Wong'sNursing Care of Infantsand Children 12thEdition by HockenberryTest Bank
,Chapter01:Perspectivesof PediatricNursing
Hockenberry:Wong’sNursing Care of Infantsand Children, 12th Edition
MULTIPLE CHOICE
1. What is the major causeof death for childrenin theUnited States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenitalanomalies
ANS: C
Unintentional injuries (accidents) are
the leading cause of
death after age 1 year through adolescence. The
leading cause of death for those younger than 1 year is congenital anomalies, and childhoodand
cancers
heart
diseasecausea significantlylowerpercentageof deaths inchildrenolderthan1 year of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process:Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Parentsof a hospitalizedtoddler askthenurse,“What is meant byfamily-centeredcare?”The nurse should
respond with which statement?
a. Family-centeredcarereducestheeffectof culturaldiversityon thefamily.
b. Family-centeredcareencouragesfamilydependence on thehealthcaresystem.
c. Family-centeredcarerecognizesthatthefamilyis theconstantin a child’s life.
d. Family-centeredcareavoidsexpectingfamiliesto bepartof thedecision-making
process.
ANS: C
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 enabledempowered
and to
work with thehealthcaresystemand isexpectedto be partof thedecision-making process. The nurse should
also support the family’s cultural diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process:Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-basedpractice(EBP), a decision-making model,is best describedas which?
a. Using information intextbooksto guidecare
b. Combining knowledgewith clinical experienceand intuition
c. Using a professionalcodeof ethicsas a meansfor decisionmaking
d. Gatheringall evidencethatappliesto thechild’s healthand familysituation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questionin
thebest approach.EBP involvesdecisionmaking basedon theintegrationof thebest research evidence
combined with clinical expertise and patient values.
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
DIF: Cognitive Level: Remembering TOP: Nursing Process:Planning
MSC: Client Needs: Safe and Effective Care Environment
4. The nurse istalking to agroupof parentsof school- age childrenat anafter- schoolprogramabout
childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesityis the most commonnutritionalproblemamongchildren.
b. Immunizationratesarethesameamongchildrenof differentracesand ethnicity.
c. Dentalcaries isnot aproblemcommonlyseenin childrensince theintroductionof
fluorinated water.
d. Mentalhealthproblemsaretypicallynot seenin school- agechildrenbut maybe
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse should include
informationabout childhoodobesitybecause it is the most common problemamong children and is
associatedwith type2 diabetes. Teachingparentsaboutwaysto preventobesityis importantto include.
Immunizationratesdiffer dependingon thechild’s raceand ethnicity;dentalcariescontinues to be a common
chronic disease in childhood; and mental health problems are seen in children as young as school age, not j
in adolescents.
DIF: Cognitive Level: Applying TOP: IntegratedProcess:Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse isplanning care fora hospitalizedpreschool-agedchild. Whichshouldthenurseplan to ensure
atraumatic care?
a. Limit explanationof proceduresbecausethechild is preschoolaged.
b. Ask thatall familymembersleavetheroomwhenperformingprocedures.
c. Allow thechild to choosethetypeof juice to drink withtheadministrationof oral
medications.
d. Explain that EMLA creamcannotbe usedfor themorning lab drawbecausethere is not
time for it to be effective.
ANS: C
The overridinggoalin providing atraumaticcare is first, do noharm. Allowingthechild, achoiceof juiceto
drink whentaking oral medicationsprovidesthechild with a senseof control. Thepreschool child should be
prepared before procedures, so limiting explanations of procedures would increase anxiety. The family sho
be allowed to stay
with the child during procedures, minimizing stress.
Lidocaine/prilocaine(EMLA) creamis a topicallocalanesthetic. Thenurseshouldplan to usethe prescribed cream
in time for morning laboratorydraws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process:Planning
MSC: Client Needs: Health Promotion and Maintenance
6. Which situationdenotesa nontherapeuticnurse–patient–familyrelationship?
a. The nurseis planningto read afavoritefairytale toa patient.
b. During shift report,thenurseis criticizing parentsfor not visiting their child.
c. The nurseis discussingwith a fellownursetheemotionaldrawto a certainpatient.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
d. The nurseis workingwith a familyto findwaysto decreasethe family’s dependence on
health care providers.
,Chapter01:Perspectivesof PediatricNursing
Hockenberry:Wong’sNursing Care of Infantsand Children, 12th Edition
MULTIPLE CHOICE
1. What is the major causeof death for childrenin theUnited States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenitalanomalies
ANS: C
Unintentional injuries (accidents) are
the leading cause of
death after age 1 year through adolescence. The
leading cause of death for those younger than 1 year is congenital anomalies, and childhoodand
cancers
heart
diseasecausea significantlylowerpercentageof deaths inchildrenolderthan1 year of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process:Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Parentsof a hospitalizedtoddler askthenurse,“What is meant byfamily-centeredcare?”The nurse should
respond with which statement?
a. Family-centeredcarereducestheeffectof culturaldiversityon thefamily.
b. Family-centeredcareencouragesfamilydependence on thehealthcaresystem.
c. Family-centeredcarerecognizesthatthefamilyis theconstantin a child’s life.
d. Family-centeredcareavoidsexpectingfamiliesto bepartof thedecision-making
process.
ANS: C
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 enabledempowered
and to
work with thehealthcaresystemand isexpectedto be partof thedecision-making process. The nurse should
also support the family’s cultural diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process:Implementation
MSC: Client Needs: Health Promotion and Maintenance
3. Evidence-basedpractice(EBP), a decision-making model,is best describedas which?
a. Using information intextbooksto guidecare
b. Combining knowledgewith clinical experienceand intuition
c. Using a professionalcodeof ethicsas a meansfor decisionmaking
d. Gatheringall evidencethatappliesto thechild’s healthand familysituation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questionin
thebest approach.EBP involvesdecisionmaking basedon theintegrationof thebest research evidence
combined with clinical expertise and patient values.
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
DIF: Cognitive Level: Remembering TOP: Nursing Process:Planning
MSC: Client Needs: Safe and Effective Care Environment
4. The nurse istalking to agroupof parentsof school- age childrenat anafter- schoolprogramabout
childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesityis the most commonnutritionalproblemamongchildren.
b. Immunizationratesarethesameamongchildrenof differentracesand ethnicity.
c. Dentalcaries isnot aproblemcommonlyseenin childrensince theintroductionof
fluorinated water.
d. Mentalhealthproblemsaretypicallynot seenin school- agechildrenbut maybe
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse should include
informationabout childhoodobesitybecause it is the most common problemamong children and is
associatedwith type2 diabetes. Teachingparentsaboutwaysto preventobesityis importantto include.
Immunizationratesdiffer dependingon thechild’s raceand ethnicity;dentalcariescontinues to be a common
chronic disease in childhood; and mental health problems are seen in children as young as school age, not j
in adolescents.
DIF: Cognitive Level: Applying TOP: IntegratedProcess:Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. The nurse isplanning care fora hospitalizedpreschool-agedchild. Whichshouldthenurseplan to ensure
atraumatic care?
a. Limit explanationof proceduresbecausethechild is preschoolaged.
b. Ask thatall familymembersleavetheroomwhenperformingprocedures.
c. Allow thechild to choosethetypeof juice to drink withtheadministrationof oral
medications.
d. Explain that EMLA creamcannotbe usedfor themorning lab drawbecausethere is not
time for it to be effective.
ANS: C
The overridinggoalin providing atraumaticcare is first, do noharm. Allowingthechild, achoiceof juiceto
drink whentaking oral medicationsprovidesthechild with a senseof control. Thepreschool child should be
prepared before procedures, so limiting explanations of procedures would increase anxiety. The family sho
be allowed to stay
with the child during procedures, minimizing stress.
Lidocaine/prilocaine(EMLA) creamis a topicallocalanesthetic. Thenurseshouldplan to usethe prescribed cream
in time for morning laboratorydraws to minimize pain.
DIF: Cognitive Level: Applying TOP: Nursing Process:Planning
MSC: Client Needs: Health Promotion and Maintenance
6. Which situationdenotesa nontherapeuticnurse–patient–familyrelationship?
a. The nurseis planningto read afavoritefairytale toa patient.
b. During shift report,thenurseis criticizing parentsfor not visiting their child.
c. The nurseis discussingwith a fellownursetheemotionaldrawto a certainpatient.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
d. The nurseis workingwith a familyto findwaysto decreasethe family’s dependence on
health care providers.
