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