TEST BANK Wong's Essentials of Pediatric Nursing 11th Edition by Marilyn J. Hockenberry - All Chapter (1-31)|Complete Guide A+

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TEST BANK FOR WONGS ESSENTIAL OF
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PEDIATRICNURSING11THEDITIONBYMARILYN
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J.HOCKENBERRY,DAVIDWILSONCHERYLC
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RODGERS
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Wong'sEssentialsof PediatricNursing 11th Edition x
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Authors: Marilyn J. Hockenberry, David Wilson Cheryl C Rodgers kx kx kx kx kx kx kx kx




Table of Content kx kx




Chapter 01: Children, Their Families, and the Nurse
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Chapter 02: Social, Cultural, Religious, and Family Influences on Child Health Promotion Chapter 03:
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Developmental and Genetic Influences on Child Health Promotion
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Chapter 04: Communication and Physical Assessment of the Child and Family Chapter 05:
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Pain Assessment and Management in Children
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Chapter 06:Childhood CommunicableandInfectious Diseases
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Chapter 07: Health Promotion of the Newborn and Family Chapter
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08: Health Problems of Newborns
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Chapter 09: Health Promotion of the Infant and Family
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Chapter 10: Health Problems of Infants
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Chapter 11: Health Promotion of the Toddler and Family Chapter
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12: Health Promotion of the Preschooler and Family Chapter 13:
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Health Problems of Toddlers and Preschoolers
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Chapter 14: Health Promotion of the School-Age Child and Family Chapter
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15: Health Promotion of the Adolescent and Family
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Chapter 16: Health Problems of School-Age Children and Adolescents
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Chapter 17: Impact of Chronic Illness, Disability, or End-of-Life Care on the Child and Family Chapter
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18: Impact of Cognitive or Sensory Impairment on the Child and Family
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Chapter 19: Family-Centered Care ofthe Child During Illness and Hospitalization Chapter
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20: Pediatric Nursing Interventions and Skills
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Chapter 21: The Child With Respiratory Dysfunction
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Chapter 22:TheChildWith Gastrointestinal Dysfunction
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Chapter 23: The Child With Cardiovascular Dysfunction
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Chapter 24: TheChild With Hematologic or Immunologic Dysfunction
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Chapter 25: The Child With Cancer
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Chapter 26:TheChildWithGenitourinary Dysfunction
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Chapter 27: The Child With Cerebral Dysfunction Chapter
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28: The Child With Endocrine Dysfunction
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Chapter 29: The Child With Musculoskeletal or Articular Dysfunction
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Chapter 30: The Child With Neuromuscular or Muscular Dysfunction
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Chapter 31: The Child With Integumentary Dysfunction
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Chapter 01: Children, Their Families, and the Nurse kx kx kx kx kx kx kx




Evolve Resources for Wong’s Essentials of Pediatric Nursing, 11th Edition
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MULTIPLE CHOICE kx




1. The nurse would include which associated risk when planning a teaching session about kx kx kx kx kx kx kx kx kx kx kx kx




childhood obesity? kx kx




a. Type I diabetes kx kx




b. Respiratorydisease kx




c. Celiac disease kx




d. Type II diabetes kx kx




ANS: D k x




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Childhood obesity has been associated with the rise of type II diabetes in children. Type I diabetes is
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not associated with obesity and has a genetic component. Respiratory disease is not associated with
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obesity, and celiac disease is the inability to metabolize gluten in foods and is not associated with
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obesity.
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DIF: Cognitive Level: Remember
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MSC: Area of Client Needs: Health Promotion and Maintenance
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2. Which second-leading cause of death topic would the nurse emphasize to a group of boys
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ranging in age from 15 to 19 years?
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a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries kx




ANS: C k x




Firearm homicide is the second overall cause of death in this age group and the leading cause of death in
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African-American males. Suicide is the third-leading cause of death in this population. Cancer,
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although a major health problem, is the fourth-leading cause of death in this age group. Occupational
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injuries do not contribute to a significant death rate for this age group.
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DIF: Cognitive Level: Understand
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MSC: Area of Client Needs: Health Promotion and Maintenance
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3. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease kx




c. Unintentionalinjuries kx




d. Congenital anomalies kx




ANS: C k x




Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
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Congenital anomalies are the leading cause of death in those younger than 1 year. Cancer ranks either
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second or fourth, depending on the age group, and heart disease ranks fifth in the majority of the age
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groups.
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DIF: Cognitive Level: Remember
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MSC: Area of Client Needs: Health Promotion and Maintenance
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4. Which factor most impacts the type of injury a child is susceptible to, according to the child‘s age?
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a. Physical health of the child kx kx kx kx




b. Developmental level of the child kx kx kx kx




c. Educational level of the child kx kx kx kx




d. Number of responsible adults in the home kx kx kx kx kx kx




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ANS: B k x




The child‘s developmental stage determines the type of injury that is likely to occur. The child‘s
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physical health may facilitate the child‘s recovery from an injury but does not impact the type of
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injury. Educational level is related to developmental level, but it is not as important as the child‘s
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developmental level in determining the type of injury. The number of responsible adults in the home
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may affect the number of unintentional injuries, but the type of injury is related to the child‘s
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developmental stage.
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DIF: Cognitive Level: Understand TOP: Integrated Process: NursingProcess:Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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5. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care
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the nurse is delivering?
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a. Taking over total care of the child to reduce stress on the family kx kx kx kx kx kx kx kx kx kx kx kx




b. Encouraging family dependence on health care systems kx kx kx kx kx kx




c. Recognizing that the family is the constant in a child‘s life kx kx kx kx kx kx kx kx kx kx




d. Excluding families from the decision-making process kx kx kx kx kx




ANS: C k x




The three key components of family-centered care are respect, collaboration, and support. Family-
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centered care recognizes the family as the constant in the child‘s life. Taking over total care does not
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include the family in the process and may increase stress instead of reducing stress. The family should
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be enabled and empowered to work with the health care system. The family is expected to be part of the
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decision-making process.
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DIF: Cognitive Level: Understand k x k x kx kx




TOP: Integrated Process: Nursing Process: Implementation MSC:
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AreaofClient Needs:Health Promotion and Maintenance
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6. Which intervention would the nurse include when providing atraumatic care?
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a. Prepare the child for separation from parents during hospitalization byreviewing a kx kx kx kx kx kx kx kx kx kx kx




video. kx




b. Prepare the child before any unfamiliar treatment or procedure. kx kx kx kx kx kx kx kx




c. Help the child accept the loss of control associated with hospitalization. kx kx kx kx kx kx kx kx kx kx




d. Help the child accept pain that is connected with a treatment or procedure. kx kx kx kx kx kx kx kx kx kx kx kx




ANS: B k x




Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing play kx kx kx kx kx kx kx kx kx kx kx kx




activities for expression of fear and aggression, providing choices, and respecting cultural differences
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are components of atraumatic care. In theprovision of atraumatic care, the separation of child from
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parents during hospitalization is minimized. The nurse should promote a sense of control for the child.
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Preventing and minimizing bodily injury and pain are major components of atraumatic care.
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DIF: Cognitive Level: Understand
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TOP: Integrated Process: NursingProcess:Implementation MSC:
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Area of Client Needs: Psychosocial Integrity
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7. Whichis suggestive that a nurse has a nontherapeutic relationship with a patient and family?
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a. Staff is concerned about the nurse‘s closeness with the patient and family. kx kx kx kx kx kx kx kx kx kx kx




b. Staff assignments allow the nurse to care for same patient and family over an kx kx kx kx kx kx kx kx kx kx kx kx kx




extended time.
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c. Nurse is able to withdraw emotionally when emotional overload occurs but still kx kx kx kx kx kx kx kx kx kx kx




remains committed.
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d. Nurseuses teaching skills to instruct patient and family rather than doing kx kx kx kx kx kx kx kx kx kx kx




everything for them.
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ANS: A k x




A clue to a nontherapeutic staff-patient relationship is concern byother staff members. Allowing the
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nurse to care for the same patient over time would be therapeutic for the patient and family. Nurses
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who are able to somewhat withdraw emotionally can protect themselves while providing therapeutic
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care. Nurses using teaching skills to instruct patient and family will assist in transitioning the child and
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family to self-care.
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DIF: Cognitive Level: Analyze k TOP: Integrated Process: NursingProcess:Assessment
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MSC: Area of Client Needs: Psychosocial Integrity
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8. Which is descriptive of clinical reasoning? kx kx kx kx kx




a. Asimple developmental process
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b. A cognitive process used to analyze data
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c. Based on deliberate and irrational thought kx kx kx kx kx




d. Assists individuals in guessing which is most appropriate kx kx kx kx kx kx kx




ANS: B k x




Clinical reasoning is a complex, developmental process based on rational and deliberate thought.
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Clinical reasoning is not a developmental process. Clinical reasoning is based on rational and
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deliberate thought. Clinical reasoning is not a guessing process.
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DIF: Cognitive Level: Understand
k TOP: Integrated Process: NursingProcess:Planning
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MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
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9. A nurse makes the decision to apply a topical anesthetic to a child‘s skin before drawing blood. Which
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ethical principle is the nurse demonstrating?
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a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness




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