Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
e e e e e e e e e e e e
,Chapter 01: Perspectives of Pediatric Nursing
e e e e e
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th Ed
e e e e e e e e ee
ition
MULTIPLE CHOICE e
1. What is the major cause of death for children in the United States?
e e e e e e e e e e e e
a. Heart disease e
b. Childhood cancer e
c. Injuries
d. Congenital anomalies e
ANS: C e
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The
e e e e e e e e e e e e e e e e
leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and h
e e e e e e e e e e e e e e e e e
eart disease cause a significantly lower percentage of deaths in children older than 1 year of age.
e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Understanding e e
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
e e e e e e e e e e e e
centered care?‖ The nurse should respond with which statement?
e e e e e e e e
a. Family-centered care reduces the effect of cultural diversity on the family. e e e e e e e e e e
b. Family-centered care encourages family dependence on the health care system. e e e e e e e e e
c. Family-centered care recognizes that the family is the constant in a child‘s life. e e e e e e e e e e e e
d. Family-centered care avoids expecting families to be part of the decision- e e e e e e e e e e
making process. e
ANS: C e
The three key components of family-centered care are respect, collaboration, and support. Family-
e e e e e e e e e e e e
centered care recognizes the family as the constant in the child‘s life. The family should be enabled and e
e e e e e e e e e e e e e e e e e e e
mpowered to work with the health care system and is expected to be part of the decision-
e e e e e e e e e e e e e e e e
making process. The nurse should also support the family‘s cultural diversity, not reduce its effect.
e e e e e e e e e e e e e e
DIF: Cognitive Level: Applying e e
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
3. Evidence-based practice (EBP), a decision-making model, is best described as which? e e e e e e e e e e
a. Using information in textbooks to guide care e e e e e e
b. Combining knowledge with clinical experience and intuition e e e e e e
c. Using a professional code of ethics as a means for decision making
e e e e e e e e e e e
d. Gathering all evidence that applies to the child‘s health and family situation
e e e e e e e e e e e
ANS: B e
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioni
e e e e e e e e e e e e e
ng the best approach. EBP involves decision making based on the integration of the best research evidence
e e e e e e e e e e e e e e e e e
combined with clinical expertise and patient values.
e e e e e e
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
e e e e e e e e e e e e
DIF: Cognitive Level: Remembering e e
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effectiv
e e e e e e e e e
e Care Environment
e e
4. The nurse is talking to a group of parents of school-age children at an after-
e e e e e e e e e e e e e e
school program about childhood health problems. Which statement should the nurse include in the te
e e e e e e e e e e e e e e
aching?
a. Childhood obesity is the most common nutritional problem among children. e e e e e e e e e
b. Immunization rates are the same among children of different races and ethnicity. e e e e e e e e e e e
c. Dental caries is not a problem commonly seen in children since the introduction of flu
e e e e e e e e e e e e e e
orinated water. e
d. Mental health problems are typically not seen in school- e e e e e e e e
age children but may be diagnosed in adolescents.
e e e e e e e
ANS: A e
When teaching parents of school-
e e e e
age children about childhood health problems, the nurse should include information about childhood obes
e e e e e e e e e e e e e
ity because it is the most common problem among children and is associated with type 2 diabetes. Teachin
e e e e e e e e e e e e e e e e e
g parents about ways to prevent obesity is important to include. Immunization rates differ depending on th
e e e e e e e e e e e e e e e e
e child‘s race and ethnicity; dental caries continues to be a common chronic disease in childhood; and men
e e e e e e e e e e e e e e e e e
tal health problems are seen in children as young as school age, not just in adolescents.
e e e e e e e e e e e e e e e
DIF: Cognitive Level: Applying e e
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
5. The nurse is planning care for a hospitalized preschool-
e e e e e e e e
aged child. Which should the nurse plan to ensure atraumatic care?
e e e e e e e e e e
a. Limit explanation of procedures because the child is preschool aged.
e e e e e e e e e
b. Ask that all family members leave the room when performing procedures.
e e e e e e e e e e
c. Allow the child to choose the type of juice to drink with the administration of oral med
e e e e e e e e e e e e e e e e
ications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is n
e e e e e e e e e e e e e e e
ot time for it to be effective.
e e e e e e
ANS: C e
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice t
e e e e e e e e e e e e e e e e e e e
o drink when taking oral medications provides the child with a sense of control. The preschool child should
e e e e e e e e e e e e e e e e e
be prepared before procedures, so limiting explanations of procedures would increase anxiety. The famil
e e e e e e e e e e e e e e
y should be allowed to stay with the child during procedures, minimizing stress.
e e e e e e e e e e e e
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed c e e e e e e e e e e e e e e e e
ream in time for morning laboratory draws to minimize pain.
e e e e e e e e e
DIF: Cognitive Level: Applying e e
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
e e e e e e
a. The nurse is planning to read a favorite fairy tale to a patient.
e e e e e e e e e e e e
b. During shift report, the nurse is criticizing parents for not visiting their child.
e e e e e e e e e e e e
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
e e e e e e e e e e e e e e
d. The nurse is working with a family to find ways to decrease the family‘s dependence o
e e e e e e e e e e e e e e e
n health care providers.
e e e
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
e e e e e e e e e e e e
ANS: B e
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with t
e e e e e e e e e e e e e e e e
he parents. Reading a fairy tale is a therapeutic and age-
e e e e e e e e e e
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows
e e e e e e e e e e e e e e e
a willingness to understand feelings. Working with parents to decrease dependence on health care provid
e e e e e e e e e e e e e e e
ers is therapeutic and helps to empower the family.
e e e e e e e e
DIF: Cognitive Level: Analyzing e e
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial Inte
e e e e e e e e
grity
7. The nurse is aware that which age-
e e e e e e
group is at risk for childhood injury because of the cognitive characteristic of magical and egocentr
e e e e e e e e e e e e e e e
ic thinking?
e
a. Preschool
b. Young school age e e
c. Middle school age e e
d. Adolescent
ANS: A e
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are
e e e e e e e e e e e e e e
unable to comprehend danger to self or others. Young and middle school-
e e e e e e e e e e e
aged children have transitional cognitive processes, and they may attempt dangerous acts without detailed
e e e e e e e e e e e e e e
planning but recognize danger to themselves or others. Adolescents have formal operational cognitive proc
e e e e e e e e e e e e e
esses and are preoccupied with abstract thinking.
e e e e e e
DIF: Cognitive Level: Understanding e e
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective e e e e e e e e
e Care Environment
e e
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the
e e e e e e e e e e e e e e e e e
most risk factors related to childhood injury?
e e e e e e
a. Female, multiple siblings, stable home life e e e e e
b. Male, high activity level, stressful home life e e e e e e
c. Male, even tempered, history of previous injuries e e e e e e
d. Female, reacts negatively to new situations, no serious previous injuriese e e e e e e e e
ANS: B e
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a hi
e e e e e e e e e e e e e e e e
gh activity temperament is associated with risk-
e e e e e e
taking behaviors, and stress predisposes children to increased risk taking and self-
e e e e e e e e e e e
destructive behaviors. Therefore, a male child with a high activity level and living in a stressful environme
e e e e e e e e e e e e e e e e
nt has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A bo
e e e e e e e e e e e e e e e e e e e e e e
y with previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who re
e e e e e e e e e e e e e e e e e e e e e e
acts negatively to new situations but has no previous serious illnesses has only one risk factor.
e e e e e e e e e e e e e e e
DIF: Cognitive Level: Analyzing e e
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective e e e e e e e e
e Care Environment
e e
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which mo
e e e e e e e e e e e e e e e
ral value is the nurse displaying when supporting the adolescent to make decisions?
e e e e e e e e e e e e
a. Justice
e e e e e e e e e e e e
,Chapter 01: Perspectives of Pediatric Nursing
e e e e e
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th Ed
e e e e e e e e ee
ition
MULTIPLE CHOICE e
1. What is the major cause of death for children in the United States?
e e e e e e e e e e e e
a. Heart disease e
b. Childhood cancer e
c. Injuries
d. Congenital anomalies e
ANS: C e
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The
e e e e e e e e e e e e e e e e
leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and h
e e e e e e e e e e e e e e e e e
eart disease cause a significantly lower percentage of deaths in children older than 1 year of age.
e e e e e e e e e e e e e e e e
DIF: Cognitive Level: Understanding e e
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
e e e e e e e e e e e e
centered care?‖ The nurse should respond with which statement?
e e e e e e e e
a. Family-centered care reduces the effect of cultural diversity on the family. e e e e e e e e e e
b. Family-centered care encourages family dependence on the health care system. e e e e e e e e e
c. Family-centered care recognizes that the family is the constant in a child‘s life. e e e e e e e e e e e e
d. Family-centered care avoids expecting families to be part of the decision- e e e e e e e e e e
making process. e
ANS: C e
The three key components of family-centered care are respect, collaboration, and support. Family-
e e e e e e e e e e e e
centered care recognizes the family as the constant in the child‘s life. The family should be enabled and e
e e e e e e e e e e e e e e e e e e e
mpowered to work with the health care system and is expected to be part of the decision-
e e e e e e e e e e e e e e e e
making process. The nurse should also support the family‘s cultural diversity, not reduce its effect.
e e e e e e e e e e e e e e
DIF: Cognitive Level: Applying e e
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
3. Evidence-based practice (EBP), a decision-making model, is best described as which? e e e e e e e e e e
a. Using information in textbooks to guide care e e e e e e
b. Combining knowledge with clinical experience and intuition e e e e e e
c. Using a professional code of ethics as a means for decision making
e e e e e e e e e e e
d. Gathering all evidence that applies to the child‘s health and family situation
e e e e e e e e e e e
ANS: B e
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioni
e e e e e e e e e e e e e
ng the best approach. EBP involves decision making based on the integration of the best research evidence
e e e e e e e e e e e e e e e e e
combined with clinical expertise and patient values.
e e e e e e
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
e e e e e e e e e e e e
DIF: Cognitive Level: Remembering e e
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effectiv
e e e e e e e e e
e Care Environment
e e
4. The nurse is talking to a group of parents of school-age children at an after-
e e e e e e e e e e e e e e
school program about childhood health problems. Which statement should the nurse include in the te
e e e e e e e e e e e e e e
aching?
a. Childhood obesity is the most common nutritional problem among children. e e e e e e e e e
b. Immunization rates are the same among children of different races and ethnicity. e e e e e e e e e e e
c. Dental caries is not a problem commonly seen in children since the introduction of flu
e e e e e e e e e e e e e e
orinated water. e
d. Mental health problems are typically not seen in school- e e e e e e e e
age children but may be diagnosed in adolescents.
e e e e e e e
ANS: A e
When teaching parents of school-
e e e e
age children about childhood health problems, the nurse should include information about childhood obes
e e e e e e e e e e e e e
ity because it is the most common problem among children and is associated with type 2 diabetes. Teachin
e e e e e e e e e e e e e e e e e
g parents about ways to prevent obesity is important to include. Immunization rates differ depending on th
e e e e e e e e e e e e e e e e
e child‘s race and ethnicity; dental caries continues to be a common chronic disease in childhood; and men
e e e e e e e e e e e e e e e e e
tal health problems are seen in children as young as school age, not just in adolescents.
e e e e e e e e e e e e e e e
DIF: Cognitive Level: Applying e e
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
5. The nurse is planning care for a hospitalized preschool-
e e e e e e e e
aged child. Which should the nurse plan to ensure atraumatic care?
e e e e e e e e e e
a. Limit explanation of procedures because the child is preschool aged.
e e e e e e e e e
b. Ask that all family members leave the room when performing procedures.
e e e e e e e e e e
c. Allow the child to choose the type of juice to drink with the administration of oral med
e e e e e e e e e e e e e e e e
ications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is n
e e e e e e e e e e e e e e e
ot time for it to be effective.
e e e e e e
ANS: C e
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice t
e e e e e e e e e e e e e e e e e e e
o drink when taking oral medications provides the child with a sense of control. The preschool child should
e e e e e e e e e e e e e e e e e
be prepared before procedures, so limiting explanations of procedures would increase anxiety. The famil
e e e e e e e e e e e e e e
y should be allowed to stay with the child during procedures, minimizing stress.
e e e e e e e e e e e e
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed c e e e e e e e e e e e e e e e e
ream in time for morning laboratory draws to minimize pain.
e e e e e e e e e
DIF: Cognitive Level: Applying e e
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotio
e e e e e e e e
n and Maintenance
e e
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
e e e e e e
a. The nurse is planning to read a favorite fairy tale to a patient.
e e e e e e e e e e e e
b. During shift report, the nurse is criticizing parents for not visiting their child.
e e e e e e e e e e e e
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
e e e e e e e e e e e e e e
d. The nurse is working with a family to find ways to decrease the family‘s dependence o
e e e e e e e e e e e e e e e
n health care providers.
e e e
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
e e e e e e e e e e e e
ANS: B e
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with t
e e e e e e e e e e e e e e e e
he parents. Reading a fairy tale is a therapeutic and age-
e e e e e e e e e e
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows
e e e e e e e e e e e e e e e
a willingness to understand feelings. Working with parents to decrease dependence on health care provid
e e e e e e e e e e e e e e e
ers is therapeutic and helps to empower the family.
e e e e e e e e
DIF: Cognitive Level: Analyzing e e
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial Inte
e e e e e e e e
grity
7. The nurse is aware that which age-
e e e e e e
group is at risk for childhood injury because of the cognitive characteristic of magical and egocentr
e e e e e e e e e e e e e e e
ic thinking?
e
a. Preschool
b. Young school age e e
c. Middle school age e e
d. Adolescent
ANS: A e
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are
e e e e e e e e e e e e e e
unable to comprehend danger to self or others. Young and middle school-
e e e e e e e e e e e
aged children have transitional cognitive processes, and they may attempt dangerous acts without detailed
e e e e e e e e e e e e e e
planning but recognize danger to themselves or others. Adolescents have formal operational cognitive proc
e e e e e e e e e e e e e
esses and are preoccupied with abstract thinking.
e e e e e e
DIF: Cognitive Level: Understanding e e
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective e e e e e e e e
e Care Environment
e e
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the
e e e e e e e e e e e e e e e e e
most risk factors related to childhood injury?
e e e e e e
a. Female, multiple siblings, stable home life e e e e e
b. Male, high activity level, stressful home life e e e e e e
c. Male, even tempered, history of previous injuries e e e e e e
d. Female, reacts negatively to new situations, no serious previous injuriese e e e e e e e e
ANS: B e
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a hi
e e e e e e e e e e e e e e e e
gh activity temperament is associated with risk-
e e e e e e
taking behaviors, and stress predisposes children to increased risk taking and self-
e e e e e e e e e e e
destructive behaviors. Therefore, a male child with a high activity level and living in a stressful environme
e e e e e e e e e e e e e e e e
nt has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A bo
e e e e e e e e e e e e e e e e e e e e e e
y with previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who re
e e e e e e e e e e e e e e e e e e e e e e
acts negatively to new situations but has no previous serious illnesses has only one risk factor.
e e e e e e e e e e e e e e e
DIF: Cognitive Level: Analyzing e e
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effective e e e e e e e e
e Care Environment
e e
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which mo
e e e e e e e e e e e e e e e
ral value is the nurse displaying when supporting the adolescent to make decisions?
e e e e e e e e e e e e
a. Justice
