Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, ffff ffff ffff ffff ffff ffff ffff
12th Edition
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MULTIPLE CHOICE ffff
1. What is the major cause of death for children in the United States?
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a. Heart disease ffff
b. Childhood cancer ffff
c. Injuries
d. Congenital anomalies ffff
ANS: C ffff
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. The leading cause of death for those younger than 1 year is congenital
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
anomalies, and childhood cancers and heart disease cause a significantly lower percentage of
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deaths in children older than 1 year of age.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
DIF: Cognitive Level: Understanding TOP: Nursing Process: ffff ffff ffff ffff
Planning MSC: Client Needs: Health Promotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?”
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
ffff The nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. Family-centered care encourages family dependence on the health care ffff ffff ffff ffff ffff ffff ffff ffff
system.ffff
c. Family-centered care recognizes that the family is the constant in a child’s ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
life. ffff
d. Family-centered care avoids expecting families to be part of the decision- ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
making process. ffff
ANS: C ffff
The three key components of family-centered care are respect, collaboration, and support.
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Family- centered care recognizes the family as the constant in the child’s life. The family
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should be enabled and empowered to work with the health care system and is expected to
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
be part of the decision-making process. The nurse should also support the family’s cultural
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diversity, not reduce its effect.
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DIF: Cognitive Level: Applying TOP: Nursing Process: ffff ffff ffff ffff
Implementation MSC: Client Needs: Health Promotion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
a. Using information in textbooks to guide care ffff ffff ffff ffff ffff ffff
b. Combining knowledge with clinical experience and intuition ffff ffff ffff ffff ffff ffff
c. Using a professional code of ethics as a means for decision making
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
d. Gathering all evidence that applies to the child’s health and family ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
ffff situation
ANS: B ffff
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
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and questioning the best approach. EBP involves decision making based on the integration of
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the best research evidence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
fff fff fff fff fff fff fff fff fff fff fff
Bank
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DIF: Cognitive Level: Remembering TOP: Nursing Process: ffff ffff ffff ffff
Planning MSC: Client Needs: Safe and Effective Care
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Environment
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4. The nurse is talking to a group of parents of school-age children at an after-school
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program about childhood health problems. Which statement should the nurse include in
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
the teaching?
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a. Childhood obesity is the most common nutritional problem among children.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. Immunization rates are the same among children of different races and ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
ethnicity.
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c. Dental caries is not a problem commonly seen in children since the
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
introduction of fluorinated water.
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d. Mental health problems are typically not seen in school-age children but may
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
be diagnosed in adolescents.
ffff ffff ffff ffff
ANS: A ffff
When teaching parents of school-age children about childhood health problems, the nurse
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
should include information about childhood obesity because it is the most common problem
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
among children and is associated with type 2 diabetes. Teaching parents about ways to
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
prevent obesity is important to include. Immunization rates differ depending on the child’s
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
race and ethnicity; dental caries continues to be a common chronic disease in childhood; and
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
mental health problems are seen in children as young as school age, not just in
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
adolescents.
ffff
DIF: Cognitive Level: Applying TOP: Integrated Process: ffff ffff ffff ffff
Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance
ffff ffff f f f f ffff ffff ffff ffff ffff
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
plan to ensure atraumatic care?
ffff ffff ffff ffff ffff
a. Limit explanation of procedures because the child is preschool aged.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. Ask that all family members leave the room when performing procedures.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
c. Allow the child to choose the type of juice to drink with the administration
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
of oral medications.
ffff ffff ffff
d. Explain that EMLA cream cannot be used for the morning lab draw because
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
there is not time for it to be effective.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
ANS: C ffff
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
choice of juice to drink when taking oral medications provides the child with a sense of
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
control. The preschool child should be prepared before procedures, so limiting explanations
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
of procedures would increase anxiety. The family should be allowed to stay with the child
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
during procedures, minimizing stress.
ffff ffff ffff ffff
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
prescribed cream in time for morning laboratory draws to minimize pain.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
DIF: Cognitive Level: Applying TOP: Nursing Process: ffff ffff ffff ffff
Planning MSC: Client Needs: Health Promotion and Maintenance
ffff ffff f f f f ffff ffff ffff ffff ffff
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
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a. The nurse is planning to read a favorite fairy tale to a patient.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. During shift report, the nurse is criticizing parents for not visiting their
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
child.
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c. The nurse is discussing with a fellow nurse the emotional draw to a certain
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
patient.
ffff
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
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Bank d. The nurse is working with a family to find ways to decrease the family’s
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dependence on health care providers.
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ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
,Chapter 01: Perspectives of Pediatric Nursing
ffff ffff ffff ffff ffff
Hockenberry: Wong’s Nursing Care of Infants and Children, ffff ffff ffff ffff ffff ffff ffff
12th Edition
ffff ffffffff
MULTIPLE CHOICE ffff
1. What is the major cause of death for children in the United States?
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
a. Heart disease ffff
b. Childhood cancer ffff
c. Injuries
d. Congenital anomalies ffff
ANS: C ffff
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
adolescence. The leading cause of death for those younger than 1 year is congenital
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
anomalies, and childhood cancers and heart disease cause a significantly lower percentage of
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
deaths in children older than 1 year of age.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
DIF: Cognitive Level: Understanding TOP: Nursing Process: ffff ffff ffff ffff
Planning MSC: Client Needs: Health Promotion and Maintenance
ffff ffff f f f f ffff ffff ffff ffff ffff
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-centered care?”
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
ffff The nurse should respond with which statement?
ffff ffff ffff ffff ffff ffff
a. Family-centered care reduces the effect of cultural diversity on the family. ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. Family-centered care encourages family dependence on the health care ffff ffff ffff ffff ffff ffff ffff ffff
system.ffff
c. Family-centered care recognizes that the family is the constant in a child’s ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
life. ffff
d. Family-centered care avoids expecting families to be part of the decision- ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
making process. ffff
ANS: C ffff
The three key components of family-centered care are respect, collaboration, and support.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
Family- centered care recognizes the family as the constant in the child’s life. The family
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
should be enabled and empowered to work with the health care system and is expected to
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
be part of the decision-making process. The nurse should also support the family’s cultural
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
diversity, not reduce its effect.
ffff ffff ffff ffff ffff
DIF: Cognitive Level: Applying TOP: Nursing Process: ffff ffff ffff ffff
Implementation MSC: Client Needs: Health Promotion and Maintenance
ffff ffff f f f f ffff ffff ffff ffff ffff
3. Evidence-based practice (EBP), a decision-making model, is best described as which? ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
a. Using information in textbooks to guide care ffff ffff ffff ffff ffff ffff
b. Combining knowledge with clinical experience and intuition ffff ffff ffff ffff ffff ffff
c. Using a professional code of ethics as a means for decision making
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
d. Gathering all evidence that applies to the child’s health and family ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
ffff situation
ANS: B ffff
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
and questioning the best approach. EBP involves decision making based on the integration of
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
the best research evidence combined with clinical expertise and patient values.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
fff fff fff fff fff fff fff fff fff fff fff
Bank
fff
DIF: Cognitive Level: Remembering TOP: Nursing Process: ffff ffff ffff ffff
Planning MSC: Client Needs: Safe and Effective Care
ffff ffff f f f f ffff ffff ffff ffff ffff
Environment
ffff
4. The nurse is talking to a group of parents of school-age children at an after-school
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
program about childhood health problems. Which statement should the nurse include in
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
the teaching?
ffff ffff
a. Childhood obesity is the most common nutritional problem among children.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. Immunization rates are the same among children of different races and ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
ethnicity.
ffff
c. Dental caries is not a problem commonly seen in children since the
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
introduction of fluorinated water.
ffff ffff ffff ffff
d. Mental health problems are typically not seen in school-age children but may
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
be diagnosed in adolescents.
ffff ffff ffff ffff
ANS: A ffff
When teaching parents of school-age children about childhood health problems, the nurse
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
should include information about childhood obesity because it is the most common problem
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
among children and is associated with type 2 diabetes. Teaching parents about ways to
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
prevent obesity is important to include. Immunization rates differ depending on the child’s
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
race and ethnicity; dental caries continues to be a common chronic disease in childhood; and
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
mental health problems are seen in children as young as school age, not just in
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
adolescents.
ffff
DIF: Cognitive Level: Applying TOP: Integrated Process: ffff ffff ffff ffff
Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance
ffff ffff f f f f ffff ffff ffff ffff ffff
5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
plan to ensure atraumatic care?
ffff ffff ffff ffff ffff
a. Limit explanation of procedures because the child is preschool aged.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. Ask that all family members leave the room when performing procedures.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
c. Allow the child to choose the type of juice to drink with the administration
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
of oral medications.
ffff ffff ffff
d. Explain that EMLA cream cannot be used for the morning lab draw because
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
there is not time for it to be effective.
ffff ffff ffff ffff ffff ffff ffff ffff ffff
ANS: C ffff
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
choice of juice to drink when taking oral medications provides the child with a sense of
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
control. The preschool child should be prepared before procedures, so limiting explanations
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
of procedures would increase anxiety. The family should be allowed to stay with the child
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
during procedures, minimizing stress.
ffff ffff ffff ffff
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
prescribed cream in time for morning laboratory draws to minimize pain.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
DIF: Cognitive Level: Applying TOP: Nursing Process: ffff ffff ffff ffff
Planning MSC: Client Needs: Health Promotion and Maintenance
ffff ffff f f f f ffff ffff ffff ffff ffff
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
ffff ffff ffff ffff ffff ffff
a. The nurse is planning to read a favorite fairy tale to a patient.
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
b. During shift report, the nurse is criticizing parents for not visiting their
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
child.
ffff
c. The nurse is discussing with a fellow nurse the emotional draw to a certain
ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
patient.
ffff
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test
fff fff fff fff fff fff fff fff fff fff fff
Bank d. The nurse is working with a family to find ways to decrease the family’s
fff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff ffff
dependence on health care providers.
ffff ffff ffff ffff ffff
