Wong'sgNursinggCaregofgInfantsgandgChildreng12thgEditiongbygHockenberrygTestgBank
,Chapter 01: Perspectives of Pediatric Nursing
! ! ! ! !
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th Ed
! ! ! ! ! ! ! ! !
ition
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: gC !
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The lega
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ding cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart g dis
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ease cause a significantly lower percentage of deaths in children older than 1 year of age.
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF:
Cognitive Level: Understandingg g TOP: Nursing Process: Planning ! ! ! ! ! !
MSC: g Client Needs: Health Promotion ! ! ! ! !
and Maintenance
!
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
! ! ! ! ! ! ! ! ! ! ! !
g centered care?‖ The nurse should 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- ! ! ! ! ! ! ! ! ! !
gmaking process. !
ANS: gC !
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 em
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
powered to work with the health care system and is expected to be part of the decision-
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
gmaking process. The nurse should also support the family‘s cultural diversity, gnot reduce its effect.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Nursing Process: Implementation MSC: g Client Needs: Health Promotion g and Main
! ! ! ! ! ! ! ! ! !
tenance
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: gB !
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioningg
! ! ! ! ! ! ! ! ! ! ! ! ! !
the best approach. EBP involves decision making based on the integration of the best research evidence cogm
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
bined with clinical expertise and patient gvalues.
! ! ! ! ! !
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Remembering ! !
TOP: Nursing Process: Planning MSC: g Client Needs: Safe and Effective ! ! ! ! ! ! ! ! !
Care Environment
! !
4. The nurse is talking to a group of parents of school-age children at an after-
! ! ! ! ! ! ! ! ! ! ! ! ! !
gschool program about childhood health problems. gWhich statement gshould the nurse include in the tea
! ! ! ! ! ! ! ! ! ! ! ! ! !
gching?
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 of fluoring
! ! ! ! ! ! ! ! ! ! ! ! ! !
ated water. !
d. Mental health problems are typically not seen in school- ! ! ! ! ! ! ! !
gage children but gmay be diagnosed gin adolescents.! ! ! ! ! ! !
ANS: gA !
When teaching parents of school- ! ! ! !
gage children about childhood health problems, the nurse should include information about childhood obesitgy bec
! ! ! ! ! ! ! ! ! ! ! ! ! !
ause it is the most common problem among children and is associated with type 2 diabetes. Teaching pgarents abou
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
t ways to prevent obesity is important to include. Immunization rates differ depending on the chilgd‘s race and ethn
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
icity; dental caries continues to be a common chronic disease in childhood; and mental healtgh problems are seen i
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
n children as young as school age, not gjust gin adolescents.
! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Integrated Process: Teaching/Learning MSC: g Client Needs: Health Promotion g and! ! ! ! ! ! ! ! ! !
Maintenance
5. The nurse is planning care for a hospitalized preschool-
! ! ! ! ! ! ! !
gaged child. Which should the nurse plan to ensure 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 gwith the administration of oral medicag
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
tions.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is not g ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
time for it to be effective. ! ! ! ! !
ANS: gC !
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice tgo
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
drink when taking oral medications provides the child with a sense of control. The preschool child shoulgd b
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
e prepared before procedures, so limiting explanations of procedures would increase anxiety. The famgily s
! ! ! ! ! ! ! ! ! ! ! ! ! !
hould be allowed to stay with the child during procedures, minimizing gstress.
! ! ! ! ! ! ! ! ! ! !
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed crega ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
m in time for morning laboratory draws to minimize pain.
! ! ! ! ! ! ! ! !
DIF:g g Cognitive Level: Applying ! !
TOP: Nursing Process: Planning MSC: g Client Needs: Health Promotion ! ! ! ! ! ! ! ! !
g 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‘s dependence on hg
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ealth care providers. ! !
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
ANS: gB !
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with thge
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
parents. Reading a fairy tale is a therapeutic and age- ! ! ! ! ! ! ! ! !
gappropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a g
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
willingness to understand feelings. Working with parents to decrease dependence on health care providers g i
! ! ! ! ! ! ! ! ! ! ! ! ! !
s therapeutic and helps to empower the family.
! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: Integrated Process: Caring MSC: g Client Needs: Psychosocial Inte
! ! ! ! ! ! ! !
grity
7. The nurse is aware that which age-
! ! ! ! ! !
ggroup is at risk for childhood injury because of the cognitive characteristic of magical and egocentric
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
thinking?
!
a. Preschool
b. Young school age ! !
c. Middle school age ! !
d. Adolescent
ANS: gA !
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are ugn
! ! ! ! ! ! ! ! ! ! ! ! ! !
able to comprehend danger to self or others. Young and middle school-
! ! ! ! ! ! ! ! ! ! !
gaged children have transitional cognitive processes, and they may attempt dangerous acts without detailed pgl
! ! ! ! ! ! ! ! ! ! ! ! ! !
anning but recognize danger to themselves or others. Adolescents have formal operational cognitive procesgs
! ! ! ! ! ! ! ! ! ! ! ! !
es and are preoccupied with abstract thinking.
! ! ! ! ! !
DIF: Cognitive Level: Understanding ! !
TOP: g Nursing Process: Assessment MSC: g Client Needs: Safe and Effective ! ! ! ! ! ! ! ! !
Care Environment
! !
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the mg
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ost grisk factors related to gchildhood 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: gB !
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a higgh a
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ctivity temperament is associated with risk-! ! ! ! !
gtaking behaviors, and stress predisposes children to increased risk taking and self-
! ! ! ! ! ! ! ! ! ! !
gdestructive behaviors. Therefore, a male child with a high activity level and living in a stressful environment g
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A boy witgh
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts neggat
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ively to new situations but has no previous serious illnesses has only one risk gfactor.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: g Nursing Process: Assessment MSC: g Client Needs: Safe and Effective ! ! ! ! ! ! ! ! !
Care Environment
! !
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which morga
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
l 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 Ed
! ! ! ! ! ! ! ! !
ition
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: gC !
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The lega
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ding cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart g dis
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ease cause a significantly lower percentage of deaths in children older than 1 year of age.
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF:
Cognitive Level: Understandingg g TOP: Nursing Process: Planning ! ! ! ! ! !
MSC: g Client Needs: Health Promotion ! ! ! ! !
and Maintenance
!
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
! ! ! ! ! ! ! ! ! ! ! !
g centered care?‖ The nurse should 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- ! ! ! ! ! ! ! ! ! !
gmaking process. !
ANS: gC !
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 em
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
powered to work with the health care system and is expected to be part of the decision-
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
gmaking process. The nurse should also support the family‘s cultural diversity, gnot reduce its effect.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Nursing Process: Implementation MSC: g Client Needs: Health Promotion g and Main
! ! ! ! ! ! ! ! ! !
tenance
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: gB !
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questioningg
! ! ! ! ! ! ! ! ! ! ! ! ! !
the best approach. EBP involves decision making based on the integration of the best research evidence cogm
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
bined with clinical expertise and patient gvalues.
! ! ! ! ! !
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Remembering ! !
TOP: Nursing Process: Planning MSC: g Client Needs: Safe and Effective ! ! ! ! ! ! ! ! !
Care Environment
! !
4. The nurse is talking to a group of parents of school-age children at an after-
! ! ! ! ! ! ! ! ! ! ! ! ! !
gschool program about childhood health problems. gWhich statement gshould the nurse include in the tea
! ! ! ! ! ! ! ! ! ! ! ! ! !
gching?
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 of fluoring
! ! ! ! ! ! ! ! ! ! ! ! ! !
ated water. !
d. Mental health problems are typically not seen in school- ! ! ! ! ! ! ! !
gage children but gmay be diagnosed gin adolescents.! ! ! ! ! ! !
ANS: gA !
When teaching parents of school- ! ! ! !
gage children about childhood health problems, the nurse should include information about childhood obesitgy bec
! ! ! ! ! ! ! ! ! ! ! ! ! !
ause it is the most common problem among children and is associated with type 2 diabetes. Teaching pgarents abou
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
t ways to prevent obesity is important to include. Immunization rates differ depending on the chilgd‘s race and ethn
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
icity; dental caries continues to be a common chronic disease in childhood; and mental healtgh problems are seen i
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
n children as young as school age, not gjust gin adolescents.
! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Integrated Process: Teaching/Learning MSC: g Client Needs: Health Promotion g and! ! ! ! ! ! ! ! ! !
Maintenance
5. The nurse is planning care for a hospitalized preschool-
! ! ! ! ! ! ! !
gaged child. Which should the nurse plan to ensure 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 gwith the administration of oral medicag
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
tions.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is not g ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
time for it to be effective. ! ! ! ! !
ANS: gC !
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice tgo
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
drink when taking oral medications provides the child with a sense of control. The preschool child shoulgd b
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
e prepared before procedures, so limiting explanations of procedures would increase anxiety. The famgily s
! ! ! ! ! ! ! ! ! ! ! ! ! !
hould be allowed to stay with the child during procedures, minimizing gstress.
! ! ! ! ! ! ! ! ! ! !
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed crega ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
m in time for morning laboratory draws to minimize pain.
! ! ! ! ! ! ! ! !
DIF:g g Cognitive Level: Applying ! !
TOP: Nursing Process: Planning MSC: g Client Needs: Health Promotion ! ! ! ! ! ! ! ! !
g 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‘s dependence on hg
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ealth care providers. ! !
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
ANS: gB !
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with thge
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
parents. Reading a fairy tale is a therapeutic and age- ! ! ! ! ! ! ! ! !
gappropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a g
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
willingness to understand feelings. Working with parents to decrease dependence on health care providers g i
! ! ! ! ! ! ! ! ! ! ! ! ! !
s therapeutic and helps to empower the family.
! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: Integrated Process: Caring MSC: g Client Needs: Psychosocial Inte
! ! ! ! ! ! ! !
grity
7. The nurse is aware that which age-
! ! ! ! ! !
ggroup is at risk for childhood injury because of the cognitive characteristic of magical and egocentric
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
thinking?
!
a. Preschool
b. Young school age ! !
c. Middle school age ! !
d. Adolescent
ANS: gA !
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are ugn
! ! ! ! ! ! ! ! ! ! ! ! ! !
able to comprehend danger to self or others. Young and middle school-
! ! ! ! ! ! ! ! ! ! !
gaged children have transitional cognitive processes, and they may attempt dangerous acts without detailed pgl
! ! ! ! ! ! ! ! ! ! ! ! ! !
anning but recognize danger to themselves or others. Adolescents have formal operational cognitive procesgs
! ! ! ! ! ! ! ! ! ! ! ! !
es and are preoccupied with abstract thinking.
! ! ! ! ! !
DIF: Cognitive Level: Understanding ! !
TOP: g Nursing Process: Assessment MSC: g Client Needs: Safe and Effective ! ! ! ! ! ! ! ! !
Care Environment
! !
8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has the mg
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ost grisk factors related to gchildhood 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: gB !
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a higgh a
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ctivity temperament is associated with risk-! ! ! ! !
gtaking behaviors, and stress predisposes children to increased risk taking and self-
! ! ! ! ! ! ! ! ! ! !
gdestructive behaviors. Therefore, a male child with a high activity level and living in a stressful environment g
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A boy witgh
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts neggat
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ively to new situations but has no previous serious illnesses has only one risk gfactor.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: g Nursing Process: Assessment MSC: g Client Needs: Safe and Effective ! ! ! ! ! ! ! ! !
Care Environment
! !
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which morga
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
l value is the nurse displaying when supporting the adolescent to make decisions?
! ! ! ! ! ! ! ! ! ! ! !
a. Justice
