Wong's9Nursing9Care9of9Infants9and9Children912th9Edition9by9Hockenberry9Test9Bank
,Chapter901:9Perspectives9of9Pediatric9Nursing
Hockenberry:9Wong’s9Nursing9Care9of9Infants9and9Children,912th9
Edition
MULTIPLE9CHOICE
1. What9is9the9major9cause9of9death9for9children9in9the9United9States?
a. Heart9disease
b. Childhood9cancer
c. Injuries
d. Congenital9anomalies
ANS:9 C
Unintentional9injuries9(accidents)9are9the9leading9cause9of9death9after9age919year9through9adolescence.9
The9leading9cause9of9death9for9those9younger9than919year9is9congenital9anomalies,9and9childhood9cance
rs9and9heart9disease9cause9a9significantly9lower9percentage9of9deaths9in9children9older9than919 year9of9age
.
DIF: Cognitive9Level:9Understanding
TOP:9Nursing9Process:9Planning9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
2. Parents9of9a9hospitalized9toddler9ask9the9nurse,9“What9is9meant9by9family-
centered9care?”9The9nurse9should9respond9with9which9statement?
a. Family-centered9care9reduces9the9effect9of9cultural9diversity9on9the9family.
b. Family-centered9care9encourages9family9dependence9on9the9health9care9system.
c. Family-centered9care9recognizes9that9the9family9is9the9constant9in9a9child’s9life.
d. Family-centered9care9avoids9expecting9families9to9be9part9of9the9decision-
making9process.
ANS:9 C
The9three9key9components9of9family-centered9care9are9respect,9collaboration,9and9support.9Family-
9centered9care9recognizes9the9family9as9the9constant9in9the9child’s9life.9The9family9should9be9enabled9a
nd9empowered9to9work9with9the9health9care9system9and9is9expected9to9be9part9of9the9decision-
making9process.9The9nurse9should9also9support9the9family’s9cultural9diversity,9 not9reduce9its9effect.
DIF: Cognitive9Level:9Applying
TOP:9Nursing9Process:9Implementation9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
3. Evidence-based9practice9(EBP),9a9decision-making9model,9is9best9described9as9which?
a. Using9information9in9textbooks9to9guide9care
b. Combining9knowledge9with9clinical9experience9and9intuition
c. Using9a9professional9code9of9ethics9as9a9means9for9decision9making
d. Gathering9all9evidence9that9applies9to9the9child’s9health9and9family9situation
ANS:9 B
EBP9helps9focus9on9measurable9outcomes;9the9use9of9demonstrated,9effective9interventions;9and9questi
oning9the9best9approach.9EBP9involves9decision9making9based9on9the9integration9of9the9best9research9ev
idence9combined9with9clinical9expertise9and9patient9values.
,Wong's9Nursing9Care9of9Infants9and9Children912th9Edition9by9Hockenberry9Test9Ban
k
DIF: Cognitive9Level:9Remembering
TOP:9Nursing9Process:9Planning9MSC:9 Client9Needs:9Safe9and9Effect
ive9Care9Environment
4. The9nurse9is9talking9to9a9group9of9parents9of9school-age9children9at9an9after-
school9program9about9childhood9health9problems.9 Which9statement9 should9the9nurse9include9in9th
e9teaching?
a. Childhood9obesity9is9the9most9common9nutritional9problem9among9children.
b. Immunization9rates9are9the9same9among9children9of9different9races9and9ethnicity.
c. Dental9caries9is9not9a9problem9commonly9seen9in9children9since9the9introduction9of9fl
uorinated9water.
d. Mental9health9problems9are9typically9not9seen9in9school-
age9children9but9may9be9diagnosed9 in9adolescents.
ANS:9 A
When9teaching9parents9of9school-
age9children9about9childhood9health9problems,9the9nurse9should9include9information9about9childhood9o
besity9because9it9is9the9most9common9problem9among9children9and9is9associated9with9type929diabetes.9
Teaching9parents9about9ways9to9prevent9obesity9is9important9to9include.9Immunization9rates9differ9depe
nding9on9the9child’s9race9and9ethnicity;9dental9caries9continues9to9be9a9common9chronic9disease9in9child
hood;9and9mental9health9problems9are9seen9in9children9as9young9as9school9age,9not9 just9 in9adolescents.
DIF: Cognitive9Level:9Applying
TOP:9Integrated9Process:9Teaching/Learning9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
5. The9nurse9is9planning9care9for9a9hospitalized9preschool-
aged9child.9Which9should9the9nurse9plan9to9ensure9atraumatic9care?
a. Limit9explanation9of9procedures9because9the9child9is9preschool9aged.
b. Ask9that9all9family9members9leave9the9room9when9performing9procedures.
c. Allow9the9child9to9choose9the9type9of9juice9to9drink9 with9the9administration9of9oral9m
edications.
d. Explain9that9EMLA9cream9cannot9be9used9for9the9morning9lab9draw9because9there9i
s9not9time9for9it9to9be9effective.
ANS:9 C
The9overriding9goal9in9providing9atraumatic9care9is9first,9do9no9harm.9Allowing9the9child,9a9choice9of9
juice9to9drink9when9taking9oral9medications9provides9the9child9with9a9sense9of9control.9The9preschool9
child9should9be9prepared9before9procedures,9so9limiting9explanations9of9procedures9would9increase9a
nxiety.9The9family9should9be9allowed9to9stay9with9the9child9during9procedures,9minimizing9 stress.
Lidocaine/prilocaine9(EMLA)9cream9is9a9topical9local9anesthetic.9The9nurse9should9plan9to9use9the9prescrib
ed9cream9in9time9for9morning9laboratory9draws9to9minimize9pain.
DIF: Cognitive9Level:9Applying
TOP:9Nursing9Process:9Planning9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
6. Which9situation9denotes9a9nontherapeutic9nurse–patient–family9relationship?
a. The9nurse9is9planning9to9read9a9favorite9fairy9tale9to9a9patient.
b. During9shift9report,9the9nurse9is9criticizing9parents9for9not9visiting9their9child.
c. The9nurse9is9discussing9with9a9fellow9nurse9the9emotional9draw9to9a9certain9patient.
d. The9nurse9is9working9with9a9family9to9find9ways9to9decrease9the9family’s9dependenc
e9on9health9care9providers.
, Wong's9Nursing9Care9of9Infants9and9Children912th9Edition9by9Hockenberry9Test9Ban
k
ANS:9 B
Criticizing9parents9for9not9visiting9in9shift9report9is9nontherapeutic9and9shows9an9under9involvement9w
ith9the9parents.9Reading9a9fairy9tale9is9a9therapeutic9and9age-
appropriate9action.9Discussing9feelings9of9an9emotional9draw9with9a9fellow9nurse9is9therapeutic9and9sh
ows9a9willingness9to9understand9feelings.9Working9with9parents9to9decrease9dependence9on9health9car
e9providers9is9therapeutic9and9helps9to9empower9the9family.
DIF: Cognitive9Level:9Analyzing
TOP:9Integrated9Process:9Caring9MSC:9 Client9Needs:9Psychosocial9I
ntegrity
7. The9nurse9is9aware9that9which9age-
group9is9at9risk9for9childhood9injury9because9of9the9cognitive9characteristic9of9magical9and9egoc
entric9thinking?
a. Preschool
b. Young9school9age
c. Middle9school9age
d. Adolescent
ANS:9 A
Preschool9children9have9the9cognitive9characteristic9of9magical9and9egocentric9thinking,9meaning9they9
are9unable9to9comprehend9danger9to9self9or9others.9Young9and9middle9school-
aged9children9have9transitional9cognitive9processes,9and9they9may9attempt9dangerous9acts9without9detai
led9planning9but9recognize9danger9to9themselves9or9others.9Adolescents9have9formal9operational9cogniti
ve9processes9and9are9preoccupied9with9abstract9thinking.
DIF: Cognitive9Level:9Understanding
TOP:9 Nursing9Process:9Assessment9MSC:9 Client9Needs:9Safe9and9Effect
ive9Care9Environment
8. The9school9nurse9is9assessing9children9for9risk9factors9related9to9childhood9injuries.9Which9child9has9
the9most9 risk9factors9related9to9childhood9injury?
a. Female,9multiple9siblings,9stable9home9life
b. Male,9high9activity9level,9stressful9home9life
c. Male,9even9tempered,9history9of9previous9injuries
d. Female,9reacts9negatively9to9new9situations,9no9serious9previous9injuries
ANS:9 B
Boys9have9a9preponderance9for9injuries9over9girls9because9of9a9difference9in9behavioral9characteristics,9
a9high9activity9temperament9is9associated9with9risk-
taking9behaviors,9and9stress9predisposes9children9to9increased9risk9taking9and9self-
destructive9behaviors.9Therefore,9a9male9child9with9a9high9activity9level9and9living9in9a9stressful9enviro
nment9has9the9highest9number9of9risk9factors.9A9girl9with9several9siblings9and9a9stable9home9life9is9low9r
isk.9A9boy9with9previous9injuries9has9two9risk9factors,9but9an9even9temper9is9not9a9risk9factor9for9injuries.
9A9girl9who9reacts9negatively9to9new9situations9but9has9no9previous9serious9 illnesses9 has9only9one9risk9 f
actor.
DIF: Cognitive9Level:9Analyzing
TOP:9 Nursing9Process:9Assessment9MSC:9 Client9Needs:9Safe9and9Effect
ive9Care9Environment
9. An9adolescent9patient9wants9to9make9decisions9about9treatment9options,9along9with9his9parents.9Which9
moral9value9is9the9nurse9displaying9when9supporting9the9adolescent9to9make9decisions?
a. Justice
,Chapter901:9Perspectives9of9Pediatric9Nursing
Hockenberry:9Wong’s9Nursing9Care9of9Infants9and9Children,912th9
Edition
MULTIPLE9CHOICE
1. What9is9the9major9cause9of9death9for9children9in9the9United9States?
a. Heart9disease
b. Childhood9cancer
c. Injuries
d. Congenital9anomalies
ANS:9 C
Unintentional9injuries9(accidents)9are9the9leading9cause9of9death9after9age919year9through9adolescence.9
The9leading9cause9of9death9for9those9younger9than919year9is9congenital9anomalies,9and9childhood9cance
rs9and9heart9disease9cause9a9significantly9lower9percentage9of9deaths9in9children9older9than919 year9of9age
.
DIF: Cognitive9Level:9Understanding
TOP:9Nursing9Process:9Planning9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
2. Parents9of9a9hospitalized9toddler9ask9the9nurse,9“What9is9meant9by9family-
centered9care?”9The9nurse9should9respond9with9which9statement?
a. Family-centered9care9reduces9the9effect9of9cultural9diversity9on9the9family.
b. Family-centered9care9encourages9family9dependence9on9the9health9care9system.
c. Family-centered9care9recognizes9that9the9family9is9the9constant9in9a9child’s9life.
d. Family-centered9care9avoids9expecting9families9to9be9part9of9the9decision-
making9process.
ANS:9 C
The9three9key9components9of9family-centered9care9are9respect,9collaboration,9and9support.9Family-
9centered9care9recognizes9the9family9as9the9constant9in9the9child’s9life.9The9family9should9be9enabled9a
nd9empowered9to9work9with9the9health9care9system9and9is9expected9to9be9part9of9the9decision-
making9process.9The9nurse9should9also9support9the9family’s9cultural9diversity,9 not9reduce9its9effect.
DIF: Cognitive9Level:9Applying
TOP:9Nursing9Process:9Implementation9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
3. Evidence-based9practice9(EBP),9a9decision-making9model,9is9best9described9as9which?
a. Using9information9in9textbooks9to9guide9care
b. Combining9knowledge9with9clinical9experience9and9intuition
c. Using9a9professional9code9of9ethics9as9a9means9for9decision9making
d. Gathering9all9evidence9that9applies9to9the9child’s9health9and9family9situation
ANS:9 B
EBP9helps9focus9on9measurable9outcomes;9the9use9of9demonstrated,9effective9interventions;9and9questi
oning9the9best9approach.9EBP9involves9decision9making9based9on9the9integration9of9the9best9research9ev
idence9combined9with9clinical9expertise9and9patient9values.
,Wong's9Nursing9Care9of9Infants9and9Children912th9Edition9by9Hockenberry9Test9Ban
k
DIF: Cognitive9Level:9Remembering
TOP:9Nursing9Process:9Planning9MSC:9 Client9Needs:9Safe9and9Effect
ive9Care9Environment
4. The9nurse9is9talking9to9a9group9of9parents9of9school-age9children9at9an9after-
school9program9about9childhood9health9problems.9 Which9statement9 should9the9nurse9include9in9th
e9teaching?
a. Childhood9obesity9is9the9most9common9nutritional9problem9among9children.
b. Immunization9rates9are9the9same9among9children9of9different9races9and9ethnicity.
c. Dental9caries9is9not9a9problem9commonly9seen9in9children9since9the9introduction9of9fl
uorinated9water.
d. Mental9health9problems9are9typically9not9seen9in9school-
age9children9but9may9be9diagnosed9 in9adolescents.
ANS:9 A
When9teaching9parents9of9school-
age9children9about9childhood9health9problems,9the9nurse9should9include9information9about9childhood9o
besity9because9it9is9the9most9common9problem9among9children9and9is9associated9with9type929diabetes.9
Teaching9parents9about9ways9to9prevent9obesity9is9important9to9include.9Immunization9rates9differ9depe
nding9on9the9child’s9race9and9ethnicity;9dental9caries9continues9to9be9a9common9chronic9disease9in9child
hood;9and9mental9health9problems9are9seen9in9children9as9young9as9school9age,9not9 just9 in9adolescents.
DIF: Cognitive9Level:9Applying
TOP:9Integrated9Process:9Teaching/Learning9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
5. The9nurse9is9planning9care9for9a9hospitalized9preschool-
aged9child.9Which9should9the9nurse9plan9to9ensure9atraumatic9care?
a. Limit9explanation9of9procedures9because9the9child9is9preschool9aged.
b. Ask9that9all9family9members9leave9the9room9when9performing9procedures.
c. Allow9the9child9to9choose9the9type9of9juice9to9drink9 with9the9administration9of9oral9m
edications.
d. Explain9that9EMLA9cream9cannot9be9used9for9the9morning9lab9draw9because9there9i
s9not9time9for9it9to9be9effective.
ANS:9 C
The9overriding9goal9in9providing9atraumatic9care9is9first,9do9no9harm.9Allowing9the9child,9a9choice9of9
juice9to9drink9when9taking9oral9medications9provides9the9child9with9a9sense9of9control.9The9preschool9
child9should9be9prepared9before9procedures,9so9limiting9explanations9of9procedures9would9increase9a
nxiety.9The9family9should9be9allowed9to9stay9with9the9child9during9procedures,9minimizing9 stress.
Lidocaine/prilocaine9(EMLA)9cream9is9a9topical9local9anesthetic.9The9nurse9should9plan9to9use9the9prescrib
ed9cream9in9time9for9morning9laboratory9draws9to9minimize9pain.
DIF: Cognitive9Level:9Applying
TOP:9Nursing9Process:9Planning9MSC:9 Client9Needs:9Health9Promoti
on9and9Maintenance
6. Which9situation9denotes9a9nontherapeutic9nurse–patient–family9relationship?
a. The9nurse9is9planning9to9read9a9favorite9fairy9tale9to9a9patient.
b. During9shift9report,9the9nurse9is9criticizing9parents9for9not9visiting9their9child.
c. The9nurse9is9discussing9with9a9fellow9nurse9the9emotional9draw9to9a9certain9patient.
d. The9nurse9is9working9with9a9family9to9find9ways9to9decrease9the9family’s9dependenc
e9on9health9care9providers.
, Wong's9Nursing9Care9of9Infants9and9Children912th9Edition9by9Hockenberry9Test9Ban
k
ANS:9 B
Criticizing9parents9for9not9visiting9in9shift9report9is9nontherapeutic9and9shows9an9under9involvement9w
ith9the9parents.9Reading9a9fairy9tale9is9a9therapeutic9and9age-
appropriate9action.9Discussing9feelings9of9an9emotional9draw9with9a9fellow9nurse9is9therapeutic9and9sh
ows9a9willingness9to9understand9feelings.9Working9with9parents9to9decrease9dependence9on9health9car
e9providers9is9therapeutic9and9helps9to9empower9the9family.
DIF: Cognitive9Level:9Analyzing
TOP:9Integrated9Process:9Caring9MSC:9 Client9Needs:9Psychosocial9I
ntegrity
7. The9nurse9is9aware9that9which9age-
group9is9at9risk9for9childhood9injury9because9of9the9cognitive9characteristic9of9magical9and9egoc
entric9thinking?
a. Preschool
b. Young9school9age
c. Middle9school9age
d. Adolescent
ANS:9 A
Preschool9children9have9the9cognitive9characteristic9of9magical9and9egocentric9thinking,9meaning9they9
are9unable9to9comprehend9danger9to9self9or9others.9Young9and9middle9school-
aged9children9have9transitional9cognitive9processes,9and9they9may9attempt9dangerous9acts9without9detai
led9planning9but9recognize9danger9to9themselves9or9others.9Adolescents9have9formal9operational9cogniti
ve9processes9and9are9preoccupied9with9abstract9thinking.
DIF: Cognitive9Level:9Understanding
TOP:9 Nursing9Process:9Assessment9MSC:9 Client9Needs:9Safe9and9Effect
ive9Care9Environment
8. The9school9nurse9is9assessing9children9for9risk9factors9related9to9childhood9injuries.9Which9child9has9
the9most9 risk9factors9related9to9childhood9injury?
a. Female,9multiple9siblings,9stable9home9life
b. Male,9high9activity9level,9stressful9home9life
c. Male,9even9tempered,9history9of9previous9injuries
d. Female,9reacts9negatively9to9new9situations,9no9serious9previous9injuries
ANS:9 B
Boys9have9a9preponderance9for9injuries9over9girls9because9of9a9difference9in9behavioral9characteristics,9
a9high9activity9temperament9is9associated9with9risk-
taking9behaviors,9and9stress9predisposes9children9to9increased9risk9taking9and9self-
destructive9behaviors.9Therefore,9a9male9child9with9a9high9activity9level9and9living9in9a9stressful9enviro
nment9has9the9highest9number9of9risk9factors.9A9girl9with9several9siblings9and9a9stable9home9life9is9low9r
isk.9A9boy9with9previous9injuries9has9two9risk9factors,9but9an9even9temper9is9not9a9risk9factor9for9injuries.
9A9girl9who9reacts9negatively9to9new9situations9but9has9no9previous9serious9 illnesses9 has9only9one9risk9 f
actor.
DIF: Cognitive9Level:9Analyzing
TOP:9 Nursing9Process:9Assessment9MSC:9 Client9Needs:9Safe9and9Effect
ive9Care9Environment
9. An9adolescent9patient9wants9to9make9decisions9about9treatment9options,9along9with9his9parents.9Which9
moral9value9is9the9nurse9displaying9when9supporting9the9adolescent9to9make9decisions?
a. Justice
