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