,TEST BANK WONG’S NURSING CARE OF INFANTS AND CHILDREN 12TH EDITION by
Marilyn J. Hockenberry, Elizabeth A. Duffy, Karen
Chapter 1: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. What is the major cause of death for children in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
ANS: C
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,
and childhood cancers and heart disease cause a significantly lower percentage of deaths in
children older than 1 year of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. 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.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of 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. The family
should be enabled and empowered to work with the health care system and is expected to be
part of the decision-making process. The nurse should also support the family’s cultural
diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
,3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
and questioning the best approach. EBP involves decision making based on the integration of
the best research evidence combined with clinical expertise and patient values.
DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
, 4. 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?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age children but may be
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse
should include information about childhood obesity because it is the most common problem
among children and is associated with type 2 diabetes. Teaching parents about ways to prevent
obesity is important to include. Immunization rates differ depending on the child’s race and
ethnicity; dental caries continues to be a common chronic disease in childhood; and mental
health problems are seen in children as young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. 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.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for 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.
Marilyn J. Hockenberry, Elizabeth A. Duffy, Karen
Chapter 1: Perspectives of Pediatric Nursing
MULTIPLE CHOICE
1. What is the major cause of death for children in the United States?
a. Heart disease
b. Childhood cancer
c. Injuries
d. Congenital anomalies
ANS: C
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,
and childhood cancers and heart disease cause a significantly lower percentage of deaths in
children older than 1 year of age.
DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. 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.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a child’s life.
d. Family-centered care avoids expecting families to be part of 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. The family
should be enabled and empowered to work with the health care system and is expected to be
part of the decision-making process. The nurse should also support the family’s cultural
diversity, not reduce its effect.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
,3. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the child’s health and family situation
ANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
and questioning the best approach. EBP involves decision making based on the integration of
the best research evidence combined with clinical expertise and patient values.
DIF: Cognitive Level: Remembering TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
, 4. 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?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of
fluorinated water.
d. Mental health problems are typically not seen in school-age children but may be
diagnosed in adolescents.
ANS: A
When teaching parents of school-age children about childhood health problems, the nurse
should include information about childhood obesity because it is the most common problem
among children and is associated with type 2 diabetes. Teaching parents about ways to prevent
obesity is important to include. Immunization rates differ depending on the child’s race and
ethnicity; dental caries continues to be a common chronic disease in childhood; and mental
health problems are seen in children as young as school age, not just in adolescents.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. 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.
d. Explain that EMLA cream cannot be used for the morning lab draw because there
is not time for 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.
