,Chapter 1: Introduction to Child Health and Pediatric
Nursing
Multiple-Choice Questions
1. A nurse is planning a teaching session for parents of preschool children. Which
statement explains why the nurse should include information about morbidity
and mortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are identified.
ANS: D
PTS: 1 DIF: Cognitive Level: Apply REF: 6–8 TOP: Integrated Process: Nursing
Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year?
a. Congenital anomalies
b. Sudden infant death syndrome (SIDS)
c. Unintentional injuries
d. Respiratory distress syndrome
ANS: A
PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP: Integrated Process: Nursing
Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
3. A nurse is implementing family-centered care. Which action best demonstrates
this concept?
a. Telling the parents what to do for the child
b. Allowing the parents to stay during the child’s procedure
c. Discouraging parental presence during rounds
d. Limiting visiting hours to reduce infection
ANS: B
PTS: 1 DIF: Cognitive Level: Apply REF: 10–12 TOP: Integrated Process: Caring
MSC: Area of Client Needs: Psychosocial Integrity
,4. Which is a major focus of pediatric nursing according to the health promotion
model?
a. Treating acute illnesses only
b. Preventing disease and promoting wellness
c. Providing end-of-life care
d. Performing surgical procedures
ANS: B
PTS: 1 DIF: Cognitive Level: Understand REF: 4–5 TOP: Integrated Process: Nursing
Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. The nurse uses therapeutic communication when speaking with a child. Which
statement is an example?
a. “Why did you tell your mom you feel sick?”
b. “You seem sad today. Tell me more about how you feel.”
c. “Everything will be fine; don’t worry.”
d. “If you don’t take your medicine, you will have to stay here longer.”
ANS: B
PTS: 1 DIF: Cognitive Level: Apply REF: 18–20 TOP: Integrated Process:
Communication and Documentation
MSC: Area of Client Needs: Psychosocial Integrity
6. The nurse is reviewing the history of child health in the United States. Which
statement accurately reflects health care in the past versus the present?
a. In past centuries the health of the country was better than it is today.
b. In the current century, mortality rates are high but life expectancy has
increased.
c. In the late 18th and early 19th centuries, urban public health improvements
made cities healthier for children.
d. By the late 20th century, unintentional injuries had become the leading cause
of death for children older than 1 year.
ANS: D
PTS: 1 DIF: Cognitive Level: Apply REF: 6 TOP: Integrated Process: Nursing
Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
7. A nurse is providing care to a hospitalized child. Which action best reflects the
concept of atraumatic care?
a. Performing all procedures in the treatment room
b. Allowing the child to keep a favorite stuffed animal during an IV start
c. Telling the child the procedure will not hurt when it will
d. Restraining the child for a venipuncture
ANS: B
, PTS: 1 DIF: Cognitive Level: Apply REF: 15–17 TOP: Integrated Process: Caring
MSC: Area of Client Needs: Psychosocial Integrity
8. Which role of the pediatric nurse is most important when caring for a child with a
chronic condition?
a. Caregiver
b. Advocate
c. Researcher
d. Educator
ANS: B
PTS: 1 DIF: Cognitive Level: Analyze REF: 13–14 TOP: Integrated Process: Nursing
Process: Implementation
MSC: Area of Client Needs: Safe, Effective Care Environment
9. The nurse is preparing a community education session on child safety. Which age
group has the highest risk for unintentional injury?
a. Newborns
b. Toddlers
c. School-age children
d. Adolescents
ANS: B
PTS: 1 DIF: Cognitive Level: Understand REF: 8 TOP: Integrated Process: Nursing
Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
10. The World Health Organization defines health as:
a. Absence of disease or infirmity
b. A state of complete physical, mental, and social well-being
c. The ability to perform activities of daily living
d. Measured solely by mortality and morbidity statistics
ANS: B
PTS: 1 DIF: Cognitive Level: Remember REF: 5 TOP: Integrated Process: Nursing
Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
11. A nurse is caring for a child from a different cultural background. Which action
demonstrates cultural competence?
a. Assuming the family follows the same health practices
b. Asking the family about their health beliefs and practices
c. Telling the family the hospital’s way is the best way
d. Avoiding discussion of cultural differences
ANS: B
PTS: 1 DIF: Cognitive Level: Apply REF: 22–24 TOP: Integrated Process: Nursing
Nursing
Multiple-Choice Questions
1. A nurse is planning a teaching session for parents of preschool children. Which
statement explains why the nurse should include information about morbidity
and mortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are identified.
ANS: D
PTS: 1 DIF: Cognitive Level: Apply REF: 6–8 TOP: Integrated Process: Nursing
Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which is the leading cause of death in infants younger than 1 year?
a. Congenital anomalies
b. Sudden infant death syndrome (SIDS)
c. Unintentional injuries
d. Respiratory distress syndrome
ANS: A
PTS: 1 DIF: Cognitive Level: Remember REF: 7 TOP: Integrated Process: Nursing
Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
3. A nurse is implementing family-centered care. Which action best demonstrates
this concept?
a. Telling the parents what to do for the child
b. Allowing the parents to stay during the child’s procedure
c. Discouraging parental presence during rounds
d. Limiting visiting hours to reduce infection
ANS: B
PTS: 1 DIF: Cognitive Level: Apply REF: 10–12 TOP: Integrated Process: Caring
MSC: Area of Client Needs: Psychosocial Integrity
,4. Which is a major focus of pediatric nursing according to the health promotion
model?
a. Treating acute illnesses only
b. Preventing disease and promoting wellness
c. Providing end-of-life care
d. Performing surgical procedures
ANS: B
PTS: 1 DIF: Cognitive Level: Understand REF: 4–5 TOP: Integrated Process: Nursing
Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. The nurse uses therapeutic communication when speaking with a child. Which
statement is an example?
a. “Why did you tell your mom you feel sick?”
b. “You seem sad today. Tell me more about how you feel.”
c. “Everything will be fine; don’t worry.”
d. “If you don’t take your medicine, you will have to stay here longer.”
ANS: B
PTS: 1 DIF: Cognitive Level: Apply REF: 18–20 TOP: Integrated Process:
Communication and Documentation
MSC: Area of Client Needs: Psychosocial Integrity
6. The nurse is reviewing the history of child health in the United States. Which
statement accurately reflects health care in the past versus the present?
a. In past centuries the health of the country was better than it is today.
b. In the current century, mortality rates are high but life expectancy has
increased.
c. In the late 18th and early 19th centuries, urban public health improvements
made cities healthier for children.
d. By the late 20th century, unintentional injuries had become the leading cause
of death for children older than 1 year.
ANS: D
PTS: 1 DIF: Cognitive Level: Apply REF: 6 TOP: Integrated Process: Nursing
Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
7. A nurse is providing care to a hospitalized child. Which action best reflects the
concept of atraumatic care?
a. Performing all procedures in the treatment room
b. Allowing the child to keep a favorite stuffed animal during an IV start
c. Telling the child the procedure will not hurt when it will
d. Restraining the child for a venipuncture
ANS: B
, PTS: 1 DIF: Cognitive Level: Apply REF: 15–17 TOP: Integrated Process: Caring
MSC: Area of Client Needs: Psychosocial Integrity
8. Which role of the pediatric nurse is most important when caring for a child with a
chronic condition?
a. Caregiver
b. Advocate
c. Researcher
d. Educator
ANS: B
PTS: 1 DIF: Cognitive Level: Analyze REF: 13–14 TOP: Integrated Process: Nursing
Process: Implementation
MSC: Area of Client Needs: Safe, Effective Care Environment
9. The nurse is preparing a community education session on child safety. Which age
group has the highest risk for unintentional injury?
a. Newborns
b. Toddlers
c. School-age children
d. Adolescents
ANS: B
PTS: 1 DIF: Cognitive Level: Understand REF: 8 TOP: Integrated Process: Nursing
Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
10. The World Health Organization defines health as:
a. Absence of disease or infirmity
b. A state of complete physical, mental, and social well-being
c. The ability to perform activities of daily living
d. Measured solely by mortality and morbidity statistics
ANS: B
PTS: 1 DIF: Cognitive Level: Remember REF: 5 TOP: Integrated Process: Nursing
Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
11. A nurse is caring for a child from a different cultural background. Which action
demonstrates cultural competence?
a. Assuming the family follows the same health practices
b. Asking the family about their health beliefs and practices
c. Telling the family the hospital’s way is the best way
d. Avoiding discussion of cultural differences
ANS: B
PTS: 1 DIF: Cognitive Level: Apply REF: 22–24 TOP: Integrated Process: Nursing
