Wong's4Nursing4Care4of4Infants4and4Children412th4Edition4by4Hockenberry4Test4Bank
,Chapter401:4Perspectives4of4Pediatric4Nursing
Hockenberry:4Wong’s4Nursing4Care4of4Infants4and4Children,412th4
Edition
MULTIPLE4CHOICE
1. What4is4the4major4cause4of4death4for4children4in4the4United4States?
a. Heart4disease
b. Childhood4cancer
c. Injuries
d. Congenital4anomalies
ANS:4 C
Unintentional4injuries4(accidents)4are4the4leading4cause4of4death4after4age414year4through4adolescence.4
The4leading4cause4of4death4for4those4younger4than414year4is4congenital4anomalies,4and4childhood4cance
rs4and4heart4disease4cause4a4significantly4lower4percentage4of4deaths4in4children4older4than414 year4of4age
.
DIF: Cognitive4Level:4Understanding
TOP:4Nursing4Process:4Planning4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
2. Parents4of4a4hospitalized4toddler4ask4the4nurse,4“What4is4meant4by4family-
centered4care?”4The4nurse4should4respond4with4which4statement?
a. Family-centered4care4reduces4the4effect4of4cultural4diversity4on4the4family.
b. Family-centered4care4encourages4family4dependence4on4the4health4care4system.
c. Family-centered4care4recognizes4that4the4family4is4the4constant4in4a4child’s4life.
d. Family-centered4care4avoids4expecting4families4to4be4part4of4the4decision-
making4process.
ANS:4 C
The4three4key4components4of4family-centered4care4are4respect,4collaboration,4and4support.4Family-
4centered4care4recognizes4the4family4as4the4constant4in4the4child’s4life.4The4family4should4be4enabled4a
nd4empowered4to4work4with4the4health4care4system4and4is4expected4to4be4part4of4the4decision-
making4process.4The4nurse4should4also4support4the4family’s4cultural4diversity,4 not4reduce4its4effect.
DIF: Cognitive4Level:4Applying
TOP:4Nursing4Process:4Implementation4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
3. Evidence-based4practice4(EBP),4a4decision-making4model,4is4best4described4as4which?
a. Using4information4in4textbooks4to4guide4care
b. Combining4knowledge4with4clinical4experience4and4intuition
c. Using4a4professional4code4of4ethics4as4a4means4for4decision4making
d. Gathering4all4evidence4that4applies4to4the4child’s4health4and4family4situation
ANS:4 B
EBP4helps4focus4on4measurable4outcomes;4the4use4of4demonstrated,4effective4interventions;4and4questi
oning4the4best4approach.4EBP4involves4decision4making4based4on4the4integration4of4the4best4research4ev
idence4combined4with4clinical4expertise4and4patient4values.
,Wong's4Nursing4Care4of4Infants4and4Children412th4Edition4by4Hockenberry4Test4Ban
k
DIF: Cognitive4Level:4Remembering
TOP:4Nursing4Process:4Planning4MSC:4 Client4Needs:4Safe4and4Effect
ive4Care4Environment
4. The4nurse4is4talking4to4a4group4of4parents4of4school-age4children4at4an4after-
school4program4about4childhood4health4problems.4 Which4statement4 should4the4nurse4include4in4th
e4teaching?
a. Childhood4obesity4is4the4most4common4nutritional4problem4among4children.
b. Immunization4rates4are4the4same4among4children4of4different4races4and4ethnicity.
c. Dental4caries4is4not4a4problem4commonly4seen4in4children4since4the4introduction4of4fl
uorinated4water.
d. Mental4health4problems4are4typically4not4seen4in4school-
age4children4but4may4be4diagnosed4 in4adolescents.
ANS:4 A
When4teaching4parents4of4school-
age4children4about4childhood4health4problems,4the4nurse4should4include4information4about4childhood4o
besity4because4it4is4the4most4common4problem4among4children4and4is4associated4with4type424diabetes.4
Teaching4parents4about4ways4to4prevent4obesity4is4important4to4include.4Immunization4rates4differ4depe
nding4on4the4child’s4race4and4ethnicity;4dental4caries4continues4to4be4a4common4chronic4disease4in4child
hood;4and4mental4health4problems4are4seen4in4children4as4young4as4school4age,4not4 just4 in4adolescents.
DIF: Cognitive4Level:4Applying
TOP:4Integrated4Process:4Teaching/Learning4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
5. The4nurse4is4planning4care4for4a4hospitalized4preschool-
aged4child.4Which4should4the4nurse4plan4to4ensure4atraumatic4care?
a. Limit4explanation4of4procedures4because4the4child4is4preschool4aged.
b. Ask4that4all4family4members4leave4the4room4when4performing4procedures.
c. Allow4the4child4to4choose4the4type4of4juice4to4drink4 with4the4administration4of4oral4m
edications.
d. Explain4that4EMLA4cream4cannot4be4used4for4the4morning4lab4draw4because4there4i
s4not4time4for4it4to4be4effective.
ANS:4 C
The4overriding4goal4in4providing4atraumatic4care4is4first,4do4no4harm.4Allowing4the4child,4a4choice4of4
juice4to4drink4when4taking4oral4medications4provides4the4child4with4a4sense4of4control.4The4preschool4
child4should4be4prepared4before4procedures,4so4limiting4explanations4of4procedures4would4increase4a
nxiety.4The4family4should4be4allowed4to4stay4with4the4child4during4procedures,4minimizing4 stress.
Lidocaine/prilocaine4(EMLA)4cream4is4a4topical4local4anesthetic.4The4nurse4should4plan4to4use4the4prescrib
ed4cream4in4time4for4morning4laboratory4draws4to4minimize4pain.
DIF: Cognitive4Level:4Applying
TOP:4Nursing4Process:4Planning4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
6. Which4situation4denotes4a4nontherapeutic4nurse–patient–family4relationship?
a. The4nurse4is4planning4to4read4a4favorite4fairy4tale4to4a4patient.
b. During4shift4report,4the4nurse4is4criticizing4parents4for4not4visiting4their4child.
c. The4nurse4is4discussing4with4a4fellow4nurse4the4emotional4draw4to4a4certain4patient.
d. The4nurse4is4working4with4a4family4to4find4ways4to4decrease4the4family’s4dependenc
e4on4health4care4providers.
, Wong's4Nursing4Care4of4Infants4and4Children412th4Edition4by4Hockenberry4Test4Ban
k
ANS:4 B
Criticizing4parents4for4not4visiting4in4shift4report4is4nontherapeutic4and4shows4an4under4involvement4w
ith4the4parents.4Reading4a4fairy4tale4is4a4therapeutic4and4age-
appropriate4action.4Discussing4feelings4of4an4emotional4draw4with4a4fellow4nurse4is4therapeutic4and4sh
ows4a4willingness4to4understand4feelings.4Working4with4parents4to4decrease4dependence4on4health4car
e4providers4is4therapeutic4and4helps4to4empower4the4family.
DIF: Cognitive4Level:4Analyzing
TOP:4Integrated4Process:4Caring4MSC:4 Client4Needs:4Psychosocial4I
ntegrity
7. The4nurse4is4aware4that4which4age-
group4is4at4risk4for4childhood4injury4because4of4the4cognitive4characteristic4of4magical4and4egoc
entric4thinking?
a. Preschool
b. Young4school4age
c. Middle4school4age
d. Adolescent
ANS:4 A
Preschool4children4have4the4cognitive4characteristic4of4magical4and4egocentric4thinking,4meaning4they4
are4unable4to4comprehend4danger4to4self4or4others.4Young4and4middle4school-
aged4children4have4transitional4cognitive4processes,4and4they4may4attempt4dangerous4acts4without4detai
led4planning4but4recognize4danger4to4themselves4or4others.4Adolescents4have4formal4operational4cogniti
ve4processes4and4are4preoccupied4with4abstract4thinking.
DIF: Cognitive4Level:4Understanding
TOP:4 Nursing4Process:4Assessment4MSC:4 Client4Needs:4Safe4and4Effect
ive4Care4Environment
8. The4school4nurse4is4assessing4children4for4risk4factors4related4to4childhood4injuries.4Which4child4has4
the4most4 risk4factors4related4to4childhood4injury?
a. Female,4multiple4siblings,4stable4home4life
b. Male,4high4activity4level,4stressful4home4life
c. Male,4even4tempered,4history4of4previous4injuries
d. Female,4reacts4negatively4to4new4situations,4no4serious4previous4injuries
ANS:4 B
Boys4have4a4preponderance4for4injuries4over4girls4because4of4a4difference4in4behavioral4characteristics,4
a4high4activity4temperament4is4associated4with4risk-
taking4behaviors,4and4stress4predisposes4children4to4increased4risk4taking4and4self-
destructive4behaviors.4Therefore,4a4male4child4with4a4high4activity4level4and4living4in4a4stressful4enviro
nment4has4the4highest4number4of4risk4factors.4A4girl4with4several4siblings4and4a4stable4home4life4is4low4r
isk.4A4boy4with4previous4injuries4has4two4risk4factors,4but4an4even4temper4is4not4a4risk4factor4for4injuries.
4A4girl4who4reacts4negatively4to4new4situations4but4has4no4previous4serious4 illnesses4 has4only4one4risk4 f
actor.
DIF: Cognitive4Level:4Analyzing
TOP:4 Nursing4Process:4Assessment4MSC:4 Client4Needs:4Safe4and4Effect
ive4Care4Environment
9. An4adolescent4patient4wants4to4make4decisions4about4treatment4options,4along4with4his4parents.4Which4
moral4value4is4the4nurse4displaying4when4supporting4the4adolescent4to4make4decisions?
a. Justice
,Chapter401:4Perspectives4of4Pediatric4Nursing
Hockenberry:4Wong’s4Nursing4Care4of4Infants4and4Children,412th4
Edition
MULTIPLE4CHOICE
1. What4is4the4major4cause4of4death4for4children4in4the4United4States?
a. Heart4disease
b. Childhood4cancer
c. Injuries
d. Congenital4anomalies
ANS:4 C
Unintentional4injuries4(accidents)4are4the4leading4cause4of4death4after4age414year4through4adolescence.4
The4leading4cause4of4death4for4those4younger4than414year4is4congenital4anomalies,4and4childhood4cance
rs4and4heart4disease4cause4a4significantly4lower4percentage4of4deaths4in4children4older4than414 year4of4age
.
DIF: Cognitive4Level:4Understanding
TOP:4Nursing4Process:4Planning4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
2. Parents4of4a4hospitalized4toddler4ask4the4nurse,4“What4is4meant4by4family-
centered4care?”4The4nurse4should4respond4with4which4statement?
a. Family-centered4care4reduces4the4effect4of4cultural4diversity4on4the4family.
b. Family-centered4care4encourages4family4dependence4on4the4health4care4system.
c. Family-centered4care4recognizes4that4the4family4is4the4constant4in4a4child’s4life.
d. Family-centered4care4avoids4expecting4families4to4be4part4of4the4decision-
making4process.
ANS:4 C
The4three4key4components4of4family-centered4care4are4respect,4collaboration,4and4support.4Family-
4centered4care4recognizes4the4family4as4the4constant4in4the4child’s4life.4The4family4should4be4enabled4a
nd4empowered4to4work4with4the4health4care4system4and4is4expected4to4be4part4of4the4decision-
making4process.4The4nurse4should4also4support4the4family’s4cultural4diversity,4 not4reduce4its4effect.
DIF: Cognitive4Level:4Applying
TOP:4Nursing4Process:4Implementation4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
3. Evidence-based4practice4(EBP),4a4decision-making4model,4is4best4described4as4which?
a. Using4information4in4textbooks4to4guide4care
b. Combining4knowledge4with4clinical4experience4and4intuition
c. Using4a4professional4code4of4ethics4as4a4means4for4decision4making
d. Gathering4all4evidence4that4applies4to4the4child’s4health4and4family4situation
ANS:4 B
EBP4helps4focus4on4measurable4outcomes;4the4use4of4demonstrated,4effective4interventions;4and4questi
oning4the4best4approach.4EBP4involves4decision4making4based4on4the4integration4of4the4best4research4ev
idence4combined4with4clinical4expertise4and4patient4values.
,Wong's4Nursing4Care4of4Infants4and4Children412th4Edition4by4Hockenberry4Test4Ban
k
DIF: Cognitive4Level:4Remembering
TOP:4Nursing4Process:4Planning4MSC:4 Client4Needs:4Safe4and4Effect
ive4Care4Environment
4. The4nurse4is4talking4to4a4group4of4parents4of4school-age4children4at4an4after-
school4program4about4childhood4health4problems.4 Which4statement4 should4the4nurse4include4in4th
e4teaching?
a. Childhood4obesity4is4the4most4common4nutritional4problem4among4children.
b. Immunization4rates4are4the4same4among4children4of4different4races4and4ethnicity.
c. Dental4caries4is4not4a4problem4commonly4seen4in4children4since4the4introduction4of4fl
uorinated4water.
d. Mental4health4problems4are4typically4not4seen4in4school-
age4children4but4may4be4diagnosed4 in4adolescents.
ANS:4 A
When4teaching4parents4of4school-
age4children4about4childhood4health4problems,4the4nurse4should4include4information4about4childhood4o
besity4because4it4is4the4most4common4problem4among4children4and4is4associated4with4type424diabetes.4
Teaching4parents4about4ways4to4prevent4obesity4is4important4to4include.4Immunization4rates4differ4depe
nding4on4the4child’s4race4and4ethnicity;4dental4caries4continues4to4be4a4common4chronic4disease4in4child
hood;4and4mental4health4problems4are4seen4in4children4as4young4as4school4age,4not4 just4 in4adolescents.
DIF: Cognitive4Level:4Applying
TOP:4Integrated4Process:4Teaching/Learning4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
5. The4nurse4is4planning4care4for4a4hospitalized4preschool-
aged4child.4Which4should4the4nurse4plan4to4ensure4atraumatic4care?
a. Limit4explanation4of4procedures4because4the4child4is4preschool4aged.
b. Ask4that4all4family4members4leave4the4room4when4performing4procedures.
c. Allow4the4child4to4choose4the4type4of4juice4to4drink4 with4the4administration4of4oral4m
edications.
d. Explain4that4EMLA4cream4cannot4be4used4for4the4morning4lab4draw4because4there4i
s4not4time4for4it4to4be4effective.
ANS:4 C
The4overriding4goal4in4providing4atraumatic4care4is4first,4do4no4harm.4Allowing4the4child,4a4choice4of4
juice4to4drink4when4taking4oral4medications4provides4the4child4with4a4sense4of4control.4The4preschool4
child4should4be4prepared4before4procedures,4so4limiting4explanations4of4procedures4would4increase4a
nxiety.4The4family4should4be4allowed4to4stay4with4the4child4during4procedures,4minimizing4 stress.
Lidocaine/prilocaine4(EMLA)4cream4is4a4topical4local4anesthetic.4The4nurse4should4plan4to4use4the4prescrib
ed4cream4in4time4for4morning4laboratory4draws4to4minimize4pain.
DIF: Cognitive4Level:4Applying
TOP:4Nursing4Process:4Planning4MSC:4 Client4Needs:4Health4Promoti
on4and4Maintenance
6. Which4situation4denotes4a4nontherapeutic4nurse–patient–family4relationship?
a. The4nurse4is4planning4to4read4a4favorite4fairy4tale4to4a4patient.
b. During4shift4report,4the4nurse4is4criticizing4parents4for4not4visiting4their4child.
c. The4nurse4is4discussing4with4a4fellow4nurse4the4emotional4draw4to4a4certain4patient.
d. The4nurse4is4working4with4a4family4to4find4ways4to4decrease4the4family’s4dependenc
e4on4health4care4providers.
, Wong's4Nursing4Care4of4Infants4and4Children412th4Edition4by4Hockenberry4Test4Ban
k
ANS:4 B
Criticizing4parents4for4not4visiting4in4shift4report4is4nontherapeutic4and4shows4an4under4involvement4w
ith4the4parents.4Reading4a4fairy4tale4is4a4therapeutic4and4age-
appropriate4action.4Discussing4feelings4of4an4emotional4draw4with4a4fellow4nurse4is4therapeutic4and4sh
ows4a4willingness4to4understand4feelings.4Working4with4parents4to4decrease4dependence4on4health4car
e4providers4is4therapeutic4and4helps4to4empower4the4family.
DIF: Cognitive4Level:4Analyzing
TOP:4Integrated4Process:4Caring4MSC:4 Client4Needs:4Psychosocial4I
ntegrity
7. The4nurse4is4aware4that4which4age-
group4is4at4risk4for4childhood4injury4because4of4the4cognitive4characteristic4of4magical4and4egoc
entric4thinking?
a. Preschool
b. Young4school4age
c. Middle4school4age
d. Adolescent
ANS:4 A
Preschool4children4have4the4cognitive4characteristic4of4magical4and4egocentric4thinking,4meaning4they4
are4unable4to4comprehend4danger4to4self4or4others.4Young4and4middle4school-
aged4children4have4transitional4cognitive4processes,4and4they4may4attempt4dangerous4acts4without4detai
led4planning4but4recognize4danger4to4themselves4or4others.4Adolescents4have4formal4operational4cogniti
ve4processes4and4are4preoccupied4with4abstract4thinking.
DIF: Cognitive4Level:4Understanding
TOP:4 Nursing4Process:4Assessment4MSC:4 Client4Needs:4Safe4and4Effect
ive4Care4Environment
8. The4school4nurse4is4assessing4children4for4risk4factors4related4to4childhood4injuries.4Which4child4has4
the4most4 risk4factors4related4to4childhood4injury?
a. Female,4multiple4siblings,4stable4home4life
b. Male,4high4activity4level,4stressful4home4life
c. Male,4even4tempered,4history4of4previous4injuries
d. Female,4reacts4negatively4to4new4situations,4no4serious4previous4injuries
ANS:4 B
Boys4have4a4preponderance4for4injuries4over4girls4because4of4a4difference4in4behavioral4characteristics,4
a4high4activity4temperament4is4associated4with4risk-
taking4behaviors,4and4stress4predisposes4children4to4increased4risk4taking4and4self-
destructive4behaviors.4Therefore,4a4male4child4with4a4high4activity4level4and4living4in4a4stressful4enviro
nment4has4the4highest4number4of4risk4factors.4A4girl4with4several4siblings4and4a4stable4home4life4is4low4r
isk.4A4boy4with4previous4injuries4has4two4risk4factors,4but4an4even4temper4is4not4a4risk4factor4for4injuries.
4A4girl4who4reacts4negatively4to4new4situations4but4has4no4previous4serious4 illnesses4 has4only4one4risk4 f
actor.
DIF: Cognitive4Level:4Analyzing
TOP:4 Nursing4Process:4Assessment4MSC:4 Client4Needs:4Safe4and4Effect
ive4Care4Environment
9. An4adolescent4patient4wants4to4make4decisions4about4treatment4options,4along4with4his4parents.4Which4
moral4value4is4the4nurse4displaying4when4supporting4the4adolescent4to4make4decisions?
a. Justice
