Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
v v v v v v v v v v v v
,Chapter 01: Perspectives of Pediatric Nursing
v v v v v
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
v v v v v v v v v
Edition
MULTIPLEvCHOICE
1. WhatvisvthevmajorvcausevofvdeathvforvchildrenvinvthevUnitedvStates?
a. Heartvdisease
b. Childhoodvcancer
c. Injuries
d. Congenitalvanomalies
ANS:v C
Unintentionalvinjuriesv(accidents)varevthevleadingvcausevofvdeathvaftervagev1vyearvthroughvadolescence.vT
hevleadingvcausevofvdeathvforvthosevyoungervthanv1vyearvisvcongenitalvanomalies,vandvchildhoodvcancersva
ndvheartvdiseasevcausevavsignificantlyvlowervpercentagevofvdeathsvinvchildrenvoldervthanv1vyearvofvage.
DIF: CognitivevLevel:vUnderstanding
TOP:vNursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
2. Parentsvofvavhospitalizedvtoddlervaskvthevnurse,v“Whatvisvmeantvbyvfamily-
centeredvcare?”vThevnursevshouldvrespondvwithvwhichvstatement?
a. Family-centeredvcarevreducesvtheveffectvofvculturalvdiversityvonvthevfamily.
b. Family-centeredvcarevencouragesvfamilyvdependencevonvthevhealthvcarevsystem.
c. Family-centeredvcarevrecognizesvthatvthevfamilyvisvthevconstantvinvavchild’svlife.
d. Family-centeredvcarevavoidsvexpectingvfamiliesvtovbevpartvofvthevdecision-
makingvprocess.
ANS:v C
Thevthreevkeyvcomponentsvofvfamily-centeredvcarevarevrespect,vcollaboration,vandvsupport.vFamily-
vcenteredvcarevrecognizesvthevfamilyvasvthevconstantvinvthevchild’svlife.vThevfamilyvshouldvbevenabledvan
dvempoweredvtovworkvwithvthevhealthvcarevsystemvandvisvexpectedvtovbevpartvofvthevdecision-
makingvprocess.vThevnursevshouldvalsovsupportvthevfamily’svculturalvdiversity,v notvreducevitsveffect.
DIF: CognitivevLevel:vApplying
TOP:vNursingvProcess:vImplementationvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
3. Evidence-basedvpracticev(EBP),vavdecision-makingvmodel,visvbestvdescribedvasvwhich?
a. Usingvinformationvinvtextbooksvtovguidevcare
b. Combiningvknowledgevwithvclinicalvexperiencevandvintuition
c. Usingvavprofessionalvcodevofvethicsvasvavmeansvforvdecisionvmaking
d. Gatheringvallvevidencevthatvappliesvtovthevchild’svhealthvandvfamilyvsituation
ANS:v B
EBPvhelpsvfocusvonvmeasurablevoutcomes;vthevusevofvdemonstrated,veffectivevinterventions;vandvquestio
ningvthevbestvapproach.vEBPvinvolvesvdecisionvmakingvbasedvonvthevintegrationvofvthevbestvresearchvevide
ncevcombinedvwithvclinicalvexpertisevandvpatientvvalues.
,Wong'svNursingvCarevofvInfantsvandvChildrenv12thvEditionvbyvHockenberryvTestvBank
DIF: CognitivevLevel:vRemembering
TOP:vNursingvProcess:vPlanningvMSC:v ClientvNeeds:vSafevandvEffecti
vevCarevEnvironment
4. Thevnursevisvtalkingvtovavgroupvofvparentsvofvschool-agevchildrenvatvanvafter-
schoolvprogramvaboutvchildhoodvhealthvproblems.v Whichvstatementvshouldvthevnursevincludevinvthev
teaching?
a. Childhoodvobesityvisvthevmostvcommonvnutritionalvproblemvamongvchildren.
b. Immunizationvratesvarevthevsamevamongvchildrenvofvdifferentvracesvandvethnicity.
c. Dentalvcariesvisvnotvavproblemvcommonlyvseenvinvchildrenvsincevthevintroductionvofvflu
orinatedvwater.
d. Mentalvhealthvproblemsvarevtypicallyvnotvseenvinvschool-
agevchildrenvbutvmayvbevdiagnosedvinvadolescents.
ANS:v A
Whenvteachingvparentsvofvschool-
agevchildrenvaboutvchildhoodvhealthvproblems,vthevnursevshouldvincludevinformationvaboutvchildhoodvob
esityvbecausevitvisvthevmostvcommonvproblemvamongvchildrenvandvisvassociatedvwithvtypev2vdiabetes.vTea
chingvparentsvaboutvwaysvtovpreventvobesityvisvimportantvtovinclude.vImmunizationvratesvdiffervdepending
vonvthevchild’svracevandvethnicity;vdentalvcariesvcontinuesvtovbevavcommonvchronicvdiseasevinvchildhood;va
ndvmentalvhealthvproblemsvarevseenvinvchildrenvasvyoungvasvschoolvage,vnotvjustv invadolescents.
DIF: CognitivevLevel:vApplying
TOP:vIntegratedvProcess:vTeaching/LearningvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
5. Thevnursevisvplanningvcarevforvavhospitalizedvpreschool-
agedvchild.vWhichvshouldvthevnursevplanvtovensurevatraumaticvcare?
a. Limitvexplanationvofvproceduresvbecausevthevchildvisvpreschoolvaged.
b. Askvthatvallvfamilyvmembersvleavevthevroomvwhenvperformingvprocedures.
c. Allowvthevchildvtovchoosevthevtypevofvjuicevtovdrinkv withvthevadministrationvofvoralvme
dications.
d. ExplainvthatvEMLAvcreamvcannotvbevusedvforvthevmorningvlabvdrawvbecausevtherevisv
notvtimevforvitvtovbeveffective.
ANS:v C
Thevoverridingvgoalvinvprovidingvatraumaticvcarevisvfirst,vdovnovharm.vAllowingvthevchild,vavchoicevofvju
icevtovdrinkvwhenvtakingvoralvmedicationsvprovidesvthevchildvwithvavsensevofvcontrol.vThevpreschoolvchil
dvshouldvbevpreparedvbeforevprocedures,vsovlimitingvexplanationsvofvproceduresvwouldvincreasevanxiet
y.vThevfamilyvshouldvbevallowedvtovstayvwithvthevchildvduringvprocedures,vminimizingvstress.
Lidocaine/prilocainev(EMLA)vcreamvisvavtopicalvlocalvanesthetic.vThevnursevshouldvplanvtovusevthevprescribed
vcream vinvtimevforvmorningvlaboratoryvdrawsvtovminimizevpain.
DIF: CognitivevLevel:vApplying
TOP:vNursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
6. Whichvsituationvdenotesvavnontherapeuticvnurse–patient–familyvrelationship?
a. Thevnursevisvplanningvtovreadvavfavoritevfairyvtalevtovavpatient.
b. Duringvshiftvreport,vthevnursevisvcriticizingvparentsvforvnotvvisitingvtheirvchild.
c. Thevnursevisvdiscussingvwithvavfellowvnursevthevemotionalvdrawvtovavcertainvpatient.
d. Thevnursevisvworkingvwithvavfamilyvtovfindvwaysvtovdecreasevthevfamily’svdependencev
onvhealthvcarevproviders.
, Wong'svNursingvCarevofvInfantsvandvChildrenv12thvEditionvbyvHockenberryvTestvBank
ANS:v B
Criticizingvparentsvforvnotvvisitingvinvshiftvreportvisvnontherapeuticvandvshowsvanvundervinvolvementvwit
hvthevparents.vReadingvavfairyvtalevisvavtherapeuticvandvage-
appropriatevaction.vDiscussingvfeelingsvofvanvemotionalvdrawvwithvavfellowvnursevisvtherapeuticvandvsho
wsvavwillingnessvtovunderstandvfeelings.vWorkingvwithvparentsvtovdecreasevdependencevonvhealthvcarevp
rovidersvisvtherapeuticvandvhelpsvtovempowervthevfamily.
DIF: CognitivevLevel:vAnalyzing
TOP:vIntegratedvProcess:vCaringvMSC:v ClientvNeeds:vPsychosocialvIn
tegrity
7. Thevnursevisvawarevthatvwhichvage-
groupvisvatvriskvforvchildhoodvinjuryvbecausevofvthevcognitivevcharacteristicvofvmagicalvandvegocen
tricvthinking?
a. Preschool
b. Youngvschoolvage
c. Middlevschoolvage
d. Adolescent
ANS:v A
Preschoolvchildrenvhavevthevcognitivevcharacteristicvofvmagicalvandvegocentricvthinking,vmeaningvtheyvar
evunablevtovcomprehendvdangervtovselfvorvothers.vYoungvandvmiddlevschool-
agedvchildrenvhavevtransitionalvcognitivevprocesses,vandvtheyvmayvattemptvdangerousvactsvwithoutvdetaile
dvplanningvbutvrecognizevdangervtovthemselvesvorvothers.vAdolescentsvhavevformalvoperationalvcognitivev
processesvandvarevpreoccupiedvwithvabstractvthinking.
DIF: CognitivevLevel:vUnderstanding
TOP:v NursingvProcess:vAssessmentvMSC:v ClientvNeeds:vSafevandvEffecti
vevCarevEnvironment
8. Thevschoolvnursevisvassessingvchildrenvforvriskvfactorsvrelatedvtovchildhoodvinjuries.vWhichvchildvhasvth
evmostvriskvfactorsvrelatedvtovchildhoodvinjury?
a. Female,vmultiplevsiblings,vstablevhomevlife
b. Male,vhighvactivityvlevel,vstressfulvhomevlife
c. Male,vevenvtempered,vhistoryvofvpreviousvinjuries
d. Female,vreactsvnegativelyvtovnewvsituations,vnovseriousvpreviousvinjuries
ANS:v B
Boysvhavevavpreponderancevforvinjuriesvovervgirlsvbecausevofvavdifferencevinvbehavioralvcharacteristics,vav
highvactivityvtemperamentvisvassociatedvwithvrisk-
takingvbehaviors,vandvstressvpredisposesvchildrenvtovincreasedvriskvtakingvandvself-
destructivevbehaviors.vTherefore,vavmalevchildvwithvavhighvactivityvlevelvandvlivingvinvavstressfulvenviron
mentvhasvthevhighestvnumbervofvriskvfactors.vAvgirlvwithvseveralvsiblingsvandvavstablevhomevlifevisvlowvrisk.
vAvboyvwithvprevious vinjuriesvhasvtwovriskvfactors, vbutvanvevenvtempervisvnotvavriskvfactorvforvinjuries.vAvgir
lvwhovreactsvnegativelyvtovnewvsituationsvbutvhasvnovpreviousvseriousvillnessesvhasvonlyvonevriskvfactor.
DIF: CognitivevLevel:vAnalyzing
TOP:v NursingvProcess:vAssessmentvMSC:v ClientvNeeds:vSafevandvEffecti
vevCarevEnvironment
9. Anvadolescentvpatientvwantsvtovmakevdecisionsvaboutvtreatmentvoptions,valongvwithvhisvparents.vWhichv
moralvvaluevisvthevnursevdisplayingvwhenvsupportingvthevadolescentvtovmakevdecisions?
a. Justice
v v v v v v v v v v v v
,Chapter 01: Perspectives of Pediatric Nursing
v v v v v
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th
v v v v v v v v v
Edition
MULTIPLEvCHOICE
1. WhatvisvthevmajorvcausevofvdeathvforvchildrenvinvthevUnitedvStates?
a. Heartvdisease
b. Childhoodvcancer
c. Injuries
d. Congenitalvanomalies
ANS:v C
Unintentionalvinjuriesv(accidents)varevthevleadingvcausevofvdeathvaftervagev1vyearvthroughvadolescence.vT
hevleadingvcausevofvdeathvforvthosevyoungervthanv1vyearvisvcongenitalvanomalies,vandvchildhoodvcancersva
ndvheartvdiseasevcausevavsignificantlyvlowervpercentagevofvdeathsvinvchildrenvoldervthanv1vyearvofvage.
DIF: CognitivevLevel:vUnderstanding
TOP:vNursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
2. Parentsvofvavhospitalizedvtoddlervaskvthevnurse,v“Whatvisvmeantvbyvfamily-
centeredvcare?”vThevnursevshouldvrespondvwithvwhichvstatement?
a. Family-centeredvcarevreducesvtheveffectvofvculturalvdiversityvonvthevfamily.
b. Family-centeredvcarevencouragesvfamilyvdependencevonvthevhealthvcarevsystem.
c. Family-centeredvcarevrecognizesvthatvthevfamilyvisvthevconstantvinvavchild’svlife.
d. Family-centeredvcarevavoidsvexpectingvfamiliesvtovbevpartvofvthevdecision-
makingvprocess.
ANS:v C
Thevthreevkeyvcomponentsvofvfamily-centeredvcarevarevrespect,vcollaboration,vandvsupport.vFamily-
vcenteredvcarevrecognizesvthevfamilyvasvthevconstantvinvthevchild’svlife.vThevfamilyvshouldvbevenabledvan
dvempoweredvtovworkvwithvthevhealthvcarevsystemvandvisvexpectedvtovbevpartvofvthevdecision-
makingvprocess.vThevnursevshouldvalsovsupportvthevfamily’svculturalvdiversity,v notvreducevitsveffect.
DIF: CognitivevLevel:vApplying
TOP:vNursingvProcess:vImplementationvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
3. Evidence-basedvpracticev(EBP),vavdecision-makingvmodel,visvbestvdescribedvasvwhich?
a. Usingvinformationvinvtextbooksvtovguidevcare
b. Combiningvknowledgevwithvclinicalvexperiencevandvintuition
c. Usingvavprofessionalvcodevofvethicsvasvavmeansvforvdecisionvmaking
d. Gatheringvallvevidencevthatvappliesvtovthevchild’svhealthvandvfamilyvsituation
ANS:v B
EBPvhelpsvfocusvonvmeasurablevoutcomes;vthevusevofvdemonstrated,veffectivevinterventions;vandvquestio
ningvthevbestvapproach.vEBPvinvolvesvdecisionvmakingvbasedvonvthevintegrationvofvthevbestvresearchvevide
ncevcombinedvwithvclinicalvexpertisevandvpatientvvalues.
,Wong'svNursingvCarevofvInfantsvandvChildrenv12thvEditionvbyvHockenberryvTestvBank
DIF: CognitivevLevel:vRemembering
TOP:vNursingvProcess:vPlanningvMSC:v ClientvNeeds:vSafevandvEffecti
vevCarevEnvironment
4. Thevnursevisvtalkingvtovavgroupvofvparentsvofvschool-agevchildrenvatvanvafter-
schoolvprogramvaboutvchildhoodvhealthvproblems.v Whichvstatementvshouldvthevnursevincludevinvthev
teaching?
a. Childhoodvobesityvisvthevmostvcommonvnutritionalvproblemvamongvchildren.
b. Immunizationvratesvarevthevsamevamongvchildrenvofvdifferentvracesvandvethnicity.
c. Dentalvcariesvisvnotvavproblemvcommonlyvseenvinvchildrenvsincevthevintroductionvofvflu
orinatedvwater.
d. Mentalvhealthvproblemsvarevtypicallyvnotvseenvinvschool-
agevchildrenvbutvmayvbevdiagnosedvinvadolescents.
ANS:v A
Whenvteachingvparentsvofvschool-
agevchildrenvaboutvchildhoodvhealthvproblems,vthevnursevshouldvincludevinformationvaboutvchildhoodvob
esityvbecausevitvisvthevmostvcommonvproblemvamongvchildrenvandvisvassociatedvwithvtypev2vdiabetes.vTea
chingvparentsvaboutvwaysvtovpreventvobesityvisvimportantvtovinclude.vImmunizationvratesvdiffervdepending
vonvthevchild’svracevandvethnicity;vdentalvcariesvcontinuesvtovbevavcommonvchronicvdiseasevinvchildhood;va
ndvmentalvhealthvproblemsvarevseenvinvchildrenvasvyoungvasvschoolvage,vnotvjustv invadolescents.
DIF: CognitivevLevel:vApplying
TOP:vIntegratedvProcess:vTeaching/LearningvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
5. Thevnursevisvplanningvcarevforvavhospitalizedvpreschool-
agedvchild.vWhichvshouldvthevnursevplanvtovensurevatraumaticvcare?
a. Limitvexplanationvofvproceduresvbecausevthevchildvisvpreschoolvaged.
b. Askvthatvallvfamilyvmembersvleavevthevroomvwhenvperformingvprocedures.
c. Allowvthevchildvtovchoosevthevtypevofvjuicevtovdrinkv withvthevadministrationvofvoralvme
dications.
d. ExplainvthatvEMLAvcreamvcannotvbevusedvforvthevmorningvlabvdrawvbecausevtherevisv
notvtimevforvitvtovbeveffective.
ANS:v C
Thevoverridingvgoalvinvprovidingvatraumaticvcarevisvfirst,vdovnovharm.vAllowingvthevchild,vavchoicevofvju
icevtovdrinkvwhenvtakingvoralvmedicationsvprovidesvthevchildvwithvavsensevofvcontrol.vThevpreschoolvchil
dvshouldvbevpreparedvbeforevprocedures,vsovlimitingvexplanationsvofvproceduresvwouldvincreasevanxiet
y.vThevfamilyvshouldvbevallowedvtovstayvwithvthevchildvduringvprocedures,vminimizingvstress.
Lidocaine/prilocainev(EMLA)vcreamvisvavtopicalvlocalvanesthetic.vThevnursevshouldvplanvtovusevthevprescribed
vcream vinvtimevforvmorningvlaboratoryvdrawsvtovminimizevpain.
DIF: CognitivevLevel:vApplying
TOP:vNursingvProcess:vPlanningvMSC:v ClientvNeeds:vHealthvPromoti
onvandvMaintenance
6. Whichvsituationvdenotesvavnontherapeuticvnurse–patient–familyvrelationship?
a. Thevnursevisvplanningvtovreadvavfavoritevfairyvtalevtovavpatient.
b. Duringvshiftvreport,vthevnursevisvcriticizingvparentsvforvnotvvisitingvtheirvchild.
c. Thevnursevisvdiscussingvwithvavfellowvnursevthevemotionalvdrawvtovavcertainvpatient.
d. Thevnursevisvworkingvwithvavfamilyvtovfindvwaysvtovdecreasevthevfamily’svdependencev
onvhealthvcarevproviders.
, Wong'svNursingvCarevofvInfantsvandvChildrenv12thvEditionvbyvHockenberryvTestvBank
ANS:v B
Criticizingvparentsvforvnotvvisitingvinvshiftvreportvisvnontherapeuticvandvshowsvanvundervinvolvementvwit
hvthevparents.vReadingvavfairyvtalevisvavtherapeuticvandvage-
appropriatevaction.vDiscussingvfeelingsvofvanvemotionalvdrawvwithvavfellowvnursevisvtherapeuticvandvsho
wsvavwillingnessvtovunderstandvfeelings.vWorkingvwithvparentsvtovdecreasevdependencevonvhealthvcarevp
rovidersvisvtherapeuticvandvhelpsvtovempowervthevfamily.
DIF: CognitivevLevel:vAnalyzing
TOP:vIntegratedvProcess:vCaringvMSC:v ClientvNeeds:vPsychosocialvIn
tegrity
7. Thevnursevisvawarevthatvwhichvage-
groupvisvatvriskvforvchildhoodvinjuryvbecausevofvthevcognitivevcharacteristicvofvmagicalvandvegocen
tricvthinking?
a. Preschool
b. Youngvschoolvage
c. Middlevschoolvage
d. Adolescent
ANS:v A
Preschoolvchildrenvhavevthevcognitivevcharacteristicvofvmagicalvandvegocentricvthinking,vmeaningvtheyvar
evunablevtovcomprehendvdangervtovselfvorvothers.vYoungvandvmiddlevschool-
agedvchildrenvhavevtransitionalvcognitivevprocesses,vandvtheyvmayvattemptvdangerousvactsvwithoutvdetaile
dvplanningvbutvrecognizevdangervtovthemselvesvorvothers.vAdolescentsvhavevformalvoperationalvcognitivev
processesvandvarevpreoccupiedvwithvabstractvthinking.
DIF: CognitivevLevel:vUnderstanding
TOP:v NursingvProcess:vAssessmentvMSC:v ClientvNeeds:vSafevandvEffecti
vevCarevEnvironment
8. Thevschoolvnursevisvassessingvchildrenvforvriskvfactorsvrelatedvtovchildhoodvinjuries.vWhichvchildvhasvth
evmostvriskvfactorsvrelatedvtovchildhoodvinjury?
a. Female,vmultiplevsiblings,vstablevhomevlife
b. Male,vhighvactivityvlevel,vstressfulvhomevlife
c. Male,vevenvtempered,vhistoryvofvpreviousvinjuries
d. Female,vreactsvnegativelyvtovnewvsituations,vnovseriousvpreviousvinjuries
ANS:v B
Boysvhavevavpreponderancevforvinjuriesvovervgirlsvbecausevofvavdifferencevinvbehavioralvcharacteristics,vav
highvactivityvtemperamentvisvassociatedvwithvrisk-
takingvbehaviors,vandvstressvpredisposesvchildrenvtovincreasedvriskvtakingvandvself-
destructivevbehaviors.vTherefore,vavmalevchildvwithvavhighvactivityvlevelvandvlivingvinvavstressfulvenviron
mentvhasvthevhighestvnumbervofvriskvfactors.vAvgirlvwithvseveralvsiblingsvandvavstablevhomevlifevisvlowvrisk.
vAvboyvwithvprevious vinjuriesvhasvtwovriskvfactors, vbutvanvevenvtempervisvnotvavriskvfactorvforvinjuries.vAvgir
lvwhovreactsvnegativelyvtovnewvsituationsvbutvhasvnovpreviousvseriousvillnessesvhasvonlyvonevriskvfactor.
DIF: CognitivevLevel:vAnalyzing
TOP:v NursingvProcess:vAssessmentvMSC:v ClientvNeeds:vSafevandvEffecti
vevCarevEnvironment
9. Anvadolescentvpatientvwantsvtovmakevdecisionsvaboutvtreatmentvoptions,valongvwithvhisvparents.vWhichv
moralvvaluevisvthevnursevdisplayingvwhenvsupportingvthevadolescentvtovmakevdecisions?
a. Justice
