Test Bank Wong’s Essentials of Pediatric Nursing 9e
Chapter 01: Perspectives of Pediatric
Nursing
MULTIPLE CHOICE
1. A nurse is planning a teaching session for parents of preschool children.
Which statement explains why the nurse should include information about
morbidity and mortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are identified.
ANS: D
Analysis of morbidity and mortality data provides the parents with information
about which groups of individuals are at risk for which health problems. Life-
span statistics is a part of the mortality data. Treatment modalities and cost are
not included in morbidity and mortality data.
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity
prevention for parents of school-age children. The nurse should include which
associated risk of obesity in the teaching plan?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in
children. Type I diabetes is not associated with obesity and has a genetic
component. Respiratory disease is not associated with obesity, and celiac
disease is the inability to metabolize gluten in foods and is not associated with
obesity.
PTS: 1 DIF: Cognitive Level: Apply REF: 3
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the leading cause of death in infants younger than 1 year?
a. Congenital anomalies
b. Sudden infant death syndrome
By Mr HVQ
,Test Bank Wong’s Essentials of Pediatric Nursing 9e
c. Respiratory distress syndrome
d. Bacterial sepsis of the newborn
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1
year. Sudden infant death syndrome accounts for 8.2% of deaths in this age
group. Respiratory distress syndrome accounts for 3.4% of deaths in this age
group. Infections specific to the perinatal period account for 2.7% of deaths in
this age group.
PTS: 1 DIF: Cognitive Level: Remember REF: 7
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which leading cause of death topic should the nurse emphasize to a group of
African-American boys ranging in ages 15 to 19 years?
a. Suicide
b. Cancer
c. Firearm homicide
d. Occupational injuries
ANS: C
Firearm homicide is the second overall cause of death in this age group and the
leading cause of death in African-American males. Suicide is the third-leading
cause of death in this population. Cancer, although a major health problem, is
the fourth-leading cause of death in this age group. Occupational injuries do not
contribute to a significant death rate for this age group.
PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year
through adolescence. Congenital anomalies are the leading cause of death in
those younger than 1 year. Cancer ranks either second or fourth, depending on
the age group, and heart disease ranks fifth in the majority of the age groups.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
By Mr HVQ
,Test Bank Wong’s Essentials of Pediatric Nursing 9e
6. Which is the leading cause of death from unintentional injuries for females
ranging in age from 1 to 14?
a. Mechanical suffocation
b. Drowning
c. Motor–vehicle-related fatalities
d. Fire- and burn-related fatalities
ANS: C
Motor–vehicle-related fatalities are the leading cause of death for females
ranging in age from 1 to 14, either as passengers or as pedestrians. Mechanical
suffocation is fourth or fifth, depending on the age. Drowning is the second- or
third-leading cause of death, depending on the age. Fire- and burn-related
fatalities are the second-leading cause of death.
PTS: 1 DIF: Cognitive Level: Remember REF: 4
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
7. Which factor most impacts the type of injury a child is susceptible to,
according to the child’s age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
ANS: B
The child’s developmental stage determines the type of injury that is likely to
occur. The child’s physical health may facilitate the child’s recovery from an
injury but does not impact the type of injury. Educational level is related to
developmental level, but it is not as important as the child’s developmental level
in determining the type of injury. The number of responsible adults in the home
may affect the number of unintentional injuries, but the type of injury is related
to the child’s developmental stage.
PTS: 1 DIF: Cognitive Level: Understand REF: 3-4
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
8. Which is now referred to as the “new morbidity”?
a. Limitations in the major activities of daily living
b. Unintentional injuries that cause chronic health problems
c. Discoveries of new therapies to treat health problems
d. Behavioral, social, and educational problems that alter health
ANS: D
The new morbidity reflects the behavioral, social, and educational problems that
interfere with the child’s social and academic development. It is currently
By Mr HVQ
, Test Bank Wong’s Essentials of Pediatric Nursing 9e
estimated that the incidence of these issues is from 5% to 30%. Limitations in
major activities of daily living and unintentional injuries that result in chronic
health problems are included in morbidity data. Discovery of new therapies
would be reflected in changes in morbidity data over time.
PTS: 1 DIF: Cognitive Level: Remember REF: 3
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
9. A nurse on a pediatric unit is practicing family-centered care. Which is most
descriptive of the care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child’s life
d. Excluding families from the decision-making process
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. Taking over total care does not include the family in the process and
may increase stress instead of reducing stress. The family should be enabled and
empowered to work with the health care system. The family is expected to be
part of the decision-making process.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
10. The nurse is preparing an in-service education to staff about atraumatic care
for pediatric patients. Which intervention should the nurse include?
a. Prepare the child for separation from parents during hospitalization by
reviewing a video.
b. Prepare the child before any unfamiliar treatment or procedure by
demonstrating on a stuffed animal.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
ANS: B
Preparing the child for any unfamiliar treatments, controlling pain, allowing
privacy, providing play activities for expression of fear and aggression,
providing choices, and respecting cultural differences are components of
atraumatic care. In the provision of atraumatic care, the separation of child from
parents during hospitalization is minimized. The nurse should promote a sense
of control for the child. Preventing and minimizing bodily injury and pain are
major components of atraumatic care.
PTS: 1 DIF: Cognitive Level: Understand REF: 9
By Mr HVQ
Chapter 01: Perspectives of Pediatric
Nursing
MULTIPLE CHOICE
1. A nurse is planning a teaching session for parents of preschool children.
Which statement explains why the nurse should include information about
morbidity and mortality?
a. Life-span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are identified.
ANS: D
Analysis of morbidity and mortality data provides the parents with information
about which groups of individuals are at risk for which health problems. Life-
span statistics is a part of the mortality data. Treatment modalities and cost are
not included in morbidity and mortality data.
PTS: 1 DIF: Cognitive Level: Apply REF: 6-8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic nurse is planning a teaching session about childhood obesity
prevention for parents of school-age children. The nurse should include which
associated risk of obesity in the teaching plan?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in
children. Type I diabetes is not associated with obesity and has a genetic
component. Respiratory disease is not associated with obesity, and celiac
disease is the inability to metabolize gluten in foods and is not associated with
obesity.
PTS: 1 DIF: Cognitive Level: Apply REF: 3
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the leading cause of death in infants younger than 1 year?
a. Congenital anomalies
b. Sudden infant death syndrome
By Mr HVQ
,Test Bank Wong’s Essentials of Pediatric Nursing 9e
c. Respiratory distress syndrome
d. Bacterial sepsis of the newborn
ANS: A
Congenital anomalies account for 20.1% of deaths in infants younger than 1
year. Sudden infant death syndrome accounts for 8.2% of deaths in this age
group. Respiratory distress syndrome accounts for 3.4% of deaths in this age
group. Infections specific to the perinatal period account for 2.7% of deaths in
this age group.
PTS: 1 DIF: Cognitive Level: Remember REF: 7
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which leading cause of death topic should the nurse emphasize to a group of
African-American boys ranging in ages 15 to 19 years?
a. Suicide
b. Cancer
c. Firearm homicide
d. Occupational injuries
ANS: C
Firearm homicide is the second overall cause of death in this age group and the
leading cause of death in African-American males. Suicide is the third-leading
cause of death in this population. Cancer, although a major health problem, is
the fourth-leading cause of death in this age group. Occupational injuries do not
contribute to a significant death rate for this age group.
PTS: 1 DIF: Cognitive Level: Understand REF: 5 | 8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year
through adolescence. Congenital anomalies are the leading cause of death in
those younger than 1 year. Cancer ranks either second or fourth, depending on
the age group, and heart disease ranks fifth in the majority of the age groups.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
By Mr HVQ
,Test Bank Wong’s Essentials of Pediatric Nursing 9e
6. Which is the leading cause of death from unintentional injuries for females
ranging in age from 1 to 14?
a. Mechanical suffocation
b. Drowning
c. Motor–vehicle-related fatalities
d. Fire- and burn-related fatalities
ANS: C
Motor–vehicle-related fatalities are the leading cause of death for females
ranging in age from 1 to 14, either as passengers or as pedestrians. Mechanical
suffocation is fourth or fifth, depending on the age. Drowning is the second- or
third-leading cause of death, depending on the age. Fire- and burn-related
fatalities are the second-leading cause of death.
PTS: 1 DIF: Cognitive Level: Remember REF: 4
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
7. Which factor most impacts the type of injury a child is susceptible to,
according to the child’s age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
ANS: B
The child’s developmental stage determines the type of injury that is likely to
occur. The child’s physical health may facilitate the child’s recovery from an
injury but does not impact the type of injury. Educational level is related to
developmental level, but it is not as important as the child’s developmental level
in determining the type of injury. The number of responsible adults in the home
may affect the number of unintentional injuries, but the type of injury is related
to the child’s developmental stage.
PTS: 1 DIF: Cognitive Level: Understand REF: 3-4
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
8. Which is now referred to as the “new morbidity”?
a. Limitations in the major activities of daily living
b. Unintentional injuries that cause chronic health problems
c. Discoveries of new therapies to treat health problems
d. Behavioral, social, and educational problems that alter health
ANS: D
The new morbidity reflects the behavioral, social, and educational problems that
interfere with the child’s social and academic development. It is currently
By Mr HVQ
, Test Bank Wong’s Essentials of Pediatric Nursing 9e
estimated that the incidence of these issues is from 5% to 30%. Limitations in
major activities of daily living and unintentional injuries that result in chronic
health problems are included in morbidity data. Discovery of new therapies
would be reflected in changes in morbidity data over time.
PTS: 1 DIF: Cognitive Level: Remember REF: 3
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
9. A nurse on a pediatric unit is practicing family-centered care. Which is most
descriptive of the care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child’s life
d. Excluding families from the decision-making process
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. Taking over total care does not include the family in the process and
may increase stress instead of reducing stress. The family should be enabled and
empowered to work with the health care system. The family is expected to be
part of the decision-making process.
PTS: 1 DIF: Cognitive Level: Remember REF: 8
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
10. The nurse is preparing an in-service education to staff about atraumatic care
for pediatric patients. Which intervention should the nurse include?
a. Prepare the child for separation from parents during hospitalization by
reviewing a video.
b. Prepare the child before any unfamiliar treatment or procedure by
demonstrating on a stuffed animal.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
ANS: B
Preparing the child for any unfamiliar treatments, controlling pain, allowing
privacy, providing play activities for expression of fear and aggression,
providing choices, and respecting cultural differences are components of
atraumatic care. In the provision of atraumatic care, the separation of child from
parents during hospitalization is minimized. The nurse should promote a sense
of control for the child. Preventing and minimizing bodily injury and pain are
major components of atraumatic care.
PTS: 1 DIF: Cognitive Level: Understand REF: 9
By Mr HVQ
