Test Bank for Wong’s Nursing Care of
Infants and Children 12th Edition –
Hockenberry
Chapter 1: Perspectives of Pediatric Nursing
1. Compared with other countries that have a population of at least 25 million, the
United States ranks:
A. First among 27 countries
B. In the middle among 20 developed countries
C. Last among 27 countries
D. Similar to 20 other developed countries
Correct Answer: C
Rationale: Although the death rate has decreased, the United States still ranks last in
infant mortality among nations with a population of at least 25 million. The United
States has the highest infant death rate of developed nations .
2. What is the leading cause of death in infants younger than 1 year in the United
States?
A. Congenital anomalies
B. Sudden infant death syndrome
C. Disorders related to short gestation and low birth weight
, D. Maternal complications specific to the perinatal period
Correct Answer: A
Rationale: Congenital anomalies account for 20.1% of deaths in infants younger than 1
year, compared with SIDS (8.2%), disorders related to short gestation (16.5%), and
maternal complications (6.1%) .
3. What is the major cause of death for children older than 1 year in the United
States?
A. Heart disease
B. Childhood cancer
C. Unintentional injuries
D. Congenital anomalies
Correct Answer: C
Rationale: 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 .
4. In addition to injuries, what are the leading causes of death in adolescents ages
15 to 19 years?
A. Suicide and cancer
B. Suicide and homicide
C. Drowning and cancer
D. Homicide and heart disease
Correct Answer: B
Rationale: Suicide and homicide account for 16.7% of deaths in this age group .
5. The nurse is planning a teaching session for adolescents about deaths by
unintentional injuries. Which should the nurse include?
, A. More deaths occur in males
B. More deaths occur in females
C. The pattern of deaths does not vary according to age and sex
D. The pattern of deaths does not vary widely among different ethnic groups
Correct Answer: A
Rationale: The majority of deaths from unintentional injuries occur in males. The
pattern of death does vary greatly among different ethnic groups, and the causes of
unintentional deaths vary with age and gender .
6. What do mortality statistics describe?
A. Disease occurring regularly within a geographic location
B. The number of individuals who have died over a specific period
C. The prevalence of specific illness in the population at a particular time
D. Disease occurring in more than the number of expected cases in a community
Correct Answer: B
Rationale: Mortality statistics refer to the number of individuals who have died over a
specific period. Morbidity statistics show the prevalence of specific illness in the
population at a particular time .
7. The nurse should assess which age group for suicide ideation since suicide in
which age group is the third leading cause of death?
A. Preschoolers
B. Young school age
C. Middle school age
D. Late school age and adolescents
Correct Answer: D
Rationale: Suicide is the third leading cause of death in children ages 10 to 19 years;
therefore, the age group should be late school age and adolescents .
, 8. Which statement best describes the concept of family-centered care?
A. The nurse makes all healthcare decisions to reduce family stress
B. The family is recognized as the constant in the child's life
C. Care is focused solely on the medical needs of the ill child
D. The physician directs the plan of care with minimal family input
Correct Answer: B
Rationale: In family-centered care, the family is recognized as the constant in the child's
life. The nurse collaborates with the family rather than making decisions independently .
9. 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
Correct Answer: B
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and shows
an under-involvement with the parents. Reading a fairy tale is therapeutic and age-
appropriate. Discussing feelings of an emotional draw with a fellow nurse is therapeutic
and shows a willingness to understand feelings .
10. 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
Infants and Children 12th Edition –
Hockenberry
Chapter 1: Perspectives of Pediatric Nursing
1. Compared with other countries that have a population of at least 25 million, the
United States ranks:
A. First among 27 countries
B. In the middle among 20 developed countries
C. Last among 27 countries
D. Similar to 20 other developed countries
Correct Answer: C
Rationale: Although the death rate has decreased, the United States still ranks last in
infant mortality among nations with a population of at least 25 million. The United
States has the highest infant death rate of developed nations .
2. What is the leading cause of death in infants younger than 1 year in the United
States?
A. Congenital anomalies
B. Sudden infant death syndrome
C. Disorders related to short gestation and low birth weight
, D. Maternal complications specific to the perinatal period
Correct Answer: A
Rationale: Congenital anomalies account for 20.1% of deaths in infants younger than 1
year, compared with SIDS (8.2%), disorders related to short gestation (16.5%), and
maternal complications (6.1%) .
3. What is the major cause of death for children older than 1 year in the United
States?
A. Heart disease
B. Childhood cancer
C. Unintentional injuries
D. Congenital anomalies
Correct Answer: C
Rationale: 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 .
4. In addition to injuries, what are the leading causes of death in adolescents ages
15 to 19 years?
A. Suicide and cancer
B. Suicide and homicide
C. Drowning and cancer
D. Homicide and heart disease
Correct Answer: B
Rationale: Suicide and homicide account for 16.7% of deaths in this age group .
5. The nurse is planning a teaching session for adolescents about deaths by
unintentional injuries. Which should the nurse include?
, A. More deaths occur in males
B. More deaths occur in females
C. The pattern of deaths does not vary according to age and sex
D. The pattern of deaths does not vary widely among different ethnic groups
Correct Answer: A
Rationale: The majority of deaths from unintentional injuries occur in males. The
pattern of death does vary greatly among different ethnic groups, and the causes of
unintentional deaths vary with age and gender .
6. What do mortality statistics describe?
A. Disease occurring regularly within a geographic location
B. The number of individuals who have died over a specific period
C. The prevalence of specific illness in the population at a particular time
D. Disease occurring in more than the number of expected cases in a community
Correct Answer: B
Rationale: Mortality statistics refer to the number of individuals who have died over a
specific period. Morbidity statistics show the prevalence of specific illness in the
population at a particular time .
7. The nurse should assess which age group for suicide ideation since suicide in
which age group is the third leading cause of death?
A. Preschoolers
B. Young school age
C. Middle school age
D. Late school age and adolescents
Correct Answer: D
Rationale: Suicide is the third leading cause of death in children ages 10 to 19 years;
therefore, the age group should be late school age and adolescents .
, 8. Which statement best describes the concept of family-centered care?
A. The nurse makes all healthcare decisions to reduce family stress
B. The family is recognized as the constant in the child's life
C. Care is focused solely on the medical needs of the ill child
D. The physician directs the plan of care with minimal family input
Correct Answer: B
Rationale: In family-centered care, the family is recognized as the constant in the child's
life. The nurse collaborates with the family rather than making decisions independently .
9. 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
Correct Answer: B
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and shows
an under-involvement with the parents. Reading a fairy tale is therapeutic and age-
appropriate. Discussing feelings of an emotional draw with a fellow nurse is therapeutic
and shows a willingness to understand feelings .
10. 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