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Test Bank for Wong's Nursing Care of Infants and Children 12th Edition by Marilyn J. Hockenberry, Elizabeth A. Duffy, and Karen Gibbs

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Test Bank for Wong's Nursing Care of Infants and Children 12th Edition by Marilyn J. Hockenberry, Elizabeth A. Duffy, Karen Gibbs

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Test Bank for Wong's Nursing Care of Infants
and Children 12th Edition

,Chapter 01: Perspectives of Pediatric Nursing
Multiple Choice Questions

1. A clinic nurse is comparing infant mortality rates in the United States to those in other
countries with populations of at least 25 million. What conclusion does the nurse reach?

a. The United States has the highest infant mortality rate among 27 countries.
b. The United States ranks similarly to 20 other developed nations.
c. The United States falls in the middle among 20 other developed countries.
d. The United States has the lowest infant mortality rate among 27 industrialized nations.

Answer: A
Despite a decline in infant deaths, the United States continues to have the highest infant
mortality rate among developed countries with populations exceeding 25 million.
Cognitive Level: Recall
Nursing Process: Assessment
Client Needs: Health Promotion and Maintenance

2. What is the leading cause of death in infants under one year old in the United States?

a. Birth defects
b. Sudden infant death syndrome
c. Complications from preterm birth and low birth weight
d. Maternal health complications during pregnancy and delivery

Answer: A
Birth defects account for 20.1% of infant deaths, compared to 8.2% from sudden infant death
syndrome, 16.5% from preterm birth and low birth weight, and 6.1% from maternal
complications during pregnancy and childbirth.
Cognitive Level: Recall
Client Needs: Health Promotion and Maintenance

3. What is the primary cause of death in children over the age of one in the United States?

a. Heart disease
b. Childhood cancer
c. Accidental injuries
d. Birth defects

Answer: C
Unintentional injuries, such as accidents, are the leading cause of death from age one through

, adolescence. In contrast, congenital anomalies are the primary cause of death in infants, while
heart disease and childhood cancers account for fewer deaths in children over one year old.
Cognitive Level: Understanding
Client Needs: Health Promotion and Maintenance

4. In addition to accidental injuries, which causes of death are most common among adolescents
aged 15 to 19?

a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease

Answer: B
Suicide and homicide together account for 16.7% of deaths in this age group. In comparison,
suicide and cancer represent 10.9%, heart disease and cancer about 5.5%, and homicide and
heart disease about 10.9%.
Cognitive Level: Recall
Client Needs: Health Promotion and Maintenance

5. When discussing accidental deaths with adolescents, what should the nurse emphasize?

a. Males experience more fatal injuries than females.
b. Females experience more fatal injuries than males.
c. Death rates from injuries are consistent across all age groups and genders.
d. Death rates from injuries are similar among different ethnic groups.

Answer: A
Males are more likely to die from unintentional injuries. Death rates from injuries vary based
on gender, age, and ethnicity.
Cognitive Level: Application
Nursing Process: Teaching/Learning
Client Needs: Health Promotion and Maintenance

6. What do mortality statistics measure?

a. The frequency of a disease in a specific geographic area
b. The number of deaths within a defined period
c. The occurrence of specific illnesses in a population at a given time
d. The unexpected rise in disease cases within a community

, Answer: B
Mortality statistics track the number of deaths over a specific time frame, while morbidity
statistics measure the prevalence of illness in a population.
Cognitive Level: Recall
Client Needs: Health Promotion and Maintenance

7. In which age group is suicide the third leading cause of death?

a. Preschoolers
b. Young school-age children
c. Middle school-age children
d. Older school-age children and adolescents

Answer: D
Suicide ranks as the third leading cause of death among children aged 10 to 19. It is not among
the primary causes of death for younger children.
Cognitive Level: Understanding
Nursing Process: Assessment
Client Needs: Health Promotion and Maintenance

8. A hospitalized toddler's parents ask about family-centered care. How should the nurse respond?

a. It minimizes cultural differences in family dynamics.
b. It promotes reliance on the healthcare system.
c. It acknowledges the family as a central presence in the child’s life.
d. It limits the family’s involvement in decision-making.

Answer: C
Family-centered care focuses on respect, collaboration, and support, emphasizing the family as
a constant in the child's life. Families are encouraged to participate in decision-making.
Cognitive Level: Application
Nursing Process: Implementation
Client Needs: Health Promotion and Maintenance

9. Which statement best describes clinical reasoning?

a. It is purposeful and goal-directed.
b. It is a simple and automatic process.
c. It is based on irrational and impulsive thinking.
d. It involves guessing the most appropriate course of action.

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