,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
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.
DIF: Cognitive .Level: .Apply REF: . p.
.11 .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.
DIF: Cognitive .Level: .Apply REF: . p.
.2 .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
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.
, DIF: Cognitive .Level: .Remember REF: . p.
.6 .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 .age .from .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.
DIF: Cognitive .Level: .Understand REF: . p.
.7 .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.
DIF: Cognitive .Level: .Remember REF: . p.
.7 .TOP: . Integrated .Process: .Nursing .Process:
.Planning
MSC: . Area .of .Client .Needs: .Health .Promotion .and .Maintenance
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.
DIF: Cognitive .Level: .Remember REF: . . p. .3
, 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.
DIF: Cognitive .Level: .Understand REF: . p.
.3 .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 .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.
DIF: Cognitive .Level: .Remember REF: . p.
.2 .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.
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
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.
DIF: Cognitive .Level: .Apply REF: . p.
.11 .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.
DIF: Cognitive .Level: .Apply REF: . p.
.2 .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
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.
, DIF: Cognitive .Level: .Remember REF: . p.
.6 .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 .age .from .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.
DIF: Cognitive .Level: .Understand REF: . p.
.7 .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.
DIF: Cognitive .Level: .Remember REF: . p.
.7 .TOP: . Integrated .Process: .Nursing .Process:
.Planning
MSC: . Area .of .Client .Needs: .Health .Promotion .and .Maintenance
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.
DIF: Cognitive .Level: .Remember REF: . . p. .3
, 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.
DIF: Cognitive .Level: .Understand REF: . p.
.3 .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 .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.
DIF: Cognitive .Level: .Remember REF: . p.
.2 .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.
