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Table of Contents
Chapter 01 Children, Their Families, and the Nurse 1
Chapter 02 Social, Cultural, Religious, and Family Influences on Child Health Promotion 9
Chapter 03 Developmental and Genetic Influences on Child Health Promotion 15
Chapter 04 Communication and Physical Assessment of the Child and Family 23
Chapter 05 Pain Assessment and Management in Children 32
Chapter 06 Childhood Communicable and Infectious Diseases 38
Chapter 07 Health Promotion of the Newborn and Family 44
Chapter 08 Health Problems of Newborns 52
Chapter 09 Health Promotion of the Infant and Family 63
Chapter 10 Health Problems of Infants 71
Chapter 11 Health Promotion of the Toddler and Family 79
Chapter 12 Health Promotion of the Preschooler and Family 87
Chapter 13 Health Problems of Toddlers and Preschoolers 94
Chapter 14 Health Promotion of theSchool-Age Child and Family 99
Chapter 15 Health Promotion of the Adolescent and Family 106
Chapter 16 Health Problems of School-Age Children and Adolescents 113
Chapter 17 Impact of Chronic Illness, Disability, or End-of-Life Care on the Child and
Family 121
Chapter 18 Impact of Cognitive or Sensory Impairment on the Child and Family 129
Chapter 19 Family-Centered Care of the Child During Illness and Hospitalization 137
Chapter 20 Pediatric Nursing Interventions and Skills 146
Chapter 21 The Child With Respiratory Dysfunction 156
Chapter 22 The Child With Gastrointestinal Dysfunction 166
Chapter 23 The Child With Cardiovascular Dysfunction 176
Chapter 24 The Child With Hematologic or Immunologic Dysfunction 186
Chapter 25 The Child With Cancer 194
Chapter 26 The Child With Genitourinary Dysfunction 202
Chapter 27 The Child With Cerebral Dysfunction 209
Chapter 28 The Child With Endocrine Dysfunction 219
Chapter 29 The Child With Musculoskeletal or Articular Dysfunction 227
Chapter 30 The Child With Neuromuscular or Muscular Dysfunction 235
Chapter 31 The Child With Integumentary Dysfunction 243
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,Chapter 01: Children, Their Families, and the Nurse
Evolve Resources for Wong’s Essentials of Pediatric Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse would include which associated risk when planning a teaching session about childhood obesity?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I diabetes is not associated with
obesity and has a genetic component. Respiratory disease is not associated with obesity, and celiac disease is the inability
to metabolize gluten in foods and is not associated with obesity.
DIF: Cognitive Level: Remember
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which second-leading cause of death topic would the nurse emphasize to a group of boys ranging in age from 15 to 19
years?
a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries
ANS: C
Firearm homicide is the second overall cause of death in this age group and the leading cause of death in African-
American males. Suicide is the third-leading cause of death in this population. Cancer, although a major health problem,
is the fourth-leading cause of death in this age group. Occupational injuries do not contribute to a significant death rate
for this age group.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS: C
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Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Congenital anomalies are the leading cause
of death in those younger than 1 year. Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in the
majority of the age groups.
4. Which factor most impacts the type of injury a child is susceptible to, according to the child’s age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
ANS: B
The child’s developmental stage determines the type of injury that is likely to occur. The child’s physical health may
facilitate the child’s recovery from an injury but does not impact the type of injury. Educational level is related to
developmental level, but it is not as important as the child’s developmental level in determining the type of injury. The
number of responsible adults in the home may affect the number of unintentional injuries, but the type of injury is related
to the child’s developmental stage.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is
delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child’s life
d. Excluding families from 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 child’s life. Taking over total care does not include the family in the process
and may increase stress instead of reducing stress. The family should be enabled and empowered to work with the health
care system. The family is expected to be part of the decision-making process.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation MSC: Area of
Client Needs: Health Promotion and Maintenance
6. Which intervention would the nurse include when providing atraumatic care?
a. Prepare the child for separation from parents during hospitalization by reviewing a video.
b. Prepare the child before any unfamiliar treatment or procedure.
c. Help the child accept the loss of control associated with hospitalization.
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Table of Contents
Chapter 01 Children, Their Families, and the Nurse 1
Chapter 02 Social, Cultural, Religious, and Family Influences on Child Health Promotion 9
Chapter 03 Developmental and Genetic Influences on Child Health Promotion 15
Chapter 04 Communication and Physical Assessment of the Child and Family 23
Chapter 05 Pain Assessment and Management in Children 32
Chapter 06 Childhood Communicable and Infectious Diseases 38
Chapter 07 Health Promotion of the Newborn and Family 44
Chapter 08 Health Problems of Newborns 52
Chapter 09 Health Promotion of the Infant and Family 63
Chapter 10 Health Problems of Infants 71
Chapter 11 Health Promotion of the Toddler and Family 79
Chapter 12 Health Promotion of the Preschooler and Family 87
Chapter 13 Health Problems of Toddlers and Preschoolers 94
Chapter 14 Health Promotion of theSchool-Age Child and Family 99
Chapter 15 Health Promotion of the Adolescent and Family 106
Chapter 16 Health Problems of School-Age Children and Adolescents 113
Chapter 17 Impact of Chronic Illness, Disability, or End-of-Life Care on the Child and
Family 121
Chapter 18 Impact of Cognitive or Sensory Impairment on the Child and Family 129
Chapter 19 Family-Centered Care of the Child During Illness and Hospitalization 137
Chapter 20 Pediatric Nursing Interventions and Skills 146
Chapter 21 The Child With Respiratory Dysfunction 156
Chapter 22 The Child With Gastrointestinal Dysfunction 166
Chapter 23 The Child With Cardiovascular Dysfunction 176
Chapter 24 The Child With Hematologic or Immunologic Dysfunction 186
Chapter 25 The Child With Cancer 194
Chapter 26 The Child With Genitourinary Dysfunction 202
Chapter 27 The Child With Cerebral Dysfunction 209
Chapter 28 The Child With Endocrine Dysfunction 219
Chapter 29 The Child With Musculoskeletal or Articular Dysfunction 227
Chapter 30 The Child With Neuromuscular or Muscular Dysfunction 235
Chapter 31 The Child With Integumentary Dysfunction 243
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,Chapter 01: Children, Their Families, and the Nurse
Evolve Resources for Wong’s Essentials of Pediatric Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse would include which associated risk when planning a teaching session about childhood obesity?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I diabetes is not associated with
obesity and has a genetic component. Respiratory disease is not associated with obesity, and celiac disease is the inability
to metabolize gluten in foods and is not associated with obesity.
DIF: Cognitive Level: Remember
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which second-leading cause of death topic would the nurse emphasize to a group of boys ranging in age from 15 to 19
years?
a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries
ANS: C
Firearm homicide is the second overall cause of death in this age group and the leading cause of death in African-
American males. Suicide is the third-leading cause of death in this population. Cancer, although a major health problem,
is the fourth-leading cause of death in this age group. Occupational injuries do not contribute to a significant death rate
for this age group.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS: C
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_ ___________ Test Bank - Wong’s Essentials of Pediatric Nursing, 11th Edition (Hockenberry, 2022)
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. Congenital anomalies are the leading cause
of death in those younger than 1 year. Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in the
majority of the age groups.
4. Which factor most impacts the type of injury a child is susceptible to, according to the child’s age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
ANS: B
The child’s developmental stage determines the type of injury that is likely to occur. The child’s physical health may
facilitate the child’s recovery from an injury but does not impact the type of injury. Educational level is related to
developmental level, but it is not as important as the child’s developmental level in determining the type of injury. The
number of responsible adults in the home may affect the number of unintentional injuries, but the type of injury is related
to the child’s developmental stage.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is
delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child’s life
d. Excluding families from 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 child’s life. Taking over total care does not include the family in the process
and may increase stress instead of reducing stress. The family should be enabled and empowered to work with the health
care system. The family is expected to be part of the decision-making process.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation MSC: Area of
Client Needs: Health Promotion and Maintenance
6. Which intervention would the nurse include when providing atraumatic care?
a. Prepare the child for separation from parents during hospitalization by reviewing a video.
b. Prepare the child before any unfamiliar treatment or procedure.
c. Help the child accept the loss of control associated with hospitalization.
2|Page
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