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Wong's Nursing Care of Infants and Children 11th Edition Hockenberry Test Bank[1].pdf

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The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?Which is the leading cause of death in infants younger than 1 year in the United States?What is the major cause of death for children older than 1 year in the United States?. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?The nurse is planning a teaching session to adolescents about deaths by unintentional injuries. Which should the nurse include in the session with regard to deaths caused by injuries?The nurse should assess which age group for suicide ideation since suicide in which age group is the third leading cause of death?Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse should respond with which statement?Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse should respond with which statement?Evidence-based practice (EBP), a decision-making model, is best described as which?Which best describes signs and symptoms as part of a nursing diagnosis?The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching?The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care?Which situation denotes a nontherapeutic nursepatientfamily relationship?The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?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?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?The nurse manager is compiling a report for a hospital committee on the quality of nursingsensitive indicators for a nursing unit. Which does the nurse manager include in the report?The nurse is conducting a teaching session for parents on nutrition. Which characteristics of families should the nurse consider that can cause families to struggle in providing adequate nutrition?The nurse is reviewing the Healthy People 2020 leading health indicators for a child health promotion program. Which are included in the leading health indicators?. Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor may be culturally determined?. After the family, which has the greatest influence on providing continuity between generations?. After the family, which has the greatest influence on providing continuity between generations?Parents ask the nurse about the characteristics of autosomal recessive inheritance. Which is characteristic of autosomal recessive inheritance?Which is characteristic of X-linked recessive inheritance?. A father with an X-linked recessive disorder asks the nurse what the probability is that his sons will have the disorder. Which response should the nurse make?The inheritance of which is X-linked recessive?. Chromosome analysis of the fetus is usually accomplished through the testing of which?A couple asks the nurse about the optimal time for genetic counseling. They do not plan to have children for several years. When should the nurse recommend they begin genetic counseling?. A woman, age 43 years, is 6 weeks pregnant. It is important that she be informed of which?A couple has given birth to their first child, a boy with a recessive disorder. The genetic counselor tells them that the risk of recurrence is one in four. Which statement is a correct interpretation of this information?. A couple expecting their first child has a positive family history for several congenital defects and disorders. The couple tells the nurse that they are opposed to abortion for religious reasons. Which should the nurse consider when counseling the couple?Parents ask the nurse if there was something that should have been done during the pregnancy to prevent their childs cleft lip. Which statement should the nurse give as a response?What is an appropriate screening test for hearing that the nurse can administer to a 5-year-old child?What is the appropriate placement of a tongue blade for assessment of the mouth and throat?. Which type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?

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Wong's Nursing Care of Infants and Children 11th Edition Hockenberry Test Ban

l


Wong's Nursing Care of Infants and Children 11th Edition Hockenberry Test Bank


Chapter 1.Perspectives of Pediatric Nursing

MULTIPLE CHOICE

1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other




m
countries. Compared with other countries that have a population of at least 25 million, the nurse
makes which determination?




co
a. The United States is ranked last among 27 countries.




.
b. The United States is ranked similar to 20 other developed countries.




nk
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.

a
kt
ANS: A
n
Although the death rate has decreased, the United States still ranks last in infant mortality among
ba

nations with a population of at least 25 million. The United States has the highest infant death
rate of developed nations.
st



DIF: Cognitive Level: Remembering REF: MCS: 6
.te




TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
w




2. Which is the leading cause of death in infants younger than 1 year in the United States?
w




a. Congenital anomalies
w




b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period


ANS: A

,Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and
unspecified low birth weight, which account for 16.5%; and maternal complications such as
infections specific to the perinatal period, which account for 6.1% of deaths in infants younger
than 1 year of age.

DIF: Cognitive Level: Remembering REF: MCS: 7 TOP: Nursing Process: Planning




m
MSC: Client Needs: Health Promotion and Maintenance




co
3. What is the major cause of death for children older than 1 year in the United States?




.
a. Heart disease




nk
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies
a
n kt
ANS: C
ba

Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
st


and childhood cancers and heart disease cause a significantly lower percentage of deaths in
children older than 1 year of age.
.te




DIF: Cognitive Level: Understanding REF: MCS: 7 TOP: Nursing Process: Planning
w




MSC: Client Needs: Health Promotion and Maintenance
w




4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
w




a. Suicide and cancer
b. Suicide and homicide
c. Drowning and cancer
d. Homicide and heart disease

,ANS: B

Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and
heart disease account for 10.9% of the deaths in this age group.

DIF: Cognitive Level: Remembering REF: MCS: 7 TOP: Nursing Process: Planning




m
MSC: Client Needs: Health Promotion and Maintenance




co
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
Which should the nurse include in the session with regard to deaths caused by injuries?




.
nk
a. More deaths occur in males.
b. More deaths occur in females.


a
c. The pattern of deaths does not vary according to age and sex.
kt
d. The pattern of deaths does not vary widely among different ethnic groups.
n
ANS: A
ba


The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
st


greatly among different ethnic groups, and the causes of unintentional deaths vary with age and
gender.
.te




DIF: Cognitive Level: Applying REF: pp. 7-8
w




TOP: Integrated Process: Teaching/Learning
w




MSC: Client Needs: Health Promotion and Maintenance
w




6. What do mortality statistics describe?

a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time

, d. Disease occurring in more than the number of expected cases in a community


ANS: B

Mortality statistics refer to the number of individuals who have died over a specific period.

Morbidity statistics show the prevalence of specific illness in the population at a particular time.
Data regarding disease within a geographic region, or in greater than expected numbers in a




m
community, may be extrapolated from analyzing the morbidity statistics.




co
DIF: Cognitive Level: Remembering REF: MCS: 3 TOP: Nursing Process: Planning




.
MSC: Client Needs: Health Promotion and Maintenance




nk
7. The nurse should assess which age group for suicide ideation since suicide in which age group
is the third leading cause of death?

a
kt
a. Preschoolers
n
b. Young school age
ba

c. Middle school age
d. Late school age and adolescents
st



ANS: D
.te




Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age
group should be late school age and adolescents. Suicide is not one of the leading causes of death
w




for preschool and young or middle school-aged children.
w




DIF: Cognitive Level: Understanding REF: MCS: 6
w




TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance

8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The
nurse should respond with which statement?

a. Family-centered care reduces the effect of cultural diversity on the family.

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