Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
l l l l l l l l l l l l
,Chapter 01: Perspectives of Pediatric Nursing
l l l l l
Hockenberry: Wong’s Nursing Care of Infants and Children, 12thE
l l l l l l l l l
dition
MULTIPLElCHOICE
1. WhatlislthelmajorlcauselofldeathlforlchildrenlinlthelUnitedlStates?
a. Heartldisease
b. Childhoodlcancer
c. Injuries
d. Congenitallanomalies
ANS:l C
Unintentionallinjuriesl(accidents)larelthelleadinglcauselofldeathlafterlagel1lyearlthroughladolescence.lThell
eadinglcauselofldeathlforlthoselyoungerlthanl1lyearlislcongenitallanomalies,landlchildhoodlcancerslandlhear
tldiseaselcauselalsignificantlyllowerlpercentagelofldeathslinlchildrenlolderlthanl1lyearloflage.
DIF: CognitivelLevel:lUnderstanding
TOP:lNursinglProcess:lPlanninglMSC:l ClientlNeeds:lHealthlPromotionl
andlMaintenance
2. Parentsloflalhospitalizedltoddlerlasklthelnurse,l“Whatlislmeantlbylfamily-
centeredlcare?”lThelnurselshouldlrespondlwithlwhichlstatement?
a. Family-centeredlcarelreducesltheleffectloflculturalldiversitylonlthelfamily.
b. Family-centeredlcarelencourageslfamilyldependencelonlthelhealthlcarelsystem.
c. Family-centeredlcarelrecognizeslthatlthelfamilylislthelconstantlinlalchild’sllife.
d. Family-centeredlcarelavoidslexpectinglfamiliesltolbelpartlofltheldecision-
makinglprocess.
ANS:l C
Thelthreelkeylcomponentsloflfamily-centeredlcarelarelrespect,lcollaboration,landlsupport.lFamily-
lcenteredlcarelrecognizeslthelfamilylaslthelconstantlinlthelchild’sllife.lThelfamilylshouldlbelenabledlandlem
poweredltolworklwithlthelhealthlcarelsystemlandlislexpectedltolbelpartlofltheldecision-
makinglprocess.lThelnurselshouldlalsolsupportlthelfamily’slculturalldiversity,l notlreducelitsleffect.
DIF: CognitivelLevel:lApplying
TOP:lNursinglProcess:lImplementationlMSC:l ClientlNeeds:lHealthlPromotionl
andlMaintenance
3. Evidence-basedlpracticel(EBP),laldecision-makinglmodel,lislbestldescribedlaslwhich?
a. Usinglinformationlinltextbooksltolguidelcare
b. Combininglknowledgelwithlclinicallexperiencelandlintuition
c. Usinglalprofessionallcodeloflethicslaslalmeanslforldecisionlmaking
d. Gatheringlalllevidencelthatlappliesltolthelchild’slhealthlandlfamilylsituation
ANS:l B
EBPlhelpslfocuslonlmeasurableloutcomes;ltheluselofldemonstrated,leffectivelinterventions;landlquestionin
glthelbestlapproach.lEBPlinvolvesldecisionlmakinglbasedlonlthelintegrationloflthelbestlresearchlevidencelco
mbinedlwithlclinicallexpertiselandlpatientl values.
,Wong'slNursinglCareloflInfantslandlChildrenl12thlEditionlbylHockenberrylTestlBank
DIF: CognitivelLevel:lRemembering
TOP:lNursinglProcess:lPlanninglMSC:l ClientlNeeds:lSafelandlEffective
lCarelEnvironment
4. Thelnurselisltalkingltolalgrouploflparentsloflschool-agelchildrenlatlanlafter-
schoollprogramlaboutlchildhoodlhealthlproblems.l Whichlstatementl shouldlthelnurselincludelinltheltea
ching?
a. Childhoodlobesitylislthelmostlcommonlnutritionallproblemlamonglchildren.
b. Immunizationlrateslarelthelsamelamonglchildrenlofldifferentlraceslandlethnicity.
c. Dentallcarieslislnotlalproblemlcommonlylseenlinlchildrenlsincelthelintroductionloflfluori
natedlwater.
d. Mentallhealthlproblemslareltypicallylnotlseenlinlschool-
agelchildrenlbutl maylbeldiagnosedl inladolescents.
ANS:l A
Whenlteachinglparentsloflschool-
agelchildrenlaboutlchildhoodlhealthlproblems,lthelnurselshouldlincludelinformationlaboutlchildhoodlobesit
ylbecauselitlislthelmostlcommonlproblemlamonglchildrenlandlislassociatedlwithltypel2ldiabetes.lTeachinglp
arentslaboutlwaysltolpreventlobesitylislimportantltolinclude.lImmunizationlratesldifferldependinglonlthelchil
d’slracelandlethnicity;ldentallcarieslcontinuesltolbelalcommonlchronicldiseaselinlchildhood;landlmentallheal
thlproblemslarelseenlinlchildrenlaslyounglaslschoollage,lnotl justl inladolescents.
DIF: CognitivelLevel:lApplying
TOP:lIntegratedlProcess:lTeaching/LearninglMSC:l ClientlNeeds:lHealthlPromotion
landlMaintenance
5. Thelnurselislplanninglcarelforlalhospitalizedlpreschool-
agedlchild.lWhichlshouldlthelnurselplanltolensurelatraumaticlcare?
a. Limitlexplanationloflprocedureslbecauselthelchildlislpreschoollaged.
b. Asklthatlalllfamilylmemberslleavelthelroomlwhenlperforminglprocedures.
c. Allowlthelchildltolchooseltheltypelofljuiceltoldrinkl withltheladministrationloflorallmedica
tions.
d. ExplainlthatlEMLAlcreamlcannotlbelusedlforlthelmorningllabldrawlbecauseltherelislnotl
timelforlitltolbeleffective.
ANS:l C
Theloverridinglgoallinlprovidinglatraumaticlcarelislfirst,ldolnolharm.lAllowinglthelchild,lalchoicelofljuicelt
oldrinklwhenltakinglorallmedicationslprovideslthelchildlwithlalsenseloflcontrol.lThelpreschoollchildlshoul
dlbelpreparedlbeforelprocedures,lsollimitinglexplanationsloflprocedureslwouldlincreaselanxiety.lThelfam
ilylshouldlbelallowedltolstaylwithlthelchildlduringlprocedures,lminimizingl stress.
Lidocaine/prilocainel(EMLA)lcreamlislaltopicalllocallanesthetic.lThelnurselshouldlplanltoluselthelprescribedlcre
amlinltimelforlmorningllaboratoryldrawsltolminimizelpain.
DIF: CognitivelLevel:lApplying
TOP:lNursinglProcess:lPlanninglMSC:l ClientlNeeds:lHealthlPromotionl
andlMaintenance
6. Whichlsituationldenoteslalnontherapeuticlnurse–patient–familylrelationship?
a. Thelnurselislplanningltolreadlalfavoritelfairyltaleltolalpatient.
b. Duringlshiftlreport,lthelnurselislcriticizinglparentslforlnotlvisitingltheirlchild.
c. Thelnurselisldiscussinglwithlalfellowlnurselthelemotionalldrawltolalcertainlpatient.
d. Thelnurselislworkinglwithlalfamilyltolfindlwaysltoldecreaselthelfamily’sldependencelonl
healthlcarelproviders.
, Wong'slNursinglCareloflInfantslandlChildrenl12thlEditionlbylHockenberrylTestlBank
ANS:l B
Criticizinglparentslforlnotlvisitinglinlshiftlreportlislnontherapeuticlandlshowslanlunderlinvolvementlwithlth
elparents.lReadinglalfairyltalelislaltherapeuticlandlage-
appropriatelaction.lDiscussinglfeelingsloflanlemotionalldrawlwithlalfellowlnurselisltherapeuticlandlshowsla
lwillingnessltolunderstandlfeelings.lWorkinglwithlparentsltoldecreaseldependencelonlhealthlcarelproviders
lisltherapeuticlandlhelpsltolempowerl thel family.
DIF: CognitivelLevel:lAnalyzing
TOP:lIntegratedlProcess:lCaringlMSC:l ClientlNeeds:lPsychosociallInte
grity
7. Thelnurselislawarelthatlwhichlage-
grouplislatlrisklforlchildhoodlinjurylbecauseloflthelcognitivelcharacteristicloflmagicallandlegocentri
clthinking?
a. Preschool
b. Younglschoollage
c. Middlelschoollage
d. Adolescent
ANS:l A
Preschoollchildrenlhavelthelcognitivelcharacteristicloflmagicallandlegocentriclthinking,lmeaningltheylarelu
nableltolcomprehendldangerltolselflorlothers.lYounglandlmiddlelschool-
agedlchildrenlhaveltransitionallcognitivelprocesses,landltheylmaylattemptldangerouslactslwithoutldetailedlp
lanninglbutlrecognizeldangerltolthemselveslorlothers.lAdolescentslhavelformalloperationallcognitivelproces
seslandlarelpreoccupiedlwithlabstractlthinking.
DIF: CognitivelLevel:lUnderstanding
TOP:l NursinglProcess:lAssessmentlMSC:l ClientlNeeds:lSafelandlEffective
lCarelEnvironment
8. Thelschoollnurselislassessinglchildrenlforlrisklfactorslrelatedltolchildhoodlinjuries.lWhichlchildlhaslthelm
ostl risklfactorslrelatedltol childhoodlinjury?
a. Female,lmultiplelsiblings,lstablelhomellife
b. Male,lhighlactivityllevel,lstressfullhomellife
c. Male,levenltempered,lhistoryloflpreviouslinjuries
d. Female,lreactslnegativelyltolnewlsituations,lnolseriouslpreviouslinjuries
ANS:l B
Boyslhavelalpreponderancelforlinjuriesloverlgirlslbecauseloflaldifferencelinlbehaviorallcharacteristics,lalhig
hlactivityltemperamentlislassociatedlwithlrisk-
takinglbehaviors,landlstresslpredisposeslchildrenltolincreasedlriskltakinglandlself-
destructivelbehaviors.lTherefore,lalmalelchildlwithlalhighlactivityllevellandllivinglinlalstressfullenvironment
lhaslthelhighestlnumberloflrisklfactors.lAlgirllwithlseverallsiblingslandlalstablelhomel lifel isllowlrisk.l Alboylwit
hlpreviouslinjurieslhasltwolrisklfactors,lbutlanlevenltemperlislnotlalrisklfactorlforlinjuries.lAlgirllwholreactslne
gativelyltolnewlsituationslbutlhaslnolpreviouslseriouslillnesseslhaslonlylonelriskl factor.
DIF: CognitivelLevel:lAnalyzing
TOP:l NursinglProcess:lAssessmentlMSC:l ClientlNeeds:lSafelandlEffective
lCarelEnvironment
9. Anladolescentlpatientlwantsltolmakeldecisionslaboutltreatmentloptions,lalonglwithlhislparents.lWhichlmor
allvaluelislthelnurseldisplayinglwhenlsupportingltheladolescentltolmakeldecisions?
a. Justice
l l l l l l l l l l l l
,Chapter 01: Perspectives of Pediatric Nursing
l l l l l
Hockenberry: Wong’s Nursing Care of Infants and Children, 12thE
l l l l l l l l l
dition
MULTIPLElCHOICE
1. WhatlislthelmajorlcauselofldeathlforlchildrenlinlthelUnitedlStates?
a. Heartldisease
b. Childhoodlcancer
c. Injuries
d. Congenitallanomalies
ANS:l C
Unintentionallinjuriesl(accidents)larelthelleadinglcauselofldeathlafterlagel1lyearlthroughladolescence.lThell
eadinglcauselofldeathlforlthoselyoungerlthanl1lyearlislcongenitallanomalies,landlchildhoodlcancerslandlhear
tldiseaselcauselalsignificantlyllowerlpercentagelofldeathslinlchildrenlolderlthanl1lyearloflage.
DIF: CognitivelLevel:lUnderstanding
TOP:lNursinglProcess:lPlanninglMSC:l ClientlNeeds:lHealthlPromotionl
andlMaintenance
2. Parentsloflalhospitalizedltoddlerlasklthelnurse,l“Whatlislmeantlbylfamily-
centeredlcare?”lThelnurselshouldlrespondlwithlwhichlstatement?
a. Family-centeredlcarelreducesltheleffectloflculturalldiversitylonlthelfamily.
b. Family-centeredlcarelencourageslfamilyldependencelonlthelhealthlcarelsystem.
c. Family-centeredlcarelrecognizeslthatlthelfamilylislthelconstantlinlalchild’sllife.
d. Family-centeredlcarelavoidslexpectinglfamiliesltolbelpartlofltheldecision-
makinglprocess.
ANS:l C
Thelthreelkeylcomponentsloflfamily-centeredlcarelarelrespect,lcollaboration,landlsupport.lFamily-
lcenteredlcarelrecognizeslthelfamilylaslthelconstantlinlthelchild’sllife.lThelfamilylshouldlbelenabledlandlem
poweredltolworklwithlthelhealthlcarelsystemlandlislexpectedltolbelpartlofltheldecision-
makinglprocess.lThelnurselshouldlalsolsupportlthelfamily’slculturalldiversity,l notlreducelitsleffect.
DIF: CognitivelLevel:lApplying
TOP:lNursinglProcess:lImplementationlMSC:l ClientlNeeds:lHealthlPromotionl
andlMaintenance
3. Evidence-basedlpracticel(EBP),laldecision-makinglmodel,lislbestldescribedlaslwhich?
a. Usinglinformationlinltextbooksltolguidelcare
b. Combininglknowledgelwithlclinicallexperiencelandlintuition
c. Usinglalprofessionallcodeloflethicslaslalmeanslforldecisionlmaking
d. Gatheringlalllevidencelthatlappliesltolthelchild’slhealthlandlfamilylsituation
ANS:l B
EBPlhelpslfocuslonlmeasurableloutcomes;ltheluselofldemonstrated,leffectivelinterventions;landlquestionin
glthelbestlapproach.lEBPlinvolvesldecisionlmakinglbasedlonlthelintegrationloflthelbestlresearchlevidencelco
mbinedlwithlclinicallexpertiselandlpatientl values.
,Wong'slNursinglCareloflInfantslandlChildrenl12thlEditionlbylHockenberrylTestlBank
DIF: CognitivelLevel:lRemembering
TOP:lNursinglProcess:lPlanninglMSC:l ClientlNeeds:lSafelandlEffective
lCarelEnvironment
4. Thelnurselisltalkingltolalgrouploflparentsloflschool-agelchildrenlatlanlafter-
schoollprogramlaboutlchildhoodlhealthlproblems.l Whichlstatementl shouldlthelnurselincludelinltheltea
ching?
a. Childhoodlobesitylislthelmostlcommonlnutritionallproblemlamonglchildren.
b. Immunizationlrateslarelthelsamelamonglchildrenlofldifferentlraceslandlethnicity.
c. Dentallcarieslislnotlalproblemlcommonlylseenlinlchildrenlsincelthelintroductionloflfluori
natedlwater.
d. Mentallhealthlproblemslareltypicallylnotlseenlinlschool-
agelchildrenlbutl maylbeldiagnosedl inladolescents.
ANS:l A
Whenlteachinglparentsloflschool-
agelchildrenlaboutlchildhoodlhealthlproblems,lthelnurselshouldlincludelinformationlaboutlchildhoodlobesit
ylbecauselitlislthelmostlcommonlproblemlamonglchildrenlandlislassociatedlwithltypel2ldiabetes.lTeachinglp
arentslaboutlwaysltolpreventlobesitylislimportantltolinclude.lImmunizationlratesldifferldependinglonlthelchil
d’slracelandlethnicity;ldentallcarieslcontinuesltolbelalcommonlchronicldiseaselinlchildhood;landlmentallheal
thlproblemslarelseenlinlchildrenlaslyounglaslschoollage,lnotl justl inladolescents.
DIF: CognitivelLevel:lApplying
TOP:lIntegratedlProcess:lTeaching/LearninglMSC:l ClientlNeeds:lHealthlPromotion
landlMaintenance
5. Thelnurselislplanninglcarelforlalhospitalizedlpreschool-
agedlchild.lWhichlshouldlthelnurselplanltolensurelatraumaticlcare?
a. Limitlexplanationloflprocedureslbecauselthelchildlislpreschoollaged.
b. Asklthatlalllfamilylmemberslleavelthelroomlwhenlperforminglprocedures.
c. Allowlthelchildltolchooseltheltypelofljuiceltoldrinkl withltheladministrationloflorallmedica
tions.
d. ExplainlthatlEMLAlcreamlcannotlbelusedlforlthelmorningllabldrawlbecauseltherelislnotl
timelforlitltolbeleffective.
ANS:l C
Theloverridinglgoallinlprovidinglatraumaticlcarelislfirst,ldolnolharm.lAllowinglthelchild,lalchoicelofljuicelt
oldrinklwhenltakinglorallmedicationslprovideslthelchildlwithlalsenseloflcontrol.lThelpreschoollchildlshoul
dlbelpreparedlbeforelprocedures,lsollimitinglexplanationsloflprocedureslwouldlincreaselanxiety.lThelfam
ilylshouldlbelallowedltolstaylwithlthelchildlduringlprocedures,lminimizingl stress.
Lidocaine/prilocainel(EMLA)lcreamlislaltopicalllocallanesthetic.lThelnurselshouldlplanltoluselthelprescribedlcre
amlinltimelforlmorningllaboratoryldrawsltolminimizelpain.
DIF: CognitivelLevel:lApplying
TOP:lNursinglProcess:lPlanninglMSC:l ClientlNeeds:lHealthlPromotionl
andlMaintenance
6. Whichlsituationldenoteslalnontherapeuticlnurse–patient–familylrelationship?
a. Thelnurselislplanningltolreadlalfavoritelfairyltaleltolalpatient.
b. Duringlshiftlreport,lthelnurselislcriticizinglparentslforlnotlvisitingltheirlchild.
c. Thelnurselisldiscussinglwithlalfellowlnurselthelemotionalldrawltolalcertainlpatient.
d. Thelnurselislworkinglwithlalfamilyltolfindlwaysltoldecreaselthelfamily’sldependencelonl
healthlcarelproviders.
, Wong'slNursinglCareloflInfantslandlChildrenl12thlEditionlbylHockenberrylTestlBank
ANS:l B
Criticizinglparentslforlnotlvisitinglinlshiftlreportlislnontherapeuticlandlshowslanlunderlinvolvementlwithlth
elparents.lReadinglalfairyltalelislaltherapeuticlandlage-
appropriatelaction.lDiscussinglfeelingsloflanlemotionalldrawlwithlalfellowlnurselisltherapeuticlandlshowsla
lwillingnessltolunderstandlfeelings.lWorkinglwithlparentsltoldecreaseldependencelonlhealthlcarelproviders
lisltherapeuticlandlhelpsltolempowerl thel family.
DIF: CognitivelLevel:lAnalyzing
TOP:lIntegratedlProcess:lCaringlMSC:l ClientlNeeds:lPsychosociallInte
grity
7. Thelnurselislawarelthatlwhichlage-
grouplislatlrisklforlchildhoodlinjurylbecauseloflthelcognitivelcharacteristicloflmagicallandlegocentri
clthinking?
a. Preschool
b. Younglschoollage
c. Middlelschoollage
d. Adolescent
ANS:l A
Preschoollchildrenlhavelthelcognitivelcharacteristicloflmagicallandlegocentriclthinking,lmeaningltheylarelu
nableltolcomprehendldangerltolselflorlothers.lYounglandlmiddlelschool-
agedlchildrenlhaveltransitionallcognitivelprocesses,landltheylmaylattemptldangerouslactslwithoutldetailedlp
lanninglbutlrecognizeldangerltolthemselveslorlothers.lAdolescentslhavelformalloperationallcognitivelproces
seslandlarelpreoccupiedlwithlabstractlthinking.
DIF: CognitivelLevel:lUnderstanding
TOP:l NursinglProcess:lAssessmentlMSC:l ClientlNeeds:lSafelandlEffective
lCarelEnvironment
8. Thelschoollnurselislassessinglchildrenlforlrisklfactorslrelatedltolchildhoodlinjuries.lWhichlchildlhaslthelm
ostl risklfactorslrelatedltol childhoodlinjury?
a. Female,lmultiplelsiblings,lstablelhomellife
b. Male,lhighlactivityllevel,lstressfullhomellife
c. Male,levenltempered,lhistoryloflpreviouslinjuries
d. Female,lreactslnegativelyltolnewlsituations,lnolseriouslpreviouslinjuries
ANS:l B
Boyslhavelalpreponderancelforlinjuriesloverlgirlslbecauseloflaldifferencelinlbehaviorallcharacteristics,lalhig
hlactivityltemperamentlislassociatedlwithlrisk-
takinglbehaviors,landlstresslpredisposeslchildrenltolincreasedlriskltakinglandlself-
destructivelbehaviors.lTherefore,lalmalelchildlwithlalhighlactivityllevellandllivinglinlalstressfullenvironment
lhaslthelhighestlnumberloflrisklfactors.lAlgirllwithlseverallsiblingslandlalstablelhomel lifel isllowlrisk.l Alboylwit
hlpreviouslinjurieslhasltwolrisklfactors,lbutlanlevenltemperlislnotlalrisklfactorlforlinjuries.lAlgirllwholreactslne
gativelyltolnewlsituationslbutlhaslnolpreviouslseriouslillnesseslhaslonlylonelriskl factor.
DIF: CognitivelLevel:lAnalyzing
TOP:l NursinglProcess:lAssessmentlMSC:l ClientlNeeds:lSafelandlEffective
lCarelEnvironment
9. Anladolescentlpatientlwantsltolmakeldecisionslaboutltreatmentloptions,lalonglwithlhislparents.lWhichlmor
allvaluelislthelnurseldisplayinglwhenlsupportingltheladolescentltolmakeldecisions?
a. Justice
