Test Bank Wong's Nursing Care of Infants and Children (12th Edition) – Complete Test Bank with Multiple Choice Questions and Answers (Covers All Chapters, Graded A+) Newest Version

Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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Edition
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MULTIPLE CHOICE qq




1. What is the major cause of death for children in the United States?
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a. Heart disease ss


b. Childhood cancer ss


c. Injuries
d. Congenital anomalies ss




ANS: s s C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
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adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
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and childhood cancers and heart disease cause a significantly lower percentage of deaths in
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children older than 1 year of age.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning ss ss ss qq ss


MSC: Client Needs: Health Promotion and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-centered care?‖
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The nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family. ss ss ss ss ss ss ss s ss ss


b. Family-centered care encourages family dependence on the health care system. ss ss ss s ss ss ss ss ss


c. Family-centered care recognizes that the family is the constant in a child‘s life. ss ss ss ss ss ss ss ss ss ss ss ss


d. Family-centered care avoids expecting families to be part of the decision- ss ss ss ss ss ss ss ss ss ss


making process. ss




ANS: s s C
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
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enabled and empowered to work with the health care system and is expected to be part of
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the decision- making process. The nurse should also support the family‘s cultural diversity, not
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reduce its effect.
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DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation ss ss ss qq ss


MSC: Client Needs: Health Promotion and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? ss ss ss ss ss ss ss ss ss ss


a. Using information in textbooks to guide care ss ss ss s ss ss


b. Combining knowledge with clinical experience and intuition ss ss ss ss ss ss


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
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ANS: s s B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
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questioning the best approach. EBP involves decision making based on the integration of the best
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research evidence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
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Test




DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning ss ss ss qq ss


MSC: Client Needs: Safe and Effective Care Environment
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4. The nurse is talking to a group of parents of school-age children at an after-school program
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about childhood health problems. Which statement should the nurse include in the
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teaching?
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a. Childhood obesity is the most common nutritional problem among children.
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b. Immunization rates are the same among children of different races and ethnicity. ss ss ss ss ss ss ss ss ss ss ss


c. Dental caries is not a problem commonly seen in children since the introduction
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of fluorinated water.
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d. Mental health problems are typically not seen in school-age children but may
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be diagnosed in adolescents.
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ANS: s s A
When teaching parents of school-age children about childhood health problems, the nurse should
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include information about childhood obesity because it is the most common problem
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among children and is associated with type 2 diabetes. Teaching parents about ways to prevent
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obesity is important to include. Immunization rates differ depending on the child‘s race and
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ethnicity; dental caries continues to be a common chronic disease in childhood; and mental
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health problems are seen in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning ss ss ss ss ss


MSC: Client Needs: Health Promotion and Maintenance
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5. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
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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
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of oral medications.
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d. Explain that EMLA cream cannot be used for the morning lab draw because
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there is not time for it to be effective.
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ANS: s s C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
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of juice to drink when taking oral medications provides the child with a sense of control. The
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preschool child should be prepared before procedures, so limiting explanations of procedures
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would increase anxiety. The family should be allowed to stay with the child during procedures,
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minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse
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should plan to use the prescribed cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying TOP: Nursing Process: Planning ss ss ss qq ss


MSC: Client Needs: Health Promotion 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 fairytale 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
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certain patient.
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d. The nurse is working with a familyto find ways to decrease the
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family‘s dependence on health care providers.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry
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Test




ANS: s s B
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under
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involvement with the parents. Reading a fairy tale is a therapeutic and age-appropriate action.
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ssDiscussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a
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willingness to understand feelings. Working with parents to decrease dependence on health care
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providers is therapeutic and helps to empower the family.
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DIF: Cognitive Level: Analyzing TOP: Integrated Process: Caring ss ss ss ss ss


MSC: Client Needs: Psychosocial Integrity
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7. The nurse is aware that which age-group is at risk for childhood injury because of
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the cognitive characteristic of magical and egocentric thinking?
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a. Preschool
b. Young school age ss ss


c. Middle school age ss ss


d. Adolescent

ANS: s s A
Preschool children have the cognitive characteristic of magical and egocentric thinking,
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ssmeaning they are unable to comprehend danger to self or others. Young and middle
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ssschool-aged children have transitional cognitive processes, and they may attempt
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ssdangerous acts without detailed planning but recognize danger to themselves or others.
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Adolescents have formal operational cognitive processes and are preoccupied with abstract
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thinking.
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DIF: Cognitive Level: Understanding TOP: Nursing Process: ss ss s s qq



Assessment MSC: Client Needs: Safe and Effective Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which
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ss child has the most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life ss ss ss ss ss


b. Male, high activity level, stressful home life
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c. Male, even tempered, history of previous injuries
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d. Female, reacts negatively to new situations, no serious
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previous injuries
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ANS: s s B
Boys have a preponderance for injuries over girls because of a difference in behavioral
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characteristics, a high activity temperament is associated with risk-taking behaviors, and stress
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predisposes children to increased risk taking and self-destructive behaviors. Therefore, a male
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child with a high activity level and living in a stressful environment has the highest number of
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risk factors. A girl with several siblings and a stable home life is low risk. A boy with
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previous injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl
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who reacts negatively to new situations but has no previous serious illnesses has only one risk
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factor.
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DIF: Cognitive Level: Analyzing TOP: Nursing Process: ss ss s s s


Assessment MSC: Client Needs: Safe and Effective Care Environment
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9. An adolescent patient wants to make decisions about treatment options, along with his
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parents. Which moral value is the nurse displaying when supporting the adolescent to make
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decisions?
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a. Justice