Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers
Wilson Test Bank
Table of Contents
Chapter 1. Perspectives of Pediatric Nursing ........................................................................................................................ 2
Chapter 2. Family, Social, Cultural, and Religious Influences on Child Health Promotion ........................................... 8
Chapter 3. Developmental and Genetic Influences on Child Health Promotion .......................................................... 14
Chapter 4. Communication and Physical Assessment of the Child and Family ............................................................. 20
Chapter 5. Pain Assessment in and Management in Children .......................................................................................... 29
Chapter 6. Infectious Disease ................................................................................................................................................ 36
Chapter 7. Health Promotion of the Newborn and Family .............................................................................................. 41
Chapter 8. Health Problems of Newborns .......................................................................................................................... 47
Chapter 9. Health Promotion of the Infant and Family .................................................................................................... 53
Chapter 10. Health Problem of Infants ................................................................................................................................ 59
Chapter 11. Health Promotion of the Toddler and Family ............................................................................................... 66
Chapter 12. Health Promotion of the Preschooler and Family ........................................................................................ 72
Chapter 13. Health Problems of Toddlers and Preschoolers ............................................................................................ 80
Chapter 14. Health Promotion of the School Age Child and Family .............................................................................. 85
Chapter 15. Health Promotion of the Adolescent and Family.......................................................................................... 91
Chapter 16. Health Problems of School Age Children and Adolescents ...................................................................... 102
Chapter 17. Quality of Life for Children Living with Chronic or Complex Diseases ................................................. 108
Chapter 18. Impact of Cognitive or Sensory Impairment on the Child and Family .................................................... 114
Chapter 19. Family-Centered Care of the Child During Illness and Hospitalization .................................................. 120
Chapter 20. Pediatric Variations of Nursing Interventions ............................................................................................. 126
Chapter 21. The Child with Respiratory Dysfunction ...................................................................................................... 133
Chapter 22. The Child with Gastrointestinal Dysfunction .............................................................................................. 139
Chapter 23. The Child with Cardiovascular Dysfunction ................................................................................................ 145
Chapter 24. The Child with Hematologic or Immunologic Dysfunction ..................................................................... 150
Chapter 25. The Child with Cancer..................................................................................................................................... 157
Chapter 26. The Child with Genitourinary Dysfunction ................................................................................................. 163
Chapter 27. The Child with Cerebral Dysfunction ........................................................................................................... 169
Chapter 28. The Child with Endocrine Dysfunction ....................................................................................................... 175
Chapter 29. The Child with Musculoskeletal or Articular Dysfunction ........................................................................ 183
Chapter 30. The Child with Neuromuscular or Muscular Dysfunction ........................................................................ 190
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Chapter 1. Perspectives of Pediatric Nursing
MULTIPLE CHOICE
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 nursemakes 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 industrialized countries.ANS: A
Although the death rate has decreased, the United States still ranks last in infant mortality among
nations with a population of at least 25 million. The United States has the highest infant deathrate of
developed nations.
DIF: Cognitive Level: Remembering REF: dl. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
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 periodANS:
A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year compared with
sudden infant death syndrome, which accounts for 8.2%; disorders related to short gestation andunspecified
low birth weight, which account for 16.5%; and maternal complications such as infections specific to the
perinatal period, which account for 6.1% of deaths in infants younger than 1 year of age.
DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: PlanningMSC: Client
Needs: Health Promotion and Maintenance
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
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through adolescence. The
leading cause of death for those younger than 1 year is congenital anomalies,and childhood cancers and
heart disease cause a significantly lower percentage of deaths in children older than 1 year of age.
DIF: Cognitive Level: Understanding REF: dl. 7 TOP: Nursing Process: PlanningMSC: Client
Needs: Health Promotion and Maintenance
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
ANS: B
Suicide and homicide account for 16.7% of deaths in this age group. Suicide and cancer account
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for 10.9% of deaths, heart disease and cancer account for approximately 5.5%, and homicide andheart disease
account for 10.9% of the deaths in this age group.
DIF: Cognitive Level: Remembering REF: dl. 7 TOP: Nursing Process: PlanningMSC: Client
Needs: Health Promotion and Maintenance
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.ANS: A
The majority of deaths from unintentional injuries occur in males. The pattern of death does vary
greatly among different ethnic groups, and the causes of unintentional deaths vary with age andgender.
DIF: Cognitive Level: Applying REF: pp. 7-8TOP:
Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. What do mortality statistics describe?
a. Disease occurring regularly within a geographic location
b. The number of individuals who have died over a specific period
c. The prevalence of specific illness in the population at a particular time
d. Disease occurring in more than the number of expected cases in a communityANS: B
Mortality statistics refer to the number of individuals who have died over a specific period.
Morbidity statistics show the prevalence of specific illness in the population at a particular time.Data
regarding disease within a geographic region, or in greater than expected numbers in a community, may be
extrapolated from analyzing the morbidity statistics.
DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: PlanningMSC: Client
Needs: Health Promotion and Maintenance
7. The nurse should assess which age group for suicide ideation since suicide in which age groupis the third
leading cause of death?
a. Preschoolers
b. Young school age
c. Middle school age
d. Late school age and adolescents
ANS: D
Suicide is the third leading cause of death in children ages 10 to 19 years; therefore, the age
group should be late school age and adolescents. Suicide is not one of the leading causes of deathfor
preschool and young or middle school-aged children.
DIF: Cognitive Level: Understanding REF: dl. 6
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
8. Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? Thenurse
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.
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d. Family-centered care avoids expecting families to be part of the decision-making process.ANS: C
The three key components of family-centered care are respect, collaboration, and support.
Family-centered care recognizes the family as the constant in the childs life. The family should be enabled
and empowered to work with the health care system and is expected to be part of the decision-making
process. The nurse should also support the familys cultural diversity, not reduceits effect.
DIF: Cognitive Level: Applying REF: dl. 8
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
9. The nurse is describing clinical reasoning to a group of nursing students. Which is mostdescriptive
of clinical reasoning?
a. Purposeful and goal directed
b. A simple developmental process
c. Based on deliberate and irrational thought
d. Assists individuals in guessing what is most appropriateANS: A
Clinical reasoning is a complex developmental process based on rational and deliberate thought.
When thinking is clear, precise, accurate, relevant, consistent, and fair, a logical connectiondevelops
between the elements of thought and the problem at hand.
DIF: Cognitive Level: Applying REF: dl. 12TOP:
Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
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 situationANS: B
EBP helps focus on measurable outcomes; the use of demonstrated, effective interventions; and
questioning what is the best approach. EBP involves decision making based on data, not allevidence on a
particular situation, and involves the latest available data. Nurses can use textbooks to determine areas of
concern and potential involvement.
DIF: Cognitive Level: Remembering REF: dl. 11 TOP: Nursing Process: PlanningMSC:
Client Needs: Safe and Effective Care Environment
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 assessmentANS:
D
Signs and symptoms are the cues and clusters of defining characteristics that are derived from a
patient assessment and indicate actual health problems. The first part of the nursing diagnosis is the problem
statement, also known as the human response to the state of illness or health. The identification of actual
health problems may be part of the medical diagnosis. The nursing diagnosis is based on the human response
to these problems. The human response is therefore a component of the nursing diagnostic statement.
Potential risk factors are used to identify nursingcare needs to avoid the development of an actual health
problem when a potential one exists.
DIF: Cognitive Level: Understanding REF: dl. 13
TOP: Integrated Process: Communication and DocumentationMSC:
Client Needs: Safe and Effective Care Environment
12. The nurse is talking to a group of parents of school-age children at an after-school programabout
childhood health problems. Which statement should the nurse include in the teaching?
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