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TEST BANK FOR
Wong’sEssentialsof PediatricNursing 11thEdition By
Hockenberry Rodgers Wilson
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Chapter1. Perspectivesof PediatricNursing
MULTIPLE CHOICE
1. The clinic nurseis reviewingstatisticson infantmortalityfor the
United States versus other countries. Compared with other
countriesthat havea populationof at least 25million, thenurse
makes which determination?
a. The United Statesis rankedlastamong27 countries.
b. The United Statesis rankedsimilar to 20other
developed countries.
c. The United Statesis ranked inthemiddleof 20 other
developed countries.
d. The United Statesis rankedhighestamong27 other
industrialized countries.
ANS: A
Althoughthedeathratehas decreased,theUnited Statesstill ranks last ininfant mortalityamong nations
with a population ofat least 25 million. The United States has the highest infant death rate of developed
nations.
DIF: Cognitive Level:RememberingREF: dl. 6
TOP: Nursing Process:AssessmentMSC: Client Needs:HealthPromotionand Maintenance
2. Which is theleading causeof deathin infantsyoungerthan1 yearin theUnited States?
a. Congenitalanomalies
b. Suddeninfant deathsyndrome
c. Disordersrelatedto shortgestationand low birth weight
d. Maternalcomplicationsspecificto theperinatalperiod
ANS: A
Congenitalanomaliesaccountfor 20.1%of deathsin infantsyoungerthan1 yearcomparedwith
suddeninfantdeathsyndrome,which accountsfor 8.2%;disordersrelatedto shortgestationand
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% deaths
of in infants younger than 1 year of age.
DIF: CognitiveLevel:RememberingREF: dl. 7 TOP: Nursing Process:Planning MSC:
Client Needs: Health Promotion and Maintenance
3. What is themajor causeof deathfor childrenolderthan1 year in theUnited States?
a. Heart disease
b. Childhood cancer
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c. Unintentionalinjuries
d. Congenitalanomalies
ANS: C
Unintentionalinjuries (accidents)aretheleadingcauseof deathafter age1 year through adolescence.
The leadingcause of death
for those younger than1 year is congenital anomalies,and childhood cancers and heart disease cause a significantly lowe
percentage of deaths in children older than 1 year of age.
DIF: CognitiveLevel:UnderstandingREF: dl. 7 TOP: Nursing Process:Planning MSC:
Client Needs: Health Promotion and Maintenance
4. In addition to injuries,what aretheleading causesof deathin adolescentsages15 to 19years?
a. Suicideand cancer
b. Suicideand homicide
c. Drowning and cancer
d. Homicideandheartdisease
ANS: B
Suicideand homicideaccountfor 16.7%of deathsin this agegroup.Suicideand canceraccount
for 10.9%of deaths,heart diseaseand canceraccount forapproximately5.5%,and homicideand heart
disease account for 10.9% of the deaths in this age group.
DIF: CognitiveLevel:RememberingREF: dl. 7 TOP: Nursing Process:Planning MSC:
Client Needs: Health Promotion and Maintenance
5. The nurseis planning ateachingsessionto adolescentsaboutdeathsby unintentionalinjuries.
Which shouldthenurseinclude in thesessionwith regardto deathscausedby injuries?
a. Moredeathsoccur in males.
b. Moredeathsoccur in females.
c. The patternof deathsdoes notvary accordingto age andsex.
d. The patternof deathsdoesnot vary widelyamongdifferent ethnicgroups. ANS:
A
The majorityof deathsfromunintentionalinjuries occur in males.The patternof deathdoesvary
greatlyamongdifferent ethnicgroups,and thecausesof unintentionaldeathsvary with ageand gender.
DIF: CognitiveLevel:Applying REF: pp. 7-8 TOP:
Integrated Process: Teaching/Learning
MSC: Client Needs:HealthPromotionand Maintenance
6. What do mortalitystatisticsdescribe?
a. Diseaseoccurring regularlywithin a geographiclocation
b. The numberof individualswho havedied over aspecificperiod
c. The prevalenceof specificillnessin thepopulationat a particulartime
d. Diseaseoccurring inmorethanthenumberof expectedcases ina community ANS:
B
Mortalitystatisticsreferto thenumber ofindividualswho havediedover a specificperiod.
Morbiditystatisticsshowtheprevalenceof specificillness inthepopulationat aparticular time. Data
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regarding disease within a geographic region, or in greater than expected numbers in a community, may
be extrapolated from analyzing the morbidity statistics.
DIF: CognitiveLevel:RememberingREF: dl. 3 TOP: Nursing Process:Planning MSC:
Client Needs: Health Promotion and Maintenance