Wong's8Nursing8Care8of8Infants8and8Children812th8Edition8by8Hockenberry8Test8Bank
,Chapter801:8Perspectives8of8Pediatric8Nursing
Hockenberry:8Wong’s8Nursing8Care8of8Infants8and8Children,812th8
Edition
MULTIPLE8CHOICE
1. What8is8the8major8cause8of8death8for8children8in8the8United8States?
a. Heart8disease
b. Childhood8cancer
c. Injuries
d. Congenital8anomalies
ANS:8 C
Unintentional8injuries8(accidents)8are8the8leading8cause8of8death8after8age818year8through8adolescence.8
The8leading8cause8of8death8for8those8younger8than818year8is8congenital8anomalies,8and8childhood8cance
rs8and8heart8disease8cause8a8significantly8lower8percentage8of8deaths8in8children8older8than818 year8of8age
.
DIF: Cognitive8Level:8Understanding
TOP:8Nursing8Process:8Planning8MSC:8 Client8Needs:8Health8Promoti
on8and8Maintenance
2. Parents8of8a8hospitalized8toddler8ask8the8nurse,8“What8is8meant8by8family-
centered8care?”8The8nurse8should8respond8with8which8statement?
a. Family-centered8care8reduces8the8effect8of8cultural8diversity8on8the8family.
b. Family-centered8care8encourages8family8dependence8on8the8health8care8system.
c. Family-centered8care8recognizes8that8the8family8is8the8constant8in8a8child’s8life.
d. Family-centered8care8avoids8expecting8families8to8be8part8of8the8decision-
making8process.
ANS:8 C
The8three8key8components8of8family-centered8care8are8respect,8collaboration,8and8support.8Family-
8centered8care8recognizes8the8family8as8the8constant8in8the8child’s8life.8The8family8should8be8enabled8a
nd8empowered8to8work8with8the8health8care8system8and8is8expected8to8be8part8of8the8decision-
making8process.8The8nurse8should8also8support8the8family’s8cultural8diversity,8 not8reduce8its8effect.
DIF: Cognitive8Level:8Applying
TOP:8Nursing8Process:8Implementation8MSC:8 Client8Needs:8Health8Promoti
on8and8Maintenance
3. Evidence-based8practice8(EBP),8a8decision-making8model,8is8best8described8as8which?
a. Using8information8in8textbooks8to8guide8care
b. Combining8knowledge8with8clinical8experience8and8intuition
c. Using8a8professional8code8of8ethics8as8a8means8for8decision8making
d. Gathering8all8evidence8that8applies8to8the8child’s8health8and8family8situation
ANS:8 B
EBP8helps8focus8on8measurable8outcomes;8the8use8of8demonstrated,8effective8interventions;8and8questi
oning8the8best8approach.8EBP8involves8decision8making8based8on8the8integration8of8the8best8research8ev
idence8combined8with8clinical8expertise8and8patient8values.
,Wong's8Nursing8Care8of8Infants8and8Children812th8Edition8by8Hockenberry8Test8Ban
k
DIF: Cognitive8Level:8Remembering
TOP:8Nursing8Process:8Planning8MSC:8 Client8Needs:8Safe8and8Effect
ive8Care8Environment
4. The8nurse8is8talking8to8a8group8of8parents8of8school-age8children8at8an8after-
school8program8about8childhood8health8problems.8 Which8statement8 should8the8nurse8include8in8th
e8teaching?
a. Childhood8obesity8is8the8most8common8nutritional8problem8among8children.
b. Immunization8rates8are8the8same8among8children8of8different8races8and8ethnicity.
c. Dental8caries8is8not8a8problem8commonly8seen8in8children8since8the8introduction8of8fl
uorinated8water.
d. Mental8health8problems8are8typically8not8seen8in8school-
age8children8but8may8be8diagnosed8 in8adolescents.
ANS:8 A
When8teaching8parents8of8school-
age8children8about8childhood8health8problems,8the8nurse8should8include8information8about8childhood8o
besity8because8it8is8the8most8common8problem8among8children8and8is8associated8with8type828diabetes.8
Teaching8parents8about8ways8to8prevent8obesity8is8important8to8include.8Immunization8rates8differ8depe
nding8on8the8child’s8race8and8ethnicity;8dental8caries8continues8to8be8a8common8chronic8disease8in8child
hood;8and8mental8health8problems8are8seen8in8children8as8young8as8school8age,8not8 just8 in8adolescents.
DIF: Cognitive8Level:8Applying
TOP:8Integrated8Process:8Teaching/Learning8MSC:8 Client8Needs:8Health8Promoti
on8and8Maintenance
5. The8nurse8is8planning8care8for8a8hospitalized8preschool-
aged8child.8Which8should8the8nurse8plan8to8ensure8atraumatic8care?
a. Limit8explanation8of8procedures8because8the8child8is8preschool8aged.
b. Ask8that8all8family8members8leave8the8room8when8performing8procedures.
c. Allow8the8child8to8choose8the8type8of8juice8to8drink8 with8the8administration8of8oral8m
edications.
d. Explain8that8EMLA8cream8cannot8be8used8for8the8morning8lab8draw8because8there8i
s8not8time8for8it8to8be8effective.
ANS:8 C
The8overriding8goal8in8providing8atraumatic8care8is8first,8do8no8harm.8Allowing8the8child,8a8choice8of8
juice8to8drink8when8taking8oral8medications8provides8the8child8with8a8sense8of8control.8The8preschool8
child8should8be8prepared8before8procedures,8so8limiting8explanations8of8procedures8would8increase8a
nxiety.8The8family8should8be8allowed8to8stay8with8the8child8during8procedures,8minimizing8 stress.
Lidocaine/prilocaine8(EMLA)8cream8is8a8topical8local8anesthetic.8The8nurse8should8plan8to8use8the8prescrib
ed8cream8in8time8for8morning8laboratory8draws8to8minimize8pain.
DIF: Cognitive8Level:8Applying
TOP:8Nursing8Process:8Planning8MSC:8 Client8Needs:8Health8Promoti
on8and8Maintenance
6. Which8situation8denotes8a8nontherapeutic8nurse–patient–family8relationship?
a. The8nurse8is8planning8to8read8a8favorite8fairy8tale8to8a8patient.
b. During8shift8report,8the8nurse8is8criticizing8parents8for8not8visiting8their8child.
c. The8nurse8is8discussing8with8a8fellow8nurse8the8emotional8draw8to8a8certain8patient.
d. The8nurse8is8working8with8a8family8to8find8ways8to8decrease8the8family’s8dependenc
e8on8health8care8providers.
, Wong's8Nursing8Care8of8Infants8and8Children812th8Edition8by8Hockenberry8Test8Ban
k
ANS:8 B
Criticizing8parents8for8not8visiting8in8shift8report8is8nontherapeutic8and8shows8an8under8involvement8w
ith8the8parents.8Reading8a8fairy8tale8is8a8therapeutic8and8age-
appropriate8action.8Discussing8feelings8of8an8emotional8draw8with8a8fellow8nurse8is8therapeutic8and8sh
ows8a8willingness8to8understand8feelings.8Working8with8parents8to8decrease8dependence8on8health8car
e8providers8is8therapeutic8and8helps8to8empower8the8family.
DIF: Cognitive8Level:8Analyzing
TOP:8Integrated8Process:8Caring8MSC:8 Client8Needs:8Psychosocial8I
ntegrity
7. The8nurse8is8aware8that8which8age-
group8is8at8risk8for8childhood8injury8because8of8the8cognitive8characteristic8of8magical8and8egoc
entric8thinking?
a. Preschool
b. Young8school8age
c. Middle8school8age
d. Adolescent
ANS:8 A
Preschool8children8have8the8cognitive8characteristic8of8magical8and8egocentric8thinking,8meaning8they8
are8unable8to8comprehend8danger8to8self8or8others.8Young8and8middle8school-
aged8children8have8transitional8cognitive8processes,8and8they8may8attempt8dangerous8acts8without8detai
led8planning8but8recognize8danger8to8themselves8or8others.8Adolescents8have8formal8operational8cogniti
ve8processes8and8are8preoccupied8with8abstract8thinking.
DIF: Cognitive8Level:8Understanding
TOP:8 Nursing8Process:8Assessment8MSC:8 Client8Needs:8Safe8and8Effect
ive8Care8Environment
8. The8school8nurse8is8assessing8children8for8risk8factors8related8to8childhood8injuries.8Which8child8has8
the8most8 risk8factors8related8to8childhood8injury?
a. Female,8multiple8siblings,8stable8home8life
b. Male,8high8activity8level,8stressful8home8life
c. Male,8even8tempered,8history8of8previous8injuries
d. Female,8reacts8negatively8to8new8situations,8no8serious8previous8injuries
ANS:8 B
Boys8have8a8preponderance8for8injuries8over8girls8because8of8a8difference8in8behavioral8characteristics,8
a8high8activity8temperament8is8associated8with8risk-
taking8behaviors,8and8stress8predisposes8children8to8increased8risk8taking8and8self-
destructive8behaviors.8Therefore,8a8male8child8with8a8high8activity8level8and8living8in8a8stressful8enviro
nment8has8the8highest8number8of8risk8factors.8A8girl8with8several8siblings8and8a8stable8home8life8is8low8r
isk.8A8boy8with8previous8injuries8has8two8risk8factors,8but8an8even8temper8is8not8a8risk8factor8for8injuries.
8A8girl8who8reacts8negatively8to8new8situations8but8has8no8previous8serious8 illnesses8 has8only8one8risk8 f
actor.
DIF: Cognitive8Level:8Analyzing
TOP:8 Nursing8Process:8Assessment8MSC:8 Client8Needs:8Safe8and8Effect
ive8Care8Environment
9. An8adolescent8patient8wants8to8make8decisions8about8treatment8options,8along8with8his8parents.8Which8
moral8value8is8the8nurse8displaying8when8supporting8the8adolescent8to8make8decisions?
a. Justice
