WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
WONGS ESSENTIALS OF PEDIATRIC NURSING
11TH EDITION HOCKENBERRY TEST BANK
UPDATED VERSION CLEAR QUESTIONS AND TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
ANSWERS
Chapter 01: Perspectives of Pediatric Nursing Hockenberry: Wong’s Essentials of 3. Which is the leading cause of death in infants younger than 1 year?
Pediatric Nursing, 11th Edition a. Congenital anomalies
b. Sudden infant death syndrome
c. Respiratory distress syndrome
MULTIPLE CHOICE d. Bacterial sepsis of the newborn
1. 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 ANS: A
statistics are included in the data. Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
b. It explains effectiveness of treatment. infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
c. Cost-effective treatment is detailed for the general population. syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinatal
d. High-risk age groups for certain disorders or hazards are identified. period account for 2.7% of deaths in this age group.
DIF: Cognitive Level: Remember REF: p. 6
TOP: Integrated Process: Nursing Process: Assessment
ANS: D
MSC: Area of Client Needs: Health Promotion and Maintenance
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
4. Which leading cause of death topic should the nurse emphasize to a group of African-American
mortality data. Treatment modalities and cost are not included in morbidity and mortality
boys ranging in age from 15 to 19 years? a. Suicide
data.
b. Cancer
c. Firearm homicide
DIF: Cognitive Level: Apply REF: p. 11
TOP: Integrated Process: Nursing Process: Planning d. Occupational injuries
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity prevention for parents of ANS: C
school-age children. The nurse should include which associated risk of obesity in the teaching Firearm homicide is the second overall cause of death in this age group and the leading cause
plan? of death in African-American males. Suicide is the third-leading cause of death in this
a. Type I diabetes population. Cancer, although a major health problem, is the fourth-leading cause of death in
b. Respiratory disease this age group. Occupational injuries do not contribute to a significant death rate for this age
c. Celiac disease group.
d. Type II diabetes
DIF: Cognitive Level: Understand REF: p. 7
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I 5. Which is the major cause of death for children older than 1 year?
diabetes is not associated with obesity and has a genetic component. Respiratory disease is not a. Cancer
associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is b. Heart disease
not associated with obesity. c. Unintentional injuries
d. Congenital anomalies
DIF: Cognitive Level: Apply REF: p. 2 NURSINGTB.COM
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ANS: C DIF: Cognitive Level: Understand REF: p. 3
Unintentional injuries (accidents) are the leading cause of death after age 1 year through TOP: Integrated Process: Nursing Process: Planning
adolescence. Congenital anomalies are the leading cause of death in those younger than 1 MSC: Area of Client Needs: Health Promotion and Maintenance
year. Cancer ranks either second or fourth, depending on the age group, and heart disease
ranks fifth in the majority of the age groups. 8. Which is now referred to as the “new morbidity”?
a. Limitations in the major activities of daily living
DIF: Cognitive Level: Remember REF: p. 7 b. Unintentional injuries that cause chronic health problems
TOP: Integrated Process: Nursing Process: Planning c. Discoveries of new therapies to treat health problems
MSC: Area of Client Needs: Health Promotion and Maintenance d. Behavioral, social, and educational problems that alter health
NURSINGTB.COM
6. Which is the leading cause of death from unintentional injuries for females ranging in age from ANS: D
1 to 14? The new morbidity reflects the behavioral, social, and educational problems that interfere with
a. Mechanical suffocation the child’s social and academic development. It is currently estimated that the incidence of
b. Drowning these issues is from 5% to 30%. Limitations in major activities of daily living and
c. Motor vehicle–related fatalities unintentional injuries that result in chronic health problems are included in morbidity data.
d. Fire- and burn-related fatalities Discovery of new therapies would be reflected in changes in morbidity data over time.
DIF: Cognitive Level: Remember REF: p. 2
TOP: Integrated Process: Nursing Process: Assessment
ANS: C MSC: Area of Client Needs: Health Promotion and Maintenance
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,
9. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
depending on the age. Drowning is the second- or third-leading cause of death, depending on care the nurse is delivering?
the age. Fire- and burn-related fatalities are the second-leading cause of death.
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
DIF: Cognitive Level: Remember REF: p. 3
c. Recognizing that the family is the constant in a child’s life
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance d. Excluding families from the decision-making process
7. Which factor most impacts the type of injury a child is susceptible to, according to the child’s
age? ANS: C
a. Physical health of the child The three key components of family-centered care are respect, collaboration, and support.
b. Developmental level of the child Family-centered care recognizes the family as the constant in the child’s life. Taking over
c. Educational level of the child total care does not include the family in the process and may increase stress instead of
d. Number of responsible adults in the home 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.
DIF: Cognitive Level: Remember REF: p. 7
ANS: B
TOP: Integrated Process: Nursing Process: Implementation
The child’s developmental stage determines the type of injury that is likely to occur. The MSC: Area of Client Needs: Health Promotion and Maintenance
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
10. The nurse is preparing an in-service education to staff about atraumatic care for pediatric
important as the child’s developmental level in determining the type of injury. The number of
patients. Which intervention should the nurse include?
responsible adults in the home may affect the number of unintentional injuries, but the type of
a. Prepare the child for separation from parents during hospitalization by reviewing a video.
injury is related to the child’s developmental stage.
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, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a c. Based on deliberate and irrational thought
stuffed animal. d. Assists individuals in guessing what is most appropriate
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.
ANS: B
Clinical reasoning is a complex, developmental process based on rational and deliberate
ANS: B thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, rational and deliberate thought. Clinical reasoning is not a guessing process.
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of atraumatic care. In the provision of DIF: Cognitive Level: Understand REF: p. 10
atraumatic care, the separation of child from parents during hospitalization is minimized. The TOP: Integrated Process: Nursing Process: Planning
nurse should promote a sense of control for the child. Preventing and minimizing bodily MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
injury and pain are major components of atraumatic care.
13. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood.
DIF: Cognitive Level: Understand REF: p. 8 Which ethical principle is the nurse demonstrating? a. Autonomy
TOP: Integrated Process: Nursing Process: Implementation b. Beneficence
MSC: Area of Client Needs: Psychosocial Integrity c. Justice
d. Truthfulness
11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and
family? NURSINGTB.COM
a. Staff is concerned about the nurse’s actions with the patient and family.
ANS: B
b. Staff assignments allow the nurse to care for same patient and family over an extended
Beneficence is the obligation to promote the patient’s well-being. Applying a topical
time.
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still remains
Autonomy is the patient’s right to be self-governing. Justice is the concept of fairness.
committed.
Truthfulness is the concept of honesty.
d. Nurse uses teaching skills to instruct patient and family rather than doing everything for
them.
DIF: Cognitive Level: Understand REF: p. 10
TOP: Integrated Process: Nursing Process: Implementation MSC:
Area of Client Needs: Physiological Integrity
ANS: A NURSINGTB.COM
An clue to a nontherapeutic staff-patient relationship is concern of other staff members. 14. Which action by the nurse demonstrates use of evidence-based practice (EBP)?
Allowing the nurse to care for the same patient over time would be therapeutic for the patient a. Gathering equipment for a procedure
and family. Nurses who are able to somewhat withdraw emotionally can protect themselves b. Documenting changes in a patient’s status
while providing therapeutic care. Nurses using teaching skills to instruct patient and family c. Questioning the use of daily central line dressing changes
will assist in transitioning the child and family to self-care. d. Clarifying a physician’s prescription for morphine
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity ANS: C
The nurse who questions the daily central line dressing change is ascertaining whether clinical
12. Which is most descriptive of clinical reasoning? interventions result in positive outcomes for patients. This demonstrates EBP, which implies
a. A simple developmental process questioning why something is effective and whether a better approach exists. Gathering
b. Purposeful and goal-directed equipment for a procedure and documenting changes in a patient’s status are practices that
NURSINGTB.COM NURSINGTB.COM
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
follow established guidelines. Clarifying a physician’s prescription for morphine constitutes documenting assessments and reassessments, patient’s response, and outcome, but do not
safe nursing care. include all three.
DIF: Cognitive Level: Apply REF: p. 10 DIF: Cognitive Level: Analyze REF: p. 12
TOP: Integrated Process: Nursing Process: Evaluation TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
15. A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently 17. A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is
sitting comfortably on a parent’s lap. The parents state they will need to leave for a brief period. the priority for this class?
Which type of nursing diagnosis should the nurse formulate for this child? a. Risk for anxiety a. Appropriate use of car seat restraints
b. Anxiety b. Safety crossing the street
c. Readiness for enhanced coping c. Helmet use when riding a bicycle
d. Ineffective coping d. Poison control numbers
ANS: A ANS: A
A potential problem is categorized as a risk. The toddler has a risk to become anxious when Motor vehicle accidents (MVAs) continue to be the most common cause of death in children
the parents leave. Nursing interventions will be geared toward reducing the risk. The child is older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety
not showing current anxiety or ineffective coping. The child is not at a point for readiness for crossing the street and bicycle helmet use are topics that should be included for preschool
enhanced coping, especially because the parents will be leaving. 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
DIF: Cognitive Level: Remember REF: p. 11 over appropriate use of car seat restraints.
TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Health Promotion and Maintenance DIF: Cognitive Level: Apply REF: p. 3
TOP: Integrated Process: Nursing Process: Planning
16. A child has a postoperative appendectomy incision covered by a dressing. The nurse has just MSC: Area of Client Needs: Health Promotion and Maintenance
completed a prescribed dressing change for this child. Which description is an accurate
documentation of this procedure? 18. A nurse is collecting subjective and objective information about target populations to diagnose
a. Dressing change to appendectomy incision completed, child tolerated procedure well, problems based on community needs. This describes which step in the community nursing
parent present process? a. Planning
b. No complications noted during dressing change to appendectomy incision b. Diagnosis
c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, c. Assessment
new dressing applied, procedure tolerated well by child d. Establishing objectives
d. No changes to appendectomy incisional area, dressing changed, child complained of pain
during procedure, new dressing clean, dry and intact
ANS: C
The nursing process stages are similar, whether the client is one child or a population of
ANS: C children. The assessment phase of the nursing process focuses on collecting subjective and
The nurse should document assessments and reassessments. Appearance of the incision objective data. Planning is the development of community-centered goals and objectives.
described in objective terms should be included during a dressing change. The nurse should Diagnosis is the identification of problems specific to the community.
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 DIF: Cognitive Level: Understand REF: p. 11
NURSINGTB.COM response. The other statements partially fulfill the requirements of TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
NURSINGTB.COM NURSINGTB.COM
WONGS ESSENTIALS OF PEDIATRIC NURSING
11TH EDITION HOCKENBERRY TEST BANK
UPDATED VERSION CLEAR QUESTIONS AND TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
ANSWERS
Chapter 01: Perspectives of Pediatric Nursing Hockenberry: Wong’s Essentials of 3. Which is the leading cause of death in infants younger than 1 year?
Pediatric Nursing, 11th Edition a. Congenital anomalies
b. Sudden infant death syndrome
c. Respiratory distress syndrome
MULTIPLE CHOICE d. Bacterial sepsis of the newborn
1. 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 ANS: A
statistics are included in the data. Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
b. It explains effectiveness of treatment. infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
c. Cost-effective treatment is detailed for the general population. syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinatal
d. High-risk age groups for certain disorders or hazards are identified. period account for 2.7% of deaths in this age group.
DIF: Cognitive Level: Remember REF: p. 6
TOP: Integrated Process: Nursing Process: Assessment
ANS: D
MSC: Area of Client Needs: Health Promotion and Maintenance
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
4. Which leading cause of death topic should the nurse emphasize to a group of African-American
mortality data. Treatment modalities and cost are not included in morbidity and mortality
boys ranging in age from 15 to 19 years? a. Suicide
data.
b. Cancer
c. Firearm homicide
DIF: Cognitive Level: Apply REF: p. 11
TOP: Integrated Process: Nursing Process: Planning d. Occupational injuries
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity prevention for parents of ANS: C
school-age children. The nurse should include which associated risk of obesity in the teaching Firearm homicide is the second overall cause of death in this age group and the leading cause
plan? of death in African-American males. Suicide is the third-leading cause of death in this
a. Type I diabetes population. Cancer, although a major health problem, is the fourth-leading cause of death in
b. Respiratory disease this age group. Occupational injuries do not contribute to a significant death rate for this age
c. Celiac disease group.
d. Type II diabetes
DIF: Cognitive Level: Understand REF: p. 7
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I 5. Which is the major cause of death for children older than 1 year?
diabetes is not associated with obesity and has a genetic component. Respiratory disease is not a. Cancer
associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is b. Heart disease
not associated with obesity. c. Unintentional injuries
d. Congenital anomalies
DIF: Cognitive Level: Apply REF: p. 2 NURSINGTB.COM
NURSINGTB.COM NURSINGTB.COM
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
ANS: C DIF: Cognitive Level: Understand REF: p. 3
Unintentional injuries (accidents) are the leading cause of death after age 1 year through TOP: Integrated Process: Nursing Process: Planning
adolescence. Congenital anomalies are the leading cause of death in those younger than 1 MSC: Area of Client Needs: Health Promotion and Maintenance
year. Cancer ranks either second or fourth, depending on the age group, and heart disease
ranks fifth in the majority of the age groups. 8. Which is now referred to as the “new morbidity”?
a. Limitations in the major activities of daily living
DIF: Cognitive Level: Remember REF: p. 7 b. Unintentional injuries that cause chronic health problems
TOP: Integrated Process: Nursing Process: Planning c. Discoveries of new therapies to treat health problems
MSC: Area of Client Needs: Health Promotion and Maintenance d. Behavioral, social, and educational problems that alter health
NURSINGTB.COM
6. Which is the leading cause of death from unintentional injuries for females ranging in age from ANS: D
1 to 14? The new morbidity reflects the behavioral, social, and educational problems that interfere with
a. Mechanical suffocation the child’s social and academic development. It is currently estimated that the incidence of
b. Drowning these issues is from 5% to 30%. Limitations in major activities of daily living and
c. Motor vehicle–related fatalities unintentional injuries that result in chronic health problems are included in morbidity data.
d. Fire- and burn-related fatalities Discovery of new therapies would be reflected in changes in morbidity data over time.
DIF: Cognitive Level: Remember REF: p. 2
TOP: Integrated Process: Nursing Process: Assessment
ANS: C MSC: Area of Client Needs: Health Promotion and Maintenance
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,
9. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
depending on the age. Drowning is the second- or third-leading cause of death, depending on care the nurse is delivering?
the age. Fire- and burn-related fatalities are the second-leading cause of death.
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
DIF: Cognitive Level: Remember REF: p. 3
c. Recognizing that the family is the constant in a child’s life
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance d. Excluding families from the decision-making process
7. Which factor most impacts the type of injury a child is susceptible to, according to the child’s
age? ANS: C
a. Physical health of the child The three key components of family-centered care are respect, collaboration, and support.
b. Developmental level of the child Family-centered care recognizes the family as the constant in the child’s life. Taking over
c. Educational level of the child total care does not include the family in the process and may increase stress instead of
d. Number of responsible adults in the home 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.
DIF: Cognitive Level: Remember REF: p. 7
ANS: B
TOP: Integrated Process: Nursing Process: Implementation
The child’s developmental stage determines the type of injury that is likely to occur. The MSC: Area of Client Needs: Health Promotion and Maintenance
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
10. The nurse is preparing an in-service education to staff about atraumatic care for pediatric
important as the child’s developmental level in determining the type of injury. The number of
patients. Which intervention should the nurse include?
responsible adults in the home may affect the number of unintentional injuries, but the type of
a. Prepare the child for separation from parents during hospitalization by reviewing a video.
injury is related to the child’s developmental stage.
NURSINGTB.COM NURSINGTB.COM
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b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a c. Based on deliberate and irrational thought
stuffed animal. d. Assists individuals in guessing what is most appropriate
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.
ANS: B
Clinical reasoning is a complex, developmental process based on rational and deliberate
ANS: B thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, rational and deliberate thought. Clinical reasoning is not a guessing process.
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of atraumatic care. In the provision of DIF: Cognitive Level: Understand REF: p. 10
atraumatic care, the separation of child from parents during hospitalization is minimized. The TOP: Integrated Process: Nursing Process: Planning
nurse should promote a sense of control for the child. Preventing and minimizing bodily MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
injury and pain are major components of atraumatic care.
13. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood.
DIF: Cognitive Level: Understand REF: p. 8 Which ethical principle is the nurse demonstrating? a. Autonomy
TOP: Integrated Process: Nursing Process: Implementation b. Beneficence
MSC: Area of Client Needs: Psychosocial Integrity c. Justice
d. Truthfulness
11. Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and
family? NURSINGTB.COM
a. Staff is concerned about the nurse’s actions with the patient and family.
ANS: B
b. Staff assignments allow the nurse to care for same patient and family over an extended
Beneficence is the obligation to promote the patient’s well-being. Applying a topical
time.
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still remains
Autonomy is the patient’s right to be self-governing. Justice is the concept of fairness.
committed.
Truthfulness is the concept of honesty.
d. Nurse uses teaching skills to instruct patient and family rather than doing everything for
them.
DIF: Cognitive Level: Understand REF: p. 10
TOP: Integrated Process: Nursing Process: Implementation MSC:
Area of Client Needs: Physiological Integrity
ANS: A NURSINGTB.COM
An clue to a nontherapeutic staff-patient relationship is concern of other staff members. 14. Which action by the nurse demonstrates use of evidence-based practice (EBP)?
Allowing the nurse to care for the same patient over time would be therapeutic for the patient a. Gathering equipment for a procedure
and family. Nurses who are able to somewhat withdraw emotionally can protect themselves b. Documenting changes in a patient’s status
while providing therapeutic care. Nurses using teaching skills to instruct patient and family c. Questioning the use of daily central line dressing changes
will assist in transitioning the child and family to self-care. d. Clarifying a physician’s prescription for morphine
DIF: Cognitive Level: Analyze REF: p. 8
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity ANS: C
The nurse who questions the daily central line dressing change is ascertaining whether clinical
12. Which is most descriptive of clinical reasoning? interventions result in positive outcomes for patients. This demonstrates EBP, which implies
a. A simple developmental process questioning why something is effective and whether a better approach exists. Gathering
b. Purposeful and goal-directed equipment for a procedure and documenting changes in a patient’s status are practices that
NURSINGTB.COM NURSINGTB.COM
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
follow established guidelines. Clarifying a physician’s prescription for morphine constitutes documenting assessments and reassessments, patient’s response, and outcome, but do not
safe nursing care. include all three.
DIF: Cognitive Level: Apply REF: p. 10 DIF: Cognitive Level: Analyze REF: p. 12
TOP: Integrated Process: Nursing Process: Evaluation TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
15. A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently 17. A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is
sitting comfortably on a parent’s lap. The parents state they will need to leave for a brief period. the priority for this class?
Which type of nursing diagnosis should the nurse formulate for this child? a. Risk for anxiety a. Appropriate use of car seat restraints
b. Anxiety b. Safety crossing the street
c. Readiness for enhanced coping c. Helmet use when riding a bicycle
d. Ineffective coping d. Poison control numbers
ANS: A ANS: A
A potential problem is categorized as a risk. The toddler has a risk to become anxious when Motor vehicle accidents (MVAs) continue to be the most common cause of death in children
the parents leave. Nursing interventions will be geared toward reducing the risk. The child is older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety
not showing current anxiety or ineffective coping. The child is not at a point for readiness for crossing the street and bicycle helmet use are topics that should be included for preschool
enhanced coping, especially because the parents will be leaving. 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
DIF: Cognitive Level: Remember REF: p. 11 over appropriate use of car seat restraints.
TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Health Promotion and Maintenance DIF: Cognitive Level: Apply REF: p. 3
TOP: Integrated Process: Nursing Process: Planning
16. A child has a postoperative appendectomy incision covered by a dressing. The nurse has just MSC: Area of Client Needs: Health Promotion and Maintenance
completed a prescribed dressing change for this child. Which description is an accurate
documentation of this procedure? 18. A nurse is collecting subjective and objective information about target populations to diagnose
a. Dressing change to appendectomy incision completed, child tolerated procedure well, problems based on community needs. This describes which step in the community nursing
parent present process? a. Planning
b. No complications noted during dressing change to appendectomy incision b. Diagnosis
c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old dressing, c. Assessment
new dressing applied, procedure tolerated well by child d. Establishing objectives
d. No changes to appendectomy incisional area, dressing changed, child complained of pain
during procedure, new dressing clean, dry and intact
ANS: C
The nursing process stages are similar, whether the client is one child or a population of
ANS: C children. The assessment phase of the nursing process focuses on collecting subjective and
The nurse should document assessments and reassessments. Appearance of the incision objective data. Planning is the development of community-centered goals and objectives.
described in objective terms should be included during a dressing change. The nurse should Diagnosis is the identification of problems specific to the community.
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 DIF: Cognitive Level: Understand REF: p. 11
NURSINGTB.COM response. The other statements partially fulfill the requirements of TOP: Integrated Process: Communication and Documentation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
NURSINGTB.COM NURSINGTB.COM
