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11th Edition, Marilyn Hockenberry, Cheryl Rodgers
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rt Chapters 1 - 31
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,
,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Essentials of Pediatric Nursing, 11th Edition
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MULTIPLE CHOICE rt
1. A nurse is planning a teaching session for parents of preschool children. Which statement
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ex-plains why the nurse should include information about morbidity and mortality?
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a. Life span statistics are included in the data. rt rt rt rt rt rt rt
b. It explains effectiveness of treatment. rt rt rt rt
c. Cost-effective treatment is detailed for the rt rt rt rt rt
general population. rt
d. High-risk age groups for certain disorders rt rt rt rt rt
or rt
hazards are identified. rt rt
ANSWER: D rt
Analysis of morbidity and mortality data provides the parents with information about which
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groups of individuals are at risk for which health problems. Life span statistics is a part of the
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mortality data. Treatment modalities and cost are not included in morbidity and mortality data.
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DIF: Cognitive Level: Apply REF: p. rt rt r t
11TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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2. A clinic nurse is planning a teaching session about childhood obesity prevention for parents
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of school-age children. The nurse should include which associated risk of obesity in the
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teachingplan?
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a. Type I diabetes rt rt
b. Respiratory disease rt
c. Celiac disease rt
d. Type II diabetes rt rt
ANSWER: D rt
Childhood obesity has been associated with the rise of type II diabetes in children. Type I dia-
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betes is not associated with obesity and has a genetic component. Respiratory disease is not asso-
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ciated with obesity, and celiac disease is the inability to metabolize gluten in foods and is not as-
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sociated with obesity.
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DIF: Cognitive Level: Apply REF: p. rt rt rt
2TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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3. Which is the leading cause of death in infants younger than 1 year?
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a. Congenital anomalies rt
b. Sudden infant death syndrome rt rt rt
c. Respiratory distress syndrome rt rt
d. Bacterial sepsis of the newborn rt rt rt rt
ANSWER: A rt
, Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
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infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
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syndrome ac-counts for 3.4% of deaths in this age group. Infections specific to the perinatal
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period account for2.7% of deaths in this age group.
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DIF: Cognitive Level: Remember REF: p. 6 rt rt rt rt
TOP: Integrated Process: Nursing Process:
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Assessment
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MSC: Area of Client Needs: Health Promotion and Maintenance
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4. Which leading cause of death topic should the nurse emphasize to a group of African-
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Americanboys ranging in age from 15 to 19 years? tr rt rt rt rt rt rt rt rt
a. Suicide
b. Cancer
c. Firearm homicide rt
d. Occupational injuries rt
ANSWER: C rt
Firearm homicide is the second overall cause of death in this age group and the leading cause
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ofdeath in African-American males. Suicide is the third-leading cause of death in this
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population. Cancer, although a major health problem, is the fourth-leading cause of death in
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this age group. Occupational injuries do not contribute to a significant death rate for this age
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group.
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DIF: Cognitive Level: Understand REF: p. rt rt rt
7TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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5. Which is the major cause of death for children older than 1 year?
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a. Cancer
b. Heart disease rt
c. Unintentional injuries rt
d. Congenital anomalies rt
ANSWER: C rt
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adoles-cence. Congenital anomalies are the leading cause of death in those younger than 1
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year. Cancerranks either second or fourth, depending on the age group, and heart disease
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ranks fifth in the majority of the age groups.
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DIF: Cognitive Level: Remember REF: p. rt rt rt
7TOP: Integrated Process: Nursing Process:
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Planning
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MSC: Area of Client Needs: Health Promotion and Maintenance
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6. Which is the leading cause of death from unintentional injuries for females ranging in age from
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rt 1to 14?
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a. Mechanical suffocation rt
b. Drowning
c. Motor vehicle–related fatalities rt rt
d. Fire- and burn-related fatalities rt rt rt