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 n01:nPerspectives nofnPediatric nNursing
Hockenberry: nWong’snNursing nCare nofnInfants nandnChildren,n12thnn
Edition
MULTIPLEnCHOICE
1. What n isn then majorn causen of ndeathn forn childrenn inn then United n States?
a. Heart n disease
b. Childhood n cancer
c. Injuries
d. Congenitalnanomalies
ANS:n C
Unintentionaln injuriesn (accidents)n aren then leadingn causen of n deathn afternagen 1nyearn throughn adolescence.n T
hen leadingn causen of n deathnfornthosen youngernthann1n yearn isn congenitaln anomalies,n and n childhood n cancersn
and n heart n diseasen causen an significantlyn lowern percentagenof ndeathsn inn childrenn oldern thann 1n yearn of n age.
DIF: Cognitive n Level:n Understanding
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance
2. Parentsn of nan hospitalized n toddlern askn then nurse,n “What n isn meant n bynfamily-
centered n care?”n Then nursen should n respond n withn whichn statement?
a. Family-centered n caren reducesn then effect n of n culturalndiversitynonn then family.
b. Family-centered n caren encouragesn familyndependencen onnthen healthn caren system.
c. Family-centered n carenrecognizesn that n then familyn isn then constant n inn an child’sn life.
d. Family-centered n caren avoidsn expectingn familiesn tonben part nof nthen decision-
makingn process.
ANS:n C
Then threen keyn componentsn of n family-centered n caren aren respect,n collaboration,n and n support.n Family-
n centered n caren recognizesn then familyn asn thenconstantn innthenchild’sn life.n Then familyn should n ben enabled nand
n empowered n ton workn withn then healthn caren systemn and n isn expected n ton ben part n of nthen decision-
makingn process.n Then nursen should n alson support n then family’sn culturaln diversity,n not n reducen itsn effect.
DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nImplementationn MSC:n Clientn Needs:n Health nPromoti
on n and n Maintenance
3. Evidence-based n practicen (EBP),n andecision-makingn model,n isn best n described n asn which?
a. Usingn informationn inn textbooksnton guiden care
b. Combiningn knowledgen withn clinicalnexperiencen and n intuition
c. Usingnan professionaln coden of nethicsn asn an meansn forn decisionn making
d. Gatheringn allnevidencen that n appliesn ton then child’sn healthn and n familynsituation
ANS:n B
EBPn helpsn focusn onn measurablen outcomes;n then usen ofn demonstrated,neffectiven interventions;n andn questio
ningn then best n approach.n EBPninvolvesn decisionnmakingn based n onnthen integrationnof nthen best n researchn evid
encen combined n withn clinicaln expertisen and n patient n values.
,Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank
DIF: Cognitive n Level:n Remembering
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nSafen andnEffecti
ven Caren Environment
4. Then nursen isn talkingn ton an groupnof n parentsn of n school-agen childrenn at n ann after-
schoolnprogramnabout n childhood n healthn problems.n Whichn statement n should n then nursen includeninn the
n teaching?
a. Childhood nobesitynisn then most n commonn nutritionalnproblemnamongn children.
b. Immunizationn ratesn arenthen samen amongn childrenn of ndifferent n racesn and n ethnicity.
c. Dentalncariesn isn not n an problemncommonlynseenn inn childrenn sincen then introductionnof nfl
uorinated n water.
d. Mentalnhealthnproblemsn aren typicallyn not n seenn innschool-
agen childrennbut n mayn ben diagnosed n inn adolescents.
ANS:n A
Whenn teachingn parentsn of n school-
agen childrenn about n childhood n healthnproblems,n then nursen should nincludeninformationn about nchildhoodnob
esityn becausen it n isn then most n commonn problemn amongn childrenn andn isn associatedn withntypen2ndiabetes.n Tea
chingn parentsn about n waysn tonprevent nobesitynisn important n ton include.nImmunizationn ratesn differn dependin
gn onn then child’sn racenand nethnicity;n dentalncariesn continuesn tonbenan commonn chronicn diseasen inn childhood;
n and n mentaln healthn problemsn aren seenn inn childrenn asn youngn asn schooln age,n not n just n inn adolescents.
DIF: Cognitive n Level:n Applying
TOP:nIntegrated nProcess:nTeaching/Learningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance
5. Then nursen isn planningn caren forn anhospitalized n preschool-
aged n child.n Whichn should n then nursen plann ton ensuren atraumaticn care?
a. Limit n explanationn of nproceduresn becausen then child n isn preschoolnaged.
b. Askn that n alln familyn membersn leaven then roomnwhenn performingn procedures.
c. Allow n then child n tonchoosenthentypen ofnjuicen ton drinkn withnthen administrationn ofnoraln m
edications.
d. Explainn that n EMLA ncreamncannot n benusedn fornthenmorningn labn draw nbecausen theren is
n not n timen forn it n ton ben effective.
ANS:n C
Then overridingn goaln inn providingn atraumaticn caren isn first,n don nonharm.n Allowingn then child,n an choicen of n jui
cen ton drinkn whenntakingn oraln medicationsn providesnthenchild nwithnansensen of ncontrol.n Then preschooln child n
should n ben prepared n beforen procedures,n sonlimitingn explanationsn of n proceduresn would nincreasen anxiety.n T
hen familyn should n ben allowed n ton stayn withn then child n duringn procedures,n minimizingn stress.
Lidocaine/prilocainen (EMLA)n creamn isn an topicaln localnanesthetic.n Then nursen should n plann ton usenthen prescribe
d n creamn inn timen forn morningn laboratoryn drawsn ton minimizen pain.
DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance
6. Whichnsituationn denotesn an nontherapeuticn nurse–patient–familynrelationship?
a. Then nursen isn planningn ton read n an favoriten fairyntalen ton an patient.
b. Duringn shift n report,nthen nursen isn criticizingn parentsn forn not n visitingn theirn child.
c. Then nursen isn discussingn withn an fellow n nursen then emotionalndraw n ton an certainn patient.
d. Then nursen isn workingnwithnan familynton findnwaysntondecreasen then family’sn dependence
n onn healthn caren providers.
, Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank
ANS:n B
Criticizingn parentsn forn not n visitingn inn shift n report n isn nontherapeuticn andn showsn annundern involvement n wit
hnthen parents.n Readingn an fairyntalen isn an therapeuticn and n age-
appropriaten action.n Discussingn feelingsn of n ann emotionaln draw n withnan fellow n nursen isn therapeuticn andn sho
wsn an willingnessn ton understand nfeelings.n Workingn withnparentsn ton decreasen dependencen onnhealthn caren p
rovidersn isn therapeuticn and n helpsn ton empowern then family.
DIF: Cognitive n Level:n Analyzing
TOP:nIntegrated nProcess:nCaringn MSC:n ClientnNeeds:nPsychosocialnIn
tegrity
7. Then nursen isn awaren that n whichn age-
groupn isn at n riskn forn childhoodninjuryn becausen of nthen cognitiven characteristicn of n magicaln and n egoce
ntricn thinking?
a. Preschool
b. Youngn schooln age
c. Middlen schoolnage
d. Adolescent
ANS:n A
Preschooln childrenn haven then cognitiven characteristicn of n magicaln and n egocentricn thinking,n meaningn theynar
en unablen ton comprehend n dangern ton self n orn others.n Youngn and n middlen school-
aged n childrenn haven transitionaln cognitiven processes,n and n theynmayn attempt ndangerousn actsn without n detail
ed n planningn but n recognizen dangern tonthemselvesn ornothers.n Adolescentsn haven formalnoperationalncognitive
n processesn and n aren preoccupied n withn abstract n thinking.
DIF: Cognitive n Level:n Understanding
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
ven Caren Environment
8. Then schoolnnursen isn assessingn childrenn forn riskn factorsnrelated n tonchildhood n injuries.n Whichn child n hasn t
hen most n riskn factorsn related n ton childhood n injury?
a. Female,n multiplen siblings,n stablen homen life
b. Male,n highn activitynlevel,n stressfuln homen life
c. Male,n evenn tempered,n historynof npreviousn injuries
d. Female,n reactsn negativelynton new n situations,n non seriousn previousn injuries
ANS:n B
Boysn haven an preponderancen forn injuriesn overn girlsn becausen of n andifferencen innbehavioraln characteristics,n an
highn activityn temperament n isn associated n withn risk-
takingn behaviors,n and n stressn predisposesn childrenn ton increased n riskn takingn and n self-
destructiven behaviors.n Therefore,n an malen child n withn an highn activityn leveln and n livingn inn an stressfulnenviron
ment n hasn then highest n numbern of nriskn factors.n Angirlnwithnseveraln siblingsn and n anstablen homenlifen isn low nrisk.
n A nboynwithn previousn injuriesn hasn twon riskn factors,n butnannevenn tempern isn not nan riskn factorn forn injuries.n A n gi
rln whon reactsn negativelyn ton new n situationsn but n hasn non previousn seriousn illnessesn hasn onlyn onen riskn factor.
DIF: Cognitive n Level:n Analyzing
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
ven Caren Environment
9. Annadolescent n patient n wantsnton maken decisionsn about ntreatment n options,n alongn withn hisn parents.n Whichn
moraln valuen isn then nursen displayingn whenn supportingn then adolescent n ton maken decisions?
a. Justice
n n n n n n n n n n n n
,Chapter n01:nPerspectives nofnPediatric nNursing
Hockenberry: nWong’snNursing nCare nofnInfants nandnChildren,n12thnn
Edition
MULTIPLEnCHOICE
1. What n isn then majorn causen of ndeathn forn childrenn inn then United n States?
a. Heart n disease
b. Childhood n cancer
c. Injuries
d. Congenitalnanomalies
ANS:n C
Unintentionaln injuriesn (accidents)n aren then leadingn causen of n deathn afternagen 1nyearn throughn adolescence.n T
hen leadingn causen of n deathnfornthosen youngernthann1n yearn isn congenitaln anomalies,n and n childhood n cancersn
and n heart n diseasen causen an significantlyn lowern percentagenof ndeathsn inn childrenn oldern thann 1n yearn of n age.
DIF: Cognitive n Level:n Understanding
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance
2. Parentsn of nan hospitalized n toddlern askn then nurse,n “What n isn meant n bynfamily-
centered n care?”n Then nursen should n respond n withn whichn statement?
a. Family-centered n caren reducesn then effect n of n culturalndiversitynonn then family.
b. Family-centered n caren encouragesn familyndependencen onnthen healthn caren system.
c. Family-centered n carenrecognizesn that n then familyn isn then constant n inn an child’sn life.
d. Family-centered n caren avoidsn expectingn familiesn tonben part nof nthen decision-
makingn process.
ANS:n C
Then threen keyn componentsn of n family-centered n caren aren respect,n collaboration,n and n support.n Family-
n centered n caren recognizesn then familyn asn thenconstantn innthenchild’sn life.n Then familyn should n ben enabled nand
n empowered n ton workn withn then healthn caren systemn and n isn expected n ton ben part n of nthen decision-
makingn process.n Then nursen should n alson support n then family’sn culturaln diversity,n not n reducen itsn effect.
DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nImplementationn MSC:n Clientn Needs:n Health nPromoti
on n and n Maintenance
3. Evidence-based n practicen (EBP),n andecision-makingn model,n isn best n described n asn which?
a. Usingn informationn inn textbooksnton guiden care
b. Combiningn knowledgen withn clinicalnexperiencen and n intuition
c. Usingnan professionaln coden of nethicsn asn an meansn forn decisionn making
d. Gatheringn allnevidencen that n appliesn ton then child’sn healthn and n familynsituation
ANS:n B
EBPn helpsn focusn onn measurablen outcomes;n then usen ofn demonstrated,neffectiven interventions;n andn questio
ningn then best n approach.n EBPninvolvesn decisionnmakingn based n onnthen integrationnof nthen best n researchn evid
encen combined n withn clinicaln expertisen and n patient n values.
,Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank
DIF: Cognitive n Level:n Remembering
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nSafen andnEffecti
ven Caren Environment
4. Then nursen isn talkingn ton an groupnof n parentsn of n school-agen childrenn at n ann after-
schoolnprogramnabout n childhood n healthn problems.n Whichn statement n should n then nursen includeninn the
n teaching?
a. Childhood nobesitynisn then most n commonn nutritionalnproblemnamongn children.
b. Immunizationn ratesn arenthen samen amongn childrenn of ndifferent n racesn and n ethnicity.
c. Dentalncariesn isn not n an problemncommonlynseenn inn childrenn sincen then introductionnof nfl
uorinated n water.
d. Mentalnhealthnproblemsn aren typicallyn not n seenn innschool-
agen childrennbut n mayn ben diagnosed n inn adolescents.
ANS:n A
Whenn teachingn parentsn of n school-
agen childrenn about n childhood n healthnproblems,n then nursen should nincludeninformationn about nchildhoodnob
esityn becausen it n isn then most n commonn problemn amongn childrenn andn isn associatedn withntypen2ndiabetes.n Tea
chingn parentsn about n waysn tonprevent nobesitynisn important n ton include.nImmunizationn ratesn differn dependin
gn onn then child’sn racenand nethnicity;n dentalncariesn continuesn tonbenan commonn chronicn diseasen inn childhood;
n and n mentaln healthn problemsn aren seenn inn childrenn asn youngn asn schooln age,n not n just n inn adolescents.
DIF: Cognitive n Level:n Applying
TOP:nIntegrated nProcess:nTeaching/Learningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance
5. Then nursen isn planningn caren forn anhospitalized n preschool-
aged n child.n Whichn should n then nursen plann ton ensuren atraumaticn care?
a. Limit n explanationn of nproceduresn becausen then child n isn preschoolnaged.
b. Askn that n alln familyn membersn leaven then roomnwhenn performingn procedures.
c. Allow n then child n tonchoosenthentypen ofnjuicen ton drinkn withnthen administrationn ofnoraln m
edications.
d. Explainn that n EMLA ncreamncannot n benusedn fornthenmorningn labn draw nbecausen theren is
n not n timen forn it n ton ben effective.
ANS:n C
Then overridingn goaln inn providingn atraumaticn caren isn first,n don nonharm.n Allowingn then child,n an choicen of n jui
cen ton drinkn whenntakingn oraln medicationsn providesnthenchild nwithnansensen of ncontrol.n Then preschooln child n
should n ben prepared n beforen procedures,n sonlimitingn explanationsn of n proceduresn would nincreasen anxiety.n T
hen familyn should n ben allowed n ton stayn withn then child n duringn procedures,n minimizingn stress.
Lidocaine/prilocainen (EMLA)n creamn isn an topicaln localnanesthetic.n Then nursen should n plann ton usenthen prescribe
d n creamn inn timen forn morningn laboratoryn drawsn ton minimizen pain.
DIF: Cognitive n Level:n Applying
TOP:nNursingnProcess:nPlanningn MSC:n ClientnNeeds:nHealthn Promoti
on n and n Maintenance
6. Whichnsituationn denotesn an nontherapeuticn nurse–patient–familynrelationship?
a. Then nursen isn planningn ton read n an favoriten fairyntalen ton an patient.
b. Duringn shift n report,nthen nursen isn criticizingn parentsn forn not n visitingn theirn child.
c. Then nursen isn discussingn withn an fellow n nursen then emotionalndraw n ton an certainn patient.
d. Then nursen isn workingnwithnan familynton findnwaysntondecreasen then family’sn dependence
n onn healthn caren providers.
, Wong'sn Nursingn Carenofn Infantsn and nChildrenn12thnEditionnbynHockenberry n Testn Bank
ANS:n B
Criticizingn parentsn forn not n visitingn inn shift n report n isn nontherapeuticn andn showsn annundern involvement n wit
hnthen parents.n Readingn an fairyntalen isn an therapeuticn and n age-
appropriaten action.n Discussingn feelingsn of n ann emotionaln draw n withnan fellow n nursen isn therapeuticn andn sho
wsn an willingnessn ton understand nfeelings.n Workingn withnparentsn ton decreasen dependencen onnhealthn caren p
rovidersn isn therapeuticn and n helpsn ton empowern then family.
DIF: Cognitive n Level:n Analyzing
TOP:nIntegrated nProcess:nCaringn MSC:n ClientnNeeds:nPsychosocialnIn
tegrity
7. Then nursen isn awaren that n whichn age-
groupn isn at n riskn forn childhoodninjuryn becausen of nthen cognitiven characteristicn of n magicaln and n egoce
ntricn thinking?
a. Preschool
b. Youngn schooln age
c. Middlen schoolnage
d. Adolescent
ANS:n A
Preschooln childrenn haven then cognitiven characteristicn of n magicaln and n egocentricn thinking,n meaningn theynar
en unablen ton comprehend n dangern ton self n orn others.n Youngn and n middlen school-
aged n childrenn haven transitionaln cognitiven processes,n and n theynmayn attempt ndangerousn actsn without n detail
ed n planningn but n recognizen dangern tonthemselvesn ornothers.n Adolescentsn haven formalnoperationalncognitive
n processesn and n aren preoccupied n withn abstract n thinking.
DIF: Cognitive n Level:n Understanding
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
ven Caren Environment
8. Then schoolnnursen isn assessingn childrenn forn riskn factorsnrelated n tonchildhood n injuries.n Whichn child n hasn t
hen most n riskn factorsn related n ton childhood n injury?
a. Female,n multiplen siblings,n stablen homen life
b. Male,n highn activitynlevel,n stressfuln homen life
c. Male,n evenn tempered,n historynof npreviousn injuries
d. Female,n reactsn negativelynton new n situations,n non seriousn previousn injuries
ANS:n B
Boysn haven an preponderancen forn injuriesn overn girlsn becausen of n andifferencen innbehavioraln characteristics,n an
highn activityn temperament n isn associated n withn risk-
takingn behaviors,n and n stressn predisposesn childrenn ton increased n riskn takingn and n self-
destructiven behaviors.n Therefore,n an malen child n withn an highn activityn leveln and n livingn inn an stressfulnenviron
ment n hasn then highest n numbern of nriskn factors.n Angirlnwithnseveraln siblingsn and n anstablen homenlifen isn low nrisk.
n A nboynwithn previousn injuriesn hasn twon riskn factors,n butnannevenn tempern isn not nan riskn factorn forn injuries.n A n gi
rln whon reactsn negativelyn ton new n situationsn but n hasn non previousn seriousn illnessesn hasn onlyn onen riskn factor.
DIF: Cognitive n Level:n Analyzing
TOP:n NursingnProcess:nAssessmentnMSC:n ClientnNeeds:nSafenandnEffecti
ven Caren Environment
9. Annadolescent n patient n wantsnton maken decisionsn about ntreatment n options,n alongn withn hisn parents.n Whichn
moraln valuen isn then nursen displayingn whenn supportingn then adolescent n ton maken decisions?
a. Justice
