,Chapter 01: Perspectives of Pediatric Nursing
y y y y y
Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Edition
y y y y y y y
MULTIPLE yCHOICE
1. A ynurse yis yplanning ya yteaching ysession yfor yparents yof ypreschool ychildren. yWhich
statement yexplains ywhy ythe ynurse yshould yinclude yinformation yabout ymorbidity yand
y
mortality?
y
a. Life yspan ystatistics yare yincluded yin ythe ydata.
b. It yexplains yeffectiveness yof ytreatment.
c. Cost-effective ytreatment yis ydetailed yfor ythe ygeneral ypopulation.
d. High-risk yage ygroups yfor ycertain ydisorders yor yhazards yare yidentified.
ANS: y D
Analysis yof ymorbidity yand ymortality ydata yprovides ythe yparents ywith yinformation yabout ywhich
ygroups yof yindividuals yare yat yrisk yfor ywhich yhealth yproblems. yLife yspan ystatistics yis ya ypart yof ythe
ymortality ydata. yTreatment ymodalities yand ycost yare ynot yincluded yin ymorbidity yand ymortality ydata.
DIF: Cognitive yLevel: yApply REF: y p.
y11 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
2. A yclinic ynurse yis yplanning ya yteaching ysession yabout ychildhood yobesity yprevention yfor yparents
of yschool-age ychildren. yThe ynurse yshould yinclude ywhich yassociated yrisk yof yobesity yin ythe
y
teaching yplan?
y
a. Type yI ydiabetes
b. Respiratory ydisease
NURSINGTB.COM
c. Celiac ydisease
d. Type yII ydiabetes
ANS: y D
Childhood yobesity yhas ybeen yassociated ywith ythe yrise yof ytype yII ydiabetes yin ychildren. yType yI
ydiabetes yis ynot yassociated ywith yobesity yand yhas ya ygenetic ycomponent. yRespiratory ydisease yis
ynot yassociated ywith yobesity, yand yceliac ydisease yis ythe yinability yto ymetabolize ygluten yin yfoods
yand yis ynot yassociated ywith yobesity.
DIF: Cognitive yLevel: yApply REF: y p.
y2 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
3. Which yis ythe yleading ycause yof ydeath yin yinfants yyounger ythan y1 yyear?
a. Congenital yanomalies
b. Sudden yinfant ydeath ysyndrome
c. Respiratory ydistress ysyndrome
d. Bacterial ysepsis yof ythe ynewborn
ANS: y A
Congenital yanomalies yaccount yfor y20.1% yof ydeaths yin yinfants yyounger ythan y1 yyear. ySudden
yinfant ydeath ysyndrome yaccounts yfor y8.2% yof ydeaths yin ythis yage ygroup. yRespiratory ydistress
ysyndrome yaccounts yfor y3.4% yof ydeaths yin ythis yage ygroup. yInfections yspecific yto ythe yperinatal
yperiod yaccount yfor y2.7% yof ydeaths yin ythis yage ygroup.
, DIF: Cognitive yLevel: yRemember REF: y p.
y6 yTOP: y Integrated yProcess: yNursing yProcess:
yAssessment
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
4. Which yleading ycause yof ydeath ytopic yshould ythe ynurse yemphasize yto ya ygroup
of yAfrican-American yboys yranging yin yage yfrom y15 yto y19 yyears?
y
a. Suicide
b. Cancer
c. Firearm yhomicide
d. Occupational yinjuries
ANS: y C
Firearm yhomicide yis ythe ysecond yoverall ycause yof ydeath yin ythis yage ygroup yand ythe yleading
ycause yof ydeath yin yAfrican-American ymales. ySuicide yis ythe ythird-leading ycause yof ydeath yin
ythis ypopulation. yCancer, yalthough ya ymajor yhealth yproblem, yis ythe yfourth-leading ycause yof
ydeath yin ythis yage ygroup. yOccupational yinjuries ydo ynot ycontribute yto ya ysignificant ydeath yrate
yfor ythis yage ygroup.
DIF: Cognitive yLevel: yUnderstand REF: y p.
y7 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
5. Which yis ythe ymajor ycause yof ydeath yfor ychildren yolder ythan y1 yyear?
a. Cancer
b. Heart ydisease
c. Unintentional yinjuries
d. Congenital yanomalies
NURSINGTB.COM
ANS: y C
Unintentional yinjuries y(accidents) yare ythe yleading ycause yof ydeath yafter yage y1 yyear ythrough
yadolescence. yCongenital yanomalies yare ythe yleading ycause yof ydeath yin ythose yyounger ythan y1
yyear. yCancer yranks yeither ysecond yor yfourth, ydepending yon ythe yage ygroup, yand yheart
ydisease yranks yfifth yin ythe ymajority yof ythe yage ygroups.
DIF: Cognitive yLevel: yRemember REF: y p.
y7 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
6. Which yis ythe yleading ycause yof ydeath yfrom yunintentional yinjuries yfor yfemales yranging yin
age yfrom y1 yto y14?
y
a. Mechanical ysuffocation
b. Drowning
c. Motor yvehicle–related yfatalities
d. Fire- yand yburn-related yfatalities
ANS: y C
Motor yvehicle–related yfatalities yare ythe yleading ycause yof ydeath yfor yfemales yranging yin yage
yfrom y1 yto y14, yeither yas ypassengers yor yas ypedestrians. yMechanical ysuffocation yis yfourth yor
yfifth, ydepending yon ythe yage. yDrowning yis ythe ysecond- yor ythird-leading ycause yof ydeath,
ydepending yon ythe yage. yFire- yand yburn-related yfatalities yare ythe ysecond-leading ycause yof
ydeath.
DIF: Cognitive yLevel: yRemember REF: y y p. y3
, TOP: y Integrated yProcess: yNursing yProcess: yAssessment
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
7. Which yfactor ymost yimpacts ythe ytype yof yinjury ya ychild yis ysusceptible yto, yaccording yto ythe
child‘s yage?
y
a. Physical yhealth yof ythe ychild
b. Developmental ylevel yof ythe ychild
c. Educational ylevel yof ythe ychild
d. Number yof yresponsible yadults yin ythe yhome
ANS: y B
The ychild‘s ydevelopmental ystage ydetermines ythe ytype yof yinjury ythat yis ylikely yto yoccur. yThe
child‘s yphysical yhealth ymay yfacilitate ythe ychild‘s yrecovery yfrom yan yinjury ybut ydoes ynot
yimpact ythe ytype yof yinjury. yEducational ylevel yis yrelated yto ydevelopmental ylevel, ybut yit yis ynot
yas
important yas ythe ychild‘s ydevelopmental ylevel yin ydetermining ythe ytype yof yinjury. yThe ynumber
yof yresponsible yadults yin ythe yhome ymay yaffect ythe ynumber yof yunintentional yinjuries, ybut ythe
ytype yof yinjury yis yrelated yto ythe ychild‘s ydevelopmental ystage.
DIF: Cognitive yLevel: yUnderstand REF: y p.
y3 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
8. Which yis ynow yreferred yto yas ythe y―new ymorbidity‖?
a. Limitations yin ythe ymajor yactivities yof ydaily yliving
b. Unintentional yinjuries ythat ycause ychronic yhealth yproblems
c. Discoveries yof ynew ytherapies yto ytreat yhealth yproblems
d. Behavioral, ysocial, yand yeducational yproblems ythat yalter yhealth
NURSINGTB.COM
ANS: y D
The ynew ymorbidity yreflects ythe ybehavioral, ysocial, yand yeducational yproblems ythat yinterfere
ywith ythe ychild‘s ysocial yand yacademic ydevelopment. yIt yis ycurrently yestimated ythat ythe
yincidence yof ythese yissues yis yfrom y5% yto y30%. yLimitations yin ymajor yactivities yof ydaily yliving
yand yunintentional yinjuries ythat yresult yin ychronic yhealth yproblems yare yincluded yin ymorbidity
ydata.
Discovery yof ynew ytherapies ywould ybe yreflected yin ychanges yin ymorbidity ydata yover ytime.
DIF: Cognitive yLevel: yRemember REF: y p.
y2 yTOP: y Integrated yProcess: yNursing yProcess:
yAssessment
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
9. A ynurse yon ya ypediatric yunit yis ypracticing yfamily-centered ycare. yWhich yis ymost ydescriptive yof
the ycare ythe ynurse yis ydelivering?
y
a. Taking yover ytotal ycare yof ythe ychild yto yreduce ystress yon ythe yfamily
b. Encouraging yfamily ydependence yon yhealth ycare ysystems
c. Recognizing ythat ythe yfamily yis ythe yconstant yin ya ychild‘s ylife
d. Excluding yfamilies yfrom ythe ydecision-making yprocess
ANS: y C
The ythree ykey ycomponents yof yfamily-centered ycare yare yrespect, ycollaboration, yand
ysupport. yFamily-centered ycare yrecognizes ythe yfamily yas ythe yconstant yin ythe ychild‘s ylife.
yTaking yover ytotal ycare ydoes ynot yinclude ythe yfamily yin ythe yprocess yand ymay yincrease
ystress yinstead yof yreducing ystress. yThe yfamily yshould ybe yenabled yand yempowered yto ywork
ywith ythe yhealth ycare ysystem. yThe yfamily yis yexpected yto ybe ypart yof ythe ydecision-making
y y y y y
Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Edition
y y y y y y y
MULTIPLE yCHOICE
1. A ynurse yis yplanning ya yteaching ysession yfor yparents yof ypreschool ychildren. yWhich
statement yexplains ywhy ythe ynurse yshould yinclude yinformation yabout ymorbidity yand
y
mortality?
y
a. Life yspan ystatistics yare yincluded yin ythe ydata.
b. It yexplains yeffectiveness yof ytreatment.
c. Cost-effective ytreatment yis ydetailed yfor ythe ygeneral ypopulation.
d. High-risk yage ygroups yfor ycertain ydisorders yor yhazards yare yidentified.
ANS: y D
Analysis yof ymorbidity yand ymortality ydata yprovides ythe yparents ywith yinformation yabout ywhich
ygroups yof yindividuals yare yat yrisk yfor ywhich yhealth yproblems. yLife yspan ystatistics yis ya ypart yof ythe
ymortality ydata. yTreatment ymodalities yand ycost yare ynot yincluded yin ymorbidity yand ymortality ydata.
DIF: Cognitive yLevel: yApply REF: y p.
y11 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
2. A yclinic ynurse yis yplanning ya yteaching ysession yabout ychildhood yobesity yprevention yfor yparents
of yschool-age ychildren. yThe ynurse yshould yinclude ywhich yassociated yrisk yof yobesity yin ythe
y
teaching yplan?
y
a. Type yI ydiabetes
b. Respiratory ydisease
NURSINGTB.COM
c. Celiac ydisease
d. Type yII ydiabetes
ANS: y D
Childhood yobesity yhas ybeen yassociated ywith ythe yrise yof ytype yII ydiabetes yin ychildren. yType yI
ydiabetes yis ynot yassociated ywith yobesity yand yhas ya ygenetic ycomponent. yRespiratory ydisease yis
ynot yassociated ywith yobesity, yand yceliac ydisease yis ythe yinability yto ymetabolize ygluten yin yfoods
yand yis ynot yassociated ywith yobesity.
DIF: Cognitive yLevel: yApply REF: y p.
y2 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
3. Which yis ythe yleading ycause yof ydeath yin yinfants yyounger ythan y1 yyear?
a. Congenital yanomalies
b. Sudden yinfant ydeath ysyndrome
c. Respiratory ydistress ysyndrome
d. Bacterial ysepsis yof ythe ynewborn
ANS: y A
Congenital yanomalies yaccount yfor y20.1% yof ydeaths yin yinfants yyounger ythan y1 yyear. ySudden
yinfant ydeath ysyndrome yaccounts yfor y8.2% yof ydeaths yin ythis yage ygroup. yRespiratory ydistress
ysyndrome yaccounts yfor y3.4% yof ydeaths yin ythis yage ygroup. yInfections yspecific yto ythe yperinatal
yperiod yaccount yfor y2.7% yof ydeaths yin ythis yage ygroup.
, DIF: Cognitive yLevel: yRemember REF: y p.
y6 yTOP: y Integrated yProcess: yNursing yProcess:
yAssessment
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
4. Which yleading ycause yof ydeath ytopic yshould ythe ynurse yemphasize yto ya ygroup
of yAfrican-American yboys yranging yin yage yfrom y15 yto y19 yyears?
y
a. Suicide
b. Cancer
c. Firearm yhomicide
d. Occupational yinjuries
ANS: y C
Firearm yhomicide yis ythe ysecond yoverall ycause yof ydeath yin ythis yage ygroup yand ythe yleading
ycause yof ydeath yin yAfrican-American ymales. ySuicide yis ythe ythird-leading ycause yof ydeath yin
ythis ypopulation. yCancer, yalthough ya ymajor yhealth yproblem, yis ythe yfourth-leading ycause yof
ydeath yin ythis yage ygroup. yOccupational yinjuries ydo ynot ycontribute yto ya ysignificant ydeath yrate
yfor ythis yage ygroup.
DIF: Cognitive yLevel: yUnderstand REF: y p.
y7 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
5. Which yis ythe ymajor ycause yof ydeath yfor ychildren yolder ythan y1 yyear?
a. Cancer
b. Heart ydisease
c. Unintentional yinjuries
d. Congenital yanomalies
NURSINGTB.COM
ANS: y C
Unintentional yinjuries y(accidents) yare ythe yleading ycause yof ydeath yafter yage y1 yyear ythrough
yadolescence. yCongenital yanomalies yare ythe yleading ycause yof ydeath yin ythose yyounger ythan y1
yyear. yCancer yranks yeither ysecond yor yfourth, ydepending yon ythe yage ygroup, yand yheart
ydisease yranks yfifth yin ythe ymajority yof ythe yage ygroups.
DIF: Cognitive yLevel: yRemember REF: y p.
y7 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
6. Which yis ythe yleading ycause yof ydeath yfrom yunintentional yinjuries yfor yfemales yranging yin
age yfrom y1 yto y14?
y
a. Mechanical ysuffocation
b. Drowning
c. Motor yvehicle–related yfatalities
d. Fire- yand yburn-related yfatalities
ANS: y C
Motor yvehicle–related yfatalities yare ythe yleading ycause yof ydeath yfor yfemales yranging yin yage
yfrom y1 yto y14, yeither yas ypassengers yor yas ypedestrians. yMechanical ysuffocation yis yfourth yor
yfifth, ydepending yon ythe yage. yDrowning yis ythe ysecond- yor ythird-leading ycause yof ydeath,
ydepending yon ythe yage. yFire- yand yburn-related yfatalities yare ythe ysecond-leading ycause yof
ydeath.
DIF: Cognitive yLevel: yRemember REF: y y p. y3
, TOP: y Integrated yProcess: yNursing yProcess: yAssessment
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
7. Which yfactor ymost yimpacts ythe ytype yof yinjury ya ychild yis ysusceptible yto, yaccording yto ythe
child‘s yage?
y
a. Physical yhealth yof ythe ychild
b. Developmental ylevel yof ythe ychild
c. Educational ylevel yof ythe ychild
d. Number yof yresponsible yadults yin ythe yhome
ANS: y B
The ychild‘s ydevelopmental ystage ydetermines ythe ytype yof yinjury ythat yis ylikely yto yoccur. yThe
child‘s yphysical yhealth ymay yfacilitate ythe ychild‘s yrecovery yfrom yan yinjury ybut ydoes ynot
yimpact ythe ytype yof yinjury. yEducational ylevel yis yrelated yto ydevelopmental ylevel, ybut yit yis ynot
yas
important yas ythe ychild‘s ydevelopmental ylevel yin ydetermining ythe ytype yof yinjury. yThe ynumber
yof yresponsible yadults yin ythe yhome ymay yaffect ythe ynumber yof yunintentional yinjuries, ybut ythe
ytype yof yinjury yis yrelated yto ythe ychild‘s ydevelopmental ystage.
DIF: Cognitive yLevel: yUnderstand REF: y p.
y3 yTOP: y Integrated yProcess: yNursing yProcess:
yPlanning
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
8. Which yis ynow yreferred yto yas ythe y―new ymorbidity‖?
a. Limitations yin ythe ymajor yactivities yof ydaily yliving
b. Unintentional yinjuries ythat ycause ychronic yhealth yproblems
c. Discoveries yof ynew ytherapies yto ytreat yhealth yproblems
d. Behavioral, ysocial, yand yeducational yproblems ythat yalter yhealth
NURSINGTB.COM
ANS: y D
The ynew ymorbidity yreflects ythe ybehavioral, ysocial, yand yeducational yproblems ythat yinterfere
ywith ythe ychild‘s ysocial yand yacademic ydevelopment. yIt yis ycurrently yestimated ythat ythe
yincidence yof ythese yissues yis yfrom y5% yto y30%. yLimitations yin ymajor yactivities yof ydaily yliving
yand yunintentional yinjuries ythat yresult yin ychronic yhealth yproblems yare yincluded yin ymorbidity
ydata.
Discovery yof ynew ytherapies ywould ybe yreflected yin ychanges yin ymorbidity ydata yover ytime.
DIF: Cognitive yLevel: yRemember REF: y p.
y2 yTOP: y Integrated yProcess: yNursing yProcess:
yAssessment
MSC: y Area yof yClient yNeeds: yHealth yPromotion yand yMaintenance
9. A ynurse yon ya ypediatric yunit yis ypracticing yfamily-centered ycare. yWhich yis ymost ydescriptive yof
the ycare ythe ynurse yis ydelivering?
y
a. Taking yover ytotal ycare yof ythe ychild yto yreduce ystress yon ythe yfamily
b. Encouraging yfamily ydependence yon yhealth ycare ysystems
c. Recognizing ythat ythe yfamily yis ythe yconstant yin ya ychild‘s ylife
d. Excluding yfamilies yfrom ythe ydecision-making yprocess
ANS: y C
The ythree ykey ycomponents yof yfamily-centered ycare yare yrespect, ycollaboration, yand
ysupport. yFamily-centered ycare yrecognizes ythe yfamily yas ythe yconstant yin ythe ychild‘s ylife.
yTaking yover ytotal ycare ydoes ynot yinclude ythe yfamily yin ythe yprocess yand ymay yincrease
ystress yinstead yof yreducing ystress. yThe yfamily yshould ybe yenabled yand yempowered yto ywork
ywith ythe yhealth ycare ysystem. yThe yfamily yis yexpected yto ybe ypart yof ythe ydecision-making
