Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is planning a teaching session for parents of preschool children. Which statement J J J J J J J J J
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. J J J J J J J
d. High-risk age groups for certain disorders or hazards are identified. J J J J J J J J J
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Analysis of morbidity and mortality data provides the parents with information about which groups
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of individuals are at risk for which health problems. Life span statistics is a part of the mortality data.
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Treatment modalities and cost are not included in morbidity and mortality data.
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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?
a. Type I diabetes J J
b. Respiratory disease J
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c. Celiac disease J
d. Type II diabetes J J
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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 not
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associated with obesity. J J
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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 J
b. Sudden infant death syndrome J J J
c. Respiratory distress syndrome J J
d. Bacterial sepsis of the newborn J J J J
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Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infant
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death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrome
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accounts for 3.4% of deaths in this age group. Infections specific to the perinatal period account
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for 2.7% of deaths in this age group.
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, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TES BANK J
DIF: Cognitive Level: Remember REF: p. 6 J J J J J
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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? J J J J J J J J J
a. Suicide
b. Cancer
c. Firearm homicide J
d. Occupational injuries J
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Firearm homicide is the second overall cause of death in this age group and the leading cause of
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death in African-American males. Suicide is the third-leading cause of death in this population.
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Cancer, although a major health problem, is the fourth-leading cause of death in this age group.
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Occupational injuries do not contribute to a significant death rate for this age group.
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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 J
c. Unintentional injuries J
d. Congenital anomalies J
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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 year.
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Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth
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in the majority of the age groups.
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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?J J J
a. Mechanical suffocation J
b. Drowning
c. Motor vehicle–related fatalities J J
d. Fire- and burn-related fatalities J J J
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Motor vehicle–related fatalities are the leading cause of death for females ranging in age from 1 to
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14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth, depending on
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the age. Drowning is the second- or third-leading cause of death, depending on the age. Fire- and
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burn-related fatalities are the second-leading cause of death. J J J J J J J
DIF: Cognitive Level: Remember J J REF: p. 3 J J J
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, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TES BANK J
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?
a. Physical health of the child J J J J
b. Developmental level of the child J J J J
c. Educational level of the child J J J J
d. Number of responsible adults in the home J J J J J J
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The child’s developmental stage determines the type of injury that is likely to occur. The child’s
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physical health may facilitate the child’s recovery from an injury but does not impact the type of
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injury. Educational level is related to developmental level, but it is not as important as the child’s
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developmental level in determining the type of injury. The number of responsible adults in the J J J J J J J J J J J J J J J
home may affect the number of unintentional injuries, but the type of injury is related to the
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child’s developmental stage. J J
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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 J J J J J J J
b. Unintentional injuries that cause chronic health problems J J J J J J
c. Discoveries of new therapies to treat health problems J J J J J J J
d. Behavioral, social, and educational problems that alter health J J J J J J J
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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 these
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issues is from 5% to 30%. Limitations in major activities of daily living and unintentional
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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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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 J J J J J J
c. Recognizing that the family is the constant in a child’s life J J J J J J J J J J
d. Excluding families from the decision-making process J J J J J
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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 J J J J J J J J J J J J J J
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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, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TES BANK J
DIF: Cognitive Level: Remember REF: p. 7 J J J J J
TOP: Integrated Process: Nursing Process: 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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patients. 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.
b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on
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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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Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing
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play activities for expression of fear and aggression, providing choices, and respecting cultural
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differences are components of atraumatic care. In the provision of atraumatic care, the
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separation of child from parents during hospitalization is minimized. The nurse should promote a
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sense of control for the child. Preventing and minimizing bodily injury and pain are major
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components of atraumatic care. J J J
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MSC: Area of Client Needs: Psychosocial 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? NURSINGTB.COM
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. J
c. Nurse is able to withdraw emotionally when emotional overload occurs but still
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remains committed. J
d. Nurse uses teaching skills to instruct patient and family rather than doing
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everything for them. J J
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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 and
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family. Nurses who are able to somewhat withdraw emotionally can protect themselves while
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providing therapeutic care. Nurses using teaching skills to instruct patient and family will assist
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in transitioning the child and family to self-care.
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TOP: Integrated Process: Nursing Process: Assessment
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MSC: Area of Client Needs: Psychosocial 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 J J
c. Based on deliberate and irrational thought J J J J J
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