ggg g gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
Bank
g g gg
, qq qq qq qq qq
qq qq qq qq qq qq qq qq qq
Edition
MULTIPLE CHOICE qq
1. What is the major cause of death
gggg gggg gggg gggg gg g g gggg gggg for gggg children gggg in the United
gggg gggg gggg States?
a. Heart disease gggg
b. Childhood cancer ggg g
c. Injuries
d. Congenital anomalies gggg
ANS: g g g g C
Unintentional injuries (accidents) are the leading cause of death after age 1
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
year through adolescence. The leading cause of death for those younger than 1
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
year is congenital anomalies, and childhood cancers and heart disease cause a
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
significantly lower percentage of deaths in children older than 1 year of age.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
DIF: Cognitive Level: Understanding TOP: Nursing Process: gggg gggg gggg qq
Planning MSC:
gggg Client Needs: Health Promotion and
gggg g g g g gggg gggg gggg gggg
Maintenance
gggg
2. Parents of a hospitalized toddler ask the nurse, ―What is meant by family-centered
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
gggg care?‖ The nurse should respond with which statement?
gggg gggg gggg gggg gggg gggg gggg
a. Family-centered care reduces the effect of cultural diversity on the family.
g gg g g ggg gggg gggg gggg gggg gggg gggg gg gg gggg
b. Family-centered care encourages family dependence on the health care system.
gg gg gggg gg gg gggg gggg gggg g ggg gggg gggg
c. Family-centered care recognizes that the family is the constant in a child‘s life.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
d. Family-centered care avoids expecting families to be part of the gggg gggg gggg gggg gggg gggg gggg gggg gggg
decision-making process.
gggg gggg
ANS: g g g g C
The three key components of family-centered care are respect, collaboration, and
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
support. Family- centered care recognizes the family as the constant in the child‘s
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
life. The family should be enabled and empowered to work with the health care
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
system and is expected to be part of the decision- making process. The nurse
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
should also support the family‘s cultural diversity, not reduce its effect.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
DIF: Cognitive Level: Applying TOP: Nursing Process: gggg gggg gggg qq
Implementation MSC:
gggg Client Needs: Health Promotion and gggg g g g g gggg gggg gggg gggg
Maintenance
gggg
3. Evidence-based practice (EBP), a decision-making model, is best described as which?
gggg gggg gggg gggg gggg gggg gggg gggg gg gg gggg
a. Using information in textbooks to guide care
gggg gggg gggg gggg gggg gggg
b. Combining knowledge with clinical experience and intuition
gggg gggg gggg gggg gggg gggg
c. Using a professional code of ethics as a means for decision making
gggg gggg g gg g gggg gggg gggg gggg gggg gggg gggg gggg
d. Gathering all evidence that applies to the child‘s health and family situation
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
ANS: g g g g B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions;
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
and questioning the best approach. EBP involves decision making based on the
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
integration of the best research evidence combined with clinical expertise and patient
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
values.
gggg
,Wong's Nursing Care of Infants and Children 12th Edition by
gg gg gg gg gg gg gg gg gg
Hockenberry Test
DIF: Cognitive Level: Remembering TOP: Nursing Process: gggg gggg gggg qq
Planning MSC:
gggg Client Needs: Safe and Effective Care
gggg g g g g gggg gggg gggg gggg gggg
Environment
gggg
4. The nurse is talking to a group of parents of school-age children at an after-
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
school program about childhood health problems. Which statement should the
gggg gggg gggg gggg gggg gggg gggg gggg gggg
nurse include in the teaching?
gggg gggg gggg gggg gggg
a. Childhood obesity is the most common nutritional problem among children.
gggg gggg gggg gggg gggg gggg gggg gggg gggg
b. Immunization rates are the same among children of different races and ethnicity.
gggg gg g g gggg gg gg gg gg gggg gggg gggg gggg gggg gggg
c. Dental caries is not a problem commonly seen in children since the
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
introduction of fluorinated water.
gggg gggg gggg gggg
d. Mental health problems are typically not seen in school-age children
gggg gggg gggg gggg gggg gggg gggg gggg gggg
but may be diagnosed in adolescents.
gggg gggg gggg gggg gggg gggg
ANS: g g g g A
When teaching parents of school-age children about childhood health problems, the
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
nurse should include information about childhood obesity because it is the
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
most common problem among children and is associated with type 2 diabetes.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
Teaching parents about ways to prevent obesity is important to include. Immunization
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
rates differ depending on the child‘s race and ethnicity; dental caries continues to
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
be a common chronic disease in childhood; and mental health problems are seen
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
in children as young as school age, not just in adolescents.
g g g g gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
DIF: Cognitive Level: Applying TOP: Integrated Process: gggg gggg gggg gggg
Teaching/Learning MSC:
gggg Client Needs: Health Promotion and gggg g g g g gggg gggg gggg gggg
Maintenance
gggg
5. The nurse is planning care for a hospitalized preschool-aged child. Which should
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
the nurse plan to ensure atraumatic care?
gggg gggg gggg gggg gggg gggg gggg
a. Limit explanation of procedures because the child is preschool aged.
gggg gggg gggg gggg gggg gggg gggg g gg g gggg
b. Ask that all family members leave the room when performing procedures.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
c. Allow the child to choose the type of juice to drink with the
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
administration of oral medications.
gggg gggg gggg gggg
d. Explain that EMLA cream cannot be used for the morning lab draw
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
because there is not time for it to be effective.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
ANS: g g g g C
The overriding goal in providing atraumatic care is first, do no harm. Allowing the
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
child, a choice of juice to drink when taking oral medications provides the child
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
with a sense of control. The preschool child should be prepared before procedures,
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
so limiting explanations of procedures would increase anxiety. The family should be
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
allowed to stay with the child during procedures, minimizing stress.
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
Lidocaine/prilocaine (EMLA) cream is a topical local anesthetic. The nurse should
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
plan to use the prescribed cream in time for morning laboratory draws to minimize
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
pain.
gggg
DIF: Cognitive Level: Applying TOP: Nursing Process: gggg gggg gggg qq
Planning MSC:
gggg Client Needs: Health Promotion and
gggg g g g g gggg gggg gggg gggg
Maintenance
gggg
6. Which situation denotes a nontherapeutic nurse–patient–family relationship?
gggg gggg gggg gggg gggg gggg
a. The nurse is planning to read a favorite fairy tale to a patient.
gggg gggg gggg gggg gggg gggg gggg gggg ggg gggg gggg gggg
b. During shift report, the nurse is criticizing parents for not visiting their
gggg gggg gggg gggg gggg gggg gggg gggg g g gg gggg g gg g gggg child.
c. The nurse is discussing with a fellow nurse the emotional draw
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
, Wong's Nursing Care of Infants and Children 12th Edition by
gg gg gg gg gg gg gg gg gg
to a certain patient.
Hockenberry Test
gggg gggg gggg gggg
d. The nurse is working with a familyto find ways to decrease
gggg gggg gggg gggg gggg gggg gggg gggg gggg gggg
gggg the family‘s dependence on health care providers.
gggg gggg gggg gggg gggg gggg