Wong's Nursing Care of Infants and
Children Test Bank
1. The clinic nurse is reviewing statistics on infant mortality for the United States versus other
countries. Compared with other countries that have a population of at least 25 million, the nurse
makes which
determination?
a. The United States is ranked last among 27 countries.
b. The United States is ranked similar to 20 other developed countries.
c. The United States is ranked in the middle of 20 other developed countries.
d. The United States is ranked highest among 27 other industrializ - answer A- The United States is
ranked last among 27 countries.
2. Which is the leading cause of death in infants younger than 1 year in the United States?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Disorders related to short gestation and low birth weight
d. Maternal complications specific to the perinatal period - answer A- Congenital anomalies
3. What is the major cause of death for children older than 1 year in the United States?
a. Heart disease
b. Childhood cancer
c. Unintentional injuries
d. Congenital anomalies - answer C- Unintentional injuries
4. In addition to injuries, what are the leading causes of death in adolescents ages 15 to 19 years?
a. Suicide and cancer
b. Suicide and homicide
,c. Drowning and cancer
d. Homicide and heart disease - answer B- Suicide and homicide
5. The nurse is planning a teaching session to adolescents about deaths by unintentional injuries.
Which should
the nurse include in the session with regard to deaths caused by injuries?
a. More deaths occur in males.
b. More deaths occur in females.
c. The pattern of deaths does not vary according to age and sex.
d. The pattern of deaths does not vary widely among different ethnic groups. - answer A- More
deaths occur in males.
7. The nurse should assess which age group for suicide ideation since suicide in which age group is
the third
leading cause of death?
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents - answer D- Late school age and adolescents
8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse
should
respond with which statement?
a. Family-centered care reduces the effect of cultural diversity on the family.
b. Family-centered care encourages family dependence on the health care system.
c. Family-centered care recognizes that the family is the constant in a childs life.
d. Family-centered care avoids expecting families to be part of the decision-making process. -
answer C- Family-centered care recognizes that the family is the constant in a childs life.
10. Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care
b. Combining knowledge with clinical experience and intuition
,c. Using a professional code of ethics as a means for decision making
d. Gathering all evidence that applies to the childs health and family situation - answer B -
Combining knowledge with clinical experience and intuition
11. Which best describes signs and symptoms as part of a nursing diagnosis?
a. Description of potential risk factors
b. Identification of actual health problems
c. Human response to state of illness or health
d. Cues and clusters derived from patient assessment - answer D- Cues and clusters derived from
patient assessment
12. The nurse is talking to a group of parents of school-age children at an after-school program
about
childhood health problems. Which statement should the nurse include in the teaching?
a. Childhood obesity is the most common nutritional problem among children.
b. Immunization rates are the same among children of different races and ethnicity.
c. Dental caries is not a problem commonly seen in children since the introduction of fluoridated
water.
d. Mental health problems are typically not see - answer A-Childhood obesity is the most common
nutritional problem among children.
13. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan
to ensure
atraumatic care?
a. Limit explanation of procedures because the child is preschool aged.
b. Ask that all family members leave the room when performing procedures.
c. Allow the child to choose the type of juice to drink with the administration of oral medications.
d. Explain that EMLA cream cannot be used for the morning lab draw because there is not time for it
to be effective. - answer C- Allow the child to choose the type of juice to drink with the
administration of oral medications.
14. Which situation denotes a nontherapeutic nursepatientfamily relationship?
a. The nurse is planning to read a favorite fairy tale to a patient.
, b. During shift report, the nurse is criticizing parents for not visiting their child.
c. The nurse is discussing with a fellow nurse the emotional draw to a certain patient.
d. The nurse is working with a family to find ways to decrease the familys dependence on health care
providers. - answer B-During shift report, the nurse is criticizing parents for not visiting their child.
16. The school nurse is assessing children for risk factors related to childhood injuries. Which child
has the
most risk factors related to childhood injury?
a. Female, multiple siblings, stable home life
b. Male, high activity level, stressful home life
c. Male, even tempered, history of previous injuries
d. Female, reacts negatively to new situations, no serious previous injuries - answer b. Male, high
activity level, stressful home life
17. The school nurse is evaluating the number of school-age children classified as obese. The nurse
recognizes
that the percentile of body mass index that classifies a child as obese is greater than which?
a. 50th percentile
b. 75th percentile
c. 80th percentile
d. 95th percentile - answer d. 95th percentile
18. The nurse is teaching parents about the types of behaviors children exhibit when living with
chronic
violence. Which statement made by the parents indicates further teaching is needed?
a. We should watch for aggressive play.
b. Our child may show lasting symptoms of stress.
c. We know that our child will show caring behaviors.
d. Our child may have difficulty concentrating in school. - answer c. We know that our child will
show caring behaviors.
19. The nurse is evaluating research studies according to the GRADE criteria and has determined the
quality of
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