WONG'S NURSING CARE OF INFANTS AND CHILDREN
12TH EDITION BY HOCKENBERRY TEST BANK
,Chapter 01: Perspectives of Pediatric Nursing
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Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
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dition
MULTIPLE CHOICE wd
1. What is the major cause of death for children in the United States?
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a. Heart disease wd
b. Childhood cancer wd
c. Injuries
d. Congenital anomalies wd
ANS: C wd
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. T
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he leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers a
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nd 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 wd wd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti
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on 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. wd wd wd wd wd wd wd wd wd wd
b. Family-centered care encourages family dependence on the health care system. wd wd wd wd wd wd wd wd wd
c. Family-centered care recognizes that the family is the constant in a child’s life. wd wd wd wd wd wd wd wd wd wd wd wd
d. Family-centered care avoids expecting families to be part of the decision- wd wd wd wd wd wd wd wd wd wd
making process. wd
ANS: C wd
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
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empowered 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 wd wd
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promoti
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on and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? wd wd wd wd wd wd wd wd wd wd
a. Using information in textbooks to guide care wd wd wd wd wd wd
b. Combining knowledge with clinical experience and intuition wd wd wd wd wd wd
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: B wd
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questio
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ning the best approach. EBP involves decision making based on the integration of the best research evide
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nce 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 wd wd
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effecti wd wd wd wd w d wd wd wd wd
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
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teaching?
a. Childhood obesity is the most common nutritional problem among children. wd wd wd wd wd wd wd wd wd
b. Immunization rates are the same among children of different races and ethnicity. wd wd wd wd wd wd wd wd wd wd wd
c. Dental caries is not a problem commonly seen in children since the introduction of fl
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uorinated water. wd
d. Mental health problems are typically not seen in school- wd wd wd wd wd wd wd wd
age children but may be diagnosed in adolescents.
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ANS: A wd
When teaching parents of school- wd wd wd wd
age children about childhood health problems, the nurse should include information about childhood ob
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esity because it is the most common problem among children and is associated with type 2 diabetes. Tea
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ching parents about ways to prevent obesity is important to include. Immunization rates differ dependin
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g on the child’s race and ethnicity; dental caries continues to be a common chronic disease in childhood;
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and mental health problems are seen in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying wd wd
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promoti
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on 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 m
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edications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is
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not time for it to be effective. wd wd wd wd wd wd
ANS: C wd
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juic
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
e to drink when taking oral medications provides the child with a sense of control. The preschool child sh
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
ould be prepared before procedures, so limiting explanations of procedures would increase anxiety. The
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family 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 wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
cream in time for morning laboratory draws to minimize pain.
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DIF: Cognitive Level: Applying wd wd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti wd wd wd wd w d wd wd wd
on 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
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on health care providers.
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, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
wd wd wd wd wd wd wd wd wd wd wd wd
ANS: B wd
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
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
ws a willingness to understand feelings. Working with parents to decrease dependence on health care p
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roviders is therapeutic and helps to empower the family. wd wd wd wd wd wd wd wd
DIF: Cognitive Level: Analyzing wd wd
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial In
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tegrity
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 egocen
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tric thinking? wd
a. Preschool
b. Young school age wd wd
c. Middle school age wd wd
d. Adolescent
ANS: A wd
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they ar
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e 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 p
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rocesses and are preoccupied with abstract thinking. wd wd wd wd wd wd
DIF: Cognitive Level: Understanding wd wd
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effect wd wd wd wd w d wd wd wd wd
ive Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has th
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e most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life wd wd wd wd wd
b. Male, high activity level, stressful home life wd wd wd wd wd wd
c. Male, even tempered, history of previous injuries wd wd wd wd wd wd
d. Female, reacts negatively to new situations, no serious previous injuries wd wd wd wd wd wd wd wd wd
ANS: B wd
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a
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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 environ
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ment has the highest number of risk factors. A girl with several siblings and a stable home life is low risk.
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A boy with 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 factor.
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DIF: Cognitive Level: Analyzing wd wd
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effect w d wd wd wd w d wd wd wd wd
ive 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
12TH EDITION BY HOCKENBERRY TEST BANK
,Chapter 01: Perspectives of Pediatric Nursing
wd wd wd wd wd
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
wd wd wd wd wd wd wd wd wdwd
dition
MULTIPLE CHOICE wd
1. What is the major cause of death for children in the United States?
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a. Heart disease wd
b. Childhood cancer wd
c. Injuries
d. Congenital anomalies wd
ANS: C wd
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. T
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
he leading cause of death for those younger than 1 year is congenital anomalies, and childhood cancers a
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nd heart disease cause a significantly lower percentage of deaths in children older than 1 year of age.
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
DIF: Cognitive Level: Understanding wd wd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti
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on and Maintenance
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2. Parents of a hospitalized toddler ask the nurse, “What is meant by family-
wd wd wd wd wd wd wd wd wd wd wd wd
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. wd wd wd wd wd wd wd wd wd wd
b. Family-centered care encourages family dependence on the health care system. wd wd wd wd wd wd wd wd wd
c. Family-centered care recognizes that the family is the constant in a child’s life. wd wd wd wd wd wd wd wd wd wd wd wd
d. Family-centered care avoids expecting families to be part of the decision- wd wd wd wd wd wd wd wd wd wd
making process. wd
ANS: C wd
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
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
empowered 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 wd wd
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promoti
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on and Maintenance
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3. Evidence-based practice (EBP), a decision-making model, is best described as which? wd wd wd wd wd wd wd wd wd wd
a. Using information in textbooks to guide care wd wd wd wd wd wd
b. Combining knowledge with clinical experience and intuition wd wd wd wd wd wd
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: B wd
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and questio
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ning the best approach. EBP involves decision making based on the integration of the best research evide
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nce combined with clinical expertise and patient values.
wd wd wd wd wd wd wd
,Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
wd wd wd wd wd wd wd wd wd wd wd wd
DIF: Cognitive Level: Remembering wd wd
TOP: Nursing Process: Planning MSC: Client Needs: Safe and Effecti wd wd wd wd w d wd wd wd wd
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
wd wd wd wd wd wd wd wd wd wd wd wd wd wd
teaching?
a. Childhood obesity is the most common nutritional problem among children. wd wd wd wd wd wd wd wd wd
b. Immunization rates are the same among children of different races and ethnicity. wd wd wd wd wd wd wd wd wd wd wd
c. Dental caries is not a problem commonly seen in children since the introduction of fl
wd wd wd wd wd wd wd wd wd wd wd wd wd wd
uorinated water. wd
d. Mental health problems are typically not seen in school- wd wd wd wd wd wd wd wd
age children but may be diagnosed in adolescents.
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ANS: A wd
When teaching parents of school- wd wd wd wd
age children about childhood health problems, the nurse should include information about childhood ob
wd wd wd wd wd wd wd wd wd wd wd wd wd
esity because it is the most common problem among children and is associated with type 2 diabetes. Tea
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
ching parents about ways to prevent obesity is important to include. Immunization rates differ dependin
wd wd wd wd wd wd wd wd wd wd wd wd wd wd
g on the child’s race and ethnicity; dental caries continues to be a common chronic disease in childhood;
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
and mental health problems are seen in children as young as school age, not just in adolescents.
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DIF: Cognitive Level: Applying wd wd
TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promoti
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on 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.
wd wd wd wd wd wd wd wd wd wd
c. Allow the child to choose the type of juice to drink with the administration of oral m
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
edications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
not time for it to be effective. wd wd wd wd wd wd
ANS: C wd
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child, a choice of juic
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
e to drink when taking oral medications provides the child with a sense of control. The preschool child sh
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
ould be prepared before procedures, so limiting explanations of procedures would increase anxiety. The
wd wd wd wd wd wd wd wd wd wd wd wd wd w
family should be allowed to stay with the child during procedures, minimizing stress.
d wd wd wd wd wd wd wd wd wd wd wd wd
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
cream in time for morning laboratory draws to minimize pain.
wd wd wd wd wd wd wd wd wd
DIF: Cognitive Level: Applying wd wd
TOP: Nursing Process: Planning MSC: Client Needs: Health Promoti wd wd wd wd w d wd wd wd
on 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.
wd wd wd wd wd wd wd wd wd wd wd wd
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
wd wd wd wd wd wd wd wd wd wd wd wd wd wd
d. The nurse is working with a family to find ways to decrease the family’s dependence
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
on health care providers.
wd wd wd
, Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
wd wd wd wd wd wd wd wd wd wd wd wd
ANS: B wd
Criticizing parents for not visiting in shift report is nontherapeutic and shows an under involvement wit
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
h the parents. Reading a fairy tale is a therapeutic and age-
wd wd wd wd wd wd wd wd wd wd wd
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and sho
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
ws a willingness to understand feelings. Working with parents to decrease dependence on health care p
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
roviders is therapeutic and helps to empower the family. wd wd wd wd wd wd wd wd
DIF: Cognitive Level: Analyzing wd wd
TOP: Integrated Process: Caring MSC: Client Needs: Psychosocial In
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tegrity
7. The nurse is aware that which age-
wd wd wd wd wd wd
group is at risk for childhood injury because of the cognitive characteristic of magical and egocen
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
tric thinking? wd
a. Preschool
b. Young school age wd wd
c. Middle school age wd wd
d. Adolescent
ANS: A wd
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning they ar
wd wd wd wd wd wd wd wd wd wd wd wd wd
e unable to comprehend danger to self or others. Young and middle school-
wd wd wd wd wd wd wd wd wd wd wd wd
aged children have transitional cognitive processes, and they may attempt dangerous acts without detaile
wd wd wd wd wd wd wd wd wd wd wd wd wd
d planning but recognize danger to themselves or others. Adolescents have formal operational cognitive p
wd wd wd wd wd wd wd wd wd wd wd wd wd wd
rocesses and are preoccupied with abstract thinking. wd wd wd wd wd wd
DIF: Cognitive Level: Understanding wd wd
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effect wd wd wd wd w d wd wd wd wd
ive Care Environment
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8. The school nurse is assessing children for risk factors related to childhood injuries. Which child has th
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
e most risk factors related to childhood injury?
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a. Female, multiple siblings, stable home life wd wd wd wd wd
b. Male, high activity level, stressful home life wd wd wd wd wd wd
c. Male, even tempered, history of previous injuries wd wd wd wd wd wd
d. Female, reacts negatively to new situations, no serious previous injuries wd wd wd wd wd wd wd wd wd
ANS: B wd
Boys have a preponderance for injuries over girls because of a difference in behavioral characteristics, a
wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd wd
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 environ
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ment has the highest number of risk factors. A girl with several siblings and a stable home life is low risk.
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A boy with 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 factor.
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DIF: Cognitive Level: Analyzing wd wd
TOP: Nursing Process: Assessment MSC: Client Needs: Safe and Effect w d wd wd wd w d wd wd wd wd
ive 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
