Wong'sm
Wong's Essentials of Pediatric Nursing 11th Edition Ho
m m m m m m m
ckenberry Rodgers Wilson Test Bank
m m m m
Chapterm 1.m Perspectivesm of m PediatricmNursing
MULTIPLEm CHOICE
1. Themnursemism planningm caremform amhospitalizedm preschool-
agedm child.m Whichm shouldm themnursemplanmtomensurematraumaticmcare?
a. Limitmexplanationm of m proceduresm becausemthemchildmism preschoolmaged.
b. Askm thatm allmfamily m membersm leavemthem room mwhenm performingm procedures.
c. Allowmthemchildmtomchoosemthemtypemof mjuicemtomdrinkm withmthemadministrationmof moralmme
dications.mExplainm thatmEMLAm cream mcannotmbemusedm formthemmorningm labmdrawmbecausem
theremism notmtimemfor
d. itmtombem effective.
ANS:m C
Themoverridingm goalminm providingm atraumatic mcaremismfirst,m domnom harm.m Allowingm themchil
dm amchoicemof mjuicemtomdrinkmwhenmtakingmoralmmedicationsmprovidesmthemchildmwithmamsens
emofm control.mThempreschoolmchildmshouldmbempreparedm beforemprocedures,m somlimitingm expl
anationsm of m proceduresmwouldmincreasemanxiety.m Themfamily mshouldmbemallowedmtomstay mwi
thm themchildm duringm procedures,mminimizingmstress.m Lidocaine/prilocainem(EMLA)mcream mis
mamtopicalm localmanesthetic.mThemnursemshouldmplanmtomusemthemprescribedm cream minmtimemf
ormmorningm laboratory mdrawsm tomminimizempain.mDIF:mCognitivemLevel:mApplyingmREF:mpp.m
8-9m TOP:mNursingmProcess:mPlanning
MSC:m Clientm Needs:m Healthm Promotionm andm Maintenance
2. Whichm situationm denotesm am nontherapeutic m nursepatientfamily m relationship?
a. Themnursemismplanningmtomreadmamfavoritemfairy mtalemtomam patient.
b. Duringmshiftmreport,m themnursemism criticizingmparentsm form notmvisitingm theirmchild.
c. Themnursemism discussingm withm amfellow m nursemthememotionalmdraw m tomamcertainm patient.
Themnursemismworkingmwithm amfamily mtomfindmwaysmtomdecreasem themfamilysm dependencemonmhea
lth
d. carem providers.
ANS:m B
Criticizingmparentsmformnotmvisitingminmshiftmreportmismnontherapeutic mandmshowsmanmunder
involvementmwithmthemparents.mReadingmamfairy mtalemism amtherapeutic mandmagemappropriate
maction.mDiscussingm feelingsm of m anm emotionalmdraw m withm amfellow m nursemism therapeutic man
dm showsm amwillingnessm tom understandm feelings.m Workingmwithmparentsm tom decreasem depen
dencem onm healthm caremprovidersmismtherapeutic mandmhelpsmtomempowermthemfamily.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 9m TOP:m Integratedm Process:m Caring
MSC:m ClientmNeeds:m Psychosocialm Integrity
3. Themnursemism awaremthatmwhichm agemgroupm ism atmriskm formchildhoodminjury mbeca
usemof m themcognitivemcharacteristic mof mmagicalmandmegocentric mthinking?
a. Preschool
b. Youngm schoolm age
c. Middlem schoolm age
d. Adolescen
tmANS:mA
Preschoolmchildrenm havemthem cognitivemcharacteristic m of m magicalm andm egocentric mthinking,m meaning
they m aremunablemtom comprehendm dangerm tom self m orm others.m Youngm andm middlemschool-
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
,Wong'sm
agedm childrenmhavemtransitionalmcognitivemprocesses,m andmthey mmaymattemptmdangerousmac
tsm withoutmdetailed
m
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
,Wong'sm
planningm butm recognizem dangerm tom themselvesm ormothers.m Adolescentsm havemformalm opera
tionalmcognitivemprocessesmandmarempreoccupiedmwithm abstractmthinking.
DIF:m Cognitivem Level:m Understandingm REF:m dl.
m 4mTOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
4. Themschoolmnursemism assessingm childrenm form riskm factorsm relatedm tom childhoodm injuri
es.m Whichmchildmhasmthemmostmriskmfactorsmrelatedmtomchildhoodminjury?
a. Female,m multiplemsiblings,m stablemhomemlife
b. Male,mhighmactivity mlevel,m stressfulmhomemlife
c. Male,m evenm tempered,m history m of m previousm injuries
d. Female,m reactsm negatively m tom newm situations,m nomseriousm previousm
injuriesmANS:mB
Boysm havemampreponderancemform injuriesm overm girlsm becausemof m amdifferencem inmbehavioral
characteristics,mamhighm activity mtemperamentmism associatedmwithm risk-
takingmbehaviors,m andmstressmpredisposesm childrenm tom increasedm riskm takingm andm self-
destructivembehaviors.m Therefore,m ammalemchildmwithmamhighmactivity mlevelmandmlivingminmam
stressfulmenvironmentmhasmthemhighestmnumbermof mriskmfactors.mAmgirlmwithmseveralmsibling
smandmamstablem homemlifemism low mrisk.mAm boym withmpreviousminjuriesmhasm twomriskmfactors,m
butmanm evenmtempermism notmamriskmfactormforminjuries.mAm girlmwhomreactsmnegatively mtomnew
msituationsm butmhasmnompreviousmseriousm illnessesmhasmonly monem riskm factor.
DIF:m Cognitivem Level:mAnalyzingm REF:mdl.m4
mTOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
5. Themschoolmnursemism evaluatingmthemnumbermof m school-
agemchildrenmclassifiedmasm obese.mThemnursemrecognizesm thatmthempercentilemof mbody mmas
sm indexmthatmclassifiesm amchildmasm obesemism greatermthanmwhich?
a. 50thm percentile
b. 75thm percentile
c. 80thm percentile
d. 95thmpercenti
lemANS:mD
Obesity minmchildrenmandmadolescentsm ism definedm asm ambody mmassmindexmatmormgreatermthanmthem95th
percentilemform youthm of m themsamemagemandm gender.
DIF:m Cognitivem Level:m Rememberingm REF:mdl.m 3mTOP:mNursingm Process:m Evaluati
onmMSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
6. Themnursemism teachingm parentsm aboutmthemtypesm of m behaviorsm childrenmexhibitmwhenm
livingm withmchronic mviolence.mWhichmstatementmmademby mthemparentsmindicatesm furthermte
achingmism needed?
a. Wemshouldm watchm form aggressivemplay.
b. Ourm childm maymshow m lastingm symptomsm of m stress.
c. Wemknow m thatmourm childm willmshow m caringm behaviors.
d. Ourm childm maymhavemdifficulty mconcentratingm inmsc
hool.mANS:mC
m
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
,Wong'sm
Themstatementmthatmthemchildmwillmshow m caringmbehaviorsm needsm furthermteaching.m Childr
enmlivingmwithm chronic mviolencemmay mexhibitm behaviorsm suchmasm difficultym concentratingm i
nm school,m memory mimpairment,m aggressivemplay,muncaringmbehaviors,mandmlastingmsympto
msmof mstress.
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. Themnursemism evaluatingm researchm studiesm accordingm tom themGRADE mcriteriamandm hasm d
eterminedmthemquality m of mevidencemonmthemsubjectmism moderate.m Whichmtypemofm evidencemd
oesm thismdeterminationmindicate?
a. Strongm evidencem from m unbiasedm observationalm studies
b. Evidencem from m randomizedm clinicalm trialsm showedm inconsistentm results
c. Consistentm evidencem from m well-performedm randomizedm clinicalm trials
d. Evidencemform atm leastmonemcriticalmoutcomemfrommrandomizedm clinicalmtrialsm hadmseri
ousm flawsmANS:mB
Evidencemfrom mrandomizedmclinicalmtrialsm withmimportantmlimitationsm indicatesm thatmthem evidencemis
of mmoderatemquality.mStrongmevidencemfrom munbiasedmobservationalmstudiesmandmconsiste
ntmevidencemfrom mwell-
performedm randomizedm clinicalm trialsm indicatesmhighm quality.mEvidencemform atmleastmonemc
riticalmoutcomemfrom mrandomizedmclinicalmtrialsm thatmhasmseriousm flawsm indicatesmlow mqu
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. Anmadolescentmpatientmwantsm tom makemdecisionsm aboutmtreatmentmoptions,malongm
withm hismparents.m Whichm moralmvaluemism them nursemdisplayingm whenm supportingm them
adolescentmtom makemdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
emANS:mB
Autonomy mism thempatientsm rightmtom bemself-governing.m Themadolescentm ism tryingm tom bemautonomous,
somthemnursemism supportingmthismvalue.mJusticemism themconceptmof mfairness.mBeneficencemismt
hemobligationm tom promotemthempatientsm well-
being.m Nonmaleficencem ism themobligationm tom minimizemormpreventmharm.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m11m TOP:mNursingm Process:m Evaluationm
MSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
9. Themnursemmanagerm ism compilingm amreportmform amhospitalmcommitteemonm themquality m
of m nursing-
msensitivem indicatorsmformamnursingm unit.mWhichmdoesmthemnursemmanagermincludem inmthem
report?
a. Themaveragemagemof mthemnursesm onmthemunit
b. Themsalary m rangesm formthemnursesm onmthemunit
c. Themeducationmandmcertificationmof mthemnursesm onmthemunit
d. Themnumberm of m nursesm whomhavemappliedm butmweremnotmhiredm fo
rm themunitmANS:mC
m
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
Wong's Essentials of Pediatric Nursing 11th Edition Ho
m m m m m m m
ckenberry Rodgers Wilson Test Bank
m m m m
Chapterm 1.m Perspectivesm of m PediatricmNursing
MULTIPLEm CHOICE
1. Themnursemism planningm caremform amhospitalizedm preschool-
agedm child.m Whichm shouldm themnursemplanmtomensurematraumaticmcare?
a. Limitmexplanationm of m proceduresm becausemthemchildmism preschoolmaged.
b. Askm thatm allmfamily m membersm leavemthem room mwhenm performingm procedures.
c. Allowmthemchildmtomchoosemthemtypemof mjuicemtomdrinkm withmthemadministrationmof moralmme
dications.mExplainm thatmEMLAm cream mcannotmbemusedm formthemmorningm labmdrawmbecausem
theremism notmtimemfor
d. itmtombem effective.
ANS:m C
Themoverridingm goalminm providingm atraumatic mcaremismfirst,m domnom harm.m Allowingm themchil
dm amchoicemof mjuicemtomdrinkmwhenmtakingmoralmmedicationsmprovidesmthemchildmwithmamsens
emofm control.mThempreschoolmchildmshouldmbempreparedm beforemprocedures,m somlimitingm expl
anationsm of m proceduresmwouldmincreasemanxiety.m Themfamily mshouldmbemallowedmtomstay mwi
thm themchildm duringm procedures,mminimizingmstress.m Lidocaine/prilocainem(EMLA)mcream mis
mamtopicalm localmanesthetic.mThemnursemshouldmplanmtomusemthemprescribedm cream minmtimemf
ormmorningm laboratory mdrawsm tomminimizempain.mDIF:mCognitivemLevel:mApplyingmREF:mpp.m
8-9m TOP:mNursingmProcess:mPlanning
MSC:m Clientm Needs:m Healthm Promotionm andm Maintenance
2. Whichm situationm denotesm am nontherapeutic m nursepatientfamily m relationship?
a. Themnursemismplanningmtomreadmamfavoritemfairy mtalemtomam patient.
b. Duringmshiftmreport,m themnursemism criticizingmparentsm form notmvisitingm theirmchild.
c. Themnursemism discussingm withm amfellow m nursemthememotionalmdraw m tomamcertainm patient.
Themnursemismworkingmwithm amfamily mtomfindmwaysmtomdecreasem themfamilysm dependencemonmhea
lth
d. carem providers.
ANS:m B
Criticizingmparentsmformnotmvisitingminmshiftmreportmismnontherapeutic mandmshowsmanmunder
involvementmwithmthemparents.mReadingmamfairy mtalemism amtherapeutic mandmagemappropriate
maction.mDiscussingm feelingsm of m anm emotionalmdraw m withm amfellow m nursemism therapeutic man
dm showsm amwillingnessm tom understandm feelings.m Workingmwithmparentsm tom decreasem depen
dencem onm healthm caremprovidersmismtherapeutic mandmhelpsmtomempowermthemfamily.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m 9m TOP:m Integratedm Process:m Caring
MSC:m ClientmNeeds:m Psychosocialm Integrity
3. Themnursemism awaremthatmwhichm agemgroupm ism atmriskm formchildhoodminjury mbeca
usemof m themcognitivemcharacteristic mof mmagicalmandmegocentric mthinking?
a. Preschool
b. Youngm schoolm age
c. Middlem schoolm age
d. Adolescen
tmANS:mA
Preschoolmchildrenm havemthem cognitivemcharacteristic m of m magicalm andm egocentric mthinking,m meaning
they m aremunablemtom comprehendm dangerm tom self m orm others.m Youngm andm middlemschool-
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
,Wong'sm
agedm childrenmhavemtransitionalmcognitivemprocesses,m andmthey mmaymattemptmdangerousmac
tsm withoutmdetailed
m
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
,Wong'sm
planningm butm recognizem dangerm tom themselvesm ormothers.m Adolescentsm havemformalm opera
tionalmcognitivemprocessesmandmarempreoccupiedmwithm abstractmthinking.
DIF:m Cognitivem Level:m Understandingm REF:m dl.
m 4mTOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
4. Themschoolmnursemism assessingm childrenm form riskm factorsm relatedm tom childhoodm injuri
es.m Whichmchildmhasmthemmostmriskmfactorsmrelatedmtomchildhoodminjury?
a. Female,m multiplemsiblings,m stablemhomemlife
b. Male,mhighmactivity mlevel,m stressfulmhomemlife
c. Male,m evenm tempered,m history m of m previousm injuries
d. Female,m reactsm negatively m tom newm situations,m nomseriousm previousm
injuriesmANS:mB
Boysm havemampreponderancemform injuriesm overm girlsm becausemof m amdifferencem inmbehavioral
characteristics,mamhighm activity mtemperamentmism associatedmwithm risk-
takingmbehaviors,m andmstressmpredisposesm childrenm tom increasedm riskm takingm andm self-
destructivembehaviors.m Therefore,m ammalemchildmwithmamhighmactivity mlevelmandmlivingminmam
stressfulmenvironmentmhasmthemhighestmnumbermof mriskmfactors.mAmgirlmwithmseveralmsibling
smandmamstablem homemlifemism low mrisk.mAm boym withmpreviousminjuriesmhasm twomriskmfactors,m
butmanm evenmtempermism notmamriskmfactormforminjuries.mAm girlmwhomreactsmnegatively mtomnew
msituationsm butmhasmnompreviousmseriousm illnessesmhasmonly monem riskm factor.
DIF:m Cognitivem Level:mAnalyzingm REF:mdl.m4
mTOP:mNursingmProcess:mAssessment
MSC:m ClientmNeeds:m Safem andm Effectivem Carem Environment
5. Themschoolmnursemism evaluatingmthemnumbermof m school-
agemchildrenmclassifiedmasm obese.mThemnursemrecognizesm thatmthempercentilemof mbody mmas
sm indexmthatmclassifiesm amchildmasm obesemism greatermthanmwhich?
a. 50thm percentile
b. 75thm percentile
c. 80thm percentile
d. 95thmpercenti
lemANS:mD
Obesity minmchildrenmandmadolescentsm ism definedm asm ambody mmassmindexmatmormgreatermthanmthem95th
percentilemform youthm of m themsamemagemandm gender.
DIF:m Cognitivem Level:m Rememberingm REF:mdl.m 3mTOP:mNursingm Process:m Evaluati
onmMSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
6. Themnursemism teachingm parentsm aboutmthemtypesm of m behaviorsm childrenmexhibitmwhenm
livingm withmchronic mviolence.mWhichmstatementmmademby mthemparentsmindicatesm furthermte
achingmism needed?
a. Wemshouldm watchm form aggressivemplay.
b. Ourm childm maymshow m lastingm symptomsm of m stress.
c. Wemknow m thatmourm childm willmshow m caringm behaviors.
d. Ourm childm maymhavemdifficulty mconcentratingm inmsc
hool.mANS:mC
m
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
,Wong'sm
Themstatementmthatmthemchildmwillmshow m caringmbehaviorsm needsm furthermteaching.m Childr
enmlivingmwithm chronic mviolencemmay mexhibitm behaviorsm suchmasm difficultym concentratingm i
nm school,m memory mimpairment,m aggressivemplay,muncaringmbehaviors,mandmlastingmsympto
msmof mstress.
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. Themnursemism evaluatingm researchm studiesm accordingm tom themGRADE mcriteriamandm hasm d
eterminedmthemquality m of mevidencemonmthemsubjectmism moderate.m Whichmtypemofm evidencemd
oesm thismdeterminationmindicate?
a. Strongm evidencem from m unbiasedm observationalm studies
b. Evidencem from m randomizedm clinicalm trialsm showedm inconsistentm results
c. Consistentm evidencem from m well-performedm randomizedm clinicalm trials
d. Evidencemform atm leastmonemcriticalmoutcomemfrommrandomizedm clinicalmtrialsm hadmseri
ousm flawsmANS:mB
Evidencemfrom mrandomizedmclinicalmtrialsm withmimportantmlimitationsm indicatesm thatmthem evidencemis
of mmoderatemquality.mStrongmevidencemfrom munbiasedmobservationalmstudiesmandmconsiste
ntmevidencemfrom mwell-
performedm randomizedm clinicalm trialsm indicatesmhighm quality.mEvidencemform atmleastmonemc
riticalmoutcomemfrom mrandomizedmclinicalmtrialsm thatmhasmseriousm flawsm indicatesmlow mqu
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. Anmadolescentmpatientmwantsm tom makemdecisionsm aboutmtreatmentmoptions,malongm
withm hismparents.m Whichm moralmvaluemism them nursemdisplayingm whenm supportingm them
adolescentmtom makemdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
emANS:mB
Autonomy mism thempatientsm rightmtom bemself-governing.m Themadolescentm ism tryingm tom bemautonomous,
somthemnursemism supportingmthismvalue.mJusticemism themconceptmof mfairness.mBeneficencemismt
hemobligationm tom promotemthempatientsm well-
being.m Nonmaleficencem ism themobligationm tom minimizemormpreventmharm.
DIF:m Cognitivem Level:m Analyzingm REF:m dl.m11m TOP:mNursingm Process:m Evaluationm
MSC:mClientmNeeds:mHealthmPromotionmandmMaintenance
9. Themnursemmanagerm ism compilingm amreportmform amhospitalmcommitteemonm themquality m
of m nursing-
msensitivem indicatorsmformamnursingm unit.mWhichmdoesmthemnursemmanagermincludem inmthem
report?
a. Themaveragemagemof mthemnursesm onmthemunit
b. Themsalary m rangesm formthemnursesm onmthemunit
c. Themeducationmandmcertificationmof mthemnursesm onmthemunit
d. Themnumberm of m nursesm whomhavemappliedm butmweremnotmhiredm fo
rm themunitmANS:mC
m
Wong's mEssentials mofmPediatricmNursingm11th mEdition mHockenberry mRodgers mWilson mTest mBank
