Wong's Nursing Careof Infants and Children 12th Edition by Hockenberry Test Bank
p p p p p p p p p p p
,Chapter 01: Perspectives of Pediatric Nursing
t t t t t
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
t t t t t t t t t
Edition
t
MULTIPLE CHOICE t
1. What is the major cause ofdeath for children in the United States?
p p p p p p p p p p p
a. Heart disease p
b. Childhood cancer p
c. Injuries
d. Congenitalanomalies
ANS: C p
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
p p p p p p p p p p p p p p
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers
p p p p p p p p p p p p p p p p p
and heart disease cause a significantly lower percentage ofdeaths inchildren older than 1 year of age.
p p p p p p p p p p p p p p p p
DIF: Cognitive Level: Understanding TOP:NursingProcess:Planning
p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
2. Parents ofa hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse
p p p p p p p p p p p p p p
should respond with which statement?
p p p p p
a. Family-centered care reduces the effect of culturaldiversityon the family. p p p p p p p p p
b. Family-centered care encourages familydependence onthe health care system. p p p p p p p p
c. Family-centered carerecognizes that the family is the constant ina child’s life. p p p p p p p p p p
d. Family-centered care avoids expecting families tobe part ofthe decision-making p p p p p p p p
process.
p
ANS: C p
The three key components of family-centered care are respect, collaboration, and support. Family-
p p p p p p p p p p p p
centered care recognizes the family as the constant in the child’s life. The family should be enabled and
p p p p p p p p p p p p p p p p p p
empowered to work with the healthcare system and is expected to be part ofthe decision-making process.
p p p p p p p p p p p p p p p p p
The nurse should also support the family’s cultural diversity, not reduce its effect.
p p p p p p p p p p p p p
DIF: Cognitive Level: Applying TOP:NursingProcess:Implementation
p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
3. Evidence-based practice (EBP), adecision-making model, isbest described as which?
p p p p p p p p
a. Using information in textbooksto guide care
p p p p p
b. Combining knowledge with clinicalexperience and intuition
p p p p p
c. Usinga professional code ofethics as a means for decision making
p p p p p p p p p p p
d. Gathering allevidence that applies to the child’s health and familysituation
p p p p p p p p p
ANS: B p
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
p p p p p p p p p p p p
questioning the best approach. EBP involves decision making based on the integration ofthe best research
p p p p p p p p p p p p p p p
evidence combined with clinical expertise and patient values.
p p p p p p p p
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
p p p p p p p p p p p p
DIF: Cognitive Level: Remembering TOP:NursingProcess:Planning p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p p
4. The nurse is talking to a groupof parents of school-age children at an after-school program about
p p p p p p p p p p p p p p p p
childhood health problems. Which statement should the nurse include in the teaching?
p p p p p p p p p p p p
a. Childhoodobesityis the most common nutritionalproblemamong children. p p p p p p
b. Immunization rates arethe same among children ofdifferent races and ethnicity. p p p p p p p p p p
c. Dentalcaries is not a problemcommonlyseen in children since the introduction of
p p p p p p p p p p p p
fluorinated water.
p p
d. Mentalhealthproblems are typicallynot seen inschool-age childrenbut may be p p p p p p p
diagnosed in adolescents.
p p p
ANS: A p
When teaching parents of school-age children about childhood health problems, the nurse should include
p p p p p p p p p p p p p
information about childhood obesity because it is the most common problem among children and is
p p p p p p p p p p p p p p p
associated with type 2 diabetes. Teaching parents about ways to prevent obesityis important to include.
p p p p p p p p p p p p p p p
Immunization rates differ depending on the child’s race and ethnicity; dentalcaries continues to be a
p p p p p p p p p p p p p p p
common chronic disease in childhood; and mental health problems are seen in children as young as
p p p p p p p p p p p p p p p p
school age, not just in adolescents.
p p p p p p
DIF: Cognitive Level: Applying TOP:IntegratedProcess:Teaching/Learning
p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
5. The nurse is planning care for ahospitalized preschool-aged child. Which should the nurse plan to
p p p p p p p p p p p p p p
ensure atraumatic care?
p p p
a. Limit explanation ofprocedures because the child is preschool aged.
p p p p p p p p
b. Ask that all family members leave the roomwhen performing procedures.
p p p p p p p p p
c. Allow the child to choose the type of juiceto drink withthe administration of oral
p p p p p p p p p p p p p
medications.
p
d. Explain that EMLAcreamcannot be used for the morning lab draw because there is
p p p p p p p p p p p p
not time for it to be effective.
p p p p p p p
ANS: C p
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice to
p p p p p p p p p p p p p p p p p p p
drink when taking oral medications provides the child with a sense ofcontrol. The preschool child should
p p p p p p p p p p p p p p p p
be prepared before procedures, so limiting explanations of procedures would increase anxiety.
p p p p p p p p p p p p
The family should be allowed to stay with the child during procedures, minimizing stress.
p p p p p p p p p p p p p
Lidocaine/prilocaine (EMLA) creamis a topicallocalanesthetic. The nurse should plan to use the prescribed
p p p p p p p p p p p p p
cream in time for morning laboratory draws to minimize pain.
p p p p p p p p p p
DIF: Cognitive Level: Applying TOP:NursingProcess:Planning p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
p p p p p p
a. The nurse is planning to read a favorite fairytale to a patient.
p p p p p p p p p p p
b. During shift report, the nurse is criticizing parents for not visiting their child.
p p p p p p p p p p p p
c. Thenurse is discussing with a fellow nurse the emotionaldraw to a certain patient.
p p p p p p p p p p p p p
d. The nurse is working with a familyto find ways todecrease the family’s dependence
p p p p p p p p p p p p
p on health care providers.
p p p
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
p p p p p p p p p p p p
ANS: B p
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with the
p p p p p p p p p p p p p p p p
parents. Reading a fairy tale is a therapeutic and age-appropriate action. Discussing feelings of an
p p p p p p p p p p p p p p p
emotional draw with a fellow nurse is therapeutic and shows a willingness to understand feelings.
p p p p p p p p p p p p p p p
Working with parents to decrease dependence on health care providers is therapeutic and helps to
p p p p p p p p p p p p p p
empower the family.
p p p
DIF: Cognitive Level: Analyzing TOP:IntegratedProcess:Caring p p
MSC: Client Needs: Psychosocial Integrity
p p p p p
7. The nurse is aware that which age-group is at risk for childhood injury because ofthe cognitive
p p p p p p p p p p p p p p p
p characteristic of magical and egocentric thinking? p p p p p
a. Preschool
b. Young schoolage p
c. Middle schoolage p
d. Adolescent
ANS: A p
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are
p p p p p p p p p p p p p
unable to comprehend danger to self or others. Young and middle school-aged children have transitional
p p p p p p p p p p p p p p p
cognitive processes, and they may attempt dangerous acts without detailed planning but recognize
p p p p p p p p p p p p p
danger to themselves or others. Adolescents have formal operationalcognitive processes and are
p p p p p p p p p p p p
preoccupied with abstract thinking.
p p p p
DIF: Cognitive Level: Understanding TOP: NursingProcess: Assessment p p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p p
8. The schoolnurse is assessing children for risk factorsrelated to childhood injuries. Which child has the
p p p p p p p p p p p p p p p
most risk factors related to childhood injury?
p p p p p p p
a. Female, multiplesiblings, stablehome life p p p
b. Male, high activitylevel, stressfulhome life
p p p p
c. Male, even tempered, historyofprevious injuries
p p p p
d. Female, reacts negatively to new situations, no serious previous injuries
p p p p p p p p p
ANS: B p
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a
p p p p p p p p p p p p p p p
high activitytemperament is associated with risk-taking behaviors, and stress predisposes children to
p p p p p p p p p p p p
increased risk taking and self-destructive behaviors. Therefore, a male child with a high activity level and
p p p p p p p p p p p p p p p p
living ina stressful environment has the highest number of risk factors. Agirl with several siblings and a
p p p p p p p p p p p p p p p p p
stable home life is low risk. A boywith previous injuries has two risk factors, but an eventemper is not a
p p p p p p p p p p p p p p p p p p p p
risk factor for injuries. A girl who reacts negatively to new situations but has no previous serious illnesses
p p p p p p p p p p p p p p p p p p
has only one risk factor.
p p p p p
DIF: Cognitive Level: Analyzing TOP: NursingProcess:Assessment p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p p
9. Anadolescent patient wants to make decisions about treatment options, along with his parents. Which
p p p p p p p p p p p p p p
moral value is the nurse displaying when supporting the adolescent to make decisions?
p p p p p p p p p p p p p
a. Justice
p p p p p p p p p p p
,Chapter 01: Perspectives of Pediatric Nursing
t t t t t
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
t t t t t t t t t
Edition
t
MULTIPLE CHOICE t
1. What is the major cause ofdeath for children in the United States?
p p p p p p p p p p p
a. Heart disease p
b. Childhood cancer p
c. Injuries
d. Congenitalanomalies
ANS: C p
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence.
p p p p p p p p p p p p p p
The leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers
p p p p p p p p p p p p p p p p p
and heart disease cause a significantly lower percentage ofdeaths inchildren older than 1 year of age.
p p p p p p p p p p p p p p p p
DIF: Cognitive Level: Understanding TOP:NursingProcess:Planning
p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
2. Parents ofa hospitalized toddler ask the nurse, “What is meant by family-centered care?” The nurse
p p p p p p p p p p p p p p
should respond with which statement?
p p p p p
a. Family-centered care reduces the effect of culturaldiversityon the family. p p p p p p p p p
b. Family-centered care encourages familydependence onthe health care system. p p p p p p p p
c. Family-centered carerecognizes that the family is the constant ina child’s life. p p p p p p p p p p
d. Family-centered care avoids expecting families tobe part ofthe decision-making p p p p p p p p
process.
p
ANS: C p
The three key components of family-centered care are respect, collaboration, and support. Family-
p p p p p p p p p p p p
centered care recognizes the family as the constant in the child’s life. The family should be enabled and
p p p p p p p p p p p p p p p p p p
empowered to work with the healthcare system and is expected to be part ofthe decision-making process.
p p p p p p p p p p p p p p p p p
The nurse should also support the family’s cultural diversity, not reduce its effect.
p p p p p p p p p p p p p
DIF: Cognitive Level: Applying TOP:NursingProcess:Implementation
p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
3. Evidence-based practice (EBP), adecision-making model, isbest described as which?
p p p p p p p p
a. Using information in textbooksto guide care
p p p p p
b. Combining knowledge with clinicalexperience and intuition
p p p p p
c. Usinga professional code ofethics as a means for decision making
p p p p p p p p p p p
d. Gathering allevidence that applies to the child’s health and familysituation
p p p p p p p p p
ANS: B p
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
p p p p p p p p p p p p
questioning the best approach. EBP involves decision making based on the integration ofthe best research
p p p p p p p p p p p p p p p
evidence combined with clinical expertise and patient values.
p p p p p p p p
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
p p p p p p p p p p p p
DIF: Cognitive Level: Remembering TOP:NursingProcess:Planning p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p p
4. The nurse is talking to a groupof parents of school-age children at an after-school program about
p p p p p p p p p p p p p p p p
childhood health problems. Which statement should the nurse include in the teaching?
p p p p p p p p p p p p
a. Childhoodobesityis the most common nutritionalproblemamong children. p p p p p p
b. Immunization rates arethe same among children ofdifferent races and ethnicity. p p p p p p p p p p
c. Dentalcaries is not a problemcommonlyseen in children since the introduction of
p p p p p p p p p p p p
fluorinated water.
p p
d. Mentalhealthproblems are typicallynot seen inschool-age childrenbut may be p p p p p p p
diagnosed in adolescents.
p p p
ANS: A p
When teaching parents of school-age children about childhood health problems, the nurse should include
p p p p p p p p p p p p p
information about childhood obesity because it is the most common problem among children and is
p p p p p p p p p p p p p p p
associated with type 2 diabetes. Teaching parents about ways to prevent obesityis important to include.
p p p p p p p p p p p p p p p
Immunization rates differ depending on the child’s race and ethnicity; dentalcaries continues to be a
p p p p p p p p p p p p p p p
common chronic disease in childhood; and mental health problems are seen in children as young as
p p p p p p p p p p p p p p p p
school age, not just in adolescents.
p p p p p p
DIF: Cognitive Level: Applying TOP:IntegratedProcess:Teaching/Learning
p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
5. The nurse is planning care for ahospitalized preschool-aged child. Which should the nurse plan to
p p p p p p p p p p p p p p
ensure atraumatic care?
p p p
a. Limit explanation ofprocedures because the child is preschool aged.
p p p p p p p p
b. Ask that all family members leave the roomwhen performing procedures.
p p p p p p p p p
c. Allow the child to choose the type of juiceto drink withthe administration of oral
p p p p p p p p p p p p p
medications.
p
d. Explain that EMLAcreamcannot be used for the morning lab draw because there is
p p p p p p p p p p p p
not time for it to be effective.
p p p p p p p
ANS: C p
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juice to
p p p p p p p p p p p p p p p p p p p
drink when taking oral medications provides the child with a sense ofcontrol. The preschool child should
p p p p p p p p p p p p p p p p
be prepared before procedures, so limiting explanations of procedures would increase anxiety.
p p p p p p p p p p p p
The family should be allowed to stay with the child during procedures, minimizing stress.
p p p p p p p p p p p p p
Lidocaine/prilocaine (EMLA) creamis a topicallocalanesthetic. The nurse should plan to use the prescribed
p p p p p p p p p p p p p
cream in time for morning laboratory draws to minimize pain.
p p p p p p p p p p
DIF: Cognitive Level: Applying TOP:NursingProcess:Planning p p
MSC: Client Needs: Health Promotion and Maintenance
p p p p p p p
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
p p p p p p
a. The nurse is planning to read a favorite fairytale to a patient.
p p p p p p p p p p p
b. During shift report, the nurse is criticizing parents for not visiting their child.
p p p p p p p p p p p p
c. Thenurse is discussing with a fellow nurse the emotionaldraw to a certain patient.
p p p p p p p p p p p p p
d. The nurse is working with a familyto find ways todecrease the family’s dependence
p p p p p p p p p p p p
p on health care providers.
p p p
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
p p p p p p p p p p p p
ANS: B p
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement with the
p p p p p p p p p p p p p p p p
parents. Reading a fairy tale is a therapeutic and age-appropriate action. Discussing feelings of an
p p p p p p p p p p p p p p p
emotional draw with a fellow nurse is therapeutic and shows a willingness to understand feelings.
p p p p p p p p p p p p p p p
Working with parents to decrease dependence on health care providers is therapeutic and helps to
p p p p p p p p p p p p p p
empower the family.
p p p
DIF: Cognitive Level: Analyzing TOP:IntegratedProcess:Caring p p
MSC: Client Needs: Psychosocial Integrity
p p p p p
7. The nurse is aware that which age-group is at risk for childhood injury because ofthe cognitive
p p p p p p p p p p p p p p p
p characteristic of magical and egocentric thinking? p p p p p
a. Preschool
b. Young schoolage p
c. Middle schoolage p
d. Adolescent
ANS: A p
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they are
p p p p p p p p p p p p p
unable to comprehend danger to self or others. Young and middle school-aged children have transitional
p p p p p p p p p p p p p p p
cognitive processes, and they may attempt dangerous acts without detailed planning but recognize
p p p p p p p p p p p p p
danger to themselves or others. Adolescents have formal operationalcognitive processes and are
p p p p p p p p p p p p
preoccupied with abstract thinking.
p p p p
DIF: Cognitive Level: Understanding TOP: NursingProcess: Assessment p p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p p
8. The schoolnurse is assessing children for risk factorsrelated to childhood injuries. Which child has the
p p p p p p p p p p p p p p p
most risk factors related to childhood injury?
p p p p p p p
a. Female, multiplesiblings, stablehome life p p p
b. Male, high activitylevel, stressfulhome life
p p p p
c. Male, even tempered, historyofprevious injuries
p p p p
d. Female, reacts negatively to new situations, no serious previous injuries
p p p p p p p p p
ANS: B p
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a
p p p p p p p p p p p p p p p
high activitytemperament is associated with risk-taking behaviors, and stress predisposes children to
p p p p p p p p p p p p
increased risk taking and self-destructive behaviors. Therefore, a male child with a high activity level and
p p p p p p p p p p p p p p p p
living ina stressful environment has the highest number of risk factors. Agirl with several siblings and a
p p p p p p p p p p p p p p p p p
stable home life is low risk. A boywith previous injuries has two risk factors, but an eventemper is not a
p p p p p p p p p p p p p p p p p p p p
risk factor for injuries. A girl who reacts negatively to new situations but has no previous serious illnesses
p p p p p p p p p p p p p p p p p p
has only one risk factor.
p p p p p
DIF: Cognitive Level: Analyzing TOP: NursingProcess:Assessment p p p
MSC: Client Needs: Safe and Effective Care Environment
p p p p p p p p
9. Anadolescent patient wants to make decisions about treatment options, along with his parents. Which
p p p p p p p p p p p p p p
moral value is the nurse displaying when supporting the adolescent to make decisions?
p p p p p p p p p p p p p
a. Justice
