WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
Chapter 18: Impact of Cognitive or Sensory Impairment on the Child and Family
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. A young child has an intelligence quotient (IQ) of 45. The nurse should document this finding
as:
a. within the lower limits of the range of normal intelligence.
b. mild cognitive impairment but educable.
c. moderate cognitive impairment but trainable.
d. severe cognitive impairment and completely dependent on others for care.
ANS: C
Moderate cognitive impairment IQs range between 35 and 55. The lower limit of normal
intelligence is approximately 70. Individuals with IQs of 50 to 70 are considered to have mild
cognitive impairment but educable. An IQ of 20 to 40 results in severe cognitive impairment.
DIF: Cognitive Level: Understand REF: p. 530
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
2. When a child with mild cognitive impairment reaches the end of adolescence, which
characteristic should be expected?
a. Achieves a mental age of 5 to 6 years
b. Achieves a mental age of 8 to 12 years
c. Unable to progress in functional reading or arithmetic
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d. Acquires practical skills and useful reading and arithmetic to an eighth-grade level
ANS: B
By the end of adolescence, the child with mild cognitive impairment can acquire practical
skills and useful reading and arithmetic to a third- to sixth-grade level. A mental age of 8 to 12
years is obtainable, and the child can be guided toward social conformity. The achievement of
a mental age of 5 to 6 years and being unable to progress in functional reading or arithmetic
are characteristics of children with moderate cognitive impairment. Acquiring practical skills
and useful reading and arithmetic to an eighth-grade level is not descriptive of cognitive
impairment.
DIF: Cognitive Level: Understand REF: p. 530
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
3. When should children with cognitive impairment be referred for stimulation and educational
programs?
a. As young as possible
b. As soon as they have the ability to communicate in some way
c. At age 3 years, when schools are required to provide services
d. At age 5 or 6 years, when schools are required to provide services
ANS: A
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, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
The child’s education should begin as soon as possible. Considerable evidence exists that
early intervention programs for children with disabilities are valuable for cognitively impaired
children. The early intervention may facilitate the child’s development of communication
skills. States are encouraged to provide early intervention programs from birth under Public
Law 101-476, the Individuals with Disabilities Education Act.
DIF: Cognitive Level: Apply REF: p. 530
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
4. Which should be the major consideration when selecting toys for a child who is cognitively
impaired?
a. Safety
b. Age appropriateness
c. Ability to provide exercise
d. Ability to teach useful skills
ANS: A
Safety is the primary concern in selecting recreational and exercise activities for all children.
This is especially true for children who are cognitively impaired. Age appropriateness, the
ability to provide exercise, and the ability to teach useful skills should all be considered in the
selection of toys, but safety is of paramount importance.
DIF: Cognitive Level: Understand REF: p. 531
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Safety and Infection Control
5. What are appropriate interventionsNURSINGTB.COM
to facilitate socialization of the cognitively impaired child?
a. Provide age-appropriate toys and play activities.
b. Provide peer experiences, such as scouting, when older.
c. Avoid exposure to strangers who may not understand cognitive development.
d. Emphasize mastery of physical skills because they are delayed more often than
verbal skills.
ANS: B
The acquisition of social skills is a complex task. Children of all ages need peer relationships.
Parents should enroll the child in preschool. When older, they should have peer experiences
similar to those of other children such as group outings, Boy and Girl Scouts, and Special
Olympics. It is important to provide age-appropriate toys and play activities, but peer
interactions will facilitate social development. Parents should expose the child to strangers so
that the child can practice social skills. Verbal skills are delayed more than physical skills.
DIF: Cognitive Level: Apply REF: p. 533
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
6. The nurse is discussing sexuality with the parents of an adolescent girl with moderate
cognitive impairment. Which should the nurse consider when dealing with this issue?
a. Sterilization is recommended for any adolescent with cognitive impairment.
b. Sexual drive and interest are limited in individuals with cognitive impairment.
c. Individuals with cognitive impairment need a well-defined, concrete code of
NURSINGTB.COM
Chapter 18: Impact of Cognitive or Sensory Impairment on the Child and Family
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. A young child has an intelligence quotient (IQ) of 45. The nurse should document this finding
as:
a. within the lower limits of the range of normal intelligence.
b. mild cognitive impairment but educable.
c. moderate cognitive impairment but trainable.
d. severe cognitive impairment and completely dependent on others for care.
ANS: C
Moderate cognitive impairment IQs range between 35 and 55. The lower limit of normal
intelligence is approximately 70. Individuals with IQs of 50 to 70 are considered to have mild
cognitive impairment but educable. An IQ of 20 to 40 results in severe cognitive impairment.
DIF: Cognitive Level: Understand REF: p. 530
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
2. When a child with mild cognitive impairment reaches the end of adolescence, which
characteristic should be expected?
a. Achieves a mental age of 5 to 6 years
b. Achieves a mental age of 8 to 12 years
c. Unable to progress in functional reading or arithmetic
NURSINGTB.COM
d. Acquires practical skills and useful reading and arithmetic to an eighth-grade level
ANS: B
By the end of adolescence, the child with mild cognitive impairment can acquire practical
skills and useful reading and arithmetic to a third- to sixth-grade level. A mental age of 8 to 12
years is obtainable, and the child can be guided toward social conformity. The achievement of
a mental age of 5 to 6 years and being unable to progress in functional reading or arithmetic
are characteristics of children with moderate cognitive impairment. Acquiring practical skills
and useful reading and arithmetic to an eighth-grade level is not descriptive of cognitive
impairment.
DIF: Cognitive Level: Understand REF: p. 530
TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
3. When should children with cognitive impairment be referred for stimulation and educational
programs?
a. As young as possible
b. As soon as they have the ability to communicate in some way
c. At age 3 years, when schools are required to provide services
d. At age 5 or 6 years, when schools are required to provide services
ANS: A
NURSINGTB.COM
, WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION HOCKENBERRY TEST BANK
The child’s education should begin as soon as possible. Considerable evidence exists that
early intervention programs for children with disabilities are valuable for cognitively impaired
children. The early intervention may facilitate the child’s development of communication
skills. States are encouraged to provide early intervention programs from birth under Public
Law 101-476, the Individuals with Disabilities Education Act.
DIF: Cognitive Level: Apply REF: p. 530
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
4. Which should be the major consideration when selecting toys for a child who is cognitively
impaired?
a. Safety
b. Age appropriateness
c. Ability to provide exercise
d. Ability to teach useful skills
ANS: A
Safety is the primary concern in selecting recreational and exercise activities for all children.
This is especially true for children who are cognitively impaired. Age appropriateness, the
ability to provide exercise, and the ability to teach useful skills should all be considered in the
selection of toys, but safety is of paramount importance.
DIF: Cognitive Level: Understand REF: p. 531
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Safety and Infection Control
5. What are appropriate interventionsNURSINGTB.COM
to facilitate socialization of the cognitively impaired child?
a. Provide age-appropriate toys and play activities.
b. Provide peer experiences, such as scouting, when older.
c. Avoid exposure to strangers who may not understand cognitive development.
d. Emphasize mastery of physical skills because they are delayed more often than
verbal skills.
ANS: B
The acquisition of social skills is a complex task. Children of all ages need peer relationships.
Parents should enroll the child in preschool. When older, they should have peer experiences
similar to those of other children such as group outings, Boy and Girl Scouts, and Special
Olympics. It is important to provide age-appropriate toys and play activities, but peer
interactions will facilitate social development. Parents should expose the child to strangers so
that the child can practice social skills. Verbal skills are delayed more than physical skills.
DIF: Cognitive Level: Apply REF: p. 533
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
6. The nurse is discussing sexuality with the parents of an adolescent girl with moderate
cognitive impairment. Which should the nurse consider when dealing with this issue?
a. Sterilization is recommended for any adolescent with cognitive impairment.
b. Sexual drive and interest are limited in individuals with cognitive impairment.
c. Individuals with cognitive impairment need a well-defined, concrete code of
NURSINGTB.COM
