, Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers
b b b b b b b b
Wilson Test Bank b b b
Chapter 1. Perspectives of Pediatric Nursing
b b b b b
MULTIPLE CHOICE b
1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other
b b b b b b b b b b b b b b
countries. Compared with other countries that have a population of at least 25 million, the nurse
b b b b b b b b b b b b b b b b
makes which determination?
b b b
a. The United States is ranked last among 27 countries. b b b b b b b b
b. The United States is ranked similar to 20 other developed countries.
b b b b b b b b b b
c. The United States is ranked in the middle of 20 other developed countries.
b b b b b b b b b b b b
d. The United States is ranked highest among 27 other industrialized countries.
b b b b b b b b b b
ANS: A
b b
Although the death rate has decreased, the United States still ranks last in infant mortality among
b b b b b b b b b b b b b b b
nations with a population of at least 25 million. The United States has the highest infant death
b b b b b b b b b b b b b b b b
rate of developed nations.
b b b b
DIF: Cognitive Level: Remembering REF: dl. 6
b b b b b b
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
2. Which is the leading cause of death in infants younger than 1 year in the United States?
b b b b b b b b b b b b b b b b
a. Congenital anomalies b
b. Sudden infant death syndrome b b b
c. Disorders related to short gestation and low birth weight
b b b b b b b b
d. Maternal complications specific to the perinatal period b b b b b b
ANS: A
b b
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
b b b b b b b b b b b b b b
sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and
b b b b b b b b b b b b b
unspecified low birth weight, which account for 16.5%; and maternal complications such as
b b b b b b b b b b b b b
infections specific to the perinatal period, which account for 6.1% of deaths in infants younger
b b b b b b b b b b b b b b b
than 1 year of age.
b b b b b
DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
3. What is the major cause of death for children older than 1 year in the United States?
b b b b b b b b b b b b b b b b
a. Heart disease b
b. Childhood cancer b
c. Unintentional injuries b
d. Congenital anomalies b
ANS: C
b b
,Unintentional injuries (accidents) are the leading cause of death after age 1 year through
b b b b b b b b b b b b b
adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
b b b b b b b b b b b b b b b
and childhood cancers and heart disease cause a significantly lower percentage of deaths in
b b b b b b b b b b b b b b
children older than 1 year of age.
b b b b b b b
DIF: Cognitive Level: Understanding REF: dl. 7 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
b b b b b b b b b b b b b b b b b
a. Suicide and cancer b b
b. Suicide and homicide b b
c. Drowning and cancer b b
d. Homicide and heart disease b b b
ANS: B
b b
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
b b b b b b b b b b b b b b b
for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and
b b b b b b b b b b b b b b
heart disease account for 10.9% of the deaths in this age group.
b b b b b b b b b b b b
DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
b b b b b b b b b b b b b
Which should the nurse include in the session with regard to deaths caused by injuries?
b b b b b b b b b b b b b b b
a. More deaths occur in males. b b b b
b. More deaths occur in females. b b b b
c. The pattern of deaths does not vary according to age and sex.
b b b b b b b b b b b
d. The pattern of deaths does not vary widely among different ethnic groups.
b b b b b b b b b b b
ANS: A
b b
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
b b b b b b b b b b b b b b b
greatly among different ethnic groups, and the causes of unintentional deaths vary with age and
b b b b b b b b b b b b b b
gender.
b
DIF: Cognitive Level: Applying REF: pp. 7-8
b b b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
6. What do mortality statistics describe?
b b b b
a. Disease occurring regularly within a geographic location b b b b b b
b. The number of individuals who have died over a specific period
b b b b b b b b b b
c. The prevalence of specific illness in the population at a particular time
b b b b b b b b b b b
d. Disease occurring in more than the number of expected cases in a community b b b b b b b b b b b b
ANS: B
b b
Mortality statistics refer to the number of individuals who have died over a specific period.
b b b b b b b b b b b b b b
Morbidity statistics show the prevalence of specific illness in the population at a particular time.
b b b b b b b b b b b b b b
Data regarding disease within a geographic region, or in greater than expected numbers in a
b b b b b b b b b b b b b b b
community, may be extrapolated from analyzing the morbidity statistics.
b b b b b b b b b
DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
, 7. The nurse should assess which age group for suicide ideation since suicide in which age group
b b b b b b b b b b b b b b b
is the third leading cause of death?
b b b b b b b
a. Preschoolers
b. Young school age b b
c. Middle school age b b
d. Late school age and adolescents b b b b
ANS: D
b b
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age
b b b b b b b b b b b b b b b b b
group should be late school age and adolescents. Suicide is not one of the leading causes of death
b b b b b b b b b b b b b b b b b
for preschool and young or middle school-aged children.
b b b b b b b b
DIF: Cognitive Level: Understanding REF: dl. 6
b b b b b b
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The
b b b b b b b b b b b b b b
nurse should respond with which statement?
b b b b b b
a. Family-centered care reduces the effect of cultural diversity on the family. b b b b b b b b b b
b. Family-centered care encourages family dependence on the health care system. b b b b b b b b b
c. Family-centered care recognizes that the family is the constant in a childs life. b b b b b b b b b b b b
d. Family-centered care avoids expecting families to be part of the decision-making process. b b b b b b b b b b b
ANS: C
b b
The three key components of family-centered care are respect, collaboration, and support.
b b b b b b b b b b b
Family-centered care recognizes the family as the constant in the childs life. The family should
b b b b b b b b b b b b b b
be enabled and empowered to work with the health care system and is expected to be part of the
b b b b b b b b b b b b b b b b b b b
decision-making process. The nurse should also support the familys cultural diversity, not reduce
b b b b b b b b b b b b b
its effect.
b b
DIF: Cognitive Level: Applying REF: dl. 8
b b b b b b
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
9. The nurse is describing clinical reasoning to a group of nursing students. Which is most
b b b b b b b b b b b b b b
descriptive of clinical reasoning?
b b b b
a. Purposeful and goal directed b b b
b. A simple developmental process
b b b
c. Based on deliberate and irrational thought
b b b b b
d. Assists individuals in guessing what is most appropriate b b b b b b b
ANS: A
b b
Clinical reasoning is a complex developmental process based on rational and deliberate thought.
b b b b b b b b b b b b
When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection
b b b b b b b b b b b b
develops between the elements of thought and the problem at hand.
b b b b b b b b b b b
DIF: Cognitive Level: Applying REF: dl. 12
b b b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
10. Evidence-based practice (EBP), a decision-making model, is best described as which? b b b b b b b b b b
a. Using information in textbooks to guide care b b b b b b
b b b b b b b b
Wilson Test Bank b b b
Chapter 1. Perspectives of Pediatric Nursing
b b b b b
MULTIPLE CHOICE b
1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other
b b b b b b b b b b b b b b
countries. Compared with other countries that have a population of at least 25 million, the nurse
b b b b b b b b b b b b b b b b
makes which determination?
b b b
a. The United States is ranked last among 27 countries. b b b b b b b b
b. The United States is ranked similar to 20 other developed countries.
b b b b b b b b b b
c. The United States is ranked in the middle of 20 other developed countries.
b b b b b b b b b b b b
d. The United States is ranked highest among 27 other industrialized countries.
b b b b b b b b b b
ANS: A
b b
Although the death rate has decreased, the United States still ranks last in infant mortality among
b b b b b b b b b b b b b b b
nations with a population of at least 25 million. The United States has the highest infant death
b b b b b b b b b b b b b b b b
rate of developed nations.
b b b b
DIF: Cognitive Level: Remembering REF: dl. 6
b b b b b b
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
2. Which is the leading cause of death in infants younger than 1 year in the United States?
b b b b b b b b b b b b b b b b
a. Congenital anomalies b
b. Sudden infant death syndrome b b b
c. Disorders related to short gestation and low birth weight
b b b b b b b b
d. Maternal complications specific to the perinatal period b b b b b b
ANS: A
b b
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
b b b b b b b b b b b b b b
sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation and
b b b b b b b b b b b b b
unspecified low birth weight, which account for 16.5%; and maternal complications such as
b b b b b b b b b b b b b
infections specific to the perinatal period, which account for 6.1% of deaths in infants younger
b b b b b b b b b b b b b b b
than 1 year of age.
b b b b b
DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
3. What is the major cause of death for children older than 1 year in the United States?
b b b b b b b b b b b b b b b b
a. Heart disease b
b. Childhood cancer b
c. Unintentional injuries b
d. Congenital anomalies b
ANS: C
b b
,Unintentional injuries (accidents) are the leading cause of death after age 1 year through
b b b b b b b b b b b b b
adolescence. The leading cause of death for those younger than 1 year is congenital anomalies,
b b b b b b b b b b b b b b b
and childhood cancers and heart disease cause a significantly lower percentage of deaths in
b b b b b b b b b b b b b b
children older than 1 year of age.
b b b b b b b
DIF: Cognitive Level: Understanding REF: dl. 7 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
b b b b b b b b b b b b b b b b b
a. Suicide and cancer b b
b. Suicide and homicide b b
c. Drowning and cancer b b
d. Homicide and heart disease b b b
ANS: B
b b
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
b b b b b b b b b b b b b b b
for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide and
b b b b b b b b b b b b b b
heart disease account for 10.9% of the deaths in this age group.
b b b b b b b b b b b b
DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
b b b b b b b b b b b b b
Which should the nurse include in the session with regard to deaths caused by injuries?
b b b b b b b b b b b b b b b
a. More deaths occur in males. b b b b
b. More deaths occur in females. b b b b
c. The pattern of deaths does not vary according to age and sex.
b b b b b b b b b b b
d. The pattern of deaths does not vary widely among different ethnic groups.
b b b b b b b b b b b
ANS: A
b b
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
b b b b b b b b b b b b b b b
greatly among different ethnic groups, and the causes of unintentional deaths vary with age and
b b b b b b b b b b b b b b
gender.
b
DIF: Cognitive Level: Applying REF: pp. 7-8
b b b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
6. What do mortality statistics describe?
b b b b
a. Disease occurring regularly within a geographic location b b b b b b
b. The number of individuals who have died over a specific period
b b b b b b b b b b
c. The prevalence of specific illness in the population at a particular time
b b b b b b b b b b b
d. Disease occurring in more than the number of expected cases in a community b b b b b b b b b b b b
ANS: B
b b
Mortality statistics refer to the number of individuals who have died over a specific period.
b b b b b b b b b b b b b b
Morbidity statistics show the prevalence of specific illness in the population at a particular time.
b b b b b b b b b b b b b b
Data regarding disease within a geographic region, or in greater than expected numbers in a
b b b b b b b b b b b b b b b
community, may be extrapolated from analyzing the morbidity statistics.
b b b b b b b b b
DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Planning
b b b b b b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
, 7. The nurse should assess which age group for suicide ideation since suicide in which age group
b b b b b b b b b b b b b b b
is the third leading cause of death?
b b b b b b b
a. Preschoolers
b. Young school age b b
c. Middle school age b b
d. Late school age and adolescents b b b b
ANS: D
b b
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age
b b b b b b b b b b b b b b b b b
group should be late school age and adolescents. Suicide is not one of the leading causes of death
b b b b b b b b b b b b b b b b b
for preschool and young or middle school-aged children.
b b b b b b b b
DIF: Cognitive Level: Understanding REF: dl. 6
b b b b b b
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The
b b b b b b b b b b b b b b
nurse should respond with which statement?
b b b b b b
a. Family-centered care reduces the effect of cultural diversity on the family. b b b b b b b b b b
b. Family-centered care encourages family dependence on the health care system. b b b b b b b b b
c. Family-centered care recognizes that the family is the constant in a childs life. b b b b b b b b b b b b
d. Family-centered care avoids expecting families to be part of the decision-making process. b b b b b b b b b b b
ANS: C
b b
The three key components of family-centered care are respect, collaboration, and support.
b b b b b b b b b b b
Family-centered care recognizes the family as the constant in the childs life. The family should
b b b b b b b b b b b b b b
be enabled and empowered to work with the health care system and is expected to be part of the
b b b b b b b b b b b b b b b b b b b
decision-making process. The nurse should also support the familys cultural diversity, not reduce
b b b b b b b b b b b b b
its effect.
b b
DIF: Cognitive Level: Applying REF: dl. 8
b b b b b b
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b b b b
9. The nurse is describing clinical reasoning to a group of nursing students. Which is most
b b b b b b b b b b b b b b
descriptive of clinical reasoning?
b b b b
a. Purposeful and goal directed b b b
b. A simple developmental process
b b b
c. Based on deliberate and irrational thought
b b b b b
d. Assists individuals in guessing what is most appropriate b b b b b b b
ANS: A
b b
Clinical reasoning is a complex developmental process based on rational and deliberate thought.
b b b b b b b b b b b b
When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connection
b b b b b b b b b b b b
develops between the elements of thought and the problem at hand.
b b b b b b b b b b b
DIF: Cognitive Level: Applying REF: dl. 12
b b b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
10. Evidence-based practice (EBP), a decision-making model, is best described as which? b b b b b b b b b b
a. Using information in textbooks to guide care b b b b b b
