Wong's Essentials of Pediatric Nursing 11th Edition Hoc
k k k k k k k
kenberry RodgersWilson Test Bankk k k k
Chapterk 1.k Perspectivesk ofk Pediatrick Nursing
MULTIPLEk CHOICE
1. Thek nursekisk planningk carek fork ak hospitalizedk preschool-
agedk child.k Whichk shouldk thek nursekplanktokensurekatraumatickcare?
a. Limitkexplanationk ofk proceduresk becausek thekchildkisk preschoolkaged.
b. Askk thatk allk familyk membersk leavek thek roomk whenk performingk procedures.
c. Allowk thekchildk tokchoosekthektypekofk juicektokdrinkk withk thekadministrationkofk oralkmedicati
ons.kExplaink thatkEMLAk creamk cannotk bek usedk fork thekmorningk labk drawk becausek therekisk n
otk timek for
d. itktokbek effective.
ANS:k C
Thekoverridingk goalkink providingk atraumatickcarek isk first,k dok nokharm.k Allowingk thekchildk ak c
hoicekofk juicektok drinkk whenk takingk oralkmedicationsk providesk thekchildk withkaksensekofk contr
ol.kThekpreschoolkchildk shouldk bekpreparedk beforekprocedures,k sok limitingk explanationsk ofk p
rocedureskwouldk increasek anxiety.kThek familyk shouldk bekallowedk tok stayk withk thekchildk duri
ngk procedures,kminimizingk stress.k Lidocaine/prilocainek(EMLA)kcreamkiskaktopicalklocalkanes
thetic.kTheknursekshouldkplank tokusekthekprescribedk creamkinktimekforkmorningk laboratoryk dr
awsk tok minimizekpain.kDIF:kCognitivekLevel:kApplyingkREF:kpp.k8-
9k TOP:kNursingkProcess:kPlanning
MSC:k Clientk Needs:k Healthk Promotionk andk Maintenance
2. Whichk situationk denotesk ak nontherapeutick nursepatientfamilyk relationship?
a. Theknursekisk planningk tokreadkakfavoritekfairyk talektokak patient.
b. Duringkshiftkreport,k theknursekisk criticizingk parentsk fork notkvisitingk theirkchild.
c. Theknursekisk discussingk withk ak fellowk nursek thekemotionalk drawk tokakcertainkpatient.
Theknursekisk workingk withk akfamilyk tokfindk waysk tok decreasek thekfamilysk dependencekonk health
d. carek providers.
ANS:k B
Criticizingkparentskforknotkvisitingkinkshiftkreportkisknontherapeutickandkshowsk ankunderinvo
lvementkwithk thekparents.k Readingk akfairyk talekisk aktherapeutickandk agekappropriatekaction.k
Discussingk feelingsk ofk ank emotionalk drawk withk akfellowk nursek isk therapeutickandk showsk akw
illingnessk tok understandk feelings.k Workingk withk parentsk tok decreasek dependencek onk healthk
carekproviderskisktherapeutickandkhelpsktok empowerkthekfamily.
DIF:k Cognitivek Level:k Analyzingk REF:k dl.k 9k TOP:k Integratedk Process:k Caring
MSC:k ClientkNeeds:k Psychosocialk Integrity
3. Thek nursek isk awarek thatkwhichk agek groupk isk atkriskk fork childhoodk injuryk becausek
ofk thekcognitivekcharacteristickofkmagicalkandkegocentrickthinking?
a. Preschool
b. Youngk schoolk age
c. Middlek schoolk age
d. Adolescen
tkANS:kA
Preschoolkchildrenk havek thek cognitivekcharacteristick ofk magicalk andk egocentrick thinking,k meaning
theyk arekunablek tok comprehendk dangerk tok selfk ork others.k Youngk andk middlekschool-
agedk childrenkhavektransitionalkcognitivekprocesses,k andk theyk mayk attemptkdangerouskactsk
Wong'skEssentialskofkPediatrickNursingk11thkEditionkHockenberrykRodgerskWilsonkTestkBank
,Wong'sk
withoutkdetailed
k
Wong'skEssentialskofkPediatrickNursingk11thkEditionkHockenberrykRodgerskWilsonkTestkBank
,Wong'sk
planningk butk recognizek dangerk tok themselvesk ork others.k Adolescentsk havek formalk operation
alkcognitivekprocesseskandkarekpreoccupiedkwithk abstractkthinking.
DIF:k Cognitivek Level:k Understandingk REF:k dl.k 4k
TOP:kNursingkProcess:kAssessment
MSC:k ClientkNeeds:k Safek andk Effectivek Carek Environment
4. Thekschoolk nursekisk assessingk childrenk fork riskk factorsk relatedk tok childhoodk injuries.k
Whichkchildkhaskthekmostkriskkfactorskrelatedktokchildhoodkinjury?
a. Female,k multipleksiblings,k stablek homek life
b. Male,khighk activityk level,k stressfulkhomeklife
c. Male,k evenk tempered,k historyk ofk previousk injuries
d. Female,k reactsk negativelyktok newk situations,k nok seriousk previousk inj
urieskANS:kB
Boysk havek ak preponderancek fork injuriesk overk girlsk becausekofk ak differencekink behavioral
characteristics,k akhighk activityk temperamentkisk associatedk withk risk-
takingk behaviors,k andkstresskpredisposesk childrenk tok increasedk riskk takingk andk self-
destructivekbehaviors.kTherefore,k akmalekchildk withk akhighk activityk levelkandk livingkink akstres
sfulkenvironmentkhask thekhighestknumberkofkriskkfactors.k Ak girlkwithkseveralksiblingsk andk aks
tablek homeklifekisk lowk risk.k Ak boyk withk previouskinjuriesk hask twok riskk factors,kbutkank evenk te
mperkisk notkakriskk factorkfork injuries.k Ak girlkwhok reactsknegativelyktoknewksituationsk butkhask
nok previousk seriousk illnessesk hask onlykonekriskkfactor.
DIF:k Cognitivek Level:k Analyzingk REF:k dl.k 4kT
OP:kNursingkProcess:kAssessment
MSC:k ClientkNeeds:k Safek andk Effectivek Carek Environment
5. Thekschoolknursekisk evaluatingk theknumberk ofkschool-
agekchildrenk classifiedk ask obese.k Theknursekrecognizesk thatkthekpercentilekofkbodyk massk ind
exk thatkclassifiesk akchildkask obesekisk greaterkthankwhich?
a. 50thk percentile
b. 75thk percentile
c. 80thk percentile
d. 95thkpercenti
lekANS:kD
Obesitykinkchildrenk andkadolescentsk isk definedk ask akbodykmasskindexk atkork greaterk thank thek95th
percentilekfork youthkofk theksamekagek andk gender.
DIF:k Cognitivek Level:k Rememberingk REF:k dl.k 3k TOP:k Nursingk Process:k Evaluationk
MSC:kClientkNeeds:kHealthkPromotionkandkMaintenance
6. Thek nursek isk teachingk parentsk aboutk thek typesk ofk behaviorsk childrenk exhibitkwhenk livin
gk withkchronickviolence.kWhichkstatementkmadekbyk thekparentskindicatesk furtherk teachingk is
k needed?
a. Wekshouldk watchk fork aggressivek play.
b. Ourk childk mayk showk lastingk symptomsk ofk stress.
c. Wekknowk thatkourk childk willkshowk caringk behaviors.
d. Ourk childk mayk havek difficultyk concentratingk ink scho
ol.kANS:kC
k
Wong'skEssentialskofkPediatrickNursingk11thkEditionkHockenberrykRodgerskWilsonkTestkBank
,Wong'sk
Thekstatementkthatkthek childk willkshowk caringk behaviorsk needsk furtherk teaching.k Childrenk li
vingkwithk chronickviolencek mayk exhibitk behaviorsk suchk ask difficultyk concentratingk ink school,
k memoryk impairment,k aggressivekplay,kuncaringkbehaviors,kandklastingksymptomskofkstress.
DIF:k Cognitivek Level:k Applyingk REF:k dl.k 6
TOP:k Integratedk Process:k Teaching/Learning
MSC:k ClientkNeeds:k Healthk Promotionk andk Maintenance
7. Thek nursekisk evaluatingk researchk studiesk accordingk tok thek GRADEk criteriakandk hask deter
minedkthek qualityk ofk evidencekonk thek subjectk isk moderate.k Whichk typekofk evidencek doesk thisk
determinationkindicate?
a. Strongk evidencek fromk unbiasedk observationalk studies
b. Evidencek fromk randomizedk clinicalk trialsk showedk inconsistentk results
c. Consistentk evidencek fromk well-performedk randomizedk clinicalk trials
d. Evidencekfork atk leastkonekcriticalkoutcomek fromkrandomizedk clinicalk trialsk hadk seriousk
flawskANS:kB
Evidencekfromkrandomizedk clinicalktrialsk withkimportantklimitationsk indicatesk thatkthek evidencekis
ofkmoderatekquality.kStrongk evidencekfromkunbiasedk observationalkstudiesk andk consistentk
evidencek fromkwell-
performedk randomizedk clinicalk trialsk indicatesk highk quality.k Evidencek fork atkleastkonekcritic
alkoutcomek fromkrandomizedkclinicalktrialsk thatkhask seriousk flawsk indicatesk lowkquality.
DIF:k Cognitivek Level:k Rememberingk REF:k dl.k 12k TOP:k Nursingk Process:k Evaluation
MSC:k ClientkNeeds:k Safek andk Effectivek Carek Environment
8. Ank adolescentk patientk wantsk tok makekdecisionsk aboutk treatmentkoptions,kalongk wit
hk hiskparents.k Whichk moralk valuek isk thek nursekdisplayingk whenk supportingk thek adolesc
entk tok makekdecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
ekANS:kB
Autonomyk isk thek patientsk rightk tok bek self-governing.k Thek adolescentkisk tryingk tok bekautonomous,
soktheknursekisk supportingkthisk value.k Justicekisk thekconceptkofk fairness.kBeneficencekisk theko
bligationk tok promotek thekpatientsk well-
being.k Nonmaleficencekisk thekobligationk tok minimizekorkpreventkharm.
DIF:k Cognitivek Level:k Analyzingk REF:k dl.k 11k TOP:kNursingk Process:k EvaluationkMS
C:kClientkNeeds:kHealthkPromotionkandkMaintenance
9. Thek nursekmanagerk isk compilingk ak reportk fork ak hospitalk committeek onk thek qualityk ofk nu
rsing-
sensitivekindicatorsk fork aknursingk unit.k Whichk doesktheknursekmanagerkincludek ink thekrepo
k
rt?
a. Thekaveragekagekofk theknursesk onk thekunit
b. Theksalaryk rangeskfork theknursesk onk thekunit
c. Thekeducationkandk certificationk ofk theknursesk onk thekunit
d. Thek numberk ofk nursesk whok havek appliedk butk wereknotk hiredk fork th
ek unitkANS:kC
k
Wong'skEssentialskofkPediatrickNursingk11thkEditionkHockenberrykRodgerskWilsonkTestkBank