Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
,Chapter 01: Perspectives of Pediatric Nursing
? ? ? ? ?
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
? ? ? ? ? ? ? ? ?
dition
MULTIPLE CHOICE ?
1. What is the major cause ofdeath for children inthe United States?
a. Heart disease ?
b. Childhoodcancer
c. Injuries
d. Congenitalanomalies
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 he
? ? ?
art disease cause a significantlylower percentageofdeaths inchildren older than 1 yearof age.
DIF: Cognitive Level: Understanding
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
n and Maintenance
2. Parents ofa hospitalized toddler ask the nurse, ―What is meant byfamily-
? ?
centered care?‖ The nurseshould respond with which statement?
a. Family-centered carereducesthe effect ofculturaldiversityon the family.
? ? ?
b. Family-centered care encourages familydependence onthe health care system.
?
c. Family-centered carerecognizes that the familyis the constant ina child‘s life.
d. Family-centered care avoids expecting families to be part ofthe decision-
? ? ?
makingprocess.
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 child‘s life. The family should be enabled and e
? ? ?
mpowered to work with the health care system and is expected to be part of the decision-
? ? ? ?
makingprocess. The nurse should also support the family‘s cultural diversity, not reduce its effect. ?
DIF: Cognitive Level: Applying ?
TOP: Nursing Process: ImplementationMSC: Client Needs: Health Promotio ?
n and Maintenance
?
3. Evidence-based practice (EBP), adecision-making model, is best described as which? ? ?
a. Using information intextbooksto guide care
?
b. Combiningknowledge with clinicalexperience and intuition
c. Using a professional code ofethics as a means for decision making
? ?
d. Gatheringallevidence that applies to the child‘s health and familysituation ? ?
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioni ?
ng the best approach. EBP involves decisionmaking based onthe integrationofthe bestresearch evidence
? ?
combined with clinical expertise and patient values.
? ?
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
? ?
DIF: Cognitive Level: Remembering
?
TOP: Nursing Process: PlanningMSC: Client Needs: Safe and Effectiv ?
e Care Environment
?
4. 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 te
? ? ?
aching?
a. Childhoodobesityis the most common nutritionalproblemamong children. ?
b. Immunization rates arethe same amongchildren ofdifferent races and ethnicity. ?
c. Dentalcaries is not a problemcommonlyseen in children since the introduction offluori
? ? ?
nated water.
d. Mentalhealth problems are typicallynot seen in school-
? ? ? ?
age childrenbut maybediagnosed in adolescents. ?
ANS: A
When teaching parents of school-
age children about childhood health problems, the nurse should include information about childhood obes
? ?
itybecause it is the most common problem among children and is associated with type 2 diabetes. Teachin ? ? ? ?
g parents about ways to prevent obesity is important toinclude. Immunization rates differ depending on the
?
child‘s race and ethnicity; dentalcaries continuesto be a common chronic disease in childhood; and menta ? ?
l health problems are seen in children as young as schoolage, not just in adolescents.
? ?
DIF: Cognitive Level: Applying
?
TOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promotio
n and Maintenance
?
5. The nurse is planning care for a hospitalized preschool-
aged child. Which should the nurse plan toensure atraumatic care?
? ? ?
a. Limit explanation ofprocedures becausethe child is preschool aged.
b. Ask that all familymembers leave the roomwhen performing procedures. ?
c. Allow the child to choosethe type of juice to drink withthe administration oforalmedic
ations.
d. Explain that EMLAcream cannot be used for the morning lab draw because thereis no
? ? ?
t time for it to be effective.
ANS: C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice ofjuic ?
e to drink when taking oral medications provides the child with a sense of control. The preschoolchild sh
? ?
ould be prepared before procedures, so limiting explanations of procedures would increase anxiety. The
? ?
familyshould be allowed to staywiththe child during procedures, minimizing stress. ? ?
Lidocaine/prilocaine (EMLA) creamis a topical localanesthetic. The nurse should planto usetheprescribed c
? ? ?
ream in time for morning laboratorydraws to minimize pain.
DIF: Cognitive Level: Applying
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
n and Maintenance
6. Whichsituation denotes anontherapeutic nurse–patient–familyrelationship?
a. The nurse is planningto read a favorite fairytale to a patient. ?
b. Duringshift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotionaldraw to a certainpatient.
?
d. The nurse is working with a familyto find ways todecrease the family‘sdependence on
? ?
health care providers.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
? ?
ANS: B
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement witht
he parents. Reading a fairytale is a therapeutic and age-
? ? ? ? ?
appropriate action. Discussing feelingsof 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 provid
? ? ? ?
ers is therapeutic and helps to empower the family.
DIF: Cognitive Level: Analyzing
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial Int ?
egrity
7. The nurse is aware that which age-
? ? ?
group is at risk for childhoodinjurybecause ofthe cognitivecharacteristic of magical and egocentr
ic 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 orothers. Adolescents have formaloperationalcognitive proc
?
esses andarepreoccupied with abstract thinking.
DIF: Cognitive Level: Understanding ?
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effectiv ?
e Care Environment
8. The schoolnurse is assessing children for risk factorsrelatedto childhood injuries. Whichchild has the ?
most risk factors related to childhood injury?
a. Female, multiplesiblings, stable home life
b. Male, high activitylevel, stressfulhome life
? ?
c. Male, even tempered, historyofprevious injuries
d. Female, reacts negativelyto new situations, no serious previous injuries ?
ANS: B
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a hi
?
gh activity temperament is associated with risk-
taking behaviors, and stress predisposes children toincreased risk taking and self-
destructive behaviors. Therefore, a male child with a high activity level and living in a stressful environme
? ? ? ?
nt has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A bo
? ? ?
ywithprevious injuries has two risk factors, but an eventemperis not a risk factor for injuries. A girl who re
? ? ?
acts negatively to new situations but has no previous serious illnesses has onlyone risk factor. ?
DIF: Cognitive Level: Analyzing
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effectiv ?
e Care Environment
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Whichmo
?
ral value is the nurse displaying when supporting the adolescent to make decisions?
? ?
a. Justice
,Chapter 01: Perspectives of Pediatric Nursing
? ? ? ? ?
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
? ? ? ? ? ? ? ? ?
dition
MULTIPLE CHOICE ?
1. What is the major cause ofdeath for children inthe United States?
a. Heart disease ?
b. Childhoodcancer
c. Injuries
d. Congenitalanomalies
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 he
? ? ?
art disease cause a significantlylower percentageofdeaths inchildren older than 1 yearof age.
DIF: Cognitive Level: Understanding
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
n and Maintenance
2. Parents ofa hospitalized toddler ask the nurse, ―What is meant byfamily-
? ?
centered care?‖ The nurseshould respond with which statement?
a. Family-centered carereducesthe effect ofculturaldiversityon the family.
? ? ?
b. Family-centered care encourages familydependence onthe health care system.
?
c. Family-centered carerecognizes that the familyis the constant ina child‘s life.
d. Family-centered care avoids expecting families to be part ofthe decision-
? ? ?
makingprocess.
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 child‘s life. The family should be enabled and e
? ? ?
mpowered to work with the health care system and is expected to be part of the decision-
? ? ? ?
makingprocess. The nurse should also support the family‘s cultural diversity, not reduce its effect. ?
DIF: Cognitive Level: Applying ?
TOP: Nursing Process: ImplementationMSC: Client Needs: Health Promotio ?
n and Maintenance
?
3. Evidence-based practice (EBP), adecision-making model, is best described as which? ? ?
a. Using information intextbooksto guide care
?
b. Combiningknowledge with clinicalexperience and intuition
c. Using a professional code ofethics as a means for decision making
? ?
d. Gatheringallevidence that applies to the child‘s health and familysituation ? ?
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioni ?
ng the best approach. EBP involves decisionmaking based onthe integrationofthe bestresearch evidence
? ?
combined with clinical expertise and patient values.
? ?
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
? ?
DIF: Cognitive Level: Remembering
?
TOP: Nursing Process: PlanningMSC: Client Needs: Safe and Effectiv ?
e Care Environment
?
4. 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 te
? ? ?
aching?
a. Childhoodobesityis the most common nutritionalproblemamong children. ?
b. Immunization rates arethe same amongchildren ofdifferent races and ethnicity. ?
c. Dentalcaries is not a problemcommonlyseen in children since the introduction offluori
? ? ?
nated water.
d. Mentalhealth problems are typicallynot seen in school-
? ? ? ?
age childrenbut maybediagnosed in adolescents. ?
ANS: A
When teaching parents of school-
age children about childhood health problems, the nurse should include information about childhood obes
? ?
itybecause it is the most common problem among children and is associated with type 2 diabetes. Teachin ? ? ? ?
g parents about ways to prevent obesity is important toinclude. Immunization rates differ depending on the
?
child‘s race and ethnicity; dentalcaries continuesto be a common chronic disease in childhood; and menta ? ?
l health problems are seen in children as young as schoolage, not just in adolescents.
? ?
DIF: Cognitive Level: Applying
?
TOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promotio
n and Maintenance
?
5. The nurse is planning care for a hospitalized preschool-
aged child. Which should the nurse plan toensure atraumatic care?
? ? ?
a. Limit explanation ofprocedures becausethe child is preschool aged.
b. Ask that all familymembers leave the roomwhen performing procedures. ?
c. Allow the child to choosethe type of juice to drink withthe administration oforalmedic
ations.
d. Explain that EMLAcream cannot be used for the morning lab draw because thereis no
? ? ?
t time for it to be effective.
ANS: C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice ofjuic ?
e to drink when taking oral medications provides the child with a sense of control. The preschoolchild sh
? ?
ould be prepared before procedures, so limiting explanations of procedures would increase anxiety. The
? ?
familyshould be allowed to staywiththe child during procedures, minimizing stress. ? ?
Lidocaine/prilocaine (EMLA) creamis a topical localanesthetic. The nurse should planto usetheprescribed c
? ? ?
ream in time for morning laboratorydraws to minimize pain.
DIF: Cognitive Level: Applying
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
n and Maintenance
6. Whichsituation denotes anontherapeutic nurse–patient–familyrelationship?
a. The nurse is planningto read a favorite fairytale to a patient. ?
b. Duringshift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotionaldraw to a certainpatient.
?
d. The nurse is working with a familyto find ways todecrease the family‘sdependence on
? ?
health care providers.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
? ?
ANS: B
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement witht
he parents. Reading a fairytale is a therapeutic and age-
? ? ? ? ?
appropriate action. Discussing feelingsof 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 provid
? ? ? ?
ers is therapeutic and helps to empower the family.
DIF: Cognitive Level: Analyzing
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial Int ?
egrity
7. The nurse is aware that which age-
? ? ?
group is at risk for childhoodinjurybecause ofthe cognitivecharacteristic of magical and egocentr
ic 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 orothers. Adolescents have formaloperationalcognitive proc
?
esses andarepreoccupied with abstract thinking.
DIF: Cognitive Level: Understanding ?
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effectiv ?
e Care Environment
8. The schoolnurse is assessing children for risk factorsrelatedto childhood injuries. Whichchild has the ?
most risk factors related to childhood injury?
a. Female, multiplesiblings, stable home life
b. Male, high activitylevel, stressfulhome life
? ?
c. Male, even tempered, historyofprevious injuries
d. Female, reacts negativelyto new situations, no serious previous injuries ?
ANS: B
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a hi
?
gh activity temperament is associated with risk-
taking behaviors, and stress predisposes children toincreased risk taking and self-
destructive behaviors. Therefore, a male child with a high activity level and living in a stressful environme
? ? ? ?
nt has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A bo
? ? ?
ywithprevious injuries has two risk factors, but an eventemperis not a risk factor for injuries. A girl who re
? ? ?
acts negatively to new situations but has no previous serious illnesses has onlyone risk factor. ?
DIF: Cognitive Level: Analyzing
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effectiv ?
e Care Environment
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Whichmo
?
ral value is the nurse displaying when supporting the adolescent to make decisions?
? ?
a. Justice
