NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
Chapter 1. Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic nurse is reviewing statistics on
infant mortality forthe United States versus
other countries. Compared with other countries
that have a population of at least 25 million, the
nurse
makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other
developed countries.
c. The United States is ranked in the middle of 20 other
developed countries.
d. The United States is ranked highest among 27 other
industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among
nations with a population of at least 25 million. The United States has the highest infant death
rate of developed nations.
DIF: Cognitive Level: Remembering REF: dl. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
• The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
plan to ensure 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.
Explain that EMLA cream cannot be used for the morning lab draw because there is not time for
d. it to be effective.
ANS: C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child a choice
of juice to drink when taking oral medications provides the child with a sense of control. The
preschool child should be prepared before procedures, so limiting explanations of procedures
would increase anxiety. The family should be allowed to stay with the child during procedures,
minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse
should plan to use the prescribed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
• Which situation denotes a nontherapeutic nursepatientfamily relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
,NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
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.
The nurse is working with a family to find ways to decrease the familys dependence on health
d. care providers.
ANS: B
Criticizing parents for not visiting in shift report is nontherapeutic and shows an
underinvolvement with the parents. Reading a fairy tale is a therapeutic and age appropriate
action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a
willingness to understand feelings. Working with parents to decrease dependence on health care
providers is therapeutic and helps to empower the family.
DIF: Cognitive Level: Analyzing REF: dl. 9 TOP: Integrated Process: Caring
MSC: Client Needs: Psychosocial Integrity
• The nurse is aware that which age group is at risk for childhood injury because of the
cognitive characteristic of magical and egocentric thinking?
a. Preschool
b. Young school age
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
, lOMoAR cPSD| 11700591
c. Middle school age
d. Adolescent
ANS: A
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning
they are unable to comprehend danger to self or others. Young and middle school-aged children
have transitional cognitive processes, and they may attempt dangerous acts without detailed
planning but recognize danger to themselves or others. Adolescents have formal operational
cognitive processes and are preoccupied with abstract thinking.
DIF: Cognitive Level: Understanding REF: dl. 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• The school nurse is assessing children for risk factors related to childhood injuries.
Which child has the most risk factors related to childhood injury?
a. Female, multiple siblings, stable home life
b. Male, high activity level, stressful home life
c. Male, even tempered, history of previous injuries
d. Female, reacts negatively to new situations, no serious previous
injuries ANS: B
Boys have a preponderance for injuries over girls because of a difference in behavioral
characteristics, a high activity temperament is associated with risk-taking behaviors, and stress
predisposes children to increased risk taking and self-destructive behaviors. Therefore, a male
child with a high activity level and living in a stressful environment has the highest number of
risk factors. A girl with several siblings and a stable home life is low risk. A boy with previous
injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts
negatively to new situations but has no previous serious illnesses has only one risk factor.
DIF: Cognitive Level: Analyzing REF: dl. 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• The school nurse is evaluating the number of school-age children classified as obese. The
nurse recognizes that the percentile of body mass index that classifies a child as obese is
greater than which?
a. 50th percentile
b. 75th percentile
c. 80th percentile
d. 95th percentile
ANS: D
Obesity in children and adolescents is defined as a body mass index at or greater than the 95th
percentile for youth of the same age and gender.
DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
• The nurse is teaching parents about the types of behaviors children exhibit when living
with chronic violence. Which statement made by the parents indicates further teaching is
needed?
a. We should watch for aggressive play.
b. Our child may show lasting symptoms of stress.
c. We know that our child will show caring behaviors.
d. Our child may have difficulty concentrating in school.ANS: C
The statement that the child will show caring behaviors needs further teaching. Children living with
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
, lOMoAR cPSD| 11700591
chronic violence may exhibit behaviors such as difficulty concentrating in school, memoryimpairment,
aggressive play, uncaring behaviors, and lasting symptoms of stress.
DIF: Cognitive Level: Applying REF: dl. 6
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
• The nurse is evaluating research studies according to the GRADE criteria and has
determined the quality of evidence on the subject is moderate. Which type of evidence does this
determination indicate?
a. Strong evidence from unbiased observational studies
b. Evidence from randomized clinical trials showed inconsistent results
c. Consistent evidence from well-performed randomized clinical trials
d. Evidence for at least one critical outcome from randomized clinical trials had serious
flaws ANS: B
Evidence from randomized clinical trials with important limitations indicates that the evidence is
of moderate quality. Strong evidence from unbiased observational studies and consistent
evidence from well-performed randomized clinical trials indicates high quality. Evidence for at
least one critical outcome from randomized clinical trials that has serious flaws indicates low
quality.
DIF: Cognitive Level: Remembering REF: dl. 12 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
• An adolescent patient wants to make decisions about treatment options, along with his
parents. Which moral value is the nurse displaying when supporting the adolescent to make
decisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficence
ANS: B
Autonomy is the patients right to be self-governing. The adolescent is trying to be autonomous,
so the nurse is supporting this value. Justice is the concept of fairness. Beneficence is the
obligation to promote the patients well-being. Nonmaleficence is the obligation to minimize or
prevent harm.
DIF: Cognitive Level: Analyzing REF: dl. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
• The nurse manager is compiling a report for a hospital committee on the quality of nursing-
sensitive indicators for a nursing unit. Which does the nurse manager include in the report?
a. The average age of the nurses on the unit
b. The salary ranges for the nurses on the unit
c. The education and certification of the nurses on the unit
d. The number of nurses who have applied but were not hired for theunit ANS:
CNursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. For example, the
number of nursing staff, the skill level of the nursing staff, and the education and certification of nursing
staff indicate the structure of nursing care. The average age of the nurses,salary range, and number of
nurses who have applied but were not hired for the unit are not nursing-sensitive indicators.
• Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
And Children 11th Edition Latest Update 2022 Assured Success
Chapter 1. Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. The clinic nurse is reviewing statistics on
infant mortality forthe United States versus
other countries. Compared with other countries
that have a population of at least 25 million, the
nurse
makes which determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other
developed countries.
c. The United States is ranked in the middle of 20 other
developed countries.
d. The United States is ranked highest among 27 other
industrialized countries.
ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among
nations with a population of at least 25 million. The United States has the highest infant death
rate of developed nations.
DIF: Cognitive Level: Remembering REF: dl. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
• The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse
plan to ensure 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.
Explain that EMLA cream cannot be used for the morning lab draw because there is not time for
d. it to be effective.
ANS: C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the child a choice
of juice to drink when taking oral medications provides the child with a sense of control. The
preschool child should be prepared before procedures, so limiting explanations of procedures
would increase anxiety. The family should be allowed to stay with the child during procedures,
minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse
should plan to use the prescribed cream in time for morning laboratory draws to minimize pain.
DIF: Cognitive Level: Applying REF: pp. 8-9 TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
• Which situation denotes a nontherapeutic nursepatientfamily relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
,NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
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.
The nurse is working with a family to find ways to decrease the familys dependence on health
d. care providers.
ANS: B
Criticizing parents for not visiting in shift report is nontherapeutic and shows an
underinvolvement with the parents. Reading a fairy tale is a therapeutic and age appropriate
action. Discussing feelings of an emotional draw with a fellow nurse is therapeutic and shows a
willingness to understand feelings. Working with parents to decrease dependence on health care
providers is therapeutic and helps to empower the family.
DIF: Cognitive Level: Analyzing REF: dl. 9 TOP: Integrated Process: Caring
MSC: Client Needs: Psychosocial Integrity
• The nurse is aware that which age group is at risk for childhood injury because of the
cognitive characteristic of magical and egocentric thinking?
a. Preschool
b. Young school age
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
, lOMoAR cPSD| 11700591
c. Middle school age
d. Adolescent
ANS: A
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning
they are unable to comprehend danger to self or others. Young and middle school-aged children
have transitional cognitive processes, and they may attempt dangerous acts without detailed
planning but recognize danger to themselves or others. Adolescents have formal operational
cognitive processes and are preoccupied with abstract thinking.
DIF: Cognitive Level: Understanding REF: dl. 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• The school nurse is assessing children for risk factors related to childhood injuries.
Which child has the most risk factors related to childhood injury?
a. Female, multiple siblings, stable home life
b. Male, high activity level, stressful home life
c. Male, even tempered, history of previous injuries
d. Female, reacts negatively to new situations, no serious previous
injuries ANS: B
Boys have a preponderance for injuries over girls because of a difference in behavioral
characteristics, a high activity temperament is associated with risk-taking behaviors, and stress
predisposes children to increased risk taking and self-destructive behaviors. Therefore, a male
child with a high activity level and living in a stressful environment has the highest number of
risk factors. A girl with several siblings and a stable home life is low risk. A boy with previous
injuries has two risk factors, but an even temper is not a risk factor for injuries. A girl who reacts
negatively to new situations but has no previous serious illnesses has only one risk factor.
DIF: Cognitive Level: Analyzing REF: dl. 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• The school nurse is evaluating the number of school-age children classified as obese. The
nurse recognizes that the percentile of body mass index that classifies a child as obese is
greater than which?
a. 50th percentile
b. 75th percentile
c. 80th percentile
d. 95th percentile
ANS: D
Obesity in children and adolescents is defined as a body mass index at or greater than the 95th
percentile for youth of the same age and gender.
DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
• The nurse is teaching parents about the types of behaviors children exhibit when living
with chronic violence. Which statement made by the parents indicates further teaching is
needed?
a. We should watch for aggressive play.
b. Our child may show lasting symptoms of stress.
c. We know that our child will show caring behaviors.
d. Our child may have difficulty concentrating in school.ANS: C
The statement that the child will show caring behaviors needs further teaching. Children living with
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
, lOMoAR cPSD| 11700591
chronic violence may exhibit behaviors such as difficulty concentrating in school, memoryimpairment,
aggressive play, uncaring behaviors, and lasting symptoms of stress.
DIF: Cognitive Level: Applying REF: dl. 6
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
• The nurse is evaluating research studies according to the GRADE criteria and has
determined the quality of evidence on the subject is moderate. Which type of evidence does this
determination indicate?
a. Strong evidence from unbiased observational studies
b. Evidence from randomized clinical trials showed inconsistent results
c. Consistent evidence from well-performed randomized clinical trials
d. Evidence for at least one critical outcome from randomized clinical trials had serious
flaws ANS: B
Evidence from randomized clinical trials with important limitations indicates that the evidence is
of moderate quality. Strong evidence from unbiased observational studies and consistent
evidence from well-performed randomized clinical trials indicates high quality. Evidence for at
least one critical outcome from randomized clinical trials that has serious flaws indicates low
quality.
DIF: Cognitive Level: Remembering REF: dl. 12 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
• An adolescent patient wants to make decisions about treatment options, along with his
parents. Which moral value is the nurse displaying when supporting the adolescent to make
decisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficence
ANS: B
Autonomy is the patients right to be self-governing. The adolescent is trying to be autonomous,
so the nurse is supporting this value. Justice is the concept of fairness. Beneficence is the
obligation to promote the patients well-being. Nonmaleficence is the obligation to minimize or
prevent harm.
DIF: Cognitive Level: Analyzing REF: dl. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
• The nurse manager is compiling a report for a hospital committee on the quality of nursing-
sensitive indicators for a nursing unit. Which does the nurse manager include in the report?
a. The average age of the nurses on the unit
b. The salary ranges for the nurses on the unit
c. The education and certification of the nurses on the unit
d. The number of nurses who have applied but were not hired for theunit ANS:
CNursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. For example, the
number of nursing staff, the skill level of the nursing staff, and the education and certification of nursing
staff indicate the structure of nursing care. The average age of the nurses,salary range, and number of
nurses who have applied but were not hired for the unit are not nursing-sensitive indicators.
• Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
NURSING 10 Test Bank For Wong’s Nursing Care Of Infants
And Children 11th Edition Latest Update 2022 Assured Success
