TEST BANK WONG'S ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION

TEST BANK WONG'S ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION WONG'S ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Objective: CH 01: Perspectives of Pediatric Nursing ________________________________________________________________________ ___________________________ 1. Question Name: 0001 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality? A. Life-span statistics are included in the data. B. It explains effectiveness of treatment. C. Cost-effective treatment is detailed for the general population. * D. High-risk age groups for certain disorders or hazards are identified. Correct Answer: D Explanation/Rationale: ANS: D Analysis of morbidity and mortality data provides the parents with information about which groups of individuals are at risk for which health problems. Life-span statistics is a part of the mortality data. Treatment modalities and cost are not included in morbidity and mortality data. PTS: 1 DIF: Cognitive Level: Apply REF: 6-8 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 2. Question Name: 0002 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A clinic nurse is planning a teaching session about childhood obesity prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan? A. Type I diabetes B. Respiratory disease C. Celiac disease * D. Type II diabetes Correct Answer: D Explanation/Rationale: ANS: D Childhood obesity has been associated with the rise of type II diabetes in children. Type I diabetes is not associated with obesity and has a genetic component. Respiratory disease is not associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is not associated with obesity. PTS: 1 DIF: Cognitive Level: Apply REF: 3 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 3. Question Name: 0003 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is the leading cause of death in infants younger than 1 year? * A. Congenital anomalies B. Sudden infant death syndrome C. Respiratory distress syndrome D. Bacterial sepsis of the newborn Correct Answer: A Explanation/Rationale: ANS: A Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinatal period account for 2.7% of deaths in this age group. PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 4. Question Name: 0004 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in ages 15 to 19 years? A. Suicide B. Cancer * C. Firearm homicide D. Occupational injuries Correct Answer: C Explanation/Rationale: ANS: C Firearm homicide is the second overall cause of death in this age group and the leading cause of death in African-American males. Suicide is the third-leading cause of death in this population. Cancer, although a major health problem, is the fourth-leading cause of death in this age group. Occupational injuries do not contribute to a significant death rate for this age group. PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 5. Question Name: 0005 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is the major cause of death for children older than 1 year? A. Cancer B. Heart disease * C. Unintentional injuries D. Congenital anomalies Correct Answer: C Explanation/Rationale: ANS: C Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Congenital anomalies are the leading cause of death in those younger than 1 year. Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in the majority of the age groups. PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 6. Question Name: 0006 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14? A. Mechanical suffocation B. Drowning * C. Motor-vehicle-related fatalities D. Fire- and burn-related fatalities Correct Answer: C Explanation/Rationale: ANS: C Motor-vehicle-related fatalities are the leading cause of death for females ranging in age from 1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth, depending on the age. Drowning is the second- or third-leading cause of death, depending on the age. Fire- and burn-related fatalities are the second-leading cause of death. PTS: 1 DIF: Cognitive Level: Remember REF: 4 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 7. Question Name: 0007 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which factor most impacts the type of injury a child is susceptible to, according to the child’s age? A. Physical health of the child * B. Developmental level of the child C. Educational level of the child D. Number of responsible adults in the home Correct Answer: B Explanation/Rationale: ANS: B The child’s developmental stage determines the type of injury that is likely to occur. The child’s physical health may facilitate the child’s recovery from an injury but does not impact the type of injury. Educational level is related to developmental level, but it is not as important as the child’s developmental level in determining the type of injury. The number of responsible adults in the home may affect the number of unintentional injuries, but the type of injury is related to the child’s developmental stage. PTS: 1 DIF: Cognitive Level: Understand REF: 3-4 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 8. Question Name: 0008 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is now referred to as the “new morbidity”? A. Limitations in the major activities of daily living B. Unintentional injuries that cause chronic health problems C. Discoveries of new therapies to treat health problems * D. Behavioral, social, and educational problems that alter health Correct Answer: D Explanation/Rationale: ANS: D The new morbidity reflects the behavioral, social, and educational problems that interfere with the child’s social and academic development. It is currently estimated that the incidence of these issues is from 5% to 30%. Limitations in major activities of daily living and unintentional injuries that result in chronic health problems are included in morbidity data. Discovery of new therapies would be reflected in changes in morbidity data over time. PTS: 1 DIF: Cognitive Level: Remember REF: 3 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 9. Question Name: 0009 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering? A. Taking over total care of the child to reduce stress on the family B. Encouraging family dependence on health care systems * C. Recognizing that the family is the constant in a child’s life D. Excluding families from the decision-making process Correct Answer: C Explanation/Rationale: 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. Taking over total care does not include the family in the process and may increase stress instead of reducing stress. The family should be enabled and empowered to work with the health care system. The family is expected to be part of the decision-making process. PTS: 1 DIF: Cognitive Level: Remember REF: 8 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 10. Question Name: 0010 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include? A. Prepare the child for separation from parents during hospitalization by reviewing a video. * B. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal. C. Help the child accept the loss of control associated with hospitalization. D. Help the child accept pain that is connected with a treatment or procedure. Correct Answer: B Explanation/Rationale: ANS: B Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing play activities for expression of fear and aggression, providing choices, and respecting cultural differences are components of atraumatic care. In the provision of atraumatic care, the separation of child from parents during hospitalization is minimized. The nurse should promote a sense of control for the child. Preventing and minimizing bodily injury and pain are major components of atraumatic care. PTS: 1 DIF: Cognitive Level: Understand REF: 9 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Psychosocial Integrity Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 11. Question Name: 0011 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family? * A. Staff is concerned about the nurse’s actions with the patient and family. B. Staff assignments allow the nurse to care for same patient and family over an extended time. C. Nurse is able to withdraw emotionally when emotional overload occurs but still remains committed. D. Nurse uses teaching skills to instruct patient and family rather than doing everything for them. Correct Answer: A Explanation/Rationale: ANS: A An important clue to a nontherapeutic staff-patient relationship is concern of other staff members. Allowing the nurse to care for the same patient over time would be therapeutic for the patient and family. Nurses who are able to somewhat withdraw emotionally can protect themselves while providing therapeutic care. Nurses using teaching skills to instruct patient and family will assist in transitioning the child and family to self-care. PTS: 1 DIF: Cognitive Level: Analyze REF: 9 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Psychosocial Integrity Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 12. Question Name: 0012 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is most descriptive of clinical reasoning? A. A simple developmental process * B. Purposeful and goal-directed C. Based on deliberate and irrational thought D. Assists individuals in guessing what is most appropriate Correct Answer: B Explanation/Rationale: ANS: B Clinical reasoning is a complex, developmental process based on rational and deliberate thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on rational and deliberate thought. Clinical reasoning is not a guessing process. PTS: 1 DIF: Cognitive Level: Understand REF: 12 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 13. Question Name: 0013 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood. Which ethical principle is the nurse demonstrating? A. Autonomy * B. Beneficence C. Justice D. Truthfulness Correct Answer: B Explanation/Rationale: ANS: B Beneficence is the obligation to promote the patient’s well-being. Applying a topical anesthetic before drawing blood promotes reducing the discomfort of the venipuncture. Autonomy is the patient’s right to be self-governing. Justice is the concept of fairness. Truthfulness is the concept of honesty. PTS: 1 DIF: Cognitive Level: Understand REF: 11 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Physiological Integrity Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 14. Question Name: 0014 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which action by the nurse demonstrates use of evidence-based practice (EBP)? A. Gathering equipment for a procedure B. Documenting changes in a patient’s status * C. Questioning the use of daily central line dressing changes D. Clarifying a physician’s prescription for morphine Correct Answer: C Explanation/Rationale: ANS: C The nurse who questions the daily central line dressing change is ascertaining whether clinical interventions result in positive outcomes for patients. This demonstrates evidence-based practice (EBP), which implies questioning why something is effective and whether a better approach exists. Gathering equipment for a procedure and documenting changes in a patient’s status are practices that follow established guidelines. Clarifying a physician’s prescription for morphine constitutes safe nursing care. PTS: 1 DIF: Cognitive Level: Apply REF: 11 TOP: Integrated Process: Nursing Process: Evaluation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 15. Question Name: 0015 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent’s lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child? * A. Risk for anxiety B. Anxiety C. Readiness for enhanced coping D. Ineffective coping Correct Answer: A Explanation/Rationale: ANS: A A potential problem is categorized as a risk. The toddler has a risk to become anxious when the parents leave. Nursing interventions will be geared toward reducing the risk. The child is not showing current anxiety or ineffective coping. The child is not at a point for readiness for enhanced coping, especially because the parents will be leaving. PTS: 1 DIF: Cognitive Level: Remember REF: 12 TOP: Integrated Process: Nursing Process: Diagnosis MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 16. Question Name: 0016 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure? A. Dressing change to appendectomy incision completed, child tolerated procedure well, parent present B. No complications noted during dressing change to appendectomy incision * C. Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, new dressing applied, procedure tolerated well by child D. No changes to appendectomy incisional area, dressing changed, child complained of pain during procedure, new dressing clean, dry and intact Correct Answer: C Explanation/Rationale: ANS: C The nurse should document assessments and reassessments. Appearance of the incision described in objective terms should be included during a dressing change. The nurse should document patient’s response and the outcomes of the care provided. In this example, these include drainage on the old dressing, the application of the new dressing, and the child’s response. The other statements partially fulfill the requirements of documenting assessments and reassessments, patient’s response, and outcome, but do not include all three. PTS: 1 DIF: Cognitive Level: Analyze REF: 14 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 17. Question Name: 0017 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class? * A. Appropriate use of car seat restraints B. Safety crossing the street C. Helmet use when riding a bicycle D. Poison control numbers Correct Answer: A Explanation/Rationale: ANS: A Motor vehicle accidents (MVAs) continue to be the most common cause of death in children older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety crossing the street and bicycle helmet use are topics that should be included for preschool parents but are not priorities for parents of toddlers. Information about poison control is important for parents of toddlers and would be a safety topic to include but is not the priority over appropriate use of car seat restraints. PTS: 1 DIF: Cognitive Level: Apply REF: 3-4 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 18. Question Name: 0018 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which behaviors by the nurse indicate a therapeutic relationship with children and families? (Select all that apply.) A. Spending off-duty time with children and families * B. Asking questions if families are not participating in the care * C. Clarifying information for families D. Buying toys for a hospitalized child * E. Learning about the family’s religious preferences Correct Answer: BCE Explanation/Rationale: ANS: B, C, E Asking questions if families are not participating in the care, clarifying information for families, and learning about the family’s religious preferences are positive actions and foster therapeutic relationships with children and families. Spending off-duty time with children and families and buying toys for a hospitalized child are negative actions and indicate overinvolvement with children and families, which is nontherapeutic. PTS: 1 DIF: Cognitive Level: Understand REF: 9-10 TOP: Integrated Process: Nursing Process: Evaluation MSC: Area of Client Needs: Psychosocial Integrity Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 17:03:50 Date Modified: 03/18/13 16:32:48 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D E Last: 0.00 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Objective: CH 02: Community-Based Nurs Care the Child & Fam ___________________________________________________________________________________________________ 1. Question Name: 0001 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which term best describes the identification of the distribution and causes of disease, injury, or illness? A. Nursing process * B. Epidemiologic process C. Community-based statistics D. Mortality and morbidity statistics Correct Answer: B Explanation/Rationale: ANS: B Epidemiology is the science of population health applied to the detection of morbidity and mortality in a population. It identifies the distribution and causes of diseases across a population. Nursing process is a systematic problem-solving approach for the delivery of nursing care. Morbidity and mortality statistics, along with natal rates, may provide an objective picture of a community’s health status. PTS: 1 DIF: Cognitive Level: Remember REF: 18 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/17/13 20:55:49 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 2. Question Name: 0002 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A community nurse at the health department is trying to identify how many new cases of acquired immunodeficiency syndrome (AIDS) disease have occurred in the city this past year. Which statistic should the nurse examine? A. Mortality B. Morbidity * C. Incidence D. Prevalence Correct Answer: C Explanation/Rationale: ANS: C Incidence will provide the number of cases of a particular disease process. Mortality statistics specify the number of deaths from a given cause. Morbidity statistics specify the prevalence of specific illnesses in a population at a particular time. PTS: 1 DIF: Cognitive Level: Understand REF: 18 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/17/13 20:55:49 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 3. Question Name: 0003 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse is collecting subjective and objective information about target populations to diagnose problems based on community needs. This describes which step in the community nursing process? A. Planning B. Diagnosis * C. Assessment D. Establishing objectives Correct Answer: C Explanation/Rationale: ANS: C The nursing process stages are similar, whether the client is one child or a population of children. The assessment phase of the nursing process focuses on collecting subjective and objective data. Planning is the development of community-centered goals and objectives. Diagnosis is the identification of problems specific to the community. PTS: 1 DIF: Cognitive Level: Understand REF: 19 TOP: Integrated Process: Communication and Documentation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/17/13 20:55:49 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 4. Question Name: 0004 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse is establishing several health programs, such as bicycle safety, to improve the health status of a target population. This describes which step in the community nursing process? A. Planning B. Evaluation C. Assessment * D. Implementation Correct Answer: D Explanation/Rationale: ANS: D The nurse working with the community to put into practice a program to reach community goals is the implementation phase of the community nursing process. Planning involves designing the program to meet community-centered goals. The evaluation stage would determine the effectiveness of the program. During the assessment phase, the nurse would identify the resources necessary and the barriers that would interfere with implementation. PTS: 1 DIF: Cognitive Level: Understand REF: 19 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/17/13 20:55:49 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 5. Question Name: 0005 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A school nurse is conducting vision and hearing testing on fifth-grade children. Which level of prevention is the nurse demonstrating? A. Primary * B. Secondary C. Tertiary D. Health promotion Correct Answer: B Explanation/Rationale: ANS: B Secondary prevention focuses on screening and early diagnosis of disease. Vision and hearing testing are screening tests to detect problems. Primary prevention focuses on health promotion and prevention of disease or injury. Tertiary prevention focuses on optimizing function for children with a disability or chronic disease. Health promotion is focused on preventing disease or illness. PTS: 1 DIF: Cognitive Level: Understand REF: 19 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/17/13 20:55:49 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 6. Question Name: 0006 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A community health nurse is collecting assessment data by interviewing community leaders. What type of assessment is this community nurse conducting? * A. Subjective B. Windshield survey C. Objective D. Statistical Correct Answer: A Explanation/Rationale: ANS: A Subjective information indicates what community members say are their most important needs. Interviewing community leaders would be a subjective assessment. Objective information is data that the nurse collects either by direct observation or through written sources. A windshield tour is one method of direct observation. Statistics would be objective information gathering. PTS: 1 DIF: Cognitive Level: Understand REF: 19 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/17/13 20:55:49 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 7. Question Name: 0007 Type: MC Objective: CH 02: Community-Based Nurs Care the Child & Fam Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which interventions by a community can be classified as primary prevention interventions? (Select all that apply.) * A. Administering immunizations B. Teaching a child with asthma how to use an inhaler C. Conducting scoliosis screening exams * D. Teaching a community parenting class * E. Conducting assessments at a well-child care clinic Correct Answer: ADE Explanation/Rationale: ANS: A, D, E Primary prevention focuses on health promotion and prevention of disease or injury. Examples of primary prevention activities include well-child care clinics; immunization programs; safety programs (bike helmets, car seats, seat belts, childproof containers); nutrition programs; environmental efforts (clean air programs); sanitation measures (chlorinated water, garbage removal, sewage treatment); and community parenting classes. Teaching a child how to use an inhaler is tertiary prevention and conducting scoliosis screening exams is secondary prevention. PTS: 1 DIF: Cognitive Level: Apply REF: 19 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:55:49 Date Modified: 03/18/13 16:33:13 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D E Last: 0.00 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Objective: CH 03: Fam Influences on Child Health Promotion ___________________________________________________________________________________________________ 1. Question Name: 0001 Type: MC Objective: CH 03: Fam Influences on Child Health Promotion Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed A nurse is selecting a family theory to assess a patient’s family dynamics. Which family theory best describes a series of tasks for the family throughout its life span? A. Interactional theory B. Developmental systems theory C. Structural-functional theory * D. Duvall’s developmental theory Correct Answer: D Explanation/Rationale: ANS: D Duvall’s developmental theory describes eight developmental tasks of the family throughout its life span. Interactional theory and structural-functional theory are not family theories. Developmental systems theory is an outgrowth of Duvall’s theory. The family is described as a small group, a semiclosed system of personalities that interact with the larger cultural system. Changes do not occur in one part of the family without changes in others. PTS: 1 DIF: Cognitive Level: Understand REF: 24-26 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:56:17 Date Modified: 03/17/13 20:56:17 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 2. Question Name: 0002 Type: MC Objective: CH 03: Fam Influences on Child Health Promotion Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events? A. Interactional theory B. Developmental systems theory * C. Family stress theory D. Duvall’s developmental theory Correct Answer: C Explanation/Rationale: ANS: C Family stress theory explains the reaction of families to stressful events. In addition, the theory helps suggest factors that promote adaptation to the stress. Stressors, both positive and negative, are cumulative and affect the family. Adaptation requires a change in family structure or interaction. Interactional theory is not a family theory. Interactions are the basis of general systems theory. Developmental systems theory is an outgrowth of Duvall’s theory. The family is described as a small group, a semiclosed system of personalities that interact with the larger cultural system. Changes do not occur in one part of the family without changes in others. Duvall’s developmental theory describes eight developmental tasks of the family throughout its life span. PTS: 1 DIF: Cognitive Level: Understand REF: 24 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Reference/Notes: Keywords: Points: 1.00 Penalty: 0.00 Score Mode: Active Date Created: 03/17/13 20:56:17 Date Modified: 03/17/13 20:56:17 Date Used: Difficulty: Easy Discrimination: Low Item Analysis: Last Item Analysis: Cumulative No. of Students Responded: 0 No. of Students Responded: 0 Correct Responses (%): Correct Responses (%): Total Group: 0.00 Total Group: 0.00 Upper 27% of Group: 0.00 Upper 27% of Group: 0.00 Lower 27% of Group: 0.00 Lower 27% of Group: 0.00 Point Biserial: 0.00 Point Biserial: 0.00 Response Frequencies (%) A B C D Last: 0.00 0.00 0.00 0.00 Cumulative: 0.00 0.00 0.00 0.00 ___________________________________________________________________________________________________ 3. Question Name: 0003 Type: MC Objective: CH 03: Fam Influences on Child Health Promotion Item Bank: Hockenberry Wong Essentials of Pediatric Nurs 19Ed Which is the term for a family in which the paternal grandmother, the parents, and two minor children live together? A. Blended B. Nuclear C. Binuclear * D. Extended Correct Answer: D Explanation/Rationale: ANS: D An extended family contains at least one parent, one or more children, and one or more members (related or unrelated) other than a parent or sibling. A blended family contains at least one step-parent, step-sibling, or half-sibling. The nuclear family consists of two parents and their children. No other relatives or nonrelatives are present in the household. In binuclear families, parents continue the parenting role while terminating the spousal unit. For example, when joint custody is assigned by the court, each parent has equal rights and responsibilities for the minor child or children. PTS: 1 DIF: Cognitive