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WONG'S ESSENTIALS OF PEDIATRIC NURSING 11TH EDITION HOCKENBERRY,RODGERS WILSON TEST BANK COMPLETE UPDATED QUESTIONS AND CORRECT ANSWERS 100% PASS ASSURED

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1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination? a. The United States is ranked last among 27 countries. b. The United States is ranked similar to 20 other developed countries. c. The United States is ranked in the middle of 20 other developed countries. d. The United States is ranked highest among 27 other industrialized countries. ANS: A Although the death rate has decreased, the United States still ranks last in infant mortality among nations with a population of at least 25 million. The United States has the highest infant death rate of developed nations. DIF: Cognitive Level: Remembering REF: dl. 6 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. Which is the leading cause of death in infants younger than 1 year in the United States? a. Congenital anomalies b. Sudden infant death syndrome c. Disorders related to short gestation and low birth weight d. Maternal complications specific to the perinatal period ANS: A Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and unspecified low birth weight, which account for 16.5%; and maternal complications such as infections specific to the perinatal period, which account for 6.1% of deaths in infants younger than 1 year of age. DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 3. What is the major cause of death for children older than 1 year in the United States? a. Heart disease b. Childhood cancer c. Unintentional injuries d. Congenital anomalies ANS: C Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 year of age. DIF: Cognitive Level: Understanding REF: dl. 7 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years? a. Suicide and cancer b. Suicide and homicide c. Drowning and cancer d. Homicide and heart disease ANS: B Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and heart disease account for 10.9% of the deaths in this age group. DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries? a. More deaths occur in males. b. More deaths occur in females. c. The pattern of deaths does not vary according to age and sex. d. The pattern of deaths does not vary widely among different ethnic groups. ANS: A The majority of deaths from unintentional injuries occur in males. The pattern of death does vary greatly among different ethnic groups, and the causes of unintentional deaths vary with age and gender. DIF: Cognitive Level: Applying REF: pp. 7-8 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 6. What do mortality statistics describe? a. Disease occurring regularly within a geographic location b. The number of individuals who have died over a specific period c. The prevalence of specific illness in the population at a particular time d. Disease occurring in more than the number of expected cases in a community ANS: B Mortality statistics refer to the number of individuals who have died over a specific period. Morbidity statistics show the prevalence of specific illness in the population at a particular time. Data regarding disease within a geographic region, or in greater than expected numbers in a community, may be extrapolated from analyzing the morbidity statistics. DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 7. The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death? a. Preschoolers b. Young school age c. Middle school age d. Late school age and adolescents ANS: D Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age group should be late school age and adolescents. Suicide is not one of the leading causes of death for preschool and young or middle school-aged children. DIF: Cognitive Level: Understanding REF: dl. 6 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse should respond with which statement? a. Family-centered care reduces the effect of cultural diversity on the family. b. Family-centered care encourages family dependence on the health care system. c. Family-centered care recognizes that the family is the constant in a childs life. d. Family-centered care avoids expecting families to be part of the decision-making process. ANS: C The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the childs life. The family should be enabled and empowered to work with the health care system and is expected to be part of the decision-making process. The nurse should also support the familys cultural diversity, not reduce its effect. DIF: Cognitive Level: Applying REF: dl. 8 TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 9. The nurse is describing clinical reasoning to a group of nursing students. Which is most descriptive of clinical reasoning? a. Purposeful and goal directed b. A simple developmental process c. Based on deliberate and irrational thought d. Assists individuals in guessing what is most appropriate ANS: A Clinical reasoning is a complex developmental process based on rational and deliberate thought. When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection develops between the elements of thought and the problem at hand. DIF: Cognitive Level: Applying REF: dl. 12 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 10. Evidence-based practice (EBP), a decision-making model, is best described as which? a. Using information in textbooks to guide care b. Combining knowledge with clinical experience and intuition c. Using a professional code of ethics as a means for decision making d. Gathering all evidence that applies to the childs health and family situation ANS: B EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioning what is the best approach. EBP involves decision making based on data, not all evidence on a particular situation, and involves the latest available data. Nurses can use textbooks to determine areas of concern and potential involvement. DIF: Cognitive Level: Remembering REF: dl. 11 TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment 11. Which best describes signs and symptoms as part of a nursing diagnosis? a. Description of potential risk factors b. Identification of actual health problems c. Human response to state of illness or health d. Cues and clusters derived from patient assessment ANS: D Signs and symptoms are the cues and clusters of defining characteristics that are derived from a patient assessment and indicate actual health problems. The first part of the nursing diagnosis is the problem statement, also known as the human response to the state of illness or health. The identification of actual health problems may be part of the medical diagnosis. The nursing diagnosis is based on the human response to these problems. The human response is therefore a component of the nursing diagnostic statement. Potential risk factors are used to identify nursing care needs to avoid the development of an actual health problem when a potential one exists. DIF: Cognitive Level: Understanding REF: dl. 13 TOP: Integrated Process: Communication and Documentation MSC: Client Needs: Safe and Effective Care Environment 12. The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching? a. Childhood obesity is the most common nutritional problem among children. b. Immunization rates are the same among children of different races and ethnicity. Dental caries is not a problem commonly seen in children since the introduction of fluoridated c. d. ANS: A water. Mental health problems are typically not seen in school-age children but may be diagnosed in adolescents. When teaching parents of school-age children about childhood health problems, the nurse should include information about childhood obesity because it is the most common problem among children and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ depending on the childs race and ethnicity; dental caries continues to be a common chronic disease in childhood; and mental health problems are seen in children as young as school age, not just in adolescents. DIF: Cognitive Level: Applying REF: dl. 3 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 13. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care? a. Limit explanation of procedures because the child is preschool aged. b. Ask that all family members leave the room when performing procedures. c. Allow the child to choose the type of juice to drink with the administration of oral medications. Explain that EMLA cream cannot be used for the morning lab draw because there is not time for d. ANS: C it to be effective. The overriding goal in providing atraumatic care is first, do no harm. Allowing the child a choice of juice to drink when taking oral medications provides the child with a sense of control. The preschool child should be prepared before procedures, so limiting explanations of procedures would increase anxiety. The family should be allowed to stay with the child during procedures, minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed cream in time for morning laboratory draws to minimize pain. DIF: Cognitive Level: Applying REF: pp. 8-9 TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 14. Which situation denotes a nontherapeutic nursepatientfamily relationship? a. The nurse is planning to read a favorite fairy tale to a patient. b. During shift report, the nurse is criticizing parents for not visiting their child. c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient. The nurse is working with a family to find ways to decrease the familys dependence on health d. ANS: B care providers. Criticizing parents for not visiting in shift report is nontherapeutic and shows an underinvolvement with the parents. Reading a fairy tale is a therapeutic and age appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a willingness to understand feelings. Working with parents to decrease dependence on health care providers is therapeutic and helps to empower the family. DIF: Cognitive Level: Analyzing REF: dl. 9 TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial Integrity 15. The nurse is aware that which age group is at risk for childhood injury because of the cognitive characteristic of magical and egocentric thinking? a. Preschool b. Young school age c. Middle school age d. Adolescent ANS: A Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are unable to comprehend danger to self or others. Young and middle school-aged children have transitional cognitive processes, and they may attempt dangerous acts without detailed planning but recognize danger to themselves or others. Adolescents have formal operational cognitive processes and are preoccupied with abstract thinking.

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Institution
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, Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers
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Wilson Test Bank ixix ixix




Chapter 1. Perspectives of Pediatric Nursing ixix ixix ixix ixix ixix




MULTIPLE CHOICE ixix



1. The clinic nurse is reviewing statistics on infant mortality for the United States versus
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



other countries. Compared with other countries that have a population of at least 25 million,
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



the nurse makes which determination?
ixix ixix ixix ixix ixix




a. The United States is ranked last among 27 countries. ixix ixix ixix ixix ixix ixix ixix ixix




b. The United States is ranked similar to 20 other developed countries.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




c. The United States is ranked in the middle of 20 other developed countries.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ix ix ix ix




d. The United States is ranked highest among 27 other industrialized countries. ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




ANS: A
ixix ixix



Although the death rate has decreased, the United States still ranks last in infant mortality among
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ix ix ixix ixix ixix



nations with a population of at least 25 million. The United States has the highest infant death
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



rate of developed nations.
ixix ixix ixix ixix



DIF: Cognitive Level: Remembering REF: dl. 6
ixix ixix ixix ixix ixix ixix



TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



2. Which is the leading cause of death in infants younger than 1 year in the United States?
ixix ixix ixix ixix ixix ixix ix ix ixix ix ix ixix ixix ixix ixix ixix ixix ixix




a. Congenital anomalies ixix




b. Sudden infant death syndrome ixix ixix ixix




c. Disorders related to short gestation and low birth weight ixix ixix ixix ixix ixix ixix ixix ixix




d. Maternal complications specific to the perinatal period ixix ixix ixix ixix ixix ixix




ANS: A
ixix ixix



Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



unspecified low birth weight, which account for 16.5%; and maternal complications
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



such as infections specific to the perinatal period, which account for 6.1% of deaths in
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



infants younger than 1 year of age.
ixix ixix ixix ixix ixix ixix ixix



DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix



3. What is the major cause of death for children older than 1 year in the United States?
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ix ix ix ix ixix ixix ixix




a. Heart disease ixix




b. Childhood cancer ixix




c. Unintentional injuries ixix




d. Congenitalanomalies ix




ixix ANS: C ixix

,Unintentional injuries (accidents) are the leading cause of death after age 1 year through ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



adolescence. The leading cause of death for those younger than 1 year is congenital
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



anomalies, and childhood cancers and heart disease cause a significantly lower
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



percentage of deaths in children older than 1 year of age.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



DIF: Cognitive Level: Understanding REF: dl. 7 TOP: Nursing Process: Planning
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix



4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
ixix ixix ixix ixix ixix ixix ixix ixix ix ix ixix ixix ix ix ixix ixix ixix ixix ixix




a. Suicide and cancer ixix ixix




b. Suicide and homicide ixix ixix




c. Drowning and cancer ixix ixix




d. Homicide andheartdisease ix ix




ANS: B
ixix ixix



Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
ixix ixix ixix ixix ixix ixix ixix ix ix ixix ixix ixix ixix ixix ix ix ix ix



for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



and heart disease account for 10.9% of the deaths in this age group.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix



5. The nurse is planning a teaching session to adolescents about deaths by unintentional
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



injuries. Which should the nurse include in the session with regard to deaths caused by
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



injuries?
ixix




a. More deaths occur in males. ixix ixix ix ix ixix




b. More deaths occur in females. ixix ixix ix ix ixix




c. The pattern of deaths does not vary according to age and sex.
ixix ixix ixix ixix ixix ixix ixix ix ix ixix ix ix ixix




d. The pattern of deaths does not vary widely among different ethnic groups. ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




ANS: A
ixix ixix



The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
ixix ixix ixix ixix ixix ix ix ixix ixix ixix ixix ixix ixix ixix ixix ix ix



greatly among different ethnic groups, and the causes of unintentional deaths vary with age and
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



gender.
ixix



DIF: Cognitive Level: Applying REF: pp. 7-8
ixix ixix ixix ixix ixix ixix



TOP: Integrated Process: Teaching/Learning
ixix ixix ixix ixix



MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix



6. What do mortality statistics describe? ixix ixix ixix ixix




a. Disease occurring regularly within a geographic location ixix ixix ixix ixix ixix ixix




b. The number of individuals who have died over a specific period
ixix ixix ix ix ixix ixix ixix ixix ixix ixix ixix




c. The prevalence of specific illness in the population at a particular time
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




d. Disease occurring in more than the number of expected cases in a ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




community ANS: B
ixix ixix ixix



Mortality statistics refer to the number of individuals who have died over a specific period.
ixix ixix ixix ixix ixix ixix ixix ix ix ixix ixix ixix ix ix ixix ixix



Morbidity statistics show the prevalence of specific illness in the population at a particular time.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



Data regarding disease within a geographic region, or in greater than expected numbers
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



in a community, may be extrapolated from analyzing the morbidity statistics.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Planning
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix

, 7. The nurse should assess which age group for suicide ideation since suicide in which age
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



group is the third leading cause of death?
ixix ixix ixix ixix ixix ixix ixix ixix




a. Preschoolers
b. Young school age ixix ixix




c. Middle school age ixix ixix




d. Late school age and adolescents ixix ixix ixix ixix




ANS: D
ixix ixix



Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age
ixix ixix ixix ixix ixix ixix ixix ixix ix ix ix ix ixix ixix ixix ixix ixix ix ix ixix



group should be late school age and adolescents. Suicide is not one of the leading causes of
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



death for preschool and young or middle school-aged children.
ixix ixix ixix ixix ixix ixix ixix ixix ixix



DIF: Cognitive Level: Understanding REF: dl. 6
ixix ixix ixix ixix ixix ixix



TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care?
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



The nurse should respond with which statement?
ixix ixix ixix ixix ixix ixix ixix




a. Family-centered care reduces the effect of cultural diversity on the family. ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




b. Family-centered care encourages family dependence on the health care system. ixix ixix ixix ixix ixix ixix ixix ixix ixix




c. Family-centered care recognizes that the family is the constant in a childs life. ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




d. Family-centered care avoids expecting families to be part of the decision-making ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix




process. ANS: C
ixix ixix ixix



The three key components of family-centered care are respect, collaboration, and support.
ixix ixix ixix ixix ixix ixix ixix ixix ix ix ix ix ixix



Family-centered care recognizes the family as the constant in the childs life. The family ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



should be enabled and empowered to work with the health care system and is expected
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



to be part of the decision-making process. The nurse should also support the familys cultural
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



diversity, not reduce its effect.
ixix ixix ixix ixix ixix



DIF: Cognitive Level: Applying REF: dl. 8
ixix ixix ixix ixix ixix ixix



TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



9. The nurse is describing clinical reasoning to a group of nursing students. Which is
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



most descriptive of clinical reasoning?
ixix ixix ixix ixix ixix




a. Purposeful and goal directed ixix ixix ixix




b. A simple developmental process
ixix ixix ixix




c. Based on deliberate and irrational thought ixix ixix ixix ixix ixix




d. Assists individuals in guessing what is most appropriate ixix ixix ixix ixix ixix ixix ixix




ANS: A
ixix ixix



Clinical reasoning is a complex developmental process based on rational and deliberate thought.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



develops between the elements of thought and the problem at hand.
ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix ixix



DIF: Cognitive Level: Applying REF: dl. 12
ixix ixix ixix ixix ixix ixix



TOP: Integrated Process: Teaching/Learning
ixix ixix ixix ixix



MSC: Client Needs: Health Promotion and Maintenance
ixix ixix ixix ixix ixix ixix



10. Evidence-based practice (EBP), a decision-making model, is best described as which? ixix ixix ixix ixix ixix ixix ixix ixix ix ix ixix




a. Using information in textbooks to guide care ixix ixix ixix ixix ixix ixix
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Marilyn J. Hockenberry, David Wilson Wong\'s Nursing Care of Infants and Children
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