Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
g g g g g g g g g g g g
,Chapter 01: Perspectives of Pediatric Nursing
g g g g g
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
g g g g g g g g gg
dition
MULTIPLEgCHOICE
1. WhatgisgthegmajorgcausegofgdeathgforgchildrengingthegUnitedgStates?
a. Heartgdisease
b. Childhoodgcancer
c. Injuries
d. Congenitalganomalies
ANS:g C
Unintentionalginjuriesg(accidents)garegthegleadinggcausegofgdeathgaftergageg1gyeargthroughgadolescence.gT
hegleadinggcausegofgdeathgforgthosegyoungergthang1gyeargisgcongenitalganomalies,gandgchildhoodgcancersg
andgheartgdiseasegcausegagsignificantlyglowergpercentagegofgdeathsgingchildrengoldergthang1gyeargofgage.
DIF: CognitivegLevel:gUnderstanding
TOP:gNursinggProcess:gPlanninggMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
2. Parentsgofgaghospitalizedgtoddlergaskgthegnurse,g“Whatgisgmeantgbygfamily-
centeredgcare?”gThegnursegshouldgrespondgwithgwhichgstatement?
a. Family-centeredgcaregreducesgthegeffectgofgculturalgdiversitygongthegfamily.
b. Family-centeredgcaregencouragesgfamilygdependencegongtheghealthgcaregsystem.
c. Family-centeredgcaregrecognizesgthatgthegfamilygisgthegconstantgingagchild’sglife.
d. Family-centeredgcaregavoidsgexpectinggfamiliesgtogbegpartgofgthegdecision-
makinggprocess.
ANS:g C
Thegthreegkeygcomponentsgofgfamily-centeredgcaregaregrespect,gcollaboration,gandgsupport.gFamily-
gcenteredgcaregrecognizesgthegfamilygasgthegconstant gingthegchild’sglife.gThegfamilygshouldgbegenabledgand
gempoweredgtogworkgwithgtheghealthgcaregsystemgandgisgexpectedgtogbegpartgofgthegdecision-
makinggprocess.gThegnursegshouldgalsogsupportgthegfamily’sgculturalgdiversity,gnotgreducegitsgeffect.
DIF: CognitivegLevel:gApplying
TOP:gNursinggProcess:gImplementationgMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
3. Evidence-basedgpracticeg(EBP),gagdecision-makinggmodel,gisgbestgdescribedgasgwhich?
a. Usingginformationgingtextbooksgtogguidegcare
b. Combininggknowledgegwithgclinicalgexperiencegandgintuition
c. Usinggagprofessionalgcodegofgethicsgasgagmeansgforgdecisiongmaking
d. Gatheringgallgevidencegthatgappliesgtogthegchild’sghealthgandgfamilygsituation
ANS:g B
EBPghelpsgfocusgongmeasurablegoutcomes;gthegusegofgdemonstrated,geffectiveginterventions;gandgquestio
ninggthegbestgapproach.gEBPginvolvesgdecisiongmakinggbasedgongthegintegrationgofgthegbestgresearchgevid
encegcombinedgwithgclinicalgexpertisegandgpatientgvalues.
,Wong'sgNursinggCaregofgInfantsgandgChildreng12thgEditiongbygHockenberrygTestgBank
DIF: CognitivegLevel:gRemembering
TOP:gNursinggProcess:gPlanninggMSC:g ClientgNeeds:gSafegandgEffecti
vegCaregEnvironment
4. Thegnursegisgtalkinggtogaggroupgofgparentsgofgschool-agegchildrengatgangafter-
schoolgprogramgaboutgchildhoodghealthgproblems.gWhichgstatementgshouldgthegnursegincludegingthe
gteaching?
a. Childhoodgobesitygisgtheg mostgcommongnutritionalgproblemgamonggchildren.
b. Immunizationgratesgaregthegsamegamonggchildrengofgdifferentgracesgandgethnicity.
c. Dentalgcariesgisgnotgagproblemgcommonlygseengingchildrengsincegthegintroductiongofgfl
uorinatedgwater.
d. Mentalghealthgproblemsgaregtypicallygnotgseengingschool-
agegchildrengbutgmaygbegdiagnosedgingadolescents.
ANS:g A
Whengteachinggparentsgofgschool-
agegchildrengaboutgchildhoodghealthgproblems,gthegnursegshouldgincludeginformationgaboutgchildhoodgob
esitygbecausegitgisgthegmostgcommongproblemgamonggchildrengandgisgassociatedgwithgtypeg2gdiabetes.gTea
chinggparentsgaboutgwaysgtogpreventgobesitygisgimportantgtoginclude.gImmunizationgratesgdiffergdependin
ggongthegchild’sgracegandgethnicity;gdentalgcariesgcontinuesgtogbegagcommongchronicgdiseasegingchildhood;
gandgmentalghealthgproblemsgaregseengingchildrengasgyounggasgschoolgage,gnotgjustgingadolescents.
DIF: CognitivegLevel:gApplying
TOP:gIntegratedgProcess:gTeaching/LearninggMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
5. Thegnursegisgplanninggcaregforgaghospitalizedgpreschool-
agedgchild.gWhichgshouldgthegnursegplangtogensuregatraumaticgcare?
a. Limitgexplanationgofgproceduresgbecausegthegchildgisgpreschoolgaged.
b. Askgthatgallgfamilygmembersgleavegthegroomgwhengperforminggprocedures.
c. Allowgthegchildgtogchoosegthegtypegofgjuicegtogdrinkgwithgthegadministrationgofgoralgm
edications.
d. ExplaingthatgEMLAgcreamgcannotgbegusedgforgthegmorningglabgdrawgbecausegtheregis
gnotgtimegforgitgtogbegeffective.
ANS:g C
Thegoverridingggoalgingprovidinggatraumaticgcaregisgfirst,gdognogharm.gAllowinggthegchild,gagchoicegofgjui
cegtogdrinkgwhengtakinggoralgmedicationsgprovidesgthegchildgwithgagsensegofgcontrol.gThegpreschoolgchildg
shouldgbegpreparedgbeforegprocedures,gsoglimitinggexplanationsgofgproceduresgwouldgincreaseganxiety.gT
hegfamilygshouldgbegallowedgtogstaygwithgthegchildgduringgprocedures,gminimizinggstress.
Lidocaine/prilocaineg(EMLA)gcreamgisgagtopicalglocalganesthetic.gThegnursegshouldgplangtogusegthegprescribe
dgcreamgingtimegforgmorningglaboratorygdrawsgtogminimizegpain.
DIF: CognitivegLevel:gApplying
TOP:gNursinggProcess:gPlanninggMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
6. Whichgsituationgdenotesgagnontherapeuticgnurse–patient–familygrelationship?
a. Thegnursegisgplanninggtogreadgagfavoritegfairygtalegtogagpatient.
b. Duringgshiftgreport,gthegnursegisgcriticizinggparentsgforgnotgvisitinggtheirgchild.
c. Thegnursegisgdiscussinggwithgagfellowgnursegthegemotionalgdrawgtogagcertaingpatient.
d. Thegnursegisgworkinggwithgagfamilygtogfindgwaysgtogdecreasegthegfamily’sgdependence
g onghealthgcaregproviders.
, Wong'sgNursinggCaregofgInfantsgandgChildreng12thgEditiongbygHockenberrygTestgBank
ANS:g B
Criticizinggparentsgforgnotgvisitinggingshiftgreportgisgnontherapeuticgandgshowsgangunderginvolvementgwit
hgthegparents.gReadinggagfairygtalegisgagtherapeuticgandgage-
appropriategaction.gDiscussinggfeelingsgofgangemotionalgdrawgwithgagfellowgnursegisgtherapeuticgandgsho
wsgagwillingnessgtogunderstandgfeelings.gWorkinggwithgparentsgtogdecreasegdependencegonghealthgcaregp
rovidersgisgtherapeuticgandghelpsgtogempowergthegfamily.
DIF: CognitivegLevel:gAnalyzing
TOP:gIntegratedgProcess:gCaringgMSC:g ClientgNeeds:gPsychosocialgIn
tegrity
7. Thegnursegisgawaregthatgwhichgage-
groupgisgatgriskgforgchildhoodginjurygbecausegofgthegcognitivegcharacteristicgofgmagicalgandgegoce
ntricgthinking?
a. Preschool
b. Younggschoolgage
c. Middlegschoolgage
d. Adolescent
ANS:g A
Preschoolgchildrenghavegthegcognitivegcharacteristicgofgmagicalgandgegocentricgthinking,gmeaninggtheygar
egunablegtogcomprehendgdangergtogselfgorgothers.gYounggandgmiddlegschool-
agedgchildrenghavegtransitionalgcognitivegprocesses,gandgtheygmaygattemptgdangerousgactsgwithoutgdetail
edgplanninggbutgrecognizegdangergtogthemselvesgorgothers.gAdolescentsghavegformalgoperationalgcognitive
gprocessesgandgaregpreoccupiedgwithgabstractgthinking.
DIF: CognitivegLevel:gUnderstanding
TOP:g NursinggProcess:gAssessmentgMSC:g ClientgNeeds:gSafegandgEffecti
vegCaregEnvironment
8. Thegschoolgnursegisgassessinggchildrengforgriskgfactorsgrelatedgtogchildhoodginjuries.gWhichgchildghasgt
hegmostgriskgfactorsgrelatedgtogchildhoodginjury?
a. Female,gmultiplegsiblings,gstableghomeglife
b. Male,ghighgactivityglevel,gstressfulghomeglife
c. Male,gevengtempered,ghistorygofgpreviousginjuries
d. Female,greactsgnegativelygtognewgsituations,gnogseriousgpreviousginjuries
ANS:g B
Boysghavegagpreponderancegforginjuriesgoverggirlsgbecausegofgagdifferencegingbehavioralgcharacteristics,gag
highgactivitygtemperamentgisgassociatedgwithgrisk-
takinggbehaviors,gandgstressgpredisposesgchildrengtogincreasedgriskgtakinggandgself-
destructivegbehaviors.gTherefore,gagmalegchildgwithgaghighgactivityglevelgandglivinggingagstressfulgenviron
mentghasgtheghighestgnumbergofgriskgfactors.gAggirlgwithgseveralgsiblingsgandgagstableghomeglifegisglowgrisk.
gAgboygwithgpreviousginjuriesghasgtwogriskgfactors,gbutgangevengtempergisgnotgagriskgfactorgforginjuries.gAggi
rlgwhogreactsgnegativelygtognewgsituationsgbutghasgnogpreviousgseriousgillnessesghasgonlygonegriskgfactor.
DIF: CognitivegLevel:gAnalyzing
TOP:g NursinggProcess:gAssessmentgMSC:g ClientgNeeds:gSafegandgEffecti
vegCaregEnvironment
9. Angadolescentgpatientgwantsgtogmakegdecisionsgaboutgtreatmentgoptions,galonggwithghisgparents.gWhichg
moralgvaluegisgthegnursegdisplayinggwhengsupportinggthegadolescentgtogmakegdecisions?
a. Justice
g g g g g g g g g g g g
,Chapter 01: Perspectives of Pediatric Nursing
g g g g g
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
g g g g g g g g gg
dition
MULTIPLEgCHOICE
1. WhatgisgthegmajorgcausegofgdeathgforgchildrengingthegUnitedgStates?
a. Heartgdisease
b. Childhoodgcancer
c. Injuries
d. Congenitalganomalies
ANS:g C
Unintentionalginjuriesg(accidents)garegthegleadinggcausegofgdeathgaftergageg1gyeargthroughgadolescence.gT
hegleadinggcausegofgdeathgforgthosegyoungergthang1gyeargisgcongenitalganomalies,gandgchildhoodgcancersg
andgheartgdiseasegcausegagsignificantlyglowergpercentagegofgdeathsgingchildrengoldergthang1gyeargofgage.
DIF: CognitivegLevel:gUnderstanding
TOP:gNursinggProcess:gPlanninggMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
2. Parentsgofgaghospitalizedgtoddlergaskgthegnurse,g“Whatgisgmeantgbygfamily-
centeredgcare?”gThegnursegshouldgrespondgwithgwhichgstatement?
a. Family-centeredgcaregreducesgthegeffectgofgculturalgdiversitygongthegfamily.
b. Family-centeredgcaregencouragesgfamilygdependencegongtheghealthgcaregsystem.
c. Family-centeredgcaregrecognizesgthatgthegfamilygisgthegconstantgingagchild’sglife.
d. Family-centeredgcaregavoidsgexpectinggfamiliesgtogbegpartgofgthegdecision-
makinggprocess.
ANS:g C
Thegthreegkeygcomponentsgofgfamily-centeredgcaregaregrespect,gcollaboration,gandgsupport.gFamily-
gcenteredgcaregrecognizesgthegfamilygasgthegconstant gingthegchild’sglife.gThegfamilygshouldgbegenabledgand
gempoweredgtogworkgwithgtheghealthgcaregsystemgandgisgexpectedgtogbegpartgofgthegdecision-
makinggprocess.gThegnursegshouldgalsogsupportgthegfamily’sgculturalgdiversity,gnotgreducegitsgeffect.
DIF: CognitivegLevel:gApplying
TOP:gNursinggProcess:gImplementationgMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
3. Evidence-basedgpracticeg(EBP),gagdecision-makinggmodel,gisgbestgdescribedgasgwhich?
a. Usingginformationgingtextbooksgtogguidegcare
b. Combininggknowledgegwithgclinicalgexperiencegandgintuition
c. Usinggagprofessionalgcodegofgethicsgasgagmeansgforgdecisiongmaking
d. Gatheringgallgevidencegthatgappliesgtogthegchild’sghealthgandgfamilygsituation
ANS:g B
EBPghelpsgfocusgongmeasurablegoutcomes;gthegusegofgdemonstrated,geffectiveginterventions;gandgquestio
ninggthegbestgapproach.gEBPginvolvesgdecisiongmakinggbasedgongthegintegrationgofgthegbestgresearchgevid
encegcombinedgwithgclinicalgexpertisegandgpatientgvalues.
,Wong'sgNursinggCaregofgInfantsgandgChildreng12thgEditiongbygHockenberrygTestgBank
DIF: CognitivegLevel:gRemembering
TOP:gNursinggProcess:gPlanninggMSC:g ClientgNeeds:gSafegandgEffecti
vegCaregEnvironment
4. Thegnursegisgtalkinggtogaggroupgofgparentsgofgschool-agegchildrengatgangafter-
schoolgprogramgaboutgchildhoodghealthgproblems.gWhichgstatementgshouldgthegnursegincludegingthe
gteaching?
a. Childhoodgobesitygisgtheg mostgcommongnutritionalgproblemgamonggchildren.
b. Immunizationgratesgaregthegsamegamonggchildrengofgdifferentgracesgandgethnicity.
c. Dentalgcariesgisgnotgagproblemgcommonlygseengingchildrengsincegthegintroductiongofgfl
uorinatedgwater.
d. Mentalghealthgproblemsgaregtypicallygnotgseengingschool-
agegchildrengbutgmaygbegdiagnosedgingadolescents.
ANS:g A
Whengteachinggparentsgofgschool-
agegchildrengaboutgchildhoodghealthgproblems,gthegnursegshouldgincludeginformationgaboutgchildhoodgob
esitygbecausegitgisgthegmostgcommongproblemgamonggchildrengandgisgassociatedgwithgtypeg2gdiabetes.gTea
chinggparentsgaboutgwaysgtogpreventgobesitygisgimportantgtoginclude.gImmunizationgratesgdiffergdependin
ggongthegchild’sgracegandgethnicity;gdentalgcariesgcontinuesgtogbegagcommongchronicgdiseasegingchildhood;
gandgmentalghealthgproblemsgaregseengingchildrengasgyounggasgschoolgage,gnotgjustgingadolescents.
DIF: CognitivegLevel:gApplying
TOP:gIntegratedgProcess:gTeaching/LearninggMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
5. Thegnursegisgplanninggcaregforgaghospitalizedgpreschool-
agedgchild.gWhichgshouldgthegnursegplangtogensuregatraumaticgcare?
a. Limitgexplanationgofgproceduresgbecausegthegchildgisgpreschoolgaged.
b. Askgthatgallgfamilygmembersgleavegthegroomgwhengperforminggprocedures.
c. Allowgthegchildgtogchoosegthegtypegofgjuicegtogdrinkgwithgthegadministrationgofgoralgm
edications.
d. ExplaingthatgEMLAgcreamgcannotgbegusedgforgthegmorningglabgdrawgbecausegtheregis
gnotgtimegforgitgtogbegeffective.
ANS:g C
Thegoverridingggoalgingprovidinggatraumaticgcaregisgfirst,gdognogharm.gAllowinggthegchild,gagchoicegofgjui
cegtogdrinkgwhengtakinggoralgmedicationsgprovidesgthegchildgwithgagsensegofgcontrol.gThegpreschoolgchildg
shouldgbegpreparedgbeforegprocedures,gsoglimitinggexplanationsgofgproceduresgwouldgincreaseganxiety.gT
hegfamilygshouldgbegallowedgtogstaygwithgthegchildgduringgprocedures,gminimizinggstress.
Lidocaine/prilocaineg(EMLA)gcreamgisgagtopicalglocalganesthetic.gThegnursegshouldgplangtogusegthegprescribe
dgcreamgingtimegforgmorningglaboratorygdrawsgtogminimizegpain.
DIF: CognitivegLevel:gApplying
TOP:gNursinggProcess:gPlanninggMSC:g ClientgNeeds:gHealthgPromoti
ongandgMaintenance
6. Whichgsituationgdenotesgagnontherapeuticgnurse–patient–familygrelationship?
a. Thegnursegisgplanninggtogreadgagfavoritegfairygtalegtogagpatient.
b. Duringgshiftgreport,gthegnursegisgcriticizinggparentsgforgnotgvisitinggtheirgchild.
c. Thegnursegisgdiscussinggwithgagfellowgnursegthegemotionalgdrawgtogagcertaingpatient.
d. Thegnursegisgworkinggwithgagfamilygtogfindgwaysgtogdecreasegthegfamily’sgdependence
g onghealthgcaregproviders.
, Wong'sgNursinggCaregofgInfantsgandgChildreng12thgEditiongbygHockenberrygTestgBank
ANS:g B
Criticizinggparentsgforgnotgvisitinggingshiftgreportgisgnontherapeuticgandgshowsgangunderginvolvementgwit
hgthegparents.gReadinggagfairygtalegisgagtherapeuticgandgage-
appropriategaction.gDiscussinggfeelingsgofgangemotionalgdrawgwithgagfellowgnursegisgtherapeuticgandgsho
wsgagwillingnessgtogunderstandgfeelings.gWorkinggwithgparentsgtogdecreasegdependencegonghealthgcaregp
rovidersgisgtherapeuticgandghelpsgtogempowergthegfamily.
DIF: CognitivegLevel:gAnalyzing
TOP:gIntegratedgProcess:gCaringgMSC:g ClientgNeeds:gPsychosocialgIn
tegrity
7. Thegnursegisgawaregthatgwhichgage-
groupgisgatgriskgforgchildhoodginjurygbecausegofgthegcognitivegcharacteristicgofgmagicalgandgegoce
ntricgthinking?
a. Preschool
b. Younggschoolgage
c. Middlegschoolgage
d. Adolescent
ANS:g A
Preschoolgchildrenghavegthegcognitivegcharacteristicgofgmagicalgandgegocentricgthinking,gmeaninggtheygar
egunablegtogcomprehendgdangergtogselfgorgothers.gYounggandgmiddlegschool-
agedgchildrenghavegtransitionalgcognitivegprocesses,gandgtheygmaygattemptgdangerousgactsgwithoutgdetail
edgplanninggbutgrecognizegdangergtogthemselvesgorgothers.gAdolescentsghavegformalgoperationalgcognitive
gprocessesgandgaregpreoccupiedgwithgabstractgthinking.
DIF: CognitivegLevel:gUnderstanding
TOP:g NursinggProcess:gAssessmentgMSC:g ClientgNeeds:gSafegandgEffecti
vegCaregEnvironment
8. Thegschoolgnursegisgassessinggchildrengforgriskgfactorsgrelatedgtogchildhoodginjuries.gWhichgchildghasgt
hegmostgriskgfactorsgrelatedgtogchildhoodginjury?
a. Female,gmultiplegsiblings,gstableghomeglife
b. Male,ghighgactivityglevel,gstressfulghomeglife
c. Male,gevengtempered,ghistorygofgpreviousginjuries
d. Female,greactsgnegativelygtognewgsituations,gnogseriousgpreviousginjuries
ANS:g B
Boysghavegagpreponderancegforginjuriesgoverggirlsgbecausegofgagdifferencegingbehavioralgcharacteristics,gag
highgactivitygtemperamentgisgassociatedgwithgrisk-
takinggbehaviors,gandgstressgpredisposesgchildrengtogincreasedgriskgtakinggandgself-
destructivegbehaviors.gTherefore,gagmalegchildgwithgaghighgactivityglevelgandglivinggingagstressfulgenviron
mentghasgtheghighestgnumbergofgriskgfactors.gAggirlgwithgseveralgsiblingsgandgagstableghomeglifegisglowgrisk.
gAgboygwithgpreviousginjuriesghasgtwogriskgfactors,gbutgangevengtempergisgnotgagriskgfactorgforginjuries.gAggi
rlgwhogreactsgnegativelygtognewgsituationsgbutghasgnogpreviousgseriousgillnessesghasgonlygonegriskgfactor.
DIF: CognitivegLevel:gAnalyzing
TOP:g NursinggProcess:gAssessmentgMSC:g ClientgNeeds:gSafegandgEffecti
vegCaregEnvironment
9. Angadolescentgpatientgwantsgtogmakegdecisionsgaboutgtreatmentgoptions,galonggwithghisgparents.gWhichg
moralgvaluegisgthegnursegdisplayinggwhengsupportinggthegadolescentgtogmakegdecisions?
a. Justice
