Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
,
,Chapter 01: Perspectives of Pediatric Nursing
11 11 11 11 11
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
11 11 11 11 11 11 11 11 11 1
Edition
1
MULTIPLE CHOICE 11
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 adolescenc
e. 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 y
ear of age.
DIF: Cognitive Level: Understanding
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
otion 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 enable
d 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 Prom
otion 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 situatio
n
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and que
stioning the best approach. EBP involves decision making based on the integration of the best resear
ch evidence combined with clinical expertise and patient values.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
11
DIF: Cognitive Level: Remembering
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Eff
ective Care Environment
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 childhoo
d obesity because it is the most common problem among children and is associated with type 2 dia
betes. Teaching parents about ways to prevent obesity is important to include. Immunization rates d
iffer depending on the child‘s race and ethnicity; dental caries continues to be a common chronic di
sease in childhood; and mental health problems are seen in children as young as school age, not ju
st in adolescents.
DIF: Cognitive Level: Applying
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Prom
otion 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 or
al medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because ther
e 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 presch
ool child should be prepared before procedures, so limiting explanations of procedures would incre
ase anxiety. The family should be allowed to stay with the child during procedures, minimizing stre
ss.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescr
ibed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
otion 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 patie
nt.
,
,Chapter 01: Perspectives of Pediatric Nursing
11 11 11 11 11
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
11 11 11 11 11 11 11 11 11 1
Edition
1
MULTIPLE CHOICE 11
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 adolescenc
e. 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 y
ear of age.
DIF: Cognitive Level: Understanding
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
otion 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 enable
d 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 Prom
otion 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 situatio
n
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and que
stioning the best approach. EBP involves decision making based on the integration of the best resear
ch evidence combined with clinical expertise and patient values.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
11
DIF: Cognitive Level: Remembering
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Eff
ective Care Environment
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 childhoo
d obesity because it is the most common problem among children and is associated with type 2 dia
betes. Teaching parents about ways to prevent obesity is important to include. Immunization rates d
iffer depending on the child‘s race and ethnicity; dental caries continues to be a common chronic di
sease in childhood; and mental health problems are seen in children as young as school age, not ju
st in adolescents.
DIF: Cognitive Level: Applying
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Prom
otion 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 or
al medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because ther
e 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 presch
ool child should be prepared before procedures, so limiting explanations of procedures would incre
ase anxiety. The family should be allowed to stay with the child during procedures, minimizing stre
ss.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescr
ibed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
otion 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 patie
nt.
