Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition [2025!!!!]

Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
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MULTIPLE CHOICE v




1. A nurse is planning a teaching session for parents of preschool children. Which statement
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explains why the nurse should include information about morbidity and mortality?
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a. Life span statistics are included in the data.
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b. It explains effectiveness of treatment.
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c. Cost-effective treatment is detailed for the general population. v v v v v v v


d. High-risk age groups for certain disorders or hazards are identified.
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ANS: D v


Analysis of morbidity and mortality data provides the parents with information about which
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groups of individuals are at risk for which health problems. Life span statistics is a part of the
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mortality data. Treatment modalities and cost are not included in morbidity and mortality data.
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DIF: Cognitive Level: Apply REF: p. v v v


11 TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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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 teaching
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plan?
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a. Type I diabetes v v


b. Respiratory disease v


c. Celiac disease v


d. Type II diabetes v v




ANS: D v


Childhood obesity has been associated with the rise of type II diabetes in children. Type I
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diabetes is not associated with obesity and has a genetic component. Respiratory disease is not
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associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is
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not associated with obesity.
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DIF: Cognitive Level: Apply REF: p. v v v


2 TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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3. Which is the leading cause of death in infants younger than 1 year?
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a. Congenital anomalies v


b. Sudden infant death syndrome v v v


c. Respiratory distress syndrome v v


d. Bacterial sepsis of the newborn v v v v




ANS: A v


Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
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infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
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syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinatal
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period account for 2.7% of deaths in this age group.
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, DIF: Cognitive Level: Remember REF: p. 6 v v v v


TOP: Integrated Process: Nursing Process:
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Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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4. Which leading cause of death topic should the nurse emphasize to a group of
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African-American boys ranging in age from 15 to 19 years?
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a. Suicide
b. Cancer
c. Firearm homicide v


d. Occupational injuries v




ANS: C v


Firearm homicide is the second overall cause of death in this age group and the leading cause
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of death in African-American males. Suicide is the third-leading cause of death in this
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population. Cancer, although a major health problem, is the fourth-leading cause of death in
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this age group. Occupational injuries do not contribute to a significant death rate for this age
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group.
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DIF: Cognitive Level: Understand REF: p. v v v


7 TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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5. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease v


c. Unintentional injuries v


d. Congenital anomalies v




ANS: C v


Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. Congenital anomalies are the leading cause of death in those younger than 1
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year. Cancer ranks either second or fourth, depending on the age group, and heart disease
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ranks fifth in the majority of the age groups.
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DIF: Cognitive Level: Remember REF: p. v v v


7 TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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6. Which is the leading cause of death from unintentional injuries for females ranging in age
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from 1 to 14?
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a. Mechanical suffocation v


b. Drowning
c. Motor vehicle–related fatalities v v


d. Fire- and burn-related fatalities v v v




ANS: C v


Motor vehicle–related fatalities are the leading cause of death for females ranging in age from
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1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth,
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depending on the age. Drowning is the second- or third-leading cause of death, depending on
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the age. Fire- and burn-related fatalities are the second-leading cause of death.
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DIF: Cognitive Level: Remember v v REF: v v p. 3 v

, TOP: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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7. Which factor most impacts the type of injury a child is susceptible to, according to the child’s
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age?
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a. Physical health of the child v v v v


b. Developmental level of the child v v v v


c. Educational level of the child v v v v


d. Number of responsible adults in the home v v v v v v




ANS: B v


The child’s developmental stage determines the type of injury that is likely to occur. The
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child’s physical health may facilitate the child’s recovery from an injury but does not impact
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the type of injury. Educational level is related to developmental level, but it is not as
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important as the child’s developmental level in determining the type of injury. The number of
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responsible adults in the home may affect the number of unintentional injuries, but the type of
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injury is related to the child’s developmental stage.
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DIF: Cognitive Level: Understand REF: p. v v v


3 TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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8. Which is now referred to as the “new morbidity”?
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a. Limitations in the major activities of daily living v v v v v v v


b. Unintentional injuries that cause chronic health problems v v v v v v


c. Discoveries of new therapies to treat health problems v v v v v v v


d. Behavioral, social, and educational problems that alter health v v v v v v v




ANS: D v


The new morbidity reflects the behavioral, social, and educational problems that interfere with
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the child’s social and academic development. It is currently estimated that the incidence of
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these issues is from 5% to 30%. Limitations in major activities of daily living and
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unintentional injuries that result in chronic health problems are included in morbidity data.
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Discovery of new therapies would be reflected in changes in morbidity data over time.
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DIF: Cognitive Level: Remember REF: p. 2 v v v v


TOP: Integrated Process: Nursing Process:
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Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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9. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
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care the nurse is delivering?
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a. Taking over total care of the child to reduce stress on the family
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b. Encouraging family dependence on health care systems v v v v v v


c. Recognizing that the family is the constant in a child’s life v v v v v v v v v v


d. Excluding families from the decision-making process v v v v v




ANS: C v


The three key components of family-centered care are respect, collaboration, and support.
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Family-centered care recognizes the family as the constant in the child’s life. Taking over
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total care does not include the family in the process and may increase stress instead of
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reducing stress. The family should be enabled and empowered to work with the health care
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system. The family is expected to be part of the decision-making process.
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, DIF: Cognitive Level: Remember REF: p. 7 v v v v


TOP: Integrated Process: Nursing Process:
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Implementation
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MSC: Area of Client Needs: Health Promotion and Maintenance
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10. The nurse is preparing an in-service education to staff about atraumatic care for pediatric
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vpatients. Which intervention should the nurse include?
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a. Prepare the child for separation from parents during hospitalization by reviewing a
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video.
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b. Prepare the child before any unfamiliar treatment or procedure by demonstrating
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on a stuffed animal.
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c. Help the child accept the loss of control associated with hospitalization.
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d. Help the child accept pain that is connected with a treatment or procedure.
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ANS: B v


Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
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providing play activities for expression of fear and aggression, providing choices, and
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respecting cultural differences are components of atraumatic care. In the provision of
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atraumatic care, the separation of child from parents during hospitalization is minimized. The
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nurse should promote a sense of control for the child. Preventing and minimizing bodily
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injury and pain are major components of atraumatic care.
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DIF: Cognitive Level: Understand REF: p. 8 v v v v


TOP: Integrated Process: Nursing Process:
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Implementation MSC: Area of Client Needs: Psychosocial
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Integrity
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11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and
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family?
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a. Staff is concerned about the nurse’s actions with the patient and family.
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b. Staff assignments allow the nurse to care for same patient and family over an
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extended time.
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c. Nurse is able to withdraw emotionally when emotional overload occurs but still
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remains committed.
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d. Nurse uses teaching skills to instruct patient and family rather than doing
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everything for them.
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ANS: A v


An clue to a nontherapeutic staff-patient relationship is concern of other staff members.
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Allowing the nurse to care for the same patient over time would be therapeutic for the patient
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and family. Nurses who are able to somewhat withdraw emotionally can protect themselves
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while providing therapeutic care. Nurses using teaching skills to instruct patient and family
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will assist in transitioning the child and family to self-care.
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DIF: Cognitive Level: Analyze REF: p. 8 v v v v


TOP: Integrated Process: Nursing Process:
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Assessment MSC: Area of Client Needs: Psychosocial
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Integrity
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12. Which is most descriptive of clinical reasoning?
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a. A simple developmental process
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b. Purposeful and goal-directed v v


c. Based on deliberate and irrational thought
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