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