Wong'sm
Wong's Essentials of Pediatric Nursing 11th Edition Ho
m m m m m m m
ckenberry Rodgers Wilson Test Bankm m m m
Chapterm 1.m Perspectivesm ofm PediatricmNursing
MULTIPLEm CHOICE
1. Them nursem ism planningm carem form am hospitalizedm preschool-
agedm child.m Whichm shouldm them nursemplanmtomensurematraumaticmcare?
a. Limitmexplanationm ofmproceduresm becausem themchildm ism preschoolmaged.
b. Askm thatm allmfamilym membersm leavem them roomm whenm performingm procedures.
c. Allowm themchildm tomchoosemthemtypemofm juicemtomdrinkm withm themadministrationm ofm oralmme
dications.mExplainm thatm EMLAm creamm cannotm bemusedm form themmorningm labmdrawm becausem
theremism notm timem for
d. itmtombem effective.
ANS:m C
Themoverridingm goalm inm providingm atraumaticm carem ism first,m dom nom harm.m Allowingm themchil
dm amchoicemofm juicemtom drinkm whenm takingm oralmmedicationsm providesm themchildm withmamsens
emofm control.mThempreschoolmchildm shouldm bempreparedm beforemprocedures,m som limitingm expl
anationsm ofm proceduresmwouldmincreasem anxiety.mThem familym shouldm bemallowedm tom staym wi
thm them childm duringm procedures,mminimizingm stress.m Lidocaine/prilocainem(EMLA)m creammis
m am topicalm localm anesthetic.m Them nursemshouldm planm tom usem them prescribedm creamm inm timem f
ormmorningm laboratorymdrawsm tom minimizempain.mDIF:mCognitivemLevel:mApplyingmREF:mpp.m
8-9m TOP:mNursingmProcess:mPlanning
MSC:m Clientm Needs:m Healthm Promotionm andm Maintenance
2. Whichm situationm denotesm am nontherapeuticm nursepatientfamilym relationship?
a. Themnursemism planningm tomreadm amfavoritemfairym talemtomam patient.
b. Duringmshiftmreport,m themnursemism criticizingm parentsm form notmvisitingm theirmchild.
c. Themnursem ism discussingm withm am fellowm nursem thememotionalm drawm tom amcertainm patient.
Themnursemism workingm withm amfamilym tomfindm waysm tom decreasem themfamilysm dependencemonmhea
lth
d. carem providers.
ANS:m B
Criticizingmparentsmformnotmvisitingminmshiftmreportmism nontherapeuticmandmshowsm anmunder
involvementmwithm themparents.m Readingmamfairym talemism amtherapeuticmandm agemappropriate
maction.m Discussingm feelingsm ofm anm emotionalm drawm withm am fellowm nursem ism therapeuticm an
dm showsm amwillingnessm tom understandm feelings.m Workingm withm parentsm tom decreasemdepen
dencem onm healthm caremprovidersmismtherapeuticmandmhelpsmtom empowermthemfamily.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 9m TOP:m Integratedm Process:m Caring
MSC:m Clientm Needs:m Psychosocialm Integrity
3. Them nursemism awarem thatmwhichm agem groupmism atmriskm form childhoodm injurymbeca
usem ofm themcognitivemcharacteristicmofmmagicalmandmegocentricmthinking?
a. Preschool
b. Youngm schoolm age
c. Middlem schoolm age
d. Adolescen
tmANS:mA
Preschoolmchildrenm havemthem cognitivem characteristicm ofm magicalmandm egocentricm thinking,m meaning
theym aremunablem tom comprehendm dangerm tomselfm orm others.m Youngm andm middlemschool-
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
,Wong'sm
agedm childrenmhavemtransitionalmcognitivemprocesses,m andm theymmaym attemptmdangerousmac
tsm withoutmdetailed
m
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
,Wong'sm
planningm butm recognizem dangerm tom themselvesm orm others.m Adolescentsm havem formalm opera
tionalmcognitivemprocessesmandmarempreoccupiedmwithm abstractmthinking.
DIF:m Cognitivem Level:m Understandingm REF:m dl.
m 4m
TOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
4. Themschoolm nursem ism assessingm childrenm form riskm factorsm relatedm tom childhoodm injuri
es.m Whichmchildmhasmthemmostmriskmfactorsmrelatedmtomchildhoodminjury?
a. Female,m multiplemsiblings,m stablem homem life
b. Male,mhighm activitym level,m stressfulmhomemlife
c. Male,m evenm tempered,m historym ofm previousm injuries
d. Female,m reactsm negativelym tom newm situations,m nom seriousm previousm
injuriesmANS:mB
Boysm havem am preponderancem form injuriesm overm girlsm becausemofm am differencem inm behavioral
characteristics,m amhighmactivitym temperamentmism associatedm withm risk-
takingm behaviors,m andm stressmpredisposesmchildrenm tom increasedm riskm takingm andm self-
destructivembehaviors.mTherefore,m ammalemchildm withmamhighm activitym levelmandm livingminm am
stressfulmenvironmentmhasm themhighestmnumbermofmriskm factors.m Am girlmwithmseveralmsibling
sm andm amstablem homemlifemism lowm risk.m Am boym withm previousminjuriesm hasm twom riskmfactors,m
butmanm evenm tempermism notmamriskm factorm forminjuries.m Am girlmwhom reactsmnegativelymtomnew
m situationsm butmhasm nom previousm seriousm illnessesm hasm onlym onem riskmfactor.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 4
mTOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
5. Themschoolmnursemism evaluatingm themnumberm ofmschool-
agemchildrenm classifiedm asm obese.m Themnursemrecognizesm thatmthempercentilemofm bodymmas
sm indexm thatmclassifiesm amchildm asm obesemism greatermthanmwhich?
a. 50thm percentile
b. 75thm percentile
c. 80thm percentile
d. 95thmpercenti
lemANS:mD
Obesityminm childrenmandmadolescentsm ism definedm asm ambodymmassm indexmatmorm greaterm thanm them95th
percentilemform youthm ofm them samemagem andm gender.
DIF:m Cognitivem Level:m Rememberingm REF:m dl.m 3m TOP:m Nursingm Process:m Evaluati
onmMSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
6. Them nursemism teachingm parentsm aboutm them typesm ofm behaviorsm childrenm exhibitm whenm
livingm withmchronicmviolence.m Whichm statementmmadembym themparentsm indicatesm furtherm te
achingmism needed?
a. Wem shouldm watchm form aggressivem play.
b. Ourm childm maymshowm lastingm symptomsm ofm stress.
c. Wemknowm thatm ourm childm willm showm caringm behaviors.
d. Ourm childm maym havem difficultym concentratingm inm sc
hool.mANS:mC
m
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
,Wong'sm
Themstatementmthatmthem childm willmshowm caringm behaviorsm needsm furtherm teaching.m Childr
enm livingmwithm chronicmviolencemmaym exhibitm behaviorsm suchm asm difficultym concentratingm i
nm school,m memorymimpairment,m aggressivemplay,muncaringmbehaviors,mandmlastingmsympto
msmofmstress.
DIF:m Cognitivem Level:m Applyingm REF:m dl.m 6
TOP:m Integratedm Process:m Teaching/Learning
MSC:m ClientmNeeds:m Healthm Promotionm andm Maintenance
7. Them nursem ism evaluatingm researchm studiesm accordingm tom them GRADEmcriteriam andm hasm d
eterminedmthem qualitym ofmevidencem onm themsubjectmism moderate.mWhichm typemofm evidencem d
oesm thismdeterminationmindicate?
a. Strongm evidencem fromm unbiasedm observationalm studies
b. Evidencem fromm randomizedm clinicalm trialsm showedm inconsistentm results
c. Consistentm evidencem fromm well-performedm randomizedm clinicalm trials
d. Evidencem form atm leastmonemcriticalmoutcomem frommrandomizedm clinicalm trialsm hadmseri
ousm flawsmANS:mB
Evidencemfrommrandomizedm clinicalmtrialsm withmimportantmlimitationsmindicatesm thatmthem evidencemis
ofmmoderatemquality.m Strongm evidencemfrommunbiasedm observationalmstudiesm andmconsiste
ntmevidencem frommwell-
performedm randomizedm clinicalm trialsm indicatesm highm quality.m Evidencemform atmleastmonemc
riticalmoutcomem frommrandomizedm clinicalmtrialsm thatmhasm seriousmflawsm indicatesm lowmqu
ality.
DIF:m Cognitivem Level:m Rememberingm REF:m dl.m 12m TOP:m Nursingm Process:m Evaluation
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
8. Anm adolescentm patientm wantsm tom makemdecisionsm aboutm treatmentm options,malongm
withm hismparents.m Whichm moralm valuemism them nursem displayingm whenm supportingm them
adolescentm tom makemdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
emANS:mB
Autonomym ism them patientsm rightm tom bem self-governing.m Them adolescentm ism tryingm tom bemautonomous,
somthemnursemism supportingmthism value.m Justicemism themconceptmofmfairness.mBeneficencemism t
hemobligationm tom promotem them patientsm well-
being.m Nonmaleficencemism themobligationm tom minimizemormpreventmharm.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 11m TOP:mNursingm Process:m Evaluationm
MSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
9. Them nursemmanagermism compilingm am reportmform amhospitalmcommitteemonm them qualitym
ofm nursing-
sensitivemindicatorsmformamnursingm unit.mWhichm doesm themnursemmanagermincludeminm them
m
report?
a. Themaveragemagemofm themnursesm onm themunit
b. Themsalarym rangesm form themnursesmonm themunit
c. Themeducationm andmcertificationmofm themnursesmonmthemunit
d. Them numberm ofm nursesm whom havem appliedm butm werem notm hiredm fo
rm themunitmANS:mC
m
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
Wong's Essentials of Pediatric Nursing 11th Edition Ho
m m m m m m m
ckenberry Rodgers Wilson Test Bankm m m m
Chapterm 1.m Perspectivesm ofm PediatricmNursing
MULTIPLEm CHOICE
1. Them nursem ism planningm carem form am hospitalizedm preschool-
agedm child.m Whichm shouldm them nursemplanmtomensurematraumaticmcare?
a. Limitmexplanationm ofmproceduresm becausem themchildm ism preschoolmaged.
b. Askm thatm allmfamilym membersm leavem them roomm whenm performingm procedures.
c. Allowm themchildm tomchoosemthemtypemofm juicemtomdrinkm withm themadministrationm ofm oralmme
dications.mExplainm thatm EMLAm creamm cannotm bemusedm form themmorningm labmdrawm becausem
theremism notm timem for
d. itmtombem effective.
ANS:m C
Themoverridingm goalm inm providingm atraumaticm carem ism first,m dom nom harm.m Allowingm themchil
dm amchoicemofm juicemtom drinkm whenm takingm oralmmedicationsm providesm themchildm withmamsens
emofm control.mThempreschoolmchildm shouldm bempreparedm beforemprocedures,m som limitingm expl
anationsm ofm proceduresmwouldmincreasem anxiety.mThem familym shouldm bemallowedm tom staym wi
thm them childm duringm procedures,mminimizingm stress.m Lidocaine/prilocainem(EMLA)m creammis
m am topicalm localm anesthetic.m Them nursemshouldm planm tom usem them prescribedm creamm inm timem f
ormmorningm laboratorymdrawsm tom minimizempain.mDIF:mCognitivemLevel:mApplyingmREF:mpp.m
8-9m TOP:mNursingmProcess:mPlanning
MSC:m Clientm Needs:m Healthm Promotionm andm Maintenance
2. Whichm situationm denotesm am nontherapeuticm nursepatientfamilym relationship?
a. Themnursemism planningm tomreadm amfavoritemfairym talemtomam patient.
b. Duringmshiftmreport,m themnursemism criticizingm parentsm form notmvisitingm theirmchild.
c. Themnursem ism discussingm withm am fellowm nursem thememotionalm drawm tom amcertainm patient.
Themnursemism workingm withm amfamilym tomfindm waysm tom decreasem themfamilysm dependencemonmhea
lth
d. carem providers.
ANS:m B
Criticizingmparentsmformnotmvisitingminmshiftmreportmism nontherapeuticmandmshowsm anmunder
involvementmwithm themparents.m Readingmamfairym talemism amtherapeuticmandm agemappropriate
maction.m Discussingm feelingsm ofm anm emotionalm drawm withm am fellowm nursem ism therapeuticm an
dm showsm amwillingnessm tom understandm feelings.m Workingm withm parentsm tom decreasemdepen
dencem onm healthm caremprovidersmismtherapeuticmandmhelpsmtom empowermthemfamily.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 9m TOP:m Integratedm Process:m Caring
MSC:m Clientm Needs:m Psychosocialm Integrity
3. Them nursemism awarem thatmwhichm agem groupmism atmriskm form childhoodm injurymbeca
usem ofm themcognitivemcharacteristicmofmmagicalmandmegocentricmthinking?
a. Preschool
b. Youngm schoolm age
c. Middlem schoolm age
d. Adolescen
tmANS:mA
Preschoolmchildrenm havemthem cognitivem characteristicm ofm magicalmandm egocentricm thinking,m meaning
theym aremunablem tom comprehendm dangerm tomselfm orm others.m Youngm andm middlemschool-
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
,Wong'sm
agedm childrenmhavemtransitionalmcognitivemprocesses,m andm theymmaym attemptmdangerousmac
tsm withoutmdetailed
m
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
,Wong'sm
planningm butm recognizem dangerm tom themselvesm orm others.m Adolescentsm havem formalm opera
tionalmcognitivemprocessesmandmarempreoccupiedmwithm abstractmthinking.
DIF:m Cognitivem Level:m Understandingm REF:m dl.
m 4m
TOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
4. Themschoolm nursem ism assessingm childrenm form riskm factorsm relatedm tom childhoodm injuri
es.m Whichmchildmhasmthemmostmriskmfactorsmrelatedmtomchildhoodminjury?
a. Female,m multiplemsiblings,m stablem homem life
b. Male,mhighm activitym level,m stressfulmhomemlife
c. Male,m evenm tempered,m historym ofm previousm injuries
d. Female,m reactsm negativelym tom newm situations,m nom seriousm previousm
injuriesmANS:mB
Boysm havem am preponderancem form injuriesm overm girlsm becausemofm am differencem inm behavioral
characteristics,m amhighmactivitym temperamentmism associatedm withm risk-
takingm behaviors,m andm stressmpredisposesmchildrenm tom increasedm riskm takingm andm self-
destructivembehaviors.mTherefore,m ammalemchildm withmamhighm activitym levelmandm livingminm am
stressfulmenvironmentmhasm themhighestmnumbermofmriskm factors.m Am girlmwithmseveralmsibling
sm andm amstablem homemlifemism lowm risk.m Am boym withm previousminjuriesm hasm twom riskmfactors,m
butmanm evenm tempermism notmamriskm factorm forminjuries.m Am girlmwhom reactsmnegativelymtomnew
m situationsm butmhasm nom previousm seriousm illnessesm hasm onlym onem riskmfactor.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 4
mTOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
5. Themschoolmnursemism evaluatingm themnumberm ofmschool-
agemchildrenm classifiedm asm obese.m Themnursemrecognizesm thatmthempercentilemofm bodymmas
sm indexm thatmclassifiesm amchildm asm obesemism greatermthanmwhich?
a. 50thm percentile
b. 75thm percentile
c. 80thm percentile
d. 95thmpercenti
lemANS:mD
Obesityminm childrenmandmadolescentsm ism definedm asm ambodymmassm indexmatmorm greaterm thanm them95th
percentilemform youthm ofm them samemagem andm gender.
DIF:m Cognitivem Level:m Rememberingm REF:m dl.m 3m TOP:m Nursingm Process:m Evaluati
onmMSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
6. Them nursemism teachingm parentsm aboutm them typesm ofm behaviorsm childrenm exhibitm whenm
livingm withmchronicmviolence.m Whichm statementmmadembym themparentsm indicatesm furtherm te
achingmism needed?
a. Wem shouldm watchm form aggressivem play.
b. Ourm childm maymshowm lastingm symptomsm ofm stress.
c. Wemknowm thatm ourm childm willm showm caringm behaviors.
d. Ourm childm maym havem difficultym concentratingm inm sc
hool.mANS:mC
m
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
,Wong'sm
Themstatementmthatmthem childm willmshowm caringm behaviorsm needsm furtherm teaching.m Childr
enm livingmwithm chronicmviolencemmaym exhibitm behaviorsm suchm asm difficultym concentratingm i
nm school,m memorymimpairment,m aggressivemplay,muncaringmbehaviors,mandmlastingmsympto
msmofmstress.
DIF:m Cognitivem Level:m Applyingm REF:m dl.m 6
TOP:m Integratedm Process:m Teaching/Learning
MSC:m ClientmNeeds:m Healthm Promotionm andm Maintenance
7. Them nursem ism evaluatingm researchm studiesm accordingm tom them GRADEmcriteriam andm hasm d
eterminedmthem qualitym ofmevidencem onm themsubjectmism moderate.mWhichm typemofm evidencem d
oesm thismdeterminationmindicate?
a. Strongm evidencem fromm unbiasedm observationalm studies
b. Evidencem fromm randomizedm clinicalm trialsm showedm inconsistentm results
c. Consistentm evidencem fromm well-performedm randomizedm clinicalm trials
d. Evidencem form atm leastmonemcriticalmoutcomem frommrandomizedm clinicalm trialsm hadmseri
ousm flawsmANS:mB
Evidencemfrommrandomizedm clinicalmtrialsm withmimportantmlimitationsmindicatesm thatmthem evidencemis
ofmmoderatemquality.m Strongm evidencemfrommunbiasedm observationalmstudiesm andmconsiste
ntmevidencem frommwell-
performedm randomizedm clinicalm trialsm indicatesm highm quality.m Evidencemform atmleastmonemc
riticalmoutcomem frommrandomizedm clinicalmtrialsm thatmhasm seriousmflawsm indicatesm lowmqu
ality.
DIF:m Cognitivem Level:m Rememberingm REF:m dl.m 12m TOP:m Nursingm Process:m Evaluation
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
8. Anm adolescentm patientm wantsm tom makemdecisionsm aboutm treatmentm options,malongm
withm hismparents.m Whichm moralm valuemism them nursem displayingm whenm supportingm them
adolescentm tom makemdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
emANS:mB
Autonomym ism them patientsm rightm tom bem self-governing.m Them adolescentm ism tryingm tom bemautonomous,
somthemnursemism supportingmthism value.m Justicemism themconceptmofmfairness.mBeneficencemism t
hemobligationm tom promotem them patientsm well-
being.m Nonmaleficencemism themobligationm tom minimizemormpreventmharm.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 11m TOP:mNursingm Process:m Evaluationm
MSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
9. Them nursemmanagermism compilingm am reportmform amhospitalmcommitteemonm them qualitym
ofm nursing-
sensitivemindicatorsmformamnursingm unit.mWhichm doesm themnursemmanagermincludeminm them
m
report?
a. Themaveragemagemofm themnursesm onm themunit
b. Themsalarym rangesm form themnursesmonm themunit
c. Themeducationm andmcertificationmofm themnursesmonmthemunit
d. Them numberm ofm nursesm whom havem appliedm butm werem notm hiredm fo
rm themunitmANS:mC
m
Wong'smEssentialsmofmPediatricmNursingm11thmEditionmHockenberrymRodgersmWilsonmTestmBank
