Wong'sb
Wong's Essentials of Pediatric Nursing 11th Edition Hoc
b b b b b b b
kenberry RodgersWilson Test Bankb b b b
Chapterb 1.b Perspectivesb ofb Pediatricb Nursing
MULTIPLEb CHOICE
1. Theb nurseb isb planningb careb forb abhospitalizedb preschool-
agedb child.b Whichb shouldb theb nursebplanbtobensurebatraumaticbcare?
a. Limitbexplanationb ofb proceduresb becauseb thebchildbisb preschoolbaged.
b. Askb thatb allb familyb membersb leaveb theb roomb whenb performingb procedures.
c. Allowb thebchildb tobchoosebthebtypebofb juicebtobdrinkb withb thebadministrationbofb oralbmedicat
ions.bExplainb thatb EMLAb creambcannotb bebusedb forbthebmorningb labb drawb becauseb therebisb
notb timeb for
d. itbtobbeb effective.
ANS:b C
Theboverridingb goalbinb providingb atraumaticbcareb isb first,b dob nob harm.b Allowingb thebchildb ab c
hoicebofb juicebtob drinkb whenb takingb oralbmedicationsb providesb thebchildb withbabsensebofb contr
ol.bThebpreschoolbchildbshouldb bebpreparedb beforebprocedures,b sob limitingb explanationsb ofb p
roceduresbwouldb increaseb anxiety.bTheb familyb shouldb beballowedb tob stayb withb thebchildb duri
ngb procedures,bminimizingb stress.b Lidocaine/prilocaineb(EMLA)b creambisbabtopicalblocalbane
sthetic.bThebnursebshouldbplanb tobusebthebprescribedb creambinbtimebforbmorningb laboratoryb
drawsb tob minimizebpain.bDIF:bCognitivebLevel:bApplyingbREF:bpp.b8-
9b TOP:bNursingbProcess:bPlanning
MSC:b Clientb Needs:b Healthb Promotionb andb Maintenance
2. Whichb situationb denotesb ab nontherapeuticb nursepatientfamilyb relationship?
a. Thebnursebisb planningb tobreadbabfavoritebfairyb talebtobab patient.
b. Duringbshiftbreport,b thebnursebisb criticizingb parentsb forb notbvisitingb theirbchild.
c. Thebnursebisb discussingb withb ab fellowb nurseb theb emotionalb drawb tob abcertainb patient.
Thebnursebisb workingb withb abfamilyb tobfindb waysb tob decreaseb thebfamilysb dependencebonb health
d. careb providers.
ANS:b B
Criticizingbparentsbforbnotbvisitingbinbshiftbreportbisbnontherapeuticbandbshowsbanbunderinv
olvementbwithb thebparents.bReadingb abfairyb talebisb abtherapeuticbandb agebappropriatebaction.
b Discussingb feelingsb ofb anb emotionalb drawb withb ab fellowb nurseb isb therapeuticb andb showsb ab
willingnessb tob understandb feelings.b Workingb withb parentsb tob decreaseb dependenceb onb heal
thb carebprovidersbisbtherapeuticbandbhelpsbtob empowerbthebfamily.
DIF:b Cognitiveb Level:b Analyzingb REF:b dl.b 9b TOP:b Integratedb Process:b Caring
MSC:b Clientb Needs:b Psychosocialb Integrity
3. Theb nurseb isb awareb thatbwhichb ageb groupb isb atbriskb forb childhoodb injuryb becauseb
ofb thebcognitivebcharacteristicbofbmagicalbandbegocentricbthinking?
a. Preschool
b. Youngb schoolb age
c. Middleb schoolb age
d. Adolescen
tbANS:bA
Preschoolbchildrenb haveb theb cognitivebcharacteristicb ofb magicalb andb egocentricb thinking,b meaning
theyb arebunableb tob comprehendb dangerb tob selfb orb others.b Youngb andb middlebschool-
agedb childrenbhavebtransitionalbcognitivebprocesses,b andb theybmaybattemptbdangerousb actsb
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
,Wong'sb
withoutbdetailed
b
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
,Wong'sb
planningb butb recognizeb dangerb tob themselvesb orb others.b Adolescentsb haveb formalb operatio
nalbcognitivebprocessesbandbarebpreoccupiedbwithbabstractbthinking.
DIF:b Cognitiveb Level:b Understandingb REF:b dl.b 4b
TOP:bNursingbProcess:bAssessment
MSC:b ClientbNeeds:b Safeb andb Effectiveb Careb Environment
4. Thebschoolb nursebisb assessingb childrenb forb riskb factorsb relatedb tob childhoodb injuries.b
Whichbchildbhasbthebmostbriskbfactorsbrelatedbtob childhoodbinjury?
a. Female,b multiplebsiblings,b stableb homeb life
b. Male,bhighb activityblevel,bstressfulbhomeblife
c. Male,b evenb tempered,b historyb ofb previousb injuries
d. Female,b reactsb negativelyb tob newb situations,b nob seriousb previousb inj
uriesbANS:bB
Boysb havebab preponderanceb forb injuriesb overb girlsb becausebofb ab differencebinb behavioral
characteristics,b abhighb activityb temperamentbisb associatedb withb risk-
takingb behaviors,b andbstressbpredisposesb childrenbtob increasedb riskb takingb andb self-
destructivebbehaviors.bTherefore,b abmalebchildb withb abhighb activityb levelbandb livingbinb abstres
sfulbenvironmentbhasb thebhighestbnumberbofbriskbfactors.b Ab girlbwithbseveralbsiblingsb andb abs
tableb homeblifebisb lowb risk.b Ab boyb withb previousbinjuriesbhasb twob riskbfactors,b butbanb evenb te
mperbisb notbabriskb factorb forb injuries.b Ab girlbwhob reactsbnegativelybtobnewb situationsb butbhasb
nob previousb seriousb illnessesb hasb onlybonebriskbfactor.
DIF:b Cognitiveb Level:b Analyzingb REF:b dl.b 4bT
OP:bNursingbProcess:bAssessment
MSC:b ClientbNeeds:b Safeb andb Effectiveb Careb Environment
5. Thebschoolbnursebisb evaluatingb thebnumberb ofbschool-
agebchildrenb classifiedb asb obese.b Thebnursebrecognizesb thatbthebpercentilebofbbodyb massb in
dexb thatbclassifiesbabchildbasb obesebisb greaterbthanbwhich?
a. 50thb percentile
b. 75thb percentile
c. 80thb percentile
d. 95thbpercenti
lebANS:bD
Obesitybinbchildrenb andbadolescentsb isb definedb asb abbodybmassbindexb atborb greaterb thanb theb95th
percentilebforb youthb ofb thebsamebageb andb gender.
DIF:b Cognitiveb Level:b Rememberingb REF:b dl.b 3b TOP:b Nursingb Process:b Evaluationb
MSC:bClientbNeeds:bHealthbPromotionbandbMaintenance
6. Theb nurseb isb teachingb parentsb aboutb theb typesb ofb behaviorsb childrenb exhibitbwhenb livin
gb withbchronicbviolence.bWhichb statementbmadebbyb thebparentsb indicatesb furtherb teachingbi
sb needed?
a. Web shouldb watchb forb aggressiveb play.
b. Ourb childb mayb showb lastingb symptomsb ofb stress.
c. Webknowb thatbourb childb willbshowb caringb behaviors.
d. Ourb childb mayb havebdifficultyb concentratingb inb sch
ool.bANS:bC
b
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
,Wong'sb
Thebstatementbthatbthebchildb willb showb caringb behaviorsb needsb furtherb teaching.b Childrenb li
vingbwithb chronicbviolenceb mayb exhibitb behaviorsb suchb asb difficultyb concentratingb inb school
,b memorybimpairment,b aggressivebplay,buncaringbbehaviors,bandblastingbsymptomsbofbstress.
DIF:b Cognitiveb Level:b Applyingb REF:b dl.b 6
TOP:b Integratedb Process:b Teaching/Learning
MSC:b ClientbNeeds:b Healthb Promotionb andb Maintenance
7. Theb nurseb isb evaluatingb researchb studiesb accordingb tob theb GRADEbcriteriab andb hasb deter
minedbtheb qualityb ofb evidencebonb theb subjectb isb moderate.b Whichb typebofb evidenceb doesb thisb
determinationbindicate?
a. Strongb evidenceb fromb unbiasedb observationalb studies
b. Evidenceb fromb randomizedb clinicalb trialsb showedb inconsistentb results
c. Consistentb evidenceb fromb well-performedb randomizedb clinicalb trials
d. Evidencebforb atb leastbonebcriticalboutcomeb frombrandomizedb clinicalb trialsb hadb serious
b flawsb
ANS:bB
Evidencebfrombrandomizedb clinicalbtrialsb withbimportantblimitationsb indicatesb thatbtheb evidencebis
ofbmoderatebquality.bStrongb evidencebfrombunbiasedb observationalbstudiesb andb consistentb
evidenceb frombwell-
performedb randomizedb clinicalb trialsb indicatesb highb quality.b Evidenceb forb atbleastbonebcritic
alboutcomeb frombrandomizedbclinicalbtrialsb thatbhasb seriousb flawsbindicatesb lowbquality.
DIF:b Cognitiveb Level:b Rememberingb REF:b dl.b 12b TOP:b Nursingb Process:b Evaluation
MSC:b ClientbNeeds:b Safeb andb Effectiveb Careb Environment
8. Anb adolescentb patientb wantsb tob makebdecisionsb aboutb treatmentboptions,b alongb wit
hb hisbparents.b Whichb moralb valueb isb theb nurseb displayingb whenb supportingb theb adolesc
entb tob makebdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
ebANS:bB
Autonomyb isb theb patientsb rightb tob beb self-governing.b Theb adolescentbisb tryingb tob beb autonomous,
sobthebnursebisb supportingbthisb value.b Justicebisb thebconceptbofbfairness.bBeneficencebisb thebo
bligationb tob promoteb thebpatientsb well-
being.b Nonmaleficencebisb thebobligationb tob minimizeborbpreventbharm.
DIF:b Cognitiveb Level:b Analyzingb REF:b dl.b 11b TOP:bNursingb Process:b EvaluationbMS
C:bClientbNeeds:bHealthbPromotionbandbMaintenance
9. Theb nursebmanagerb isb compilingb ab reportb forb abhospitalbcommitteebonb theb qualityb ofb n
ursing-
sensitivebindicatorsb forb abnursingb unit.b Whichb doesbthebnursebmanagerbincludebinb thebrepo
b
rt?
a. Thebaveragebagebofb thebnursesb onb thebunit
b. Thebsalaryb rangesb forb thebnursesb onb thebunit
c. Thebeducationbandbcertificationb ofb thebnursesb onb thebunit
d. Theb numberb ofb nursesb whob haveb appliedb butb wereb notbhiredb forb th
eb unitbANS:bC
b
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
Wong's Essentials of Pediatric Nursing 11th Edition Hoc
b b b b b b b
kenberry RodgersWilson Test Bankb b b b
Chapterb 1.b Perspectivesb ofb Pediatricb Nursing
MULTIPLEb CHOICE
1. Theb nurseb isb planningb careb forb abhospitalizedb preschool-
agedb child.b Whichb shouldb theb nursebplanbtobensurebatraumaticbcare?
a. Limitbexplanationb ofb proceduresb becauseb thebchildbisb preschoolbaged.
b. Askb thatb allb familyb membersb leaveb theb roomb whenb performingb procedures.
c. Allowb thebchildb tobchoosebthebtypebofb juicebtobdrinkb withb thebadministrationbofb oralbmedicat
ions.bExplainb thatb EMLAb creambcannotb bebusedb forbthebmorningb labb drawb becauseb therebisb
notb timeb for
d. itbtobbeb effective.
ANS:b C
Theboverridingb goalbinb providingb atraumaticbcareb isb first,b dob nob harm.b Allowingb thebchildb ab c
hoicebofb juicebtob drinkb whenb takingb oralbmedicationsb providesb thebchildb withbabsensebofb contr
ol.bThebpreschoolbchildbshouldb bebpreparedb beforebprocedures,b sob limitingb explanationsb ofb p
roceduresbwouldb increaseb anxiety.bTheb familyb shouldb beballowedb tob stayb withb thebchildb duri
ngb procedures,bminimizingb stress.b Lidocaine/prilocaineb(EMLA)b creambisbabtopicalblocalbane
sthetic.bThebnursebshouldbplanb tobusebthebprescribedb creambinbtimebforbmorningb laboratoryb
drawsb tob minimizebpain.bDIF:bCognitivebLevel:bApplyingbREF:bpp.b8-
9b TOP:bNursingbProcess:bPlanning
MSC:b Clientb Needs:b Healthb Promotionb andb Maintenance
2. Whichb situationb denotesb ab nontherapeuticb nursepatientfamilyb relationship?
a. Thebnursebisb planningb tobreadbabfavoritebfairyb talebtobab patient.
b. Duringbshiftbreport,b thebnursebisb criticizingb parentsb forb notbvisitingb theirbchild.
c. Thebnursebisb discussingb withb ab fellowb nurseb theb emotionalb drawb tob abcertainb patient.
Thebnursebisb workingb withb abfamilyb tobfindb waysb tob decreaseb thebfamilysb dependencebonb health
d. careb providers.
ANS:b B
Criticizingbparentsbforbnotbvisitingbinbshiftbreportbisbnontherapeuticbandbshowsbanbunderinv
olvementbwithb thebparents.bReadingb abfairyb talebisb abtherapeuticbandb agebappropriatebaction.
b Discussingb feelingsb ofb anb emotionalb drawb withb ab fellowb nurseb isb therapeuticb andb showsb ab
willingnessb tob understandb feelings.b Workingb withb parentsb tob decreaseb dependenceb onb heal
thb carebprovidersbisbtherapeuticbandbhelpsbtob empowerbthebfamily.
DIF:b Cognitiveb Level:b Analyzingb REF:b dl.b 9b TOP:b Integratedb Process:b Caring
MSC:b Clientb Needs:b Psychosocialb Integrity
3. Theb nurseb isb awareb thatbwhichb ageb groupb isb atbriskb forb childhoodb injuryb becauseb
ofb thebcognitivebcharacteristicbofbmagicalbandbegocentricbthinking?
a. Preschool
b. Youngb schoolb age
c. Middleb schoolb age
d. Adolescen
tbANS:bA
Preschoolbchildrenb haveb theb cognitivebcharacteristicb ofb magicalb andb egocentricb thinking,b meaning
theyb arebunableb tob comprehendb dangerb tob selfb orb others.b Youngb andb middlebschool-
agedb childrenbhavebtransitionalbcognitivebprocesses,b andb theybmaybattemptbdangerousb actsb
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
,Wong'sb
withoutbdetailed
b
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
,Wong'sb
planningb butb recognizeb dangerb tob themselvesb orb others.b Adolescentsb haveb formalb operatio
nalbcognitivebprocessesbandbarebpreoccupiedbwithbabstractbthinking.
DIF:b Cognitiveb Level:b Understandingb REF:b dl.b 4b
TOP:bNursingbProcess:bAssessment
MSC:b ClientbNeeds:b Safeb andb Effectiveb Careb Environment
4. Thebschoolb nursebisb assessingb childrenb forb riskb factorsb relatedb tob childhoodb injuries.b
Whichbchildbhasbthebmostbriskbfactorsbrelatedbtob childhoodbinjury?
a. Female,b multiplebsiblings,b stableb homeb life
b. Male,bhighb activityblevel,bstressfulbhomeblife
c. Male,b evenb tempered,b historyb ofb previousb injuries
d. Female,b reactsb negativelyb tob newb situations,b nob seriousb previousb inj
uriesbANS:bB
Boysb havebab preponderanceb forb injuriesb overb girlsb becausebofb ab differencebinb behavioral
characteristics,b abhighb activityb temperamentbisb associatedb withb risk-
takingb behaviors,b andbstressbpredisposesb childrenbtob increasedb riskb takingb andb self-
destructivebbehaviors.bTherefore,b abmalebchildb withb abhighb activityb levelbandb livingbinb abstres
sfulbenvironmentbhasb thebhighestbnumberbofbriskbfactors.b Ab girlbwithbseveralbsiblingsb andb abs
tableb homeblifebisb lowb risk.b Ab boyb withb previousbinjuriesbhasb twob riskbfactors,b butbanb evenb te
mperbisb notbabriskb factorb forb injuries.b Ab girlbwhob reactsbnegativelybtobnewb situationsb butbhasb
nob previousb seriousb illnessesb hasb onlybonebriskbfactor.
DIF:b Cognitiveb Level:b Analyzingb REF:b dl.b 4bT
OP:bNursingbProcess:bAssessment
MSC:b ClientbNeeds:b Safeb andb Effectiveb Careb Environment
5. Thebschoolbnursebisb evaluatingb thebnumberb ofbschool-
agebchildrenb classifiedb asb obese.b Thebnursebrecognizesb thatbthebpercentilebofbbodyb massb in
dexb thatbclassifiesbabchildbasb obesebisb greaterbthanbwhich?
a. 50thb percentile
b. 75thb percentile
c. 80thb percentile
d. 95thbpercenti
lebANS:bD
Obesitybinbchildrenb andbadolescentsb isb definedb asb abbodybmassbindexb atborb greaterb thanb theb95th
percentilebforb youthb ofb thebsamebageb andb gender.
DIF:b Cognitiveb Level:b Rememberingb REF:b dl.b 3b TOP:b Nursingb Process:b Evaluationb
MSC:bClientbNeeds:bHealthbPromotionbandbMaintenance
6. Theb nurseb isb teachingb parentsb aboutb theb typesb ofb behaviorsb childrenb exhibitbwhenb livin
gb withbchronicbviolence.bWhichb statementbmadebbyb thebparentsb indicatesb furtherb teachingbi
sb needed?
a. Web shouldb watchb forb aggressiveb play.
b. Ourb childb mayb showb lastingb symptomsb ofb stress.
c. Webknowb thatbourb childb willbshowb caringb behaviors.
d. Ourb childb mayb havebdifficultyb concentratingb inb sch
ool.bANS:bC
b
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
,Wong'sb
Thebstatementbthatbthebchildb willb showb caringb behaviorsb needsb furtherb teaching.b Childrenb li
vingbwithb chronicbviolenceb mayb exhibitb behaviorsb suchb asb difficultyb concentratingb inb school
,b memorybimpairment,b aggressivebplay,buncaringbbehaviors,bandblastingbsymptomsbofbstress.
DIF:b Cognitiveb Level:b Applyingb REF:b dl.b 6
TOP:b Integratedb Process:b Teaching/Learning
MSC:b ClientbNeeds:b Healthb Promotionb andb Maintenance
7. Theb nurseb isb evaluatingb researchb studiesb accordingb tob theb GRADEbcriteriab andb hasb deter
minedbtheb qualityb ofb evidencebonb theb subjectb isb moderate.b Whichb typebofb evidenceb doesb thisb
determinationbindicate?
a. Strongb evidenceb fromb unbiasedb observationalb studies
b. Evidenceb fromb randomizedb clinicalb trialsb showedb inconsistentb results
c. Consistentb evidenceb fromb well-performedb randomizedb clinicalb trials
d. Evidencebforb atb leastbonebcriticalboutcomeb frombrandomizedb clinicalb trialsb hadb serious
b flawsb
ANS:bB
Evidencebfrombrandomizedb clinicalbtrialsb withbimportantblimitationsb indicatesb thatbtheb evidencebis
ofbmoderatebquality.bStrongb evidencebfrombunbiasedb observationalbstudiesb andb consistentb
evidenceb frombwell-
performedb randomizedb clinicalb trialsb indicatesb highb quality.b Evidenceb forb atbleastbonebcritic
alboutcomeb frombrandomizedbclinicalbtrialsb thatbhasb seriousb flawsbindicatesb lowbquality.
DIF:b Cognitiveb Level:b Rememberingb REF:b dl.b 12b TOP:b Nursingb Process:b Evaluation
MSC:b ClientbNeeds:b Safeb andb Effectiveb Careb Environment
8. Anb adolescentb patientb wantsb tob makebdecisionsb aboutb treatmentboptions,b alongb wit
hb hisbparents.b Whichb moralb valueb isb theb nurseb displayingb whenb supportingb theb adolesc
entb tob makebdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
ebANS:bB
Autonomyb isb theb patientsb rightb tob beb self-governing.b Theb adolescentbisb tryingb tob beb autonomous,
sobthebnursebisb supportingbthisb value.b Justicebisb thebconceptbofbfairness.bBeneficencebisb thebo
bligationb tob promoteb thebpatientsb well-
being.b Nonmaleficencebisb thebobligationb tob minimizeborbpreventbharm.
DIF:b Cognitiveb Level:b Analyzingb REF:b dl.b 11b TOP:bNursingb Process:b EvaluationbMS
C:bClientbNeeds:bHealthbPromotionbandbMaintenance
9. Theb nursebmanagerb isb compilingb ab reportb forb abhospitalbcommitteebonb theb qualityb ofb n
ursing-
sensitivebindicatorsb forb abnursingb unit.b Whichb doesbthebnursebmanagerbincludebinb thebrepo
b
rt?
a. Thebaveragebagebofb thebnursesb onb thebunit
b. Thebsalaryb rangesb forb thebnursesb onb thebunit
c. Thebeducationbandbcertificationb ofb thebnursesb onb thebunit
d. Theb numberb ofb nursesb whob haveb appliedb butb wereb notbhiredb forb th
eb unitbANS:bC
b
Wong'sbEssentialsbofbPediatricbNursingb11thbEditionbHockenberrybRodgersbWilsonbTestbBank
