Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
m m m m m m m m m m m m
,Chapter m01:mPerspectives mofmPediatric mNursing
Hockenberry: mWong’s mNursing mCare mofmInfants mandmChildren,m12t
hmmEdition
MULTIPLEmCHOICE
1. What mismthemmajormcausemof mdeathmformchildrenminmthemUnited mStates?
a. Heart mdisease
b. Childhood mcancer
c. Injuries
d. Congenitalmanomalies
ANS:m C
Unintentionalminjuriesm(accidents)maremthemleadingmcausemof mdeathmaftermagem1myearmthroughmadolescenc
e.mThemleadingmcausemof mdeathmformthosemyoungermthanm1myearmismcongenitalmanomalies,mand mchildhood m
cancersmand mheart mdiseasemcausemamsignificantlymlowermpercentagemof mdeathsminmchildrenmoldermthanm1my
earmof mage.
DIF: Cognitive mLevel:mUnderstanding
TOP:mNursingmProcess:mPlanningmMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
2. Parentsmof mamhospitalized mtoddlermaskmthemnurse,m“What mismmeant mbymfamily-
centered mcare?”mThemnursemshould mrespond mwithmwhichmstatement?
a. Family-centered mcaremreducesmthemeffect mof mculturalmdiversitymonmthemfamily.
b. Family-centered mcaremencouragesmfamilymdependencemonmthemhealthmcaremsystem.
c. Family-centered mcaremrecognizesmthat mthemfamilymismthemconstant minmamchild’smlife.
d. Family-centered mcaremavoidsmexpectingmfamiliesmtombempart mof mthemdecision-
makingmprocess.
ANS:m C
Themthreemkeymcomponentsmof mfamily-centered mcaremaremrespect,mcollaboration,mand msupport.mFamily-
mcentered mcaremrecognizesmthemfamilymasmthemconstant minmthemchild’smlife.mThemfamilymshould mbemenable
d mand mempowered mtomworkmwithmthemhealthmcaremsystemmand mismexpected mtombempart mof mthemdecision-
makingmprocess.mThemnursemshould malsomsupport mthemfamily’s mculturalmdiversity,mnot mreducemitsmeffect.
DIF: Cognitive mLevel:mApplying
TOP:mNursingmProcess:mImplementation mMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
3. Evidence-based mpracticem(EBP),mamdecision-makingmmodel,mismbest mdescribed masmwhich?
a. Usingminformationminmtextbooksmtomguidemcare
b. Combiningmknowledgemwithmclinicalmexperiencemand mintuition
c. Usingmamprofessionalmcodemof methicsmasmammeansmformdecisionmmaking
d. Gatheringmallmevidencemthat mappliesmtomthemchild’smhealthmand mfamilymsituatio
n
ANS:m B
EBPmhelpsmfocusmonmmeasurablemoutcomes;mthemusemof mdemonstrated,meffectiveminterventions;mand mque
stioningmthembest mapproach.mEBPminvolvesmdecisionmmakingmbased monmthemintegrationmof mthembest mresear
chmevidencemcombined mwithmclinicalmexpertisemand mpatient mvalues.
,Wong'smNursingmCaremofmInfantsmandmChildrenm12thmEditionmby mHockenberrymTestmBa
nk
DIF: Cognitive mLevel:mRemembering
TOP:mNursingmProcess:mPlanningmMSC:m ClientmNeeds:mSafemand mEff
ectivemCaremEnvironment
4. Themnursemismtalkingmtomamgroupmof mparentsmof mschool-agemchildrenmat manmafter-
schoolmprogrammabout mchildhood mhealthmproblems.mWhichmstatement mshould mthemnursem includemin
mthemteaching?
a. Childhood mobesitymismthemmost mcommonmnutritionalmproblemmamongmchildren.
b. Immunizationmratesmaremthemsamemamongmchildrenmof mdifferent mracesmand methnicity.
c. Dentalmcariesmismnot mamproblemmcommonlymseenminmchildrenmsincemthem introductionm
of mfluorinated mwater.
d. Mentalmhealthmproblemsmaremtypicallymnot mseenminmschool-
agemchildrenmbut mmaymbemdiagnosed minmadolescents.
ANS:m A
Whenmteachingmparentsmof mschool-
agemchildrenmabout mchildhood mhealthmproblems,mthemnursemshould mincludeminformationmabout mchildhoo
d mobesitymbecausemit mismthemmost mcommonmproblemmamongmchildrenmand mismassociated mwithmtypem2mdia
betes.mTeachingmparentsmabout mwaysmtomprevent mobesitymismimportant mtominclude.mImmunizationmratesmd
iffermdependingmonmthemchild’smracemand methnicity;mdentalmcariesmcontinuesmtombemamcommonmchronicmdi
seaseminmchildhood;mand mmentalmhealthmproblemsmaremseenminmchildrenmas myoungmasmschoolmage, mnot mjus
t minmadolescents.
DIF: Cognitive mLevel:mApplying
TOP:mIntegrated mProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
5. Themnursemismplanningmcaremformamhospitalized mpreschool-
aged mchild.mWhichmshould mthemnursemplanmtomensurematraumaticmcare?
a. Limit mexplanationmof mproceduresmbecausemthemchild mismpreschoolmaged.
b. Askmthat mallmfamilymmembersmleavemthemroommwhenmperformingmprocedures.
c. Allow mthemchild mtomchoosemthemtypemof mjuicemtomdrinkmwithmthemadministrationmof mor
almmedications.
d. Explainmthat mEMLA mcreammcannot mbemused mformthemmorningmlabmdraw mbecausemthe
remismnot mtimemformit mtombemeffective.
ANS:m C
Themoverridingmgoalminmprovidingmatraumaticmcaremismfirst,mdomnomharm.mAllowingmthemchild,mamchoicemo
f mjuicemtomdrinkmwhenmtakingmoralmmedicationsmprovidesmthemchild mwithmamsensemof mcontrol.mThempresch
oolmchild mshould mbemprepared mbeforemprocedures,msomlimitingmexplanationsmof mproceduresmwould mincrea
semanxiety.mThemfamilymshould mbemallowed mtomstaymwithmthemchild mduringmprocedures,mminimizingmstres
s.
Lidocaine/prilocainem(EMLA)mcreammismamtopicalmlocalmanesthetic.mThemnursemshould mplanmtomusemthempresc
ribed mcreamminmtimemformmorningmlaboratorymdrawsmtomminimizempain.
DIF: Cognitive mLevel:mApplying
TOP:mNursingmProcess:mPlanningmMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
6. Whichmsituationmdenotesmamnontherapeuticmnurse–patient–familymrelationship?
a. Themnursemismplanningmtomread mamfavoritemfairymtalemtomampatient.
b. Duringmshift mreport,mthemnursemismcriticizingmparentsmformnot mvisitingmtheirmchild.
c. Themnursemismdiscussingmwithmamfellow mnursemthememotionalmdraw mtomamcertainmpatie
nt.
, Wong'smNursingmCaremofmInfantsmandmChildrenm12thmEditionmby mHockenberrymTestmBa
nk d. Themnursemismworkingmwithmamfamilymtomfind mwaysmtomdecreasemthemfamily’smdepend
encemonmhealthmcaremproviders.
m m m m m m m m m m m m
,Chapter m01:mPerspectives mofmPediatric mNursing
Hockenberry: mWong’s mNursing mCare mofmInfants mandmChildren,m12t
hmmEdition
MULTIPLEmCHOICE
1. What mismthemmajormcausemof mdeathmformchildrenminmthemUnited mStates?
a. Heart mdisease
b. Childhood mcancer
c. Injuries
d. Congenitalmanomalies
ANS:m C
Unintentionalminjuriesm(accidents)maremthemleadingmcausemof mdeathmaftermagem1myearmthroughmadolescenc
e.mThemleadingmcausemof mdeathmformthosemyoungermthanm1myearmismcongenitalmanomalies,mand mchildhood m
cancersmand mheart mdiseasemcausemamsignificantlymlowermpercentagemof mdeathsminmchildrenmoldermthanm1my
earmof mage.
DIF: Cognitive mLevel:mUnderstanding
TOP:mNursingmProcess:mPlanningmMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
2. Parentsmof mamhospitalized mtoddlermaskmthemnurse,m“What mismmeant mbymfamily-
centered mcare?”mThemnursemshould mrespond mwithmwhichmstatement?
a. Family-centered mcaremreducesmthemeffect mof mculturalmdiversitymonmthemfamily.
b. Family-centered mcaremencouragesmfamilymdependencemonmthemhealthmcaremsystem.
c. Family-centered mcaremrecognizesmthat mthemfamilymismthemconstant minmamchild’smlife.
d. Family-centered mcaremavoidsmexpectingmfamiliesmtombempart mof mthemdecision-
makingmprocess.
ANS:m C
Themthreemkeymcomponentsmof mfamily-centered mcaremaremrespect,mcollaboration,mand msupport.mFamily-
mcentered mcaremrecognizesmthemfamilymasmthemconstant minmthemchild’smlife.mThemfamilymshould mbemenable
d mand mempowered mtomworkmwithmthemhealthmcaremsystemmand mismexpected mtombempart mof mthemdecision-
makingmprocess.mThemnursemshould malsomsupport mthemfamily’s mculturalmdiversity,mnot mreducemitsmeffect.
DIF: Cognitive mLevel:mApplying
TOP:mNursingmProcess:mImplementation mMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
3. Evidence-based mpracticem(EBP),mamdecision-makingmmodel,mismbest mdescribed masmwhich?
a. Usingminformationminmtextbooksmtomguidemcare
b. Combiningmknowledgemwithmclinicalmexperiencemand mintuition
c. Usingmamprofessionalmcodemof methicsmasmammeansmformdecisionmmaking
d. Gatheringmallmevidencemthat mappliesmtomthemchild’smhealthmand mfamilymsituatio
n
ANS:m B
EBPmhelpsmfocusmonmmeasurablemoutcomes;mthemusemof mdemonstrated,meffectiveminterventions;mand mque
stioningmthembest mapproach.mEBPminvolvesmdecisionmmakingmbased monmthemintegrationmof mthembest mresear
chmevidencemcombined mwithmclinicalmexpertisemand mpatient mvalues.
,Wong'smNursingmCaremofmInfantsmandmChildrenm12thmEditionmby mHockenberrymTestmBa
nk
DIF: Cognitive mLevel:mRemembering
TOP:mNursingmProcess:mPlanningmMSC:m ClientmNeeds:mSafemand mEff
ectivemCaremEnvironment
4. Themnursemismtalkingmtomamgroupmof mparentsmof mschool-agemchildrenmat manmafter-
schoolmprogrammabout mchildhood mhealthmproblems.mWhichmstatement mshould mthemnursem includemin
mthemteaching?
a. Childhood mobesitymismthemmost mcommonmnutritionalmproblemmamongmchildren.
b. Immunizationmratesmaremthemsamemamongmchildrenmof mdifferent mracesmand methnicity.
c. Dentalmcariesmismnot mamproblemmcommonlymseenminmchildrenmsincemthem introductionm
of mfluorinated mwater.
d. Mentalmhealthmproblemsmaremtypicallymnot mseenminmschool-
agemchildrenmbut mmaymbemdiagnosed minmadolescents.
ANS:m A
Whenmteachingmparentsmof mschool-
agemchildrenmabout mchildhood mhealthmproblems,mthemnursemshould mincludeminformationmabout mchildhoo
d mobesitymbecausemit mismthemmost mcommonmproblemmamongmchildrenmand mismassociated mwithmtypem2mdia
betes.mTeachingmparentsmabout mwaysmtomprevent mobesitymismimportant mtominclude.mImmunizationmratesmd
iffermdependingmonmthemchild’smracemand methnicity;mdentalmcariesmcontinuesmtombemamcommonmchronicmdi
seaseminmchildhood;mand mmentalmhealthmproblemsmaremseenminmchildrenmas myoungmasmschoolmage, mnot mjus
t minmadolescents.
DIF: Cognitive mLevel:mApplying
TOP:mIntegrated mProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
5. Themnursemismplanningmcaremformamhospitalized mpreschool-
aged mchild.mWhichmshould mthemnursemplanmtomensurematraumaticmcare?
a. Limit mexplanationmof mproceduresmbecausemthemchild mismpreschoolmaged.
b. Askmthat mallmfamilymmembersmleavemthemroommwhenmperformingmprocedures.
c. Allow mthemchild mtomchoosemthemtypemof mjuicemtomdrinkmwithmthemadministrationmof mor
almmedications.
d. Explainmthat mEMLA mcreammcannot mbemused mformthemmorningmlabmdraw mbecausemthe
remismnot mtimemformit mtombemeffective.
ANS:m C
Themoverridingmgoalminmprovidingmatraumaticmcaremismfirst,mdomnomharm.mAllowingmthemchild,mamchoicemo
f mjuicemtomdrinkmwhenmtakingmoralmmedicationsmprovidesmthemchild mwithmamsensemof mcontrol.mThempresch
oolmchild mshould mbemprepared mbeforemprocedures,msomlimitingmexplanationsmof mproceduresmwould mincrea
semanxiety.mThemfamilymshould mbemallowed mtomstaymwithmthemchild mduringmprocedures,mminimizingmstres
s.
Lidocaine/prilocainem(EMLA)mcreammismamtopicalmlocalmanesthetic.mThemnursemshould mplanmtomusemthempresc
ribed mcreamminmtimemformmorningmlaboratorymdrawsmtomminimizempain.
DIF: Cognitive mLevel:mApplying
TOP:mNursingmProcess:mPlanningmMSC:m ClientmNeeds:mHealth mProm
otion mand mMaintenance
6. Whichmsituationmdenotesmamnontherapeuticmnurse–patient–familymrelationship?
a. Themnursemismplanningmtomread mamfavoritemfairymtalemtomampatient.
b. Duringmshift mreport,mthemnursemismcriticizingmparentsmformnot mvisitingmtheirmchild.
c. Themnursemismdiscussingmwithmamfellow mnursemthememotionalmdraw mtomamcertainmpatie
nt.
, Wong'smNursingmCaremofmInfantsmandmChildrenm12thmEditionmby mHockenberrymTestmBa
nk d. Themnursemismworkingmwithmamfamilymtomfind mwaysmtomdecreasemthemfamily’smdepend
encemonmhealthmcaremproviders.
