Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
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,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
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Edition
d$d
MULTIPLE CHOICE $d
1. What is the major cause of death for children in the United States?
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a. Heart disease $d
b. Childhood cancer $d
c. Injuries
d. Congenital anomalies $d
ANS: C $d
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescenc
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
e. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood
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cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 y
d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ear of age.$d $d
DIF: Cognitive Level: Understanding $d $d
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
$d $d $d $d $ d $d $d $d
otion and Maintenance$d $d
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
$d $d $d $d $d $d $d $d $d $d $d $d
centered care?” The $d $d nurse should respond with which statement?
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a. Family-centered care reduces the effect of cultural diversity on the family.
$d $d $d $d $d $d $d $d $d $d
b. Family-centered care encourages family dependence on the health care system.
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c. Family-centered care recognizes that the family is the constant in a child’s life.
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d. Family-centered care avoids expecting families to be part of the decision-
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making process. $d
ANS: C $d
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 enable
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
d and empowered to work with the health care system and is expected to be part of the decision-
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
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DIF: Cognitive Level: Applying $d $d
TOP: Nursing Process: Implementation MSC: Client Needs: Health Prom
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otion and Maintenance$d $d
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
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a. Using information in textbooks to guide care
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b. Combining knowledge with clinical experience and intuition $d $d $d $d $d $d
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 situatio
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n
ANS: B $d
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and que
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stioning the best approach. EBP involves decision making based on the integration of the best resear
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ch evidence combined with clinical expertise and patient values.
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,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
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nk
DIF: Cognitive Level: Remembering $d $d
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Eff
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ective Care Environment $d $d
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
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the 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. $d $d $d $d $d $d $d $d $d $d $d
c. Dental caries is not a problem commonly seen in children since the introduction
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of fluorinated water.$d $d
d. Mental health problems are typically not seen in school-
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age children but may be diagnosed in adolescents.
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ANS: A $d
When teaching parents of school-
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age children about childhood health problems, the nurse should include information about childhoo
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d obesity because it is the most common problem among children and is associated with type 2 dia
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betes. Teaching parents about ways to prevent obesity is important to include. Immunization rates d
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iffer depending on the child’s race and ethnicity; dental caries continues to be a common chronic di
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
sease in childhood; and mental health problems are seen in children as young as school age, not ju
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st in adolescents.
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DIF: Cognitive Level: Applying $d $d
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Prom
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otion 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.
$d $d $d $d $d $d $d $d $d
b. Ask that all family members leave the room when performing procedures.
$d $d $d $d $d $d $d $d $d $d
c. Allow the child to choose the type of juice to drink with the administration of or
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
al medications. $d
d. Explain that EMLA cream cannot be used for the morning lab draw because ther
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e is not time for it to be effective.
$d $d $d $d $d $d $d $d
ANS: C $d
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
of juice to drink when taking oral medications provides the child with a sense of control. The presch
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ool child should be prepared before procedures, so limiting explanations of procedures would incre
$d $d $d $d $d $d $d $d $d $d $d $d $d
ase anxiety. The family should be allowed to stay with the child during procedures, minimizing stre
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ss.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescr
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ibed cream in time for morning laboratory draws to minimize pain.
$d $d $d $d $d $d $d $d $d $d
DIF: Cognitive Level: Applying $d $d
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
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otion 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 patie
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
nt.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
$d $d $d $d $d $d $d $d $d $d $d $d
nk d. The nurse is working with a family to find ways to decrease the family’s depende
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nce on health care providers.
$d $d $d $d
$d $d $d $d $d $d $d $d $d $d $d $d
,Chapter 01: Perspectives of Pediatric Nursing
$d $d $d $d $d
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
$d $d $d $d $d $d $d $d $
Edition
d$d
MULTIPLE CHOICE $d
1. What is the major cause of death for children in the United States?
$d $d $d $d $d $d $d $d $d $d $d $d
a. Heart disease $d
b. Childhood cancer $d
c. Injuries
d. Congenital anomalies $d
ANS: C $d
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescenc
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
e. The leading cause of death for those younger than 1 year is congenital anomalies, and childhood
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $
cancers and heart disease cause a significantly lower percentage of deaths in children older than 1 y
d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ear of age.$d $d
DIF: Cognitive Level: Understanding $d $d
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
$d $d $d $d $ d $d $d $d
otion and Maintenance$d $d
2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
$d $d $d $d $d $d $d $d $d $d $d $d
centered care?” The $d $d nurse should respond with which statement?
$d $d $d $d $d $d
a. Family-centered care reduces the effect of cultural diversity on the family.
$d $d $d $d $d $d $d $d $d $d
b. Family-centered care encourages family dependence on the health care system.
$d $d $d $d $d $d $d $d $d
c. Family-centered care recognizes that the family is the constant in a child’s life.
$d $d $d $d $d $d $d $d $d $d $d $d
d. Family-centered care avoids expecting families to be part of the decision-
$d $d $d $d $d $d $d $d $d $d
making process. $d
ANS: C $d
The three key components of family-centered care are respect, collaboration, and support. Family-
$d $d $d $d $d $d $d $d $d $d $d $d
centered care recognizes the family as the constant in the child’s life. The family should be enable
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
d and empowered to work with the health care system and is expected to be part of the decision-
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
making process. The nurse should also support the family’s cultural diversity, not reduce its effect.
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
DIF: Cognitive Level: Applying $d $d
TOP: Nursing Process: Implementation MSC: Client Needs: Health Prom
$d $d $d $d $ d $d $d $d
otion and Maintenance$d $d
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
$d $d $d $d $d $d $d $d $d $d
a. Using information in textbooks to guide care
$d $d $d $d $d $d
b. Combining knowledge with clinical experience and intuition $d $d $d $d $d $d
c. Using a professional code of ethics as a means for decision making
$d $d $d $d $d $d $d $d $d $d $d
d. Gathering all evidence that applies to the child’s health and family situatio
$d $d $d $d $d $d $d $d $d $d $d
n
ANS: B $d
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and que
$d $d $d $d $d $d $d $d $d $d $d $d $d
stioning the best approach. EBP involves decision making based on the integration of the best resear
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ch evidence combined with clinical expertise and patient values.
$d $d $d $d $d $d $d $d
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
$d $d $d $d $d $d $d $d $d $d $d $d
nk
DIF: Cognitive Level: Remembering $d $d
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Eff
$d $d $d $d $ d $d $d $d $d
ective Care Environment $d $d
4. The nurse is talking to a group of parents of school-age children at an after-
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
school program about childhood health problems. Which statement should the nurse include in
$d $d $d $d $d $d $d $d $d $d $d $d $
the teaching?
d $d
a. Childhood obesity is the most common nutritional problem among children.
$d $d $d $d $d $d $d $d $d
b. Immunization rates are the same among children of different races and ethnicity. $d $d $d $d $d $d $d $d $d $d $d
c. Dental caries is not a problem commonly seen in children since the introduction
$d $d $d $d $d $d $d $d $d $d $d $d $d
of fluorinated water.$d $d
d. Mental health problems are typically not seen in school-
$d $d $d $d $d $d $d $d
age children but may be diagnosed in adolescents.
$d $d $d $d $d $d $d
ANS: A $d
When teaching parents of school-
$d $d $d $d
age children about childhood health problems, the nurse should include information about childhoo
$d $d $d $d $d $d $d $d $d $d $d $d
d obesity because it is the most common problem among children and is associated with type 2 dia
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
betes. Teaching parents about ways to prevent obesity is important to include. Immunization rates d
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
iffer depending on the child’s race and ethnicity; dental caries continues to be a common chronic di
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
sease in childhood; and mental health problems are seen in children as young as school age, not ju
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
st in adolescents.
$d $d
DIF: Cognitive Level: Applying $d $d
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Prom
$d $d $d $d $ d $d $d $d
otion and Maintenance
$d $d
5. The nurse is planning care for a hospitalized preschool-
$d $d $d $d $d $d $d $d
aged child. Which should the nurse plan to ensure atraumatic care?
$d $d $d $d $d $d $d $d $d $d
a. Limit explanation of procedures because the child is preschool aged.
$d $d $d $d $d $d $d $d $d
b. Ask that all family members leave the room when performing procedures.
$d $d $d $d $d $d $d $d $d $d
c. Allow the child to choose the type of juice to drink with the administration of or
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
al medications. $d
d. Explain that EMLA cream cannot be used for the morning lab draw because ther
$d $d $d $d $d $d $d $d $d $d $d $d $d
e is not time for it to be effective.
$d $d $d $d $d $d $d $d
ANS: C $d
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
of juice to drink when taking oral medications provides the child with a sense of control. The presch
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ool child should be prepared before procedures, so limiting explanations of procedures would incre
$d $d $d $d $d $d $d $d $d $d $d $d $d
ase anxiety. The family should be allowed to stay with the child during procedures, minimizing stre
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ss.
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescr
$d $d $d $d $d $d $d $d $d $d $d $d $d $d $d
ibed cream in time for morning laboratory draws to minimize pain.
$d $d $d $d $d $d $d $d $d $d
DIF: Cognitive Level: Applying $d $d
TOP: Nursing Process: Planning MSC: Client Needs: Health Prom
$d $d $d $d $ d $d $d $d
otion and Maintenance
$d $d
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
$d $d $d $d $d $d
a. The nurse is planning to read a favorite fairy tale to a patient.
$d $d $d $d $d $d $d $d $d $d $d $d
b. During shift report, the nurse is criticizing parents for not visiting their child.
$d $d $d $d $d $d $d $d $d $d $d $d
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patie
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
nt.
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Ba
$d $d $d $d $d $d $d $d $d $d $d $d
nk d. The nurse is working with a family to find ways to decrease the family’s depende
$d $d $d $d $d $d $d $d $d $d $d $d $d $d
nce on health care providers.
$d $d $d $d