Wong's Nursing Care of Infants and Children 12th Edition by Hockenberry Test Bank
m m m m m m m m m m m m
,Chapter 01: Perspectives of Pediatric Nursing
$ $ $ $ $
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
$ $ $ $ $ $ $ $ $
dition
MULTIPLE CHOICE $
1. What mis themmajormcausemof mdeathmformchildrenminmthemUnited mStates?
$
a. Heart disease $
b. Childhood mcancer
c. Injuries
d. Congenitalanomalies
ANS:mC
Unintentionalminjuriesm(accidents)maremthemleading causemof mdeathmaftermagem1myearmthroughmadolescence.mT
$
hemleading causemof mdeathmformthosemyoungermthan 1myearmismcongenitalmanomalies,mand mchildhood mcancers
$ $
mand hmeart mdiseasemcausemamsignificantlymlowermpercentagemof mdeathsminmchildrenmoldermthan 1myearof mage.
$ $
DIF:m m Cognitive mLevel:mUnderstanding
TOP:mNursingmProcess:mPlanning MSC:m ClientmNeeds:mHealthmPromoti
$
o mn mand mMaintenance
2. Parentsmof mamhospitalized mtoddlermaskmthe nurse,m―What mismmeant mbyfamil $
y-mcentered mcare?‖ mThemnurseshould mrespond mwithmwhichmstatement?
a. Family-centered care reducesmthemeffect mof mculturalmdiversityon themfamily.
$ $ $
b. Family-centered caremencouragesmfamilydependencemon themhealthmcare system.
$ $ $
c. Family-centered mcaremrecognizesmthat mthemfamilyis themconstant minmamchild‘smlife. $
d. Family-
centered caremavoidsmexpectingmfamiliesmtombempart of mthemdecision-
$ $
mmakingprocess.
ANS:mC
Themthreemkeymcomponentsmof mfamily-centered mcaremaremrespect,mcollaboration,mand support.mFamily- $
mcentered mcaremrecognizesmthemfamilymasmthemconstant minmthemchild‘smlife.mThemfamilymshould bemenabled ma $
nd memmpowered mtomworkmwithmthemhealthmcaremsystem and mismexpected mtombempart mof mthemdecision- $
makingprocess.mThemnursemshould malsomsupport mthemfamily‘smculturalmdiversity,mnot mreducemitsmeffect.
DIF: Cognitive Level:mApplying $
TOP:mNursingmProcess:mImplementationMSC:m Client Needs:mHealth Promoti $ $
o mn mand mMaintenance
3. Evidence-based mpracticem(EBP),mamdecision-making model,mismbest mdescribed masmwhich? $
a. Using informationmin textbooksmtomguide care
$ $ $
b. Combiningmknowledgemwithmclinicalmexperiencemand mintuition
c. Using a professionalmcodemof methicsmasmammeans formdecisionmmaking
$ $ $
d. Gatheringmallmevidencemthat mappliesmto themchild‘smhealthmand mfamilysituation $
ANS:mB
EBPmhelpsmfocusmonmmeasurable moutcomes;mthemusemof mdemonstrated,meffectiveminterventions;mand mquesti
onimngmthembest mapproach.mEBPminvolvesmdecisionmmakingmbased onmthemintegrationmof mthembestresearchmev $
idencemcombined mwithmclinicalmexpertisemand mpatient mvalues.
,Wong'smNursing CaremofmInfantsmand mChildrenm12thmEditionmbymHockenberrymTestmBa
$
nk
DIF:m m Cognitive Level:mRemembering
$
TOP:mNursingmProcess:mPlanning MSC:m ClientmNeeds:mSafe and mEffect
$ $
iv memCaremEnvironment
4. Themnursemismtalking tomamgroupmof mparents of mschool-agemchildrenmat manmafter-
$ $
schoolmprogrammaboutchildhood mhealthmproblems.mWhichmstatement mshould mthemnursemincludemin mthemt mea
ching?
a. Childhoodobesityismthemmost mcommon nutritionalproblemmamongmchildren. $
b. Immunizationmratesmarethemsamemamongmchildrenmof mdifferent mracesmand methnicity.
c. Dentalmcariesmismnot ma problemmcommonlyseenmin childrenmsincemthemintroduction offlu
$ $ $
orminated mwater.
d. Mentalmhealthmproblemsmaremtypicallynot mseenminmschoo
l-magemchildrenmbut mmaymbediagnosed inmadolescents. $
ANS:mA
Whenmteaching parentsmof mschool-
$
agemchildrenmabout mchildhood mhealthmproblems,mthemnurse should mincludeminformationmabout childhood o
$ $ $
bemsitymbecause it mismthemmost commonmproblemmamongmchildrenmand ismassociated mwithmtypem2mdiabetes.m
$ $ $
Teachimngmparentsmabout mwaysmtomprevent mobesitymismimportant mto include.mImmunizationmrates differmdepe $ $
ndingmonmt mhemchild‘smracemand methnicity;mdentalmcariesmcontinuesto bemamcommonmchronicmdiseaseminmchild $
hood;mand mmemntalmhealthmproblemsmaremseenmin childrenmasmyoungmasmschoolmage, mnot mjust min madolescents
$
.
DIF:m m Cognitive Level:mApplying
$
TOP:mIntegrated mProcess:mTeaching/LearningMSC:mClientmNeeds:mHealthmPromoti
o mn mand mMaintenance
5. Themnursemismplanningmcaremformamhospitalized mpreschool-
aged mchild.mWhichmshould mthemnursemplanmtoensurematraumaticmcare?
a. Limit mexplanationmofproceduresmbecausemthemchild mismpreschoolmaged.
b. Askmthat mallmfamilymmembersmleavemthemroomwhenmperformingmprocedures.
c. Allow mthemchild mtomchoosemthemtypemof mjuicemto drinkmwithmthemadministrationmof moralm
$
edimcations.
d. Explainmthat mEMLA mcreammcannot mbemused mformthemmorningmlabmdraw mbecausemtherei
smnmot mtime formit mtombe effective.
$ $
ANS:mC
Themoverridingmgoalminmproviding atraumaticmcaremismfirst,mdomnomharm.mAllowing themchild,mamchoicemofj
$ $
uicmemtomdrink whenmtakingmoralmmedicationsmprovidesmthemchild mwithmamsensemof mcontrol.mThempreschool
$
child msmhould mbemprepared mbeforemprocedures,msomlimitingmexplanationsmof mproceduresmwould mincreasem
anxiety.mTmhemfamilyshould bemallowed mtomstaywithmthe child duringmprocedures,mminimizing stress.
$ $ $ $
Lidocaine/prilocaine (EMLA)mcreammismamtopicalmlocalmanesthetic.mThemnursemshould planmtomusemthe prescribe
$ $ $
d cmreamminmtimemformmorningmlaboratorydrawsmtomminimizempain.
$
DIF: Cognitive mLevel:mApplying
TOP:mNursingmProcess:mPlanning MSC:m ClientmNeeds:mHealthmPromoti
$
o mn mand mMaintenance
6. Whichmsituation denotesmamnontherapeuticmnurse–patient–familyrelationship?
$
a. Themnursemis planning to read ma favoritemfairytalemtoma patient.
$ $ $ $ $
b. Duringmshift mreport,mthemnursemismcriticizing parentsmformnot mvisitingmtheirmchild.
$
c. Themnursemis discussing withmamfellow mnursemthememotionalmdraw mtomamcertainmpatient.
$ $
d. Themnursemismworkingmwithmamfamilytomfind mwaysmtomdecreasemthemfamily‘sdependenc
emomnmhealthmcaremproviders.
, Wong'smNursing CaremofmInfantsmand mChildrenm12thmEditionmbymHockenberrymTestmBa
$
nk
ANS:mB
Criticizingmparentsmformnot mvisitingminmshift mreport mismnontherapeuticmand mshows anmunderminvolvement mw
$
ithmthemparents.mReadingmamfairymtalemismamtherapeuticmand mage-
appropriatemaction.mDiscussingmfeelingsofmanmemotionalmdraw mwith amfellow mnursemis therapeuticmandmsho
$ $
wmsmamwillingnessmtomunderstand mfeelings.mWorkingmwithmparentsmtomdecreasemdependencemonmhealthmcare
mprovmidersmismtherapeuticmand mhelpsmtomempowermthemfamily.
DIF:m m Cognitive mLevel:mAnalyzing
TOP:mIntegrated Process:mCaringMSC:m ClientmNeeds:mPsychosocialmInt
$
egrity
7. Themnursemismawaremthat mwhichmage-
groupmismat mriskmformchildhood minjurybecausemof mthemcognitivecharacteristic of mmagicalmand megoce
$
nt mricmthinking?
a. Preschool
b. Young schoolmage
$
c. Middlemschoolmage
d. Adolescent
ANS:mA
Preschoolmchildrenmhave themcognitivemcharacteristicmofmmagicalmand megocentricmthinking,mmeaning theyma
$ $
remunablemtomcomprehend mdangermtomself mormothers.mYoungmand middlemschool-$
aged mchildrenmhavemtransitionalmcognitivemprocesses,mand mtheymmaymattempt mdangerousmactsmwithout mdetail
ed mplanningmbut mrecognizemdangermtomthemselvesmormothers.mAdolescentsmhavemformalmoperationalmcognitiv
empromcessesmandarempreoccupied withmabstract mthinking.
$
DIF:m m Cognitive Level:mUnderstanding
$
TOP:mNursingmProcess:mAssessmentMSC:m ClientmNeeds:mSafemandmEffect
iv memCaremEnvironment
8. Themschoolnursemismassessingmchildren formrisk factorsmrelated mtomchildhood minjuries.mWhichmchild mhast
$ $
hemmost mriskmfactorsmrelated tomchildhood minjury?
$
a. Female,mmultiplemsiblings,mstablemhomemlife
b. Male,mhighmactivitylevel,mstressfulmhome mlife
c. Male,mevenmtempered,mhistoryof mpreviousminjuries
d. Female,mreactsmnegativelytomnew msituations,mnomseriousmpreviousminjuries
ANS:mB
Boysmhave ampreponderance forminjuries overmgirlsmbecausemof ma differencemin behavioralmcharacteristics,mam
$ $ $ $ $
himghmactivitymtemperament mismassociated mwithmrisk-
takingmbehaviors,mand mstressmpredisposesmchildrenmtoincreased mriskmtakingmand mself-
destructivembehaviors.mTherefore,mammalemchild withmamhigh activitymlevelmand mlivingminma mstressfulmenviron
$ $
memnt mhasmthemhighest mnumbermof mriskmfactors.mAmgirl mwithmseveralmsiblingsand amstablemhomemlifemis low mris
$ $
k.mAbomywithmpreviousminjuriesmhasmtwomriskmfactors,mbut manmevenmtemperismnotmamriskmfactormforminjuries.m
Amgirlmwhomrmeactsmnegativelymto new msituations mbut mhas mnomprevious mseriousm illnessesmhas onlymone mriskm
$ $
factor.
DIF:m m Cognitive mLevel:mAnalyzing
TOP:mNursingmProcess:mAssessmentMSC:m Client Needs:mSafemand Effecti
$ $
v memCaremEnvironment
9. Anmadolescent mpatient mwantsmtommakemdecisionsmabout mtreatment moptions,malongmwithmhismparents.mWhic
hmmoralmvaluemismthemnursemdisplaying whenmsupporting mthemadolescent mtommakemdecisions?
$
a. Justice
m m m m m m m m m m m m
,Chapter 01: Perspectives of Pediatric Nursing
$ $ $ $ $
Hockenberry: Wong’s Nursing Care of Infants and Children, 12th E
$ $ $ $ $ $ $ $ $
dition
MULTIPLE CHOICE $
1. What mis themmajormcausemof mdeathmformchildrenminmthemUnited mStates?
$
a. Heart disease $
b. Childhood mcancer
c. Injuries
d. Congenitalanomalies
ANS:mC
Unintentionalminjuriesm(accidents)maremthemleading causemof mdeathmaftermagem1myearmthroughmadolescence.mT
$
hemleading causemof mdeathmformthosemyoungermthan 1myearmismcongenitalmanomalies,mand mchildhood mcancers
$ $
mand hmeart mdiseasemcausemamsignificantlymlowermpercentagemof mdeathsminmchildrenmoldermthan 1myearof mage.
$ $
DIF:m m Cognitive mLevel:mUnderstanding
TOP:mNursingmProcess:mPlanning MSC:m ClientmNeeds:mHealthmPromoti
$
o mn mand mMaintenance
2. Parentsmof mamhospitalized mtoddlermaskmthe nurse,m―What mismmeant mbyfamil $
y-mcentered mcare?‖ mThemnurseshould mrespond mwithmwhichmstatement?
a. Family-centered care reducesmthemeffect mof mculturalmdiversityon themfamily.
$ $ $
b. Family-centered caremencouragesmfamilydependencemon themhealthmcare system.
$ $ $
c. Family-centered mcaremrecognizesmthat mthemfamilyis themconstant minmamchild‘smlife. $
d. Family-
centered caremavoidsmexpectingmfamiliesmtombempart of mthemdecision-
$ $
mmakingprocess.
ANS:mC
Themthreemkeymcomponentsmof mfamily-centered mcaremaremrespect,mcollaboration,mand support.mFamily- $
mcentered mcaremrecognizesmthemfamilymasmthemconstant minmthemchild‘smlife.mThemfamilymshould bemenabled ma $
nd memmpowered mtomworkmwithmthemhealthmcaremsystem and mismexpected mtombempart mof mthemdecision- $
makingprocess.mThemnursemshould malsomsupport mthemfamily‘smculturalmdiversity,mnot mreducemitsmeffect.
DIF: Cognitive Level:mApplying $
TOP:mNursingmProcess:mImplementationMSC:m Client Needs:mHealth Promoti $ $
o mn mand mMaintenance
3. Evidence-based mpracticem(EBP),mamdecision-making model,mismbest mdescribed masmwhich? $
a. Using informationmin textbooksmtomguide care
$ $ $
b. Combiningmknowledgemwithmclinicalmexperiencemand mintuition
c. Using a professionalmcodemof methicsmasmammeans formdecisionmmaking
$ $ $
d. Gatheringmallmevidencemthat mappliesmto themchild‘smhealthmand mfamilysituation $
ANS:mB
EBPmhelpsmfocusmonmmeasurable moutcomes;mthemusemof mdemonstrated,meffectiveminterventions;mand mquesti
onimngmthembest mapproach.mEBPminvolvesmdecisionmmakingmbased onmthemintegrationmof mthembestresearchmev $
idencemcombined mwithmclinicalmexpertisemand mpatient mvalues.
,Wong'smNursing CaremofmInfantsmand mChildrenm12thmEditionmbymHockenberrymTestmBa
$
nk
DIF:m m Cognitive Level:mRemembering
$
TOP:mNursingmProcess:mPlanning MSC:m ClientmNeeds:mSafe and mEffect
$ $
iv memCaremEnvironment
4. Themnursemismtalking tomamgroupmof mparents of mschool-agemchildrenmat manmafter-
$ $
schoolmprogrammaboutchildhood mhealthmproblems.mWhichmstatement mshould mthemnursemincludemin mthemt mea
ching?
a. Childhoodobesityismthemmost mcommon nutritionalproblemmamongmchildren. $
b. Immunizationmratesmarethemsamemamongmchildrenmof mdifferent mracesmand methnicity.
c. Dentalmcariesmismnot ma problemmcommonlyseenmin childrenmsincemthemintroduction offlu
$ $ $
orminated mwater.
d. Mentalmhealthmproblemsmaremtypicallynot mseenminmschoo
l-magemchildrenmbut mmaymbediagnosed inmadolescents. $
ANS:mA
Whenmteaching parentsmof mschool-
$
agemchildrenmabout mchildhood mhealthmproblems,mthemnurse should mincludeminformationmabout childhood o
$ $ $
bemsitymbecause it mismthemmost commonmproblemmamongmchildrenmand ismassociated mwithmtypem2mdiabetes.m
$ $ $
Teachimngmparentsmabout mwaysmtomprevent mobesitymismimportant mto include.mImmunizationmrates differmdepe $ $
ndingmonmt mhemchild‘smracemand methnicity;mdentalmcariesmcontinuesto bemamcommonmchronicmdiseaseminmchild $
hood;mand mmemntalmhealthmproblemsmaremseenmin childrenmasmyoungmasmschoolmage, mnot mjust min madolescents
$
.
DIF:m m Cognitive Level:mApplying
$
TOP:mIntegrated mProcess:mTeaching/LearningMSC:mClientmNeeds:mHealthmPromoti
o mn mand mMaintenance
5. Themnursemismplanningmcaremformamhospitalized mpreschool-
aged mchild.mWhichmshould mthemnursemplanmtoensurematraumaticmcare?
a. Limit mexplanationmofproceduresmbecausemthemchild mismpreschoolmaged.
b. Askmthat mallmfamilymmembersmleavemthemroomwhenmperformingmprocedures.
c. Allow mthemchild mtomchoosemthemtypemof mjuicemto drinkmwithmthemadministrationmof moralm
$
edimcations.
d. Explainmthat mEMLA mcreammcannot mbemused mformthemmorningmlabmdraw mbecausemtherei
smnmot mtime formit mtombe effective.
$ $
ANS:mC
Themoverridingmgoalminmproviding atraumaticmcaremismfirst,mdomnomharm.mAllowing themchild,mamchoicemofj
$ $
uicmemtomdrink whenmtakingmoralmmedicationsmprovidesmthemchild mwithmamsensemof mcontrol.mThempreschool
$
child msmhould mbemprepared mbeforemprocedures,msomlimitingmexplanationsmof mproceduresmwould mincreasem
anxiety.mTmhemfamilyshould bemallowed mtomstaywithmthe child duringmprocedures,mminimizing stress.
$ $ $ $
Lidocaine/prilocaine (EMLA)mcreammismamtopicalmlocalmanesthetic.mThemnursemshould planmtomusemthe prescribe
$ $ $
d cmreamminmtimemformmorningmlaboratorydrawsmtomminimizempain.
$
DIF: Cognitive mLevel:mApplying
TOP:mNursingmProcess:mPlanning MSC:m ClientmNeeds:mHealthmPromoti
$
o mn mand mMaintenance
6. Whichmsituation denotesmamnontherapeuticmnurse–patient–familyrelationship?
$
a. Themnursemis planning to read ma favoritemfairytalemtoma patient.
$ $ $ $ $
b. Duringmshift mreport,mthemnursemismcriticizing parentsmformnot mvisitingmtheirmchild.
$
c. Themnursemis discussing withmamfellow mnursemthememotionalmdraw mtomamcertainmpatient.
$ $
d. Themnursemismworkingmwithmamfamilytomfind mwaysmtomdecreasemthemfamily‘sdependenc
emomnmhealthmcaremproviders.
, Wong'smNursing CaremofmInfantsmand mChildrenm12thmEditionmbymHockenberrymTestmBa
$
nk
ANS:mB
Criticizingmparentsmformnot mvisitingminmshift mreport mismnontherapeuticmand mshows anmunderminvolvement mw
$
ithmthemparents.mReadingmamfairymtalemismamtherapeuticmand mage-
appropriatemaction.mDiscussingmfeelingsofmanmemotionalmdraw mwith amfellow mnursemis therapeuticmandmsho
$ $
wmsmamwillingnessmtomunderstand mfeelings.mWorkingmwithmparentsmtomdecreasemdependencemonmhealthmcare
mprovmidersmismtherapeuticmand mhelpsmtomempowermthemfamily.
DIF:m m Cognitive mLevel:mAnalyzing
TOP:mIntegrated Process:mCaringMSC:m ClientmNeeds:mPsychosocialmInt
$
egrity
7. Themnursemismawaremthat mwhichmage-
groupmismat mriskmformchildhood minjurybecausemof mthemcognitivecharacteristic of mmagicalmand megoce
$
nt mricmthinking?
a. Preschool
b. Young schoolmage
$
c. Middlemschoolmage
d. Adolescent
ANS:mA
Preschoolmchildrenmhave themcognitivemcharacteristicmofmmagicalmand megocentricmthinking,mmeaning theyma
$ $
remunablemtomcomprehend mdangermtomself mormothers.mYoungmand middlemschool-$
aged mchildrenmhavemtransitionalmcognitivemprocesses,mand mtheymmaymattempt mdangerousmactsmwithout mdetail
ed mplanningmbut mrecognizemdangermtomthemselvesmormothers.mAdolescentsmhavemformalmoperationalmcognitiv
empromcessesmandarempreoccupied withmabstract mthinking.
$
DIF:m m Cognitive Level:mUnderstanding
$
TOP:mNursingmProcess:mAssessmentMSC:m ClientmNeeds:mSafemandmEffect
iv memCaremEnvironment
8. Themschoolnursemismassessingmchildren formrisk factorsmrelated mtomchildhood minjuries.mWhichmchild mhast
$ $
hemmost mriskmfactorsmrelated tomchildhood minjury?
$
a. Female,mmultiplemsiblings,mstablemhomemlife
b. Male,mhighmactivitylevel,mstressfulmhome mlife
c. Male,mevenmtempered,mhistoryof mpreviousminjuries
d. Female,mreactsmnegativelytomnew msituations,mnomseriousmpreviousminjuries
ANS:mB
Boysmhave ampreponderance forminjuries overmgirlsmbecausemof ma differencemin behavioralmcharacteristics,mam
$ $ $ $ $
himghmactivitymtemperament mismassociated mwithmrisk-
takingmbehaviors,mand mstressmpredisposesmchildrenmtoincreased mriskmtakingmand mself-
destructivembehaviors.mTherefore,mammalemchild withmamhigh activitymlevelmand mlivingminma mstressfulmenviron
$ $
memnt mhasmthemhighest mnumbermof mriskmfactors.mAmgirl mwithmseveralmsiblingsand amstablemhomemlifemis low mris
$ $
k.mAbomywithmpreviousminjuriesmhasmtwomriskmfactors,mbut manmevenmtemperismnotmamriskmfactormforminjuries.m
Amgirlmwhomrmeactsmnegativelymto new msituations mbut mhas mnomprevious mseriousm illnessesmhas onlymone mriskm
$ $
factor.
DIF:m m Cognitive mLevel:mAnalyzing
TOP:mNursingmProcess:mAssessmentMSC:m Client Needs:mSafemand Effecti
$ $
v memCaremEnvironment
9. Anmadolescent mpatient mwantsmtommakemdecisionsmabout mtreatment moptions,malongmwithmhismparents.mWhic
hmmoralmvaluemismthemnursemdisplaying whenmsupporting mthemadolescent mtommakemdecisions?
$
a. Justice
