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 ]+
1. What is the major cause of death for children in the United States?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. Heart disease ]+
b. Childhood cancer ]+
c. Injuries
d. Congenital anomalies ]+
ANS: C ]+
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood ca
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ncers and heart disease cause a significantly lower percentage of deaths in children older than 1 yearo
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
f age.
]+
DIF: Cognitive Level: Understanding ]+ ]+
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
centered care?” The nurseshould respond with which statement?
]+ ]+ ]+ +
] ]+ ]+ ]+ ]+
a. Family-centered care reduces the effect of cultural diversity on the family. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. Family-centered care encourages family dependence on the health care system. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Family-centered care recognizes that the family is the constant in a child’s life. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. Family-centered care avoids expecting families to be part of the decision- ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
makingprocess. +
]
ANS: C ]+
The three key components of family-centered care are respect, collaboration, and support. Family-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
centered care recognizes the family as the constant in the child’s life. The family should be enable
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d and empowered to work with the health care system and is expected to be part of the decision-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
makingprocess. The nurse should also support the family’s cultural diversity, not reduce its effect.
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
DIF: Cognitive Level: Applying ]+ ]+
TOP: Nursing Process: ImplementationMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. Using information in textbooks to guide care
]+ ]+ ]+ ]+ ]+ ]+
b. Combining knowledge with clinical experience and intuition ]+ ]+ ]+ ]+ ]+ ]+
c. Using a professional code of ethics as a means for decision making
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. Gathering all evidence that applies to the child’s health and family situation
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and ques
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
tioning the best approach. EBP involves decision making based on the integration of the bestresearch
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+
evidence combined with clinical expertise and patient values.
]+ ]+ ]+ ]+ ]+ ]+ ]+
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
nk
DIF: Cognitive Level: Remembering ]+ ]+
TOP: Nursing Process: PlanningMSC: Client Needs: Safe and Effe
]+ ]+ ]+ +
] ] + ]+ ]+ ]+ ]+
ctive Care Environment
]+ ]+
4. The nurse is talking to a group of parents of school-age children at an after-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
school program aboutchildhood health problems. Which statement should the nurse include in t
]+ ]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
he teaching?
]+
a. Childhood obesity is the most common nutritional problem among children.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. Immunization rates are the same among children of different races and ethnicity. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Dental caries is not a problem commonly seen in children since the introduction off
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
luorinated water. ]+
d. Mental health problems are typically not seen in school-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
age children but may bediagnosed in adolescents.
]+ ]+ ]+ ]+ +
] ]+ ]+
ANS: A ]+
When teaching parents of school-
]+ ]+ ]+ ]+
age children about childhood health problems, the nurse should include information about childhood
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
obesity because it is the most common problem among children and is associated with type 2 diabete
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s. Teaching parents about ways to prevent obesity is important toinclude. Immunization rates differ d
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+ ]+ ]+ ]+
epending on the child’s race and ethnicity; dental caries continuesto be a common chronic disease in
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+
childhood; and mental health problems are seen in children as young as school age, not just in adole
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
scents.
DIF: Cognitive Level: Applying ]+ ]+
TOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
5. The nurse is planning care for a hospitalized preschool-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
aged child. Which should the nurse plan toensure atraumatic care?
]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+ ]+
a. Limit explanation of procedures because the child is preschool aged.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. Ask that all family members leave the room when performing procedures.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Allow the child to choose the type of juice to drink with the administration of oral
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
is not time for it to be effective.
]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: C ]+
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ofjuice to drink when taking oral medications provides the child with a sense of control. The presc
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
hoolchild should be prepared before procedures, so limiting explanations of procedures would incr
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ease anxiety. The family should be allowed to stay with the child during procedures, minimizing str
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ess.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use theprescri]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
bed cream in time for morning laboratory draws to minimize pain.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
DIF: Cognitive Level: Applying ]+ ]+
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
]+ ]+ ]+ ]+ ]+ ]+
a. The nurse is planning to read a favorite fairy tale to a patient.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. During shift report, the nurse is criticizing parents for not visiting their child.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
nk d. The nurse is working with a family to find ways to decrease the family’sdependen
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
ce on health care providers.
]+ ]+ ]+ ]+
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
,Chapter 01: Perspectives of Pediatric Nursing
]+ ]+ ]+ ]+ ]+
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
Edition
MULTIPLE CHOICE ]+
1. What is the major cause of death for children in the United States?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. Heart disease ]+
b. Childhood cancer ]+
c. Injuries
d. Congenital anomalies ]+
ANS: C ]+
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood ca
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ncers and heart disease cause a significantly lower percentage of deaths in children older than 1 yearo
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
f age.
]+
DIF: Cognitive Level: Understanding ]+ ]+
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
centered care?” The nurseshould respond with which statement?
]+ ]+ ]+ +
] ]+ ]+ ]+ ]+
a. Family-centered care reduces the effect of cultural diversity on the family. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. Family-centered care encourages family dependence on the health care system. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Family-centered care recognizes that the family is the constant in a child’s life. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. Family-centered care avoids expecting families to be part of the decision- ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
makingprocess. +
]
ANS: C ]+
The three key components of family-centered care are respect, collaboration, and support. Family-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
centered care recognizes the family as the constant in the child’s life. The family should be enable
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d and empowered to work with the health care system and is expected to be part of the decision-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
makingprocess. The nurse should also support the family’s cultural diversity, not reduce its effect.
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
DIF: Cognitive Level: Applying ]+ ]+
TOP: Nursing Process: ImplementationMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. Using information in textbooks to guide care
]+ ]+ ]+ ]+ ]+ ]+
b. Combining knowledge with clinical experience and intuition ]+ ]+ ]+ ]+ ]+ ]+
c. Using a professional code of ethics as a means for decision making
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. Gathering all evidence that applies to the child’s health and family situation
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: B ]+
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and ques
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
tioning the best approach. EBP involves decision making based on the integration of the bestresearch
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+
evidence combined with clinical expertise and patient values.
]+ ]+ ]+ ]+ ]+ ]+ ]+
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
nk
DIF: Cognitive Level: Remembering ]+ ]+
TOP: Nursing Process: PlanningMSC: Client Needs: Safe and Effe
]+ ]+ ]+ +
] ] + ]+ ]+ ]+ ]+
ctive Care Environment
]+ ]+
4. The nurse is talking to a group of parents of school-age children at an after-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
school program aboutchildhood health problems. Which statement should the nurse include in t
]+ ]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
he teaching?
]+
a. Childhood obesity is the most common nutritional problem among children.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. Immunization rates are the same among children of different races and ethnicity. ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Dental caries is not a problem commonly seen in children since the introduction off
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
luorinated water. ]+
d. Mental health problems are typically not seen in school-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
age children but may bediagnosed in adolescents.
]+ ]+ ]+ ]+ +
] ]+ ]+
ANS: A ]+
When teaching parents of school-
]+ ]+ ]+ ]+
age children about childhood health problems, the nurse should include information about childhood
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
obesity because it is the most common problem among children and is associated with type 2 diabete
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s. Teaching parents about ways to prevent obesity is important toinclude. Immunization rates differ d
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+ ]+ ]+ ]+
epending on the child’s race and ethnicity; dental caries continuesto be a common chronic disease in
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+ ]+ ]+ ]+ ]+ ]+ ]+
childhood; and mental health problems are seen in children as young as school age, not just in adole
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
scents.
DIF: Cognitive Level: Applying ]+ ]+
TOP: Integrated Process: Teaching/LearningMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
5. The nurse is planning care for a hospitalized preschool-
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
aged child. Which should the nurse plan toensure atraumatic care?
]+ ]+ ]+ ]+ ]+ ]+ ]+ +
] ]+ ]+
a. Limit explanation of procedures because the child is preschool aged.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. Ask that all family members leave the room when performing procedures.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. Allow the child to choose the type of juice to drink with the administration of oral
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
is not time for it to be effective.
]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS: C ]+
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ofjuice to drink when taking oral medications provides the child with a sense of control. The presc
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
hoolchild should be prepared before procedures, so limiting explanations of procedures would incr
+
] ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ease anxiety. The family should be allowed to stay with the child during procedures, minimizing str
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ess.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use theprescri]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
bed cream in time for morning laboratory draws to minimize pain.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
DIF: Cognitive Level: Applying ]+ ]+
TOP: Nursing Process: PlanningMSC: Client Needs: Health Promo
]+ ]+ ]+ +
] ] + ]+ ]+ ]+
tion and Maintenance
]+ ]+
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
]+ ]+ ]+ ]+ ]+ ]+
a. The nurse is planning to read a favorite fairy tale to a patient.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. During shift report, the nurse is criticizing parents for not visiting their child.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
nk d. The nurse is working with a family to find ways to decrease the family’sdependen
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ +
]
ce on health care providers.
]+ ]+ ]+ ]+
