Item Bank: Hockenberry Wong Essentials of Pediatric Nursing 10th Edition
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.
SU
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
PE
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
Reference/Notes:
RS
Keywords:
OL
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
UT
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
IO
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
NS
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?
Med C
, 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:
SU
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:
PE
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
RS
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
OL
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
UT
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
IO
Cumulative: 0.00 0.00 0.00 0.00
NS
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
Med C
, 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 (%)
SU
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
PE
RS
4. Question Name: 0004 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry
OL
Wong Essentials of Pediatric Nurs 19Ed
Which leading cause of death topic should the nurse emphasize to a group of African-American
UT
boys ranging in ages 15 to 19 years?
A. Suicide
B. Cancer
IO
* C. Firearm homicide
D. Occupational injuries
NS
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:
Med C
, 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
SU
Which is the major cause of death for children older than 1 year?
A. Cancer
B. Heart disease
PE
* C. Unintentional injuries
D. Congenital anomalies
RS
Correct Answer: C
OL
Explanation/Rationale:
ANS: C
UT
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.
IO
Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth
in the majority of the age groups.
NS
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
Med C
, 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
SU
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
PE
the age. Fire- and burn-related fatalities are the second-leading cause of death.
RS
PTS: 1 DIF: Cognitive Level: Remember REF: 4
TOP: Integrated Process: Nursing Process: Assessment
OL
MSC: Area of Client Needs: Health Promotion and Maintenance
Reference/Notes:
UT
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
IO
Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used:
Difficulty: Easy Discrimination: Low
NS
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
Med C
, 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
SU
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
Reference/Notes:
PE
Keywords:
RS
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:
OL
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
UT
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
IO
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
NS
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
Med C
, 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
SU
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
PE
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
RS
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
OL
Cumulative: 0.00 0.00 0.00 0.00
UT
9. Question Name: 0009 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry
IO
Wong Essentials of Pediatric Nurs 19Ed
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
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care the nurse is delivering?
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.
Med C
, 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
SU
PE
10. Question Name: 0010 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank:
Hockenberry Wong Essentials of Pediatric Nurs 19Ed
RS
The nurse is preparing an in-service education to staff about atraumatic care for pediatric
patients. Which intervention should the nurse include?
OL
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
UT
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.
IO
Correct Answer: B
NS
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:
Med C
, 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
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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.
PE
C. Nurse is able to withdraw emotionally when emotional overload occurs but still remains
committed.
RS
D. Nurse uses teaching skills to instruct patient and family rather than doing everything for
them.
OL
Correct Answer: A
UT
Explanation/Rationale:
ANS: A
IO
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
NS
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 (%):
Med C
, 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
SU
Explanation/Rationale:
ANS: B
PE
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
RS
rational and deliberate thought. Clinical reasoning is not a guessing process.
OL
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
UT
Reference/Notes:
IO
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
NS
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:
Med C
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.
SU
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
PE
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
Reference/Notes:
RS
Keywords:
OL
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
UT
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
IO
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
NS
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?
Med C
, 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:
SU
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:
PE
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
RS
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
OL
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
UT
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
IO
Cumulative: 0.00 0.00 0.00 0.00
NS
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
Med C
, 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 (%)
SU
A B C D
Last: 0.00 0.00 0.00 0.00
Cumulative: 0.00 0.00 0.00 0.00
PE
RS
4. Question Name: 0004 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry
OL
Wong Essentials of Pediatric Nurs 19Ed
Which leading cause of death topic should the nurse emphasize to a group of African-American
UT
boys ranging in ages 15 to 19 years?
A. Suicide
B. Cancer
IO
* C. Firearm homicide
D. Occupational injuries
NS
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:
Med C
, 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
SU
Which is the major cause of death for children older than 1 year?
A. Cancer
B. Heart disease
PE
* C. Unintentional injuries
D. Congenital anomalies
RS
Correct Answer: C
OL
Explanation/Rationale:
ANS: C
UT
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.
IO
Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth
in the majority of the age groups.
NS
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
Med C
, 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
SU
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
PE
the age. Fire- and burn-related fatalities are the second-leading cause of death.
RS
PTS: 1 DIF: Cognitive Level: Remember REF: 4
TOP: Integrated Process: Nursing Process: Assessment
OL
MSC: Area of Client Needs: Health Promotion and Maintenance
Reference/Notes:
UT
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
IO
Date Created: 03/17/13 17:03:50 Date Modified: 03/17/13 17:03:50 Date Used:
Difficulty: Easy Discrimination: Low
NS
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
Med C
, 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
SU
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
Reference/Notes:
PE
Keywords:
RS
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:
OL
Difficulty: Easy Discrimination: Low
Item Analysis: Last Item Analysis: Cumulative
No. of Students Responded: 0 No. of Students Responded: 0
UT
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
IO
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
NS
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
Med C
, 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
SU
Correct Responses (%): Correct Responses (%):
Total Group: 0.00 Total Group: 0.00
Upper 27% of Group: 0.00 Upper 27% of Group: 0.00
PE
Lower 27% of Group: 0.00 Lower 27% of Group: 0.00
Point Biserial: 0.00 Point Biserial: 0.00
RS
Response Frequencies (%)
A B C D
Last: 0.00 0.00 0.00 0.00
OL
Cumulative: 0.00 0.00 0.00 0.00
UT
9. Question Name: 0009 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank: Hockenberry
IO
Wong Essentials of Pediatric Nurs 19Ed
A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
NS
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.
Med C
, 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
SU
PE
10. Question Name: 0010 Type: MC Objective: CH 01: Perspectives of Pediatric Nursing Item Bank:
Hockenberry Wong Essentials of Pediatric Nurs 19Ed
RS
The nurse is preparing an in-service education to staff about atraumatic care for pediatric
patients. Which intervention should the nurse include?
OL
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
UT
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.
IO
Correct Answer: B
NS
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:
Med C
, 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
SU
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.
PE
C. Nurse is able to withdraw emotionally when emotional overload occurs but still remains
committed.
RS
D. Nurse uses teaching skills to instruct patient and family rather than doing everything for
them.
OL
Correct Answer: A
UT
Explanation/Rationale:
ANS: A
IO
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
NS
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 (%):
Med C
, 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
SU
Explanation/Rationale:
ANS: B
PE
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
RS
rational and deliberate thought. Clinical reasoning is not a guessing process.
OL
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
UT
Reference/Notes:
IO
Keywords:
Points: 1.00 Penalty: 0.00 Score Mode: Active
NS
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:
Med C
