Wong'sn
Wong's Essentials of Pediatric Nursing 11th Edition Hoc
n n n n n n n
kenberry RodgersWilson Test Bankn n n n
Chaptern1.n Perspectivesn ofn PediatricnNursing
MULTIPLEn CHOICE
1. Thennursenisn planningn carenforn anhospitalizedn preschool-
agedn child.n Whichn shouldn thennursenplanntonensurenatraumaticncare?
a. Limitnexplanationnofnproceduresn becausenthenchildnisn preschoolnaged.
b. Askn thatnallnfamilyn membersn leaventhenroomnwhenn performingn procedures.
c. Allownthenchildntonchoosenthentypenofnjuicentondrinkn withnthenadministrationnofnoralnmedicat
ions.nExplainnthatnEMLAn creamncannotnbenusednfornthenmorningnlabndrawn becausentherenisn
notntimenfor
d. itntonbeneffective.
ANS:n C
Thenoverridingn goalninn providingnatraumaticncarenisnfirst,ndon nonharm.nAllowingnthenchildnanc
hoicenofnjuicenton drinknwhenntakingnoralnmedicationsnprovidesnthenchildnwithnansensenofn contr
ol.nThenpreschoolnchildnshouldn benpreparedn beforenprocedures,nson limitingnexplanationsnofnp
roceduresnwouldnincreasenanxiety.nThenfamilynshouldnbenallowednton stayn withnthenchildnduri
ngnprocedures,nminimizingnstress.n Lidocaine/prilocainen(EMLA)ncreamnisnantopicalnlocalnane
sthetic.nThennursenshouldnplanntonusenthenprescribedncreamninntimenfornmorningnlaboratoryn
drawsn tonminimizenpain.nDIF:nCognitivenLevel:nApplyingnREF:npp.n8-
9n TOP:nNursingnProcess:nPlanning
MSC:n ClientnNeeds:n Healthn Promotionn andn Maintenance
2. Whichn situationn denotesn an nontherapeuticn nursepatientfamilyn relationship?
a. Thennursenisnplanningntonreadnanfavoritenfairyntalentonan patient.
b. Duringnshiftnreport,nthennursenisn criticizingnparentsn fornnotnvisitingntheirnchild.
c. Thennursenisndiscussingnwithnanfellown nursenthenemotionalndrawn tonancertainnpatient.
Thennursenisnworkingnwithnanfamilyntonfindnwaysn ton decreasen thenfamilysn dependencenonnhealth
d. caren providers.
ANS:nB
Criticizingnparentsnfornnotnvisitingninnshiftnreportnisnnontherapeuticnandnshowsnannunderinv
olvementnwithnthenparents.nReadingnanfairyntalenisn antherapeuticnandnagenappropriatenaction.
n Discussingn feelingsn ofn ann emotionaln drawn withn an fellown nursen isn therapeuticn andn showsn an
willingnessn ton understandn feelings.n Workingn withn parentsn ton decreasendependencenonn heal
thn carenprovidersnisntherapeuticnandnhelpsntonempowernthenfamily.
DIF:nCognitiven Level:n Analyzingn REF:ndl.n 9n TOP:n Integratedn Process:nCaring
MSC:n ClientnNeeds:n Psychosocialn Integrity
3. Thennursenisn awarenthatnwhichn agengroupnisn atnrisknfornchildhoodninjurynbecausen
ofn thencognitivencharacteristicnofnmagicalnandnegocentricnthinking?
a. Preschool
b. Youngn schooln age
c. Middlen schooln age
d. Adolescen
tnANS:nA
Preschoolnchildrenn haventhencognitivencharacteristicn ofn magicalnandn egocentricnthinking,n meaning
theyn arenunablenton comprehendn dangern tonselfn orn others.n Youngn andn middlenschool-
agedn childrennhaventransitionalncognitivenprocesses,n andntheynmaynattemptndangerousnactsn
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
,Wong'sn
withoutndetailed
n
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
,Wong'sn
planningn butn recognizendangern ton themselvesn orn others.n Adolescentsn havenformaln operatio
nalncognitivenprocessesnandnarenpreoccupiednwithnabstractnthinking.
DIF:n Cognitiven Level:n Understandingn REF:n dl.n 4n
TOP:nNursingnProcess:nAssessment
MSC:n ClientnNeeds:nSafen andn Effectiven Caren Environment
4. Thenschoolnnursenisn assessingn childrenn forn riskn factorsn relatedn ton childhoodninjuries.n
Whichnchildnhasnthenmostnrisknfactorsnrelatedntonchildhoodninjury?
a. Female,nmultiplensiblings,nstablenhomenlife
b. Male,nhighnactivitynlevel,nstressfulnhomenlife
c. Male,nevenn tempered,n historynofn previousn injuries
d. Female,nreactsn negativelynton newn situations,nnonseriousn previousn inj
uriesnANS:nB
Boysn havenanpreponderancenforninjuriesn overngirlsnbecausenofnandifferenceninnbehavioral
characteristics,nanhighnactivityntemperamentnisn associatednwithnrisk-
takingnbehaviors,nandnstressnpredisposesnchildrenntonincreasednriskntakingnandnself-
destructivenbehaviors.nTherefore,nanmalenchildnwithnanhighnactivitynlevelnandnlivingninnanstres
sfulnenvironmentnhasnthenhighestnnumbernofnrisknfactors.nAngirlnwithnseveralnsiblingsnandnans
tablen homenlifenisn lownrisk.nAnboyn withnpreviousninjuriesnhasntwonrisknfactors,nbutnann evennt
empernisn notnanrisknfactornforninjuries.nAngirlnwhonreactsnnegativelyntonnewnsituationsn butnha
snnonpreviousnseriousn illnessesnhasnonlynonenrisknfactor.
DIF:n Cognitiven Level:n Analyzingn REF:n dl.n 4nT
OP:nNursingnProcess:nAssessment
MSC:n ClientnNeeds:nSafen andn Effectiven Caren Environment
5. Thenschoolnnursenisn evaluatingnthennumbernofnschool-
agenchildrennclassifiednasn obese.nThennursenrecognizesnthatnthenpercentilenofnbodynmassn in
dexnthatnclassifiesnanchildnasn obesenisn greaternthannwhich?
a. 50thn percentile
b. 75thn percentile
c. 80thn percentile
d. 95thnpercenti
lenANS:nD
Obesityninnchildrennandnadolescentsn isn definedn asnanbodynmassnindexnatnorngreaternthannthen95th
percentilenfornyouthn ofnthensamenagenandngender.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 3n TOP:n Nursingn Process:n Evaluationn
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
6. Thennursenisn teachingn parentsn aboutnthentypesn ofn behaviorsn childrenn exhibitnwhennlivi
ngn withnchronicnviolence.nWhichnstatementnmadenbynthenparentsnindicatesnfurthernteaching
n isn needed?
a. Wenshouldn watchn forn aggressivenplay.
b. Ourn childn maynshown lastingn symptomsn ofnstress.
c. Wenknown thatnourn childnwillnshown caringnbehaviors.
d. Ourn childn maynhavendifficultyn concentratingn innsch
ool.nANS:nC
n
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
,Wong'sn
Thenstatementnthatnthenchildnwillnshown caringnbehaviorsn needsn furthernteaching.nChildrennli
vingnwithn chronicnviolencenmayn exhibitnbehaviorsn suchnasn difficultynconcentratingn inn school
,n memorynimpairment,naggressivenplay,nuncaringnbehaviors,nandnlastingnsymptomsnofnstress.
DIF:nCognitivenLevel:nApplyingn REF:ndl.n 6
TOP:n Integratedn Process:n Teaching/Learning
MSC:n ClientnNeeds:n Healthn Promotionn andn Maintenance
7. Thennursenisn evaluatingn researchnstudiesn accordingn ton thenGRADEncriterianandn hasn deter
minednthenqualitynofnevidencenonnthensubjectnisn moderate.nWhichntypenofn evidencendoesn thisn
determinationnindicate?
a. Strongn evidencen fromn unbiasedn observationaln studies
b. Evidencenfromnrandomizedn clinicalntrialsn showedn inconsistentnresults
c. Consistentn evidencen fromn well-performedn randomizedn clinicaln trials
d. Evidencenfornatn leastnonencriticalnoutcomenfromnrandomizedn clinicalntrialsnhadnserious
n flawsn
ANS:nB
Evidencenfromnrandomizednclinicalntrialsn withnimportantnlimitationsnindicatesn thatnthen evidencenis
ofnmoderatenquality.n Strongnevidencenfromnunbiasednobservationalnstudiesnandnconsistentn
evidencenfromnwell-
performedn randomizednclinicalntrialsn indicatesn highn quality.n Evidencenforn atnleastnonencritic
alnoutcomenfromnrandomizednclinicalntrialsnthatnhasnseriousnflawsnindicatesnlownquality.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 12n TOP:n Nursingn Process:n Evaluation
MSC:n ClientnNeeds:nSafen andn Effectiven Caren Environment
8. Annadolescentnpatientnwantsn ton makendecisionsn aboutntreatmentnoptions,nalongnwit
hnhisnparents.n Whichnmoralnvaluenisn thennursendisplayingn whenn supportingn thenadolesc
entnton makendecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
enANS:nB
Autonomynisn thenpatientsn rightnton benself-governing.n Thenadolescentnisn tryingn ton benautonomous,
sonthennursenisnsupportingnthisnvalue.nJusticenisn thenconceptnofnfairness.nBeneficencenisntheno
bligationnton promotenthenpatientsn well-
being.n Nonmaleficencenisn thenobligationn ton minimizenornpreventnharm.
DIF:n Cognitiven Level:n Analyzingn REF:n dl.n 11n TOP:nNursingn Process:n EvaluationnMS
C:nClientnNeeds:nHealthnPromotionnandnMaintenance
9. Thennursenmanagernisn compilingnanreportnforn anhospitalncommitteenonnthenqualityn ofnn
ursing-
sensitivenindicatorsnfornannursingnunit.nWhichndoesnthennursenmanagernincludeninnthenrepo
n
rt?
a. Thenaveragenagenofnthennursesnonnthenunit
b. Thensalarynrangesnfornthennursesnonnthenunit
c. Theneducationnandncertificationnofnthennursesnonnthenunit
d. Thennumbern ofnnursesn whon havenappliedn butnwerennotnhiredn fornth
enunitnANS:nC
n
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
Wong's Essentials of Pediatric Nursing 11th Edition Hoc
n n n n n n n
kenberry RodgersWilson Test Bankn n n n
Chaptern1.n Perspectivesn ofn PediatricnNursing
MULTIPLEn CHOICE
1. Thennursenisn planningn carenforn anhospitalizedn preschool-
agedn child.n Whichn shouldn thennursenplanntonensurenatraumaticncare?
a. Limitnexplanationnofnproceduresn becausenthenchildnisn preschoolnaged.
b. Askn thatnallnfamilyn membersn leaventhenroomnwhenn performingn procedures.
c. Allownthenchildntonchoosenthentypenofnjuicentondrinkn withnthenadministrationnofnoralnmedicat
ions.nExplainnthatnEMLAn creamncannotnbenusednfornthenmorningnlabndrawn becausentherenisn
notntimenfor
d. itntonbeneffective.
ANS:n C
Thenoverridingn goalninn providingnatraumaticncarenisnfirst,ndon nonharm.nAllowingnthenchildnanc
hoicenofnjuicenton drinknwhenntakingnoralnmedicationsnprovidesnthenchildnwithnansensenofn contr
ol.nThenpreschoolnchildnshouldn benpreparedn beforenprocedures,nson limitingnexplanationsnofnp
roceduresnwouldnincreasenanxiety.nThenfamilynshouldnbenallowednton stayn withnthenchildnduri
ngnprocedures,nminimizingnstress.n Lidocaine/prilocainen(EMLA)ncreamnisnantopicalnlocalnane
sthetic.nThennursenshouldnplanntonusenthenprescribedncreamninntimenfornmorningnlaboratoryn
drawsn tonminimizenpain.nDIF:nCognitivenLevel:nApplyingnREF:npp.n8-
9n TOP:nNursingnProcess:nPlanning
MSC:n ClientnNeeds:n Healthn Promotionn andn Maintenance
2. Whichn situationn denotesn an nontherapeuticn nursepatientfamilyn relationship?
a. Thennursenisnplanningntonreadnanfavoritenfairyntalentonan patient.
b. Duringnshiftnreport,nthennursenisn criticizingnparentsn fornnotnvisitingntheirnchild.
c. Thennursenisndiscussingnwithnanfellown nursenthenemotionalndrawn tonancertainnpatient.
Thennursenisnworkingnwithnanfamilyntonfindnwaysn ton decreasen thenfamilysn dependencenonnhealth
d. caren providers.
ANS:nB
Criticizingnparentsnfornnotnvisitingninnshiftnreportnisnnontherapeuticnandnshowsnannunderinv
olvementnwithnthenparents.nReadingnanfairyntalenisn antherapeuticnandnagenappropriatenaction.
n Discussingn feelingsn ofn ann emotionaln drawn withn an fellown nursen isn therapeuticn andn showsn an
willingnessn ton understandn feelings.n Workingn withn parentsn ton decreasendependencenonn heal
thn carenprovidersnisntherapeuticnandnhelpsntonempowernthenfamily.
DIF:nCognitiven Level:n Analyzingn REF:ndl.n 9n TOP:n Integratedn Process:nCaring
MSC:n ClientnNeeds:n Psychosocialn Integrity
3. Thennursenisn awarenthatnwhichn agengroupnisn atnrisknfornchildhoodninjurynbecausen
ofn thencognitivencharacteristicnofnmagicalnandnegocentricnthinking?
a. Preschool
b. Youngn schooln age
c. Middlen schooln age
d. Adolescen
tnANS:nA
Preschoolnchildrenn haventhencognitivencharacteristicn ofn magicalnandn egocentricnthinking,n meaning
theyn arenunablenton comprehendn dangern tonselfn orn others.n Youngn andn middlenschool-
agedn childrennhaventransitionalncognitivenprocesses,n andntheynmaynattemptndangerousnactsn
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
,Wong'sn
withoutndetailed
n
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
,Wong'sn
planningn butn recognizendangern ton themselvesn orn others.n Adolescentsn havenformaln operatio
nalncognitivenprocessesnandnarenpreoccupiednwithnabstractnthinking.
DIF:n Cognitiven Level:n Understandingn REF:n dl.n 4n
TOP:nNursingnProcess:nAssessment
MSC:n ClientnNeeds:nSafen andn Effectiven Caren Environment
4. Thenschoolnnursenisn assessingn childrenn forn riskn factorsn relatedn ton childhoodninjuries.n
Whichnchildnhasnthenmostnrisknfactorsnrelatedntonchildhoodninjury?
a. Female,nmultiplensiblings,nstablenhomenlife
b. Male,nhighnactivitynlevel,nstressfulnhomenlife
c. Male,nevenn tempered,n historynofn previousn injuries
d. Female,nreactsn negativelynton newn situations,nnonseriousn previousn inj
uriesnANS:nB
Boysn havenanpreponderancenforninjuriesn overngirlsnbecausenofnandifferenceninnbehavioral
characteristics,nanhighnactivityntemperamentnisn associatednwithnrisk-
takingnbehaviors,nandnstressnpredisposesnchildrenntonincreasednriskntakingnandnself-
destructivenbehaviors.nTherefore,nanmalenchildnwithnanhighnactivitynlevelnandnlivingninnanstres
sfulnenvironmentnhasnthenhighestnnumbernofnrisknfactors.nAngirlnwithnseveralnsiblingsnandnans
tablen homenlifenisn lownrisk.nAnboyn withnpreviousninjuriesnhasntwonrisknfactors,nbutnann evennt
empernisn notnanrisknfactornforninjuries.nAngirlnwhonreactsnnegativelyntonnewnsituationsn butnha
snnonpreviousnseriousn illnessesnhasnonlynonenrisknfactor.
DIF:n Cognitiven Level:n Analyzingn REF:n dl.n 4nT
OP:nNursingnProcess:nAssessment
MSC:n ClientnNeeds:nSafen andn Effectiven Caren Environment
5. Thenschoolnnursenisn evaluatingnthennumbernofnschool-
agenchildrennclassifiednasn obese.nThennursenrecognizesnthatnthenpercentilenofnbodynmassn in
dexnthatnclassifiesnanchildnasn obesenisn greaternthannwhich?
a. 50thn percentile
b. 75thn percentile
c. 80thn percentile
d. 95thnpercenti
lenANS:nD
Obesityninnchildrennandnadolescentsn isn definedn asnanbodynmassnindexnatnorngreaternthannthen95th
percentilenfornyouthn ofnthensamenagenandngender.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 3n TOP:n Nursingn Process:n Evaluationn
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
6. Thennursenisn teachingn parentsn aboutnthentypesn ofn behaviorsn childrenn exhibitnwhennlivi
ngn withnchronicnviolence.nWhichnstatementnmadenbynthenparentsnindicatesnfurthernteaching
n isn needed?
a. Wenshouldn watchn forn aggressivenplay.
b. Ourn childn maynshown lastingn symptomsn ofnstress.
c. Wenknown thatnourn childnwillnshown caringnbehaviors.
d. Ourn childn maynhavendifficultyn concentratingn innsch
ool.nANS:nC
n
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
,Wong'sn
Thenstatementnthatnthenchildnwillnshown caringnbehaviorsn needsn furthernteaching.nChildrennli
vingnwithn chronicnviolencenmayn exhibitnbehaviorsn suchnasn difficultynconcentratingn inn school
,n memorynimpairment,naggressivenplay,nuncaringnbehaviors,nandnlastingnsymptomsnofnstress.
DIF:nCognitivenLevel:nApplyingn REF:ndl.n 6
TOP:n Integratedn Process:n Teaching/Learning
MSC:n ClientnNeeds:n Healthn Promotionn andn Maintenance
7. Thennursenisn evaluatingn researchnstudiesn accordingn ton thenGRADEncriterianandn hasn deter
minednthenqualitynofnevidencenonnthensubjectnisn moderate.nWhichntypenofn evidencendoesn thisn
determinationnindicate?
a. Strongn evidencen fromn unbiasedn observationaln studies
b. Evidencenfromnrandomizedn clinicalntrialsn showedn inconsistentnresults
c. Consistentn evidencen fromn well-performedn randomizedn clinicaln trials
d. Evidencenfornatn leastnonencriticalnoutcomenfromnrandomizedn clinicalntrialsnhadnserious
n flawsn
ANS:nB
Evidencenfromnrandomizednclinicalntrialsn withnimportantnlimitationsnindicatesn thatnthen evidencenis
ofnmoderatenquality.n Strongnevidencenfromnunbiasednobservationalnstudiesnandnconsistentn
evidencenfromnwell-
performedn randomizednclinicalntrialsn indicatesn highn quality.n Evidencenforn atnleastnonencritic
alnoutcomenfromnrandomizednclinicalntrialsnthatnhasnseriousnflawsnindicatesnlownquality.
DIF:n Cognitiven Level:n Rememberingn REF:n dl.n 12n TOP:n Nursingn Process:n Evaluation
MSC:n ClientnNeeds:nSafen andn Effectiven Caren Environment
8. Annadolescentnpatientnwantsn ton makendecisionsn aboutntreatmentnoptions,nalongnwit
hnhisnparents.n Whichnmoralnvaluenisn thennursendisplayingn whenn supportingn thenadolesc
entnton makendecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
enANS:nB
Autonomynisn thenpatientsn rightnton benself-governing.n Thenadolescentnisn tryingn ton benautonomous,
sonthennursenisnsupportingnthisnvalue.nJusticenisn thenconceptnofnfairness.nBeneficencenisntheno
bligationnton promotenthenpatientsn well-
being.n Nonmaleficencenisn thenobligationn ton minimizenornpreventnharm.
DIF:n Cognitiven Level:n Analyzingn REF:n dl.n 11n TOP:nNursingn Process:n EvaluationnMS
C:nClientnNeeds:nHealthnPromotionnandnMaintenance
9. Thennursenmanagernisn compilingnanreportnforn anhospitalncommitteenonnthenqualityn ofnn
ursing-
sensitivenindicatorsnfornannursingnunit.nWhichndoesnthennursenmanagernincludeninnthenrepo
n
rt?
a. Thenaveragenagenofnthennursesnonnthenunit
b. Thensalarynrangesnfornthennursesnonnthenunit
c. Theneducationnandncertificationnofnthennursesnonnthenunit
d. Thennumbern ofnnursesn whon havenappliedn butnwerennotnhiredn fornth
enunitnANS:nC
n
Wong'snEssentialsnofnPediatricnNursingn11thnEditionnHockenberrynRodgersnWilsonnTestnBank
