clinical experience and intuition sd sd sd sd sd sd
c. Using a professional code of ethics as a means for decision making
sd sd sd sd sd sd sd sd sd sd sd
d. Gathering all evidence that applies to the child’s health and family situation sd sd sd sd sd sd sd sd sd sd sd
ANS: B sd
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questio
sd sd sd sd sd sd sd sd sd sd sd sd sd
ning the best approach. EBP involves decision making based on the integration of the best research evid
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
ence combined with clinical expertise and patient values.
sd sd sd sd sd sd sd
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Remembering sd sd
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effect
sd sd sd sd s d sd sd sd sd
ive Care Environment
sd sd
4. The nurse is talking to a group of parents of school-age children at an after-
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
school program about childhood health problems. Which statement should the nurse include in the
sd sd sd sd sd sd sd sd sd sd sd sd sd
teaching?
sd
a. Childhood obesity is the most common nutritional problem among children. sd sd sd sd sd sd sd sd sd
b. Immunization rates are the same among children of different races and ethnicity. sd sd sd sd sd sd sd sd sd sd sd
c. Dental caries is not a problem commonly seen in children since the introduction of fl
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
uorinated water. sd
d. Mental health problems are typically not seen in school- sd sd sd sd sd sd sd sd
age children but may be diagnosed in adolescents.
sd sd sd sd sd sd sd
ANS: A sd
When teaching parents of school-
sd sd sd sd
age children about childhood health problems, the nurse should include information about childhood o
sd sd sd sd sd sd sd sd sd sd sd sd sd
besity because it is the most common problem among children and is associated with type 2 diabetes. T
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
eaching parents about ways to prevent obesity is important to include. Immunization rates differ depend
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
ing on the child’s race and ethnicity; dental caries continues to be a common chronic disease in childhoo
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
d; and mental health problems are seen in children as young as school age, not just in adolescents.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Applying sd sd
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promoti
sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
5. The nurse is planning care for a hospitalized preschool-
sd sd sd sd sd sd sd sd
aged child. Which should the nurse plan to ensure atraumatic care?
sd sd sd sd sd sd sd sd sd sd
a. Limit explanation of procedures because the child is preschool aged.
sd sd sd sd sd sd sd sd sd
b. Ask that all family members leave the room when performing procedures.
sd sd sd sd sd sd sd sd sd sd
c. Allow the child to choose the type of juice to drink with the administration of oral m
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
edications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd s
not time for it to be effective.
d sd sd sd sd sd sd
ANS: C sd
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of jui
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
ce to drink when taking oral medications provides the child with a sense of control. The preschool child
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
should be prepared before procedures, so limiting explanations of procedures would increase anxiety.
sd sd sd sd sd sd sd sd sd sd sd sd sd
The family should be allowed to stay with the child during procedures, minimizing stress.
sd sd sd sd sd sd sd sd sd sd sd sd sd
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
cream in time for morning laboratory draws to minimize pain.
sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Applying sd sd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti
sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
sd sd sd sd sd sd
a. The nurse is planning to read a favorite fairy tale to a patient.
sd sd sd sd sd sd sd sd sd sd sd sd
b. During shift report, the nurse is criticizing parents for not visiting their child.
sd sd sd sd sd sd sd sd sd sd sd sd
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
d. The nurse is working with a family to find ways to decrease the family’s dependence
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
on health care providers.
sd sd sd
,Chapter 01: Perspectives of Pediatric Nursing
sd sd sd sd sd
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E sd sd sd sd sd sd sd sd sdsd
dition
MULTIPLE CHOICE sd
1. What is the major cause of death for children in the United States?
sd sd sd sd sd sd sd sd sd sd sd sd
a. Heart disease sd
b. Childhood cancer sd
c. Injuries
d. Congenital anomalies sd
ANS: C sd
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. T
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
he leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
and heart disease cause a significantly lower percentage of deaths in children older than 1 year of age.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Understanding sd sd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
sd sd sd sd sd sd sd sd sd sd sd sd
centered care?” The nurse should respond with which statement?
sd sd sd sd sd sd sd sd
a. Family-centered care reduces the effect of cultural diversity on the family. sd sd sd sd sd sd sd sd sd sd
b. Family-centered care encourages family dependence on the health care system. sd sd sd sd sd sd sd sd sd
c. Family-centered care recognizes that the family is the constant in a child’s life. sd sd sd sd sd sd sd sd sd sd sd sd
d. Family-centered care avoids expecting families to be part of the decision- sd sd sd sd sd sd sd sd sd sd
making process. sd
ANS: C sd
The three key components of family-centered care are respect, collaboration, and support. Family-
sd sd sd sd sd sd sd sd sd sd sd sd
centered care recognizes the family as the constant in the child’s life. The family should be enabled an
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
d empowered to work with the health care system and is expected to be part of the decision-
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Applying sd sd
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promoti
sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
3. Evidence-based practice (EBP), a decision-making model, is best described as which? sd sd sd sd sd sd sd sd sd sd
a. Using information in textbooks to guide care sd sd sd sd sd sd
b. Combining knowledge with clinical experience and intuition sd sd sd sd sd sd
c. Using a professional code of ethics as a means for decision making
sd sd sd sd sd sd sd sd sd sd sd
d. Gathering all evidence that applies to the child’s health and family situation sd sd sd sd sd sd sd sd sd sd sd
ANS: B sd
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questio
sd sd sd sd sd sd sd sd sd sd sd sd sd
ning the best approach. EBP involves decision making based on the integration of the best research evid
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
ence combined with clinical expertise and patient values.
sd sd sd sd sd sd sd
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Remembering sd sd
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effect
sd sd sd sd s d sd sd sd sd
ive Care Environment
sd sd
4. The nurse is talking to a group of parents of school-age children at an after-
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
school program about childhood health problems. Which statement should the nurse include in the
sd sd sd sd sd sd sd sd sd sd sd sd sd
teaching?
sd
a. Childhood obesity is the most common nutritional problem among children. sd sd sd sd sd sd sd sd sd
b. Immunization rates are the same among children of different races and ethnicity. sd sd sd sd sd sd sd sd sd sd sd
c. Dental caries is not a problem commonly seen in children since the introduction of fl
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
uorinated water. sd
d. Mental health problems are typically not seen in school- sd sd sd sd sd sd sd sd
age children but may be diagnosed in adolescents.
sd sd sd sd sd sd sd
ANS: A sd
When teaching parents of school-
sd sd sd sd
age children about childhood health problems, the nurse should include information about childhood o
sd sd sd sd sd sd sd sd sd sd sd sd sd
besity because it is the most common problem among children and is associated with type 2 diabetes. T
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
eaching parents about ways to prevent obesity is important to include. Immunization rates differ depend
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
ing on the child’s race and ethnicity; dental caries continues to be a common chronic disease in childhoo
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
d; and mental health problems are seen in children as young as school age, not just in adolescents.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Applying sd sd
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promoti
sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
5. The nurse is planning care for a hospitalized preschool-
sd sd sd sd sd sd sd sd
aged child. Which should the nurse plan to ensure atraumatic care?
sd sd sd sd sd sd sd sd sd sd
a. Limit explanation of procedures because the child is preschool aged.
sd sd sd sd sd sd sd sd sd
b. Ask that all family members leave the room when performing procedures.
sd sd sd sd sd sd sd sd sd sd
c. Allow the child to choose the type of juice to drink with the administration of oral m
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
edications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is
sd sd sd sd sd sd sd sd sd sd sd sd sd sd s
not time for it to be effective.
d sd sd sd sd sd sd
ANS: C sd
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of jui
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
ce to drink when taking oral medications provides the child with a sense of control. The preschool child
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
should be prepared before procedures, so limiting explanations of procedures would increase anxiety.
sd sd sd sd sd sd sd sd sd sd sd sd sd
The family should be allowed to stay with the child during procedures, minimizing stress.
sd sd sd sd sd sd sd sd sd sd sd sd sd
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
cream in time for morning laboratory draws to minimize pain.
sd sd sd sd sd sd sd sd sd sd
DIF: Cognitive Level: Applying sd sd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti
sd sd sd sd s d sd sd sd
on and Maintenance
sd sd
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
sd sd sd sd sd sd
a. The nurse is planning to read a favorite fairy tale to a patient.
sd sd sd sd sd sd sd sd sd sd sd sd
b. During shift report, the nurse is criticizing parents for not visiting their child.
sd sd sd sd sd sd sd sd sd sd sd sd
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
d. The nurse is working with a family to find ways to decrease the family’s dependence
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
on health care providers.
sd sd sd
