Table .of .Content
,Chapter .01: .Children, .Their .Families, .and .the .Nurse
Chapter .02: .Social, .Cultural, .Religious, .and .Family .Influences .on .Child .Health .Promotion
.Chapter .03: .Developmental .and .Genetic .Influences .on .Child .Health .Promotion
Chapter .04: .Communication .and .Physical .Assessment .of .the .Child .and .Family
.Chapter .05: .Pain .Assessment .and .Management .in .Children
Chapter .06: .Childhood .Communicable .and .Infectious .Diseases
.Chapter .07: .Health .Promotion .of .the .Newborn .and .Family
.Chapter .08: .Health .Problems .of .Newborns
Chapter .09: .Health .Promotion .of .the .Infant .and .Family
.Chapter .10: .Health .Problems .of .Infants
Chapter .11: .Health .Promotion .of .the .Toddler .and .Family
.Chapter .12: .Health .Promotion .of .the .Preschooler .and .Family
.Chapter .13: .Health .Problems .of .Toddlers .and .Preschoolers
Chapter .14: .Health .Promotion .of .the .School-Age .Child .and .Family
.Chapter .15: .Health .Promotion .of .the .Adolescent .and .Family
Chapter .16: .Health .Problems .of .School-Age .Children .and .Adolescents
Chapter .17: .Impact .of .Chronic .Illness, .Disability, .or .End-of-Life .Care .on .the .Child .and
.Family .Chapter .18: .Impact .of .Cognitive .or .Sensory .Impairment .on .the .Child .and .Family
Chapter .19: .Family-Centered .Care .of .the .Child .During .Illness .and .Hospitalization
.Chapter .20: .Pediatric .Nursing .Interventions .and .Skills
Chapter .21: .The .Child .With .Respiratory .Dysfunction
.Chapter .22: .The .Child .With .Gastrointestinal
.Dysfunction .Chapter .23: .The .Child .With
.Cardiovascular .Dysfunction
Chapter .24: .The .Child .With .Hematologic .or .Immunologic .Dysfunction
.Chapter .25: .The .Child .With .Cancer
Chapter .26: .The .Child .With .Genitourinary .Dysfunction
.Chapter .27: .The .Child .With .Cerebral .Dysfunction
.Chapter .28: .The .Child .With .Endocrine .Dysfunction
Chapter .29: .The .Child .With .Musculoskeletal .or .Articular
.Dysfunction .Chapter .30: .The .Child .With .Neuromuscular .or
.Muscular .Dysfunction .Chapter .31: .The .Child .With .Integumentary
.Dysfunction
Chapter .01: .Children, .Their .Families, .and .the .Nurse
Evolve .Resources .for .Wong’s .Essentials .of .Pediatric .Nursing, .11th .Edition
MULTIPLE .CHOICE
1. The .nurse .would .include .which .associated .risk .when .planning .a .teaching .session
.about .childhood .obesity?
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: .Remember TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
2. Which .second-leading .cause .of .death .topic .would .the .nurse .emphasize .to .a .group .of
.boys .ranging .in .age .from .15 .to .19 .years?
a. Suicide
b. Cancer
c. 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 TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
3. 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 TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
4. 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 TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
5. 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.
DIF: . . Cognitive .Level: .Understand
TOP: . Integrated .Process: .Nursing .Process: .Implementation
.MSC: .Area .of .Client .Needs: .Health .Promotion .and
.Maintenance
6. Which .intervention .would .the .nurse .include .when .providing .atraumatic .care?
a. Prepare .the .child .for .separation .from .parents .during .hospitalization .by .reviewing
.a .video.
b. Prepare .the .child .before .any .unfamiliar .treatment .or .procedure.
c. Help .the .child .accept .the .loss .of .control .associated .with .hospitalization.
d. Help .the .child .accept .pain .that .is .connected .with .a .treatment .or .procedure.
ANS: . B
Preparing .the .child .for .any .unfamiliar .treatments, .controlling .pain, .allowing .privacy,
.providing .play .activities .for .expression .of .fear .and .aggression, .providing .choices, .and
.respecting .cultural .differences .are .components .of .atraumatic .care. .In .the .provision .of
.atraumatic .care, .the .separation .of .child .from .parents .during .hospitalization .is .minimized. .The
.nurse .should .promote .a .sense .of .control .for .the .child. .Preventing .and .minimizing .bodily
.injury .and .pain .are .major .components .of .atraumatic .care.
,Chapter .01: .Children, .Their .Families, .and .the .Nurse
Chapter .02: .Social, .Cultural, .Religious, .and .Family .Influences .on .Child .Health .Promotion
.Chapter .03: .Developmental .and .Genetic .Influences .on .Child .Health .Promotion
Chapter .04: .Communication .and .Physical .Assessment .of .the .Child .and .Family
.Chapter .05: .Pain .Assessment .and .Management .in .Children
Chapter .06: .Childhood .Communicable .and .Infectious .Diseases
.Chapter .07: .Health .Promotion .of .the .Newborn .and .Family
.Chapter .08: .Health .Problems .of .Newborns
Chapter .09: .Health .Promotion .of .the .Infant .and .Family
.Chapter .10: .Health .Problems .of .Infants
Chapter .11: .Health .Promotion .of .the .Toddler .and .Family
.Chapter .12: .Health .Promotion .of .the .Preschooler .and .Family
.Chapter .13: .Health .Problems .of .Toddlers .and .Preschoolers
Chapter .14: .Health .Promotion .of .the .School-Age .Child .and .Family
.Chapter .15: .Health .Promotion .of .the .Adolescent .and .Family
Chapter .16: .Health .Problems .of .School-Age .Children .and .Adolescents
Chapter .17: .Impact .of .Chronic .Illness, .Disability, .or .End-of-Life .Care .on .the .Child .and
.Family .Chapter .18: .Impact .of .Cognitive .or .Sensory .Impairment .on .the .Child .and .Family
Chapter .19: .Family-Centered .Care .of .the .Child .During .Illness .and .Hospitalization
.Chapter .20: .Pediatric .Nursing .Interventions .and .Skills
Chapter .21: .The .Child .With .Respiratory .Dysfunction
.Chapter .22: .The .Child .With .Gastrointestinal
.Dysfunction .Chapter .23: .The .Child .With
.Cardiovascular .Dysfunction
Chapter .24: .The .Child .With .Hematologic .or .Immunologic .Dysfunction
.Chapter .25: .The .Child .With .Cancer
Chapter .26: .The .Child .With .Genitourinary .Dysfunction
.Chapter .27: .The .Child .With .Cerebral .Dysfunction
.Chapter .28: .The .Child .With .Endocrine .Dysfunction
Chapter .29: .The .Child .With .Musculoskeletal .or .Articular
.Dysfunction .Chapter .30: .The .Child .With .Neuromuscular .or
.Muscular .Dysfunction .Chapter .31: .The .Child .With .Integumentary
.Dysfunction
Chapter .01: .Children, .Their .Families, .and .the .Nurse
Evolve .Resources .for .Wong’s .Essentials .of .Pediatric .Nursing, .11th .Edition
MULTIPLE .CHOICE
1. The .nurse .would .include .which .associated .risk .when .planning .a .teaching .session
.about .childhood .obesity?
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: .Remember TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
2. Which .second-leading .cause .of .death .topic .would .the .nurse .emphasize .to .a .group .of
.boys .ranging .in .age .from .15 .to .19 .years?
a. Suicide
b. Cancer
c. 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 TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
3. 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 TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
4. 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 TOP: . Integrated .Process: .Nursing .Process:
.Planning .MSC: .Area .of .Client .Needs: .Health .Promotion .and .Maintenance
5. 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.
DIF: . . Cognitive .Level: .Understand
TOP: . Integrated .Process: .Nursing .Process: .Implementation
.MSC: .Area .of .Client .Needs: .Health .Promotion .and
.Maintenance
6. Which .intervention .would .the .nurse .include .when .providing .atraumatic .care?
a. Prepare .the .child .for .separation .from .parents .during .hospitalization .by .reviewing
.a .video.
b. Prepare .the .child .before .any .unfamiliar .treatment .or .procedure.
c. Help .the .child .accept .the .loss .of .control .associated .with .hospitalization.
d. Help .the .child .accept .pain .that .is .connected .with .a .treatment .or .procedure.
ANS: . B
Preparing .the .child .for .any .unfamiliar .treatments, .controlling .pain, .allowing .privacy,
.providing .play .activities .for .expression .of .fear .and .aggression, .providing .choices, .and
.respecting .cultural .differences .are .components .of .atraumatic .care. .In .the .provision .of
.atraumatic .care, .the .separation .of .child .from .parents .during .hospitalization .is .minimized. .The
.nurse .should .promote .a .sense .of .control .for .the .child. .Preventing .and .minimizing .bodily
.injury .and .pain .are .major .components .of .atraumatic .care.
