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