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, 12thE
+ + + + + + + + +
dition
MULTIPLE CHOICE +
1. What is the major cause of death for children in the United States?
+ + + + + + + + + + + +
a. Heart disease +
b. Childhood cancer +
c. Injuries
d. Congenital anomalies +
ANS: C +
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Th
+ + + + + + + + + + + + + + +
e leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers an
+ + + + + + + + + + + + + + + + +
d heart disease cause a significantly lower percentage of deaths in children older than 1 yearof age.
+ + + + + + + + + + + + + + + + +
DIF: Cognitive Level: Understanding + +
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
+ + + + + + + +
n and Maintenance
+ +
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
+ + + + + + + + + + + +
centered care?‖ The nurseshould 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 child‘s life. + + + + + + + + + + + +
d. Family-centered care avoids expecting families to be part of the 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
+ + + + + + + + + + + + + + + + + + +
empowered 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), 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 child‘s health and family situation
+ + + + + + + + + + +
ANS: B +
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and question
+ + + + + + + + + + + + +
ing the best approach. EBP involves decision making based on the integration of the bestresearch evidenc
+ + + + + + + + + + + + + + + +
e 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 Effecti
+ + + + + + + + +
ve Care Environment
+ +
4. The nurse is talking to a group of parents of school-age children at an after-
+ + + + + + + + + + + + + +
school program aboutchildhood health problems. Which statement should the nurse include in the t
+ + + + + + + + + + + + + +
eaching?
a. Childhood obesity is the most common nutritional problem among children.
+ + + + + + + + +
b. Immunization rates are the same among children of different races and ethnicity. + + + + + + + + + + +
c. Dental caries is not a problem commonly seen in children since the introduction offluo
+ + + + + + + + + + + + + +
rinated water. +
d. Mental health problems are typically not seen in school-
+ + + + + + + +
age children but may bediagnosed in adolescents.
+ + + + + + +
ANS: A +
When teaching parents of school-
+ + + +
age children about childhood health problems, the nurse should include information about childhood obe
+ + + + + + + + + + + + +
sity because it is the most common problem among children and is associated with type 2 diabetes. Teac
+ + + + + + + + + + + + + + + + +
hing parents about ways to prevent obesity is important toinclude. Immunization rates differ depending o
+ + + + + + + + + + + + + + +
n the child‘s race and ethnicity; dental caries continuesto 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 + +
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 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 oralmed
+ + + + + + + + + + + + + + + +
ications.
d. Explain that EMLA cream cannot be used for the morning lab draw because thereis n
+ + + + + + + + + + + + + + +
ot 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 ofjui
+ + + + + + + + + + + + + + + + + +
ce to drink when taking oral medications provides the child with a sense of control. The preschoolchild
+ + + + + + + + + + + + + + + + +
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 theprescribed + + + + + + + + + + + + + + + +
cream in time for morning laboratory draws to minimize pain.
+ + + + + + + + +
DIF: Cognitive Level: Applying + +
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
+ + + + + + + +
n and Maintenance
+ +
6. Which situation denotes a nontherapeutic nurse–patient–family 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.
+ + + + + + + + + + + + + +
d. The nurse is working with a family to find ways to decrease the family‘sdependence o
+ + + + + + + + + + + + + + +
n 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 wit
+ + + + + + + + + + + + + + +
h the parents. Reading a fairy tale is a therapeutic and age-
+ + + + + + + + + + +
appropriate action. Discussing feelingsof an emotional draw with a fellow nurse is therapeutic and show
+ + + + + + + + + + + + + + +
s a willingness to understand feelings. Working with parents to decrease dependence on health care pro
+ + + + + + + + + + + + + + +
viders is therapeutic and helps to empower the family.
+ + + + + + + +
DIF: Cognitive Level: Analyzing + +
TOP: Integrated Process: CaringMSC: Client Needs: Psychosocial Int
+ + + + + + + +
egrity
7. The nurse is aware that which age-
+ + + + + +
group is at risk for childhood injury because of the cognitivecharacteristic of magical and egocent
+ + + + + + + + + + + + + + +
ric 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 ar
+ + + + + + + + + + + + +
e 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 detaile
+ + + + + + + + + + + + +
d planning but recognize danger to themselves or others. Adolescents have formal operational cognitive p
+ + + + + + + + + + + + + +
rocesses andare preoccupied with abstract thinking.
+ + + + + +
DIF: Cognitive Level: Understanding + +
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effecti
+ + + + + + + + +
ve Care Environment
+ +
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child hasth
+ + + + + + + + + + + + + + + +
e most risk factors related to childhood injury?
+ + + + + + +
a. Female, multiple siblings, stable home life + + + + +
b. Male, high activity level, stressful home life
+ + + + + +
c. Male, even tempered, history of previous injuries
+ + + + + +
d. Female, reacts negatively to new situations, no serious previous injuries
+ + + + + + + + +
ANS: B +
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a
+ + + + + + + + + + + + + + + +
high 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 environm
+ + + + + + + + + + + + + + + +
ent has the highest number of risk factors. A girl with several siblingsand a stable home life is low risk. A
+ + + + + + + + + + + + + + + + + + + + + +
boy with previous injuries has two risk factors, but an even temperis not a risk factor for injuries. A girl w
+ + + + + + + + + + + + + + + + + + + + +
ho reacts negatively to new situations but has no previous serious illnesses has only one risk factor.
+ + + + + + + + + + + + + + + +
DIF: Cognitive Level: Analyzing + +
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effecti
+ + + + + + + + +
ve Care Environment
+ +
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Whichm
+ + + + + + + + + + + + + + +
oral 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, 12thE
+ + + + + + + + +
dition
MULTIPLE CHOICE +
1. What is the major cause of death for children in the United States?
+ + + + + + + + + + + +
a. Heart disease +
b. Childhood cancer +
c. Injuries
d. Congenital anomalies +
ANS: C +
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Th
+ + + + + + + + + + + + + + +
e leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers an
+ + + + + + + + + + + + + + + + +
d heart disease cause a significantly lower percentage of deaths in children older than 1 yearof age.
+ + + + + + + + + + + + + + + + +
DIF: Cognitive Level: Understanding + +
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
+ + + + + + + +
n and Maintenance
+ +
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
+ + + + + + + + + + + +
centered care?‖ The nurseshould 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 child‘s life. + + + + + + + + + + + +
d. Family-centered care avoids expecting families to be part of the 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
+ + + + + + + + + + + + + + + + + + +
empowered 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), 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 child‘s health and family situation
+ + + + + + + + + + +
ANS: B +
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and question
+ + + + + + + + + + + + +
ing the best approach. EBP involves decision making based on the integration of the bestresearch evidenc
+ + + + + + + + + + + + + + + +
e 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 Effecti
+ + + + + + + + +
ve Care Environment
+ +
4. The nurse is talking to a group of parents of school-age children at an after-
+ + + + + + + + + + + + + +
school program aboutchildhood health problems. Which statement should the nurse include in the t
+ + + + + + + + + + + + + +
eaching?
a. Childhood obesity is the most common nutritional problem among children.
+ + + + + + + + +
b. Immunization rates are the same among children of different races and ethnicity. + + + + + + + + + + +
c. Dental caries is not a problem commonly seen in children since the introduction offluo
+ + + + + + + + + + + + + +
rinated water. +
d. Mental health problems are typically not seen in school-
+ + + + + + + +
age children but may bediagnosed in adolescents.
+ + + + + + +
ANS: A +
When teaching parents of school-
+ + + +
age children about childhood health problems, the nurse should include information about childhood obe
+ + + + + + + + + + + + +
sity because it is the most common problem among children and is associated with type 2 diabetes. Teac
+ + + + + + + + + + + + + + + + +
hing parents about ways to prevent obesity is important toinclude. Immunization rates differ depending o
+ + + + + + + + + + + + + + +
n the child‘s race and ethnicity; dental caries continuesto 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 + +
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 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 oralmed
+ + + + + + + + + + + + + + + +
ications.
d. Explain that EMLA cream cannot be used for the morning lab draw because thereis n
+ + + + + + + + + + + + + + +
ot 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 ofjui
+ + + + + + + + + + + + + + + + + +
ce to drink when taking oral medications provides the child with a sense of control. The preschoolchild
+ + + + + + + + + + + + + + + + +
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 theprescribed + + + + + + + + + + + + + + + +
cream in time for morning laboratory draws to minimize pain.
+ + + + + + + + +
DIF: Cognitive Level: Applying + +
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promotio
+ + + + + + + +
n and Maintenance
+ +
6. Which situation denotes a nontherapeutic nurse–patient–family 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.
+ + + + + + + + + + + + + +
d. The nurse is working with a family to find ways to decrease the family‘sdependence o
+ + + + + + + + + + + + + + +
n 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 wit
+ + + + + + + + + + + + + + +
h the parents. Reading a fairy tale is a therapeutic and age-
+ + + + + + + + + + +
appropriate action. Discussing feelingsof an emotional draw with a fellow nurse is therapeutic and show
+ + + + + + + + + + + + + + +
s a willingness to understand feelings. Working with parents to decrease dependence on health care pro
+ + + + + + + + + + + + + + +
viders is therapeutic and helps to empower the family.
+ + + + + + + +
DIF: Cognitive Level: Analyzing + +
TOP: Integrated Process: CaringMSC: Client Needs: Psychosocial Int
+ + + + + + + +
egrity
7. The nurse is aware that which age-
+ + + + + +
group is at risk for childhood injury because of the cognitivecharacteristic of magical and egocent
+ + + + + + + + + + + + + + +
ric 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 ar
+ + + + + + + + + + + + +
e 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 detaile
+ + + + + + + + + + + + +
d planning but recognize danger to themselves or others. Adolescents have formal operational cognitive p
+ + + + + + + + + + + + + +
rocesses andare preoccupied with abstract thinking.
+ + + + + +
DIF: Cognitive Level: Understanding + +
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effecti
+ + + + + + + + +
ve Care Environment
+ +
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child hasth
+ + + + + + + + + + + + + + + +
e most risk factors related to childhood injury?
+ + + + + + +
a. Female, multiple siblings, stable home life + + + + +
b. Male, high activity level, stressful home life
+ + + + + +
c. Male, even tempered, history of previous injuries
+ + + + + +
d. Female, reacts negatively to new situations, no serious previous injuries
+ + + + + + + + +
ANS: B +
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a
+ + + + + + + + + + + + + + + +
high 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 environm
+ + + + + + + + + + + + + + + +
ent has the highest number of risk factors. A girl with several siblingsand a stable home life is low risk. A
+ + + + + + + + + + + + + + + + + + + + + +
boy with previous injuries has two risk factors, but an even temperis not a risk factor for injuries. A girl w
+ + + + + + + + + + + + + + + + + + + + +
ho reacts negatively to new situations but has no previous serious illnesses has only one risk factor.
+ + + + + + + + + + + + + + + +
DIF: Cognitive Level: Analyzing + +
TOP: Nursing Process: AssessmentMSC: Client Needs: Safe and Effecti
+ + + + + + + + +
ve Care Environment
+ +
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Whichm
+ + + + + + + + + + + + + + +
oral value is the nurse displaying when supporting the adolescent to make decisions?
+ + + + + + + + + + + +
a. Justice
