TEST BANK
,TABLE OF CONTENT
Chapter 01: Perspectives of Pediatric Nursing .......................................................................................................... 3
Chapter 02: Family, Social, Cultural, and Religious Influences on Child Health Promotion ................................ 10
Chapter 03: Hereditary Influences on Health of the Child and Family .................................................................. 16
Chapter 04: Communication and Physical Assessment of the Child and Family ................................................... 24
Chapter 05: Pain Assessment in Children ............................................................................................................... 32
Chapter 06: Childhood Communicable and Infectious Diseases ............................................................................ 42
Chapter 07: Health Promotion of the Newborn and Family ................................................................................... 49
Chapter 08: Health Problems of Newborns............................................................................................................. 58
Chapter 09: The High-Risk Newborn and Family .................................................................................................. 68
Chapter 10: Health Promotion of the Infant and Family ......................................................................................... 77
Chapter 11: Health Problems of the Infant.............................................................................................................. 86
Chapter 12: Health Promotion of the Toddler and Family...................................................................................... 94
Chapter 13: Health Promotion of the Preschooler and Family ............................................................................. 103
Chapter 14: Health Problems of Early Childhood ................................................................................................ 112
Chapter 15: Health Promotion of the School-Age Child and Family ................................................................... 120
Chapter 16: Health Problems of the School-Age Child ........................................................................................ 128
Chapter 17: Health Promotion of the Adolescent and Family .............................................................................. 137
Chapter 18: Health Problems of the Adolescent ................................................................................................... 146
Chapter 19: Impact of Chronic Illness, Disability, or End of Life Care for the Child and Family ....................... 155
Chapter 20: Impact of Cognitive or Sensory Impairment on the Child and Family ............................................. 166
Chapter 21: Family-Centered Care of the Child During Illness and Hospitalization ........................................... 174
Chapter 22: Pediatric Nursing Interventions and Skills ........................................................................................ 184
Chapter 23: The Child with Fluid and Electrolyte Imbalance .............................................................................. 195
Chapter 24: The Child with Renal Dysfunction .................................................................................................... 203
Chapter 25: The Child with Gastrointestinal Dysfunction .................................................................................... 214
Chapter 26: The Child with Respiratory Dysfunction .......................................................................................... 225
Chapter 27: The Child with Cardiovascular Dysfunction ..................................................................................... 237
Chapter 28: The Child with Hematologic or Immunologic Dysfunction.............................................................. 248
Chapter 29: The Child with Cancer ....................................................................................................................... 257
Chapter 30: The Child with Cerebral Dysfunction ............................................................................................... 266
Chapter 31: The Child with Endocrine Dysfunction ............................................................................................. 276
Chapter 32: The Child with Integumentary Dysfunction ...................................................................................... 285
Chapter 33: The Child with Musculoskeletal or Articular Dysfunction ............................................................... 294
Chapter 34: The Child with Neuromuscular or Muscular Dysfunction ................................................................ 304
Page | 2
,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th Edition
MULTIPLE CHOICE
1. What is the major cause of death for children in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. The leading cause of death for those younger than 1 year is congenital
anomalies, and childhood cancers and heart disease cause a significantly lower percentage of
deaths in children older than 1 year of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The
nurse should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making
process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the child’s life. The family
should be enabled and empowered to work with the health care system and is expected to be
part of the decision-making process. The nurse should also support the family’s cultural
diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
and questioning the best approach. EBP involves decision making based on the integration of
the best research evidence combined with clinical expertise and patient values.
DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
Page | 3
, 4. The nurse is talking to a group of parents of school-age children at an after-school program
about childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age children but may be
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse
should include information about childhood obesity because it is the most common problem
among children and is associated with type 2 diabetes. Teaching parents about ways to
prevent obesity is important to include. Immunization rates differ depending on the child’s
race and ethnicity; dental caries continues to be a common chronic disease in childhood; and
mental health problems are seen in children as young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
plan to ensure atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing procedures.
c. Allow the child to choose the type of juice to drink with the administration of oral
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
ANS: C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a
choice of juice to drink when taking oral medications provides the child with a sense of
control. The preschool child should be prepared before procedures, so limiting explanations of
procedures would increase anxiety. The family should be allowed to stay with the child during
procedures, minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local
anesthetic. The nurse should plan to use the prescribed cream in time for morning laboratory
draws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
b. During shift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
d. The nurse is working with a family to find ways to decrease the family’s
dependence on health care providers.
ANS: B
Page | 4
,TABLE OF CONTENT
Chapter 01: Perspectives of Pediatric Nursing .......................................................................................................... 3
Chapter 02: Family, Social, Cultural, and Religious Influences on Child Health Promotion ................................ 10
Chapter 03: Hereditary Influences on Health of the Child and Family .................................................................. 16
Chapter 04: Communication and Physical Assessment of the Child and Family ................................................... 24
Chapter 05: Pain Assessment in Children ............................................................................................................... 32
Chapter 06: Childhood Communicable and Infectious Diseases ............................................................................ 42
Chapter 07: Health Promotion of the Newborn and Family ................................................................................... 49
Chapter 08: Health Problems of Newborns............................................................................................................. 58
Chapter 09: The High-Risk Newborn and Family .................................................................................................. 68
Chapter 10: Health Promotion of the Infant and Family ......................................................................................... 77
Chapter 11: Health Problems of the Infant.............................................................................................................. 86
Chapter 12: Health Promotion of the Toddler and Family...................................................................................... 94
Chapter 13: Health Promotion of the Preschooler and Family ............................................................................. 103
Chapter 14: Health Problems of Early Childhood ................................................................................................ 112
Chapter 15: Health Promotion of the School-Age Child and Family ................................................................... 120
Chapter 16: Health Problems of the School-Age Child ........................................................................................ 128
Chapter 17: Health Promotion of the Adolescent and Family .............................................................................. 137
Chapter 18: Health Problems of the Adolescent ................................................................................................... 146
Chapter 19: Impact of Chronic Illness, Disability, or End of Life Care for the Child and Family ....................... 155
Chapter 20: Impact of Cognitive or Sensory Impairment on the Child and Family ............................................. 166
Chapter 21: Family-Centered Care of the Child During Illness and Hospitalization ........................................... 174
Chapter 22: Pediatric Nursing Interventions and Skills ........................................................................................ 184
Chapter 23: The Child with Fluid and Electrolyte Imbalance .............................................................................. 195
Chapter 24: The Child with Renal Dysfunction .................................................................................................... 203
Chapter 25: The Child with Gastrointestinal Dysfunction .................................................................................... 214
Chapter 26: The Child with Respiratory Dysfunction .......................................................................................... 225
Chapter 27: The Child with Cardiovascular Dysfunction ..................................................................................... 237
Chapter 28: The Child with Hematologic or Immunologic Dysfunction.............................................................. 248
Chapter 29: The Child with Cancer ....................................................................................................................... 257
Chapter 30: The Child with Cerebral Dysfunction ............................................................................................... 266
Chapter 31: The Child with Endocrine Dysfunction ............................................................................................. 276
Chapter 32: The Child with Integumentary Dysfunction ...................................................................................... 285
Chapter 33: The Child with Musculoskeletal or Articular Dysfunction ............................................................... 294
Chapter 34: The Child with Neuromuscular or Muscular Dysfunction ................................................................ 304
Page | 2
,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th Edition
MULTIPLE CHOICE
1. What is the major cause of death for children in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. The leading cause of death for those younger than 1 year is congenital
anomalies, and childhood cancers and heart disease cause a significantly lower percentage of
deaths in children older than 1 year of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?” The
nurse should respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of the decision-making
process.
ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the child’s life. The family
should be enabled and empowered to work with the health care system and is expected to be
part of the decision-making process. The nurse should also support the family’s cultural
diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
and questioning the best approach. EBP involves decision making based on the integration of
the best research evidence combined with clinical expertise and patient values.
DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
Page | 3
, 4. The nurse is talking to a group of parents of school-age children at an after-school program
about childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age children but may be
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse
should include information about childhood obesity because it is the most common problem
among children and is associated with type 2 diabetes. Teaching parents about ways to
prevent obesity is important to include. Immunization rates differ depending on the child’s
race and ethnicity; dental caries continues to be a common chronic disease in childhood; and
mental health problems are seen in children as young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
plan to ensure atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing procedures.
c. Allow the child to choose the type of juice to drink with the administration of oral
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for it to be effective.
ANS: C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a
choice of juice to drink when taking oral medications provides the child with a sense of
control. The preschool child should be prepared before procedures, so limiting explanations of
procedures would increase anxiety. The family should be allowed to stay with the child during
procedures, minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local
anesthetic. The nurse should plan to use the prescribed cream in time for morning laboratory
draws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
b. During shift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
d. The nurse is working with a family to find ways to decrease the family’s
dependence on health care providers.
ANS: B
Page | 4
