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11th Edition, Marilyn Hockenberry, Cheryl Rodgers
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Chapters 1 - 31
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,
,Chapter01:PerspectivesofPediatricNursing v
Hockenberry:Wong’s EssentialsofPediatricNursing,11thEdition
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MULTIPLECHOICE
1. A nurse is planning a teaching session for parents of preschool children. Which statement ex-
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plainswhythenurseshouldincludeinformation aboutmorbidityandmortality?
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a. Lifespanstatisticsareincludedinthedata. v
b. Itexplainseffectivenessoftreatment. v
c. Cost-effectivetreatmentisdetailedforthe
generalpopulation.
d. High-riskagegroupsforcertaindisordersor
hazardsareidentified. v
ANSWER: D v
Analysis ofmorbidityand mortalitydataprovidestheparentswithinformation aboutwhich groups
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ofindividualsare at risk forwhich health problems. Lifespan statistics is a partofthe mortalitydata.
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Treatmentmodalitiesandcostarenotincludedinmorbidityandmortalitydata.
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DIF: CognitiveLevel:Apply REF: p. v v
11TOP: IntegratedProcess:NursingProcess:Planning
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MSC: AreaofClientNeeds:HealthPromotionandMaintenance
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2. A clinic nurse is planning a teaching session about childhood obesity prevention for parents of
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school-age children. The nurse should include which associated risk of obesity in the
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teachingplan?
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a. TypeI diabetes v
b. Respiratorydisease
c. Celiacdisease
d. TypeIIdiabetes
ANSWER: D v
Childhoodobesityhasbeenassociated withthe rise of type IIdiabetes inchildren. Type Idia- betesis v v v v v v v v v v
notassociatedwithobesityandhasageneticcomponent.Respiratorydiseaseisnotasso-ciatedwith
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vobesity, and celiacdiseaseisthe inabilityto metabolizeglutenin foods andis not as-sociated with
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obesity.
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DIF: CognitiveLevel:Apply REF:p. v v
2TOP: Integrated Process:NursingProcess:Planning
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MSC: AreaofClientNeeds:HealthPromotionandMaintenance
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3. Whichistheleadingcauseofdeathininfants youngerthan1 year? v v v
a. Congenitalanomalies
b. Suddeninfantdeathsyndrome
c. Respiratorydistresssyndrome
d. Bacterialsepsisofthenewborn
ANSWER: A v
, Congenital anomalies accountfor20.1% ofdeathsininfants youngerthan 1 year. Suddeninfant
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deathsyndrome accounts for8.2% of deaths in this age group.Respiratorydistresssyndrome ac-
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countsfor3.4%ofdeathsinthisagegroup. Infectionsspecifictotheperinatalperiodaccount for2.7%
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ofdeathsinthisagegroup.
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DIF: CognitiveLevel:Remember REF: p.6 v v v v
TOP: IntegratedProcess:Nursing Process:Assessment
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MSC: AreaofClientNeeds:HealthPromotionandMaintenance
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4. WhichleadingcauseofdeathtopicshouldthenurseemphasizetoagroupofAfrican-Americanboys v v
v ranging inagefrom 15 to 19 years?
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a. Suicide
b. Cancer
c. Firearmhomicide
d. Occupationalinjuries
ANSWER: C v
Firearmhomicide is the secondoverall cause ofdeathinthisage group and the leadingcauseofdeath in
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African-Americanmales. Suicideisthethird-leading cause of death in this population. Cancer,
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although amajorhealth problem, is the fourth-leadingcauseof death in this age group.
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Occupationalinjuriesdonotcontributetoasignificantdeathrateforthisagegroup.
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DIF: CognitiveLevel:Understand REF:p. v v v
7TOP: Integrated Process:NursingProcess:Planning
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MSC: AreaofClientNeeds:HealthPromotionandMaintenance
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5. Whichisthemajorcauseofdeathforchildrenolderthan 1 year? v v v
a. Cancer
b. Heartdisease
c. Unintentionalinjuries
d. Congenitalanomalies
ANSWER: C v
Unintentionalinjuries (accidents) aretheleadingcauseof death after age 1 yearthrough adoles-
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cence.Congenitalanomaliesaretheleadingcauseofdeathinthoseyoungerthan1year.Cancerranks
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veither second or fourth, dependingonthe age group, andheartdisease ranks fifth inthe majorityof
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theagegroups.
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DIF: CognitiveLevel:Remember REF:p. v v v
7TOP: Integrated Process:NursingProcess:Planning
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MSC: AreaofClientNeeds:HealthPromotionandMaintenance
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6. Whichistheleadingcauseofdeathfromunintentionalinjuriesforfemalesranginginagefrom1to 14?
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a. Mechanicalsuffocation
b. Drowning
c. Motorvehicle–relatedfatalities
d. Fire-andburn-relatedfatalities v