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, 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: vC !
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The le
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v disease cause a significantly lower percentage of deaths in children older than 1 year of age.
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Understanding v ! !
v TOP: Nursing Process: Planning MSC: ! ! ! ! !
v Client Needs: Health Promotion ! ! ! !
and Maintenance
!
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
! ! ! ! ! ! ! ! ! ! ! !
vcentered!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- ! ! ! ! ! ! ! ! ! !
vmaking process. !
ANS: vC !
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-
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vmaking process. The nurse should also support the family‘s cultural diversity, vnot reduce its effect.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Nursing Process: Implementation MSC: v Client Needs: Health Promotion
! ! ! ! ! ! ! ! !
v 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: vB !
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questionin
! ! ! ! ! ! ! ! ! ! ! ! !
vg the best approach. EBP involves decision making based on the integration of the best research evidence co
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vmbined with clinical expertise and patient vvalues.
! ! ! ! ! !
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Remembering ! !
TOP: Nursing Process: Planning MSC: v Client Needs: Safe and Effective
! ! ! ! ! ! ! ! !
Care Environment
! !
4. The nurse is talking to a group of parents of school-age children at an after-
! ! ! ! ! ! ! ! ! ! ! ! ! !
vschool!program!about!childhood!health!problems.! vWhich!statement!
vshould!the!nurse!include!in!the!tea vching?
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 fluorin
! ! ! ! ! ! ! ! ! ! ! ! ! !
vated!water.
d. Mental health problems are typically not seen in school- ! ! ! ! ! ! ! !
vage!children!but! vmay!be!diagnosed! vin!adolescents.
ANS: vA !
When teaching parents of school-
! ! ! !
vage children about childhood health problems, the nurse should include information about childhood obesit
! ! ! ! ! ! ! ! ! ! ! ! !
vy because it is the most common problem among children and is associated with type 2 diabetes. Teaching p
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
varents about ways to prevent obesity is important to include. Immunization rates differ depending on the chil
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vd‘s race and ethnicity; dental caries continues to be a common chronic disease in childhood; and mental healt
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vh problems are seen in children as young as school age, not vjust vin adolescents.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Integrated Process: Teaching/Learning MSC: v Client Needs: Health Promotion
! ! ! ! ! ! ! ! !
v and Maintenance !
5. The nurse is planning care for a hospitalized preschool-
! ! ! ! ! ! ! !
vaged!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 vwith the administration of oral medica
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vtions.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is not
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v time!for!it!to!be!effective.
ANS: vC !
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice t
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vo drink when taking oral medications provides the child with a sense of control. The preschool child shoul
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vd be prepared before procedures, so limiting explanations of procedures would increase anxiety. The fam
! ! ! ! ! ! ! ! ! ! ! ! ! !
vily should be allowed to stay with the child during procedures, minimizing vstress.
! ! ! ! ! ! ! ! ! ! ! !
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed cre ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vam in time for morning laboratory draws to minimize pain.
! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying
v v ! !
TOP: Nursing Process: Planning MSC: ! ! ! ! !
v Client Needs: Health Promotion v 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 h
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vealth!care!providers.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
ANS: vB !
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with th
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ve parents. Reading a fairy tale is a therapeutic and age-
! ! ! ! ! ! ! ! ! !
vappropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v willingness to understand feelings. Working with parents to decrease dependence on health care providers
! ! ! ! ! ! ! ! ! ! ! ! ! !
v is therapeutic and helps to empower the family.
! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: Integrated Process: Caring MSC:! ! ! ! ! v Client Needs: Psychosocial Inte ! ! !
grity
7. The nurse is aware that which age-
! ! ! ! ! !
vgroup!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: vA !
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are u
! ! ! ! ! ! ! ! ! ! ! ! ! !
vnable to comprehend danger to self or others. Young and middle school-
! ! ! ! ! ! ! ! ! ! !
vaged children have transitional cognitive processes, and they may attempt dangerous acts without detailed p
! ! ! ! ! ! ! ! ! ! ! ! ! !
vlanning but recognize danger to themselves or others. Adolescents have formal operational cognitive proces
! ! ! ! ! ! ! ! ! ! ! ! !
vses and are preoccupied with abstract thinking.
! ! ! ! ! !
DIF: Cognitive Level: Understanding ! !
TOP: v Nursing Process: Assessment MSC: v 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 m
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vost! vrisk!factors!related!to! vchildhood!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: vB !
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a hig
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vh activity temperament is associated with risk-
! ! ! ! ! !
vtaking behaviors, and stress predisposes children to increased risk taking and self-
! ! ! ! ! ! ! ! ! ! !
vdestructive behaviors. Therefore, a male child with a high activity level and living in a stressful environment
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A boy wit
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vh previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts ne
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vgatively to new situations but has no previous serious illnesses has only one risk vfactor.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: v Nursing Process: Assessment MSC: v Client Needs: Safe and Effective
! ! ! ! ! ! ! ! !
Care Environment
! !
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which mor
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
val!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: vC !
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The le
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers and heart
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v disease cause a significantly lower percentage of deaths in children older than 1 year of age.
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Understanding v ! !
v TOP: Nursing Process: Planning MSC: ! ! ! ! !
v Client Needs: Health Promotion ! ! ! !
and Maintenance
!
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-
! ! ! ! ! ! ! ! ! ! ! !
vcentered!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- ! ! ! ! ! ! ! ! ! !
vmaking process. !
ANS: vC !
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-
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vmaking process. The nurse should also support the family‘s cultural diversity, vnot reduce its effect.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Nursing Process: Implementation MSC: v Client Needs: Health Promotion
! ! ! ! ! ! ! ! !
v 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: vB !
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questionin
! ! ! ! ! ! ! ! ! ! ! ! !
vg the best approach. EBP involves decision making based on the integration of the best research evidence co
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vmbined with clinical expertise and patient vvalues.
! ! ! ! ! !
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Remembering ! !
TOP: Nursing Process: Planning MSC: v Client Needs: Safe and Effective
! ! ! ! ! ! ! ! !
Care Environment
! !
4. The nurse is talking to a group of parents of school-age children at an after-
! ! ! ! ! ! ! ! ! ! ! ! ! !
vschool!program!about!childhood!health!problems.! vWhich!statement!
vshould!the!nurse!include!in!the!tea vching?
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 fluorin
! ! ! ! ! ! ! ! ! ! ! ! ! !
vated!water.
d. Mental health problems are typically not seen in school- ! ! ! ! ! ! ! !
vage!children!but! vmay!be!diagnosed! vin!adolescents.
ANS: vA !
When teaching parents of school-
! ! ! !
vage children about childhood health problems, the nurse should include information about childhood obesit
! ! ! ! ! ! ! ! ! ! ! ! !
vy because it is the most common problem among children and is associated with type 2 diabetes. Teaching p
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
varents about ways to prevent obesity is important to include. Immunization rates differ depending on the chil
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vd‘s race and ethnicity; dental caries continues to be a common chronic disease in childhood; and mental healt
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vh problems are seen in children as young as school age, not vjust vin adolescents.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying ! !
TOP: Integrated Process: Teaching/Learning MSC: v Client Needs: Health Promotion
! ! ! ! ! ! ! ! !
v and Maintenance !
5. The nurse is planning care for a hospitalized preschool-
! ! ! ! ! ! ! !
vaged!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 vwith the administration of oral medica
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vtions.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is not
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v time!for!it!to!be!effective.
ANS: vC !
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice t
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vo drink when taking oral medications provides the child with a sense of control. The preschool child shoul
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vd be prepared before procedures, so limiting explanations of procedures would increase anxiety. The fam
! ! ! ! ! ! ! ! ! ! ! ! ! !
vily should be allowed to stay with the child during procedures, minimizing vstress.
! ! ! ! ! ! ! ! ! ! ! !
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed cre ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vam in time for morning laboratory draws to minimize pain.
! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Applying
v v ! !
TOP: Nursing Process: Planning MSC: ! ! ! ! !
v Client Needs: Health Promotion v 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 h
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vealth!care!providers.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
! ! ! ! ! ! ! ! ! ! ! !
ANS: vB !
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with th
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
ve parents. Reading a fairy tale is a therapeutic and age-
! ! ! ! ! ! ! ! ! !
vappropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v willingness to understand feelings. Working with parents to decrease dependence on health care providers
! ! ! ! ! ! ! ! ! ! ! ! ! !
v is therapeutic and helps to empower the family.
! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: Integrated Process: Caring MSC:! ! ! ! ! v Client Needs: Psychosocial Inte ! ! !
grity
7. The nurse is aware that which age-
! ! ! ! ! !
vgroup!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: vA !
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are u
! ! ! ! ! ! ! ! ! ! ! ! ! !
vnable to comprehend danger to self or others. Young and middle school-
! ! ! ! ! ! ! ! ! ! !
vaged children have transitional cognitive processes, and they may attempt dangerous acts without detailed p
! ! ! ! ! ! ! ! ! ! ! ! ! !
vlanning but recognize danger to themselves or others. Adolescents have formal operational cognitive proces
! ! ! ! ! ! ! ! ! ! ! ! !
vses and are preoccupied with abstract thinking.
! ! ! ! ! !
DIF: Cognitive Level: Understanding ! !
TOP: v Nursing Process: Assessment MSC: v 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 m
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vost! vrisk!factors!related!to! vchildhood!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: vB !
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a hig
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vh activity temperament is associated with risk-
! ! ! ! ! !
vtaking behaviors, and stress predisposes children to increased risk taking and self-
! ! ! ! ! ! ! ! ! ! !
vdestructive behaviors. Therefore, a male child with a high activity level and living in a stressful environment
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
v has the highest number of risk factors. A girl with several siblings and a stable home life is low risk. A boy wit
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vh previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts ne
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
vgatively to new situations but has no previous serious illnesses has only one risk vfactor.
! ! ! ! ! ! ! ! ! ! ! ! ! !
DIF: Cognitive Level: Analyzing ! !
TOP: v Nursing Process: Assessment MSC: v Client Needs: Safe and Effective
! ! ! ! ! ! ! ! !
Care Environment
! !
9. An adolescent patient wants to make decisions about treatment options, along with his parents. Which mor
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
val!value!is!the!nurse!displaying!when!supporting!the!adolescent!to!make!decisions?
a. Justice
