Test Bank for Wong's Essentials of Pediatric Nursing, 11e by Marilyn J. Hockenberry
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Course
Nursing Pediatrics
Institution
Nursing Pediatrics
Test Bank for Wong's Essentials of Pediatric Nursing 11th Edition, 11e by Marilyn J. Hockenberry, David Wilson, Cheryl C Rodgers.
ISBN-10 : 0323624197
ISBN-13 : 9780323624190
Chapter 01: Children, Their Families, and the Nurse
Evolve Resources for Wong’s Essentials of Pediatric Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse would include which associated risk when planning a teaching session about
childhood obesity?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
ANS: D
Childhood obesity has been associated with the rise of type II diabetes in children. Type I
diabetes is not associated with obesity and has a genetic component. Respiratory disease is not
associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is
not associated with obesity.
DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. Which second-leading cause of death topic would the nurse emphasize to a group of boys
ranging in age from 15 to 19 years?
a. Suicide
b. Cancer
c. Homicide
d. Occupational injuries
ANS: C
Firearm homicide is the second overall cause of death in this age group and the leading cause
of death in African-American males. Suicide is the third-leading cause of death in this
population. Cancer, although a major health problem, is the fourth-leading cause of death in
this age group. Occupational injuries do not contribute to a significant death rate for this age
group.
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
ANS: C
Unintentional injuries (accidents) are the leading cause of death after age 1 year through
adolescence. Congenital anomalies are the leading cause of death in those younger than 1
year. Cancer ranks either second or fourth, depending on the age group, and heart disease
ranks fifth in the majority of the age groups.
, DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which factor most impacts the type of injury a child is susceptible to, according to the child’s
age?
a. Physical health of the child
b. Developmental level of the child
c. Educational level of the child
d. Number of responsible adults in the home
ANS: B
The child’s developmental stage determines the type of injury that is likely to occur. The
child’s physical health may facilitate the child’s recovery from an injury but does not impact
the type of injury. Educational level is related to developmental level, but it is not as important
as the child’s developmental level in determining the type of injury. The number of
responsible adults in the home may affect the number of unintentional injuries, but the type of
injury is related to the child’s developmental stage.
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the
care the nurse is delivering?
a. Taking over total care of the child to reduce stress on the family
b. Encouraging family dependence on health care systems
c. Recognizing that the family is the constant in a child’s life
d. Excluding families from 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 child’s life. Taking over total
care does not include the family in the process and may increase stress instead of reducing
stress. The family should be enabled and empowered to work with the health care system. The
family is expected to be part of the decision-making process.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Health Promotion and Maintenance
6. Which intervention would the nurse include when providing atraumatic care?
a. Prepare the child for separation from parents during hospitalization by reviewing a
video.
b. Prepare the child before any unfamiliar treatment or procedure.
c. Help the child accept the loss of control associated with hospitalization.
d. Help the child accept pain that is connected with a treatment or procedure.
ANS: B
, Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy,
providing play activities for expression of fear and aggression, providing choices, and
respecting cultural differences are components of atraumatic care. In the provision of
atraumatic care, the separation of child from parents during hospitalization is minimized. The
nurse should promote a sense of control for the child. Preventing and minimizing bodily
injury and pain are major components of atraumatic care.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Psychosocial Integrity
7. Which is suggestive that a nurse has a nontherapeutic relationship with a patient and family?
a. Staff is concerned about the nurse’s closeness with the patient and family.
b. Staff assignments allow the nurse to care for same patient and family over an
extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still
remains committed.
d. Nurse uses teaching skills to instruct patient and family rather than doing
everything for them.
ANS: A
A clue to a nontherapeutic staff-patient relationship is concern by other staff members.
Allowing the nurse to care for the same patient over time would be therapeutic for the patient
and family. Nurses who are able to somewhat withdraw emotionally can protect themselves
while providing therapeutic care. Nurses using teaching skills to instruct patient and family
will assist in transitioning the child and family to self-care.
DIF: Cognitive Level: Analyze TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Psychosocial Integrity
8. Which is descriptive of clinical reasoning?
a. A simple developmental process
b. A cognitive process used to analyze data
c. Based on deliberate and irrational thought
d. Assists individuals in guessing which is most appropriate
ANS: B
Clinical reasoning is a complex, developmental process based on rational and deliberate
thought. Clinical reasoning is not a developmental process. Clinical reasoning is based on
rational and deliberate thought. Clinical reasoning is not a guessing process.
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
9. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing
blood. Which ethical principle is the nurse demonstrating?
a. Autonomy
b. Beneficence
c. Justice
d. Truthfulness
ANS: B
, Beneficence is the obligation to promote the patient’s well-being. Applying a topical
anesthetic before drawing blood promotes reducing the discomfort of the venipuncture.
Autonomy is the patient’s right to be self-governing. Justice is the concept of fairness.
Truthfulness is the concept of honesty.
DIF: Cognitive Level: Understand
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Physiological Integrity
10. Which action by the nurse demonstrates use of evidence-based practice (EBP)?
a. Gathering equipment for a procedure
b. Documenting changes in a patient’s status
c. Questioning the practice of daily central line dressing changes
d. Clarifying a physician’s prescription for morphine
ANS: C
The nurse who questions the daily central line dressing change is ascertaining whether clinical
interventions result in positive outcomes for patients. This demonstrates EBP, which implies
questioning why something is effective and whether a better approach exists. Gathering
equipment for a procedure and documenting changes in a patient’s status are practices that
follow established guidelines. Clarifying a physician’s prescription for morphine constitutes
safe nursing care.
DIF: Cognitive Level: Apply TOP: Integrated Process: Nursing Process: Evaluation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
11. A nurse is admitting a toddler to the hospital and the parents state they will need to leave for a
brief period. Which type of nursing diagnosis would the nurse formulate for this child?
a. Risk for anxiety
b. Anxiety
c. Readiness for enhanced coping
d. Ineffective coping
ANS: A
A potential problem is categorized as a risk. The toddler has a risk to become anxious when
the parents leave. Nursing interventions will be geared toward reducing the risk. The child is
not showing current anxiety or ineffective coping. The child is not at a point for readiness for
enhanced coping, especially because the parents will be leaving.
DIF: Cognitive Level: Apply TOP: Integrated Process: Nursing Process: Diagnosis
MSC: Area of Client Needs: Health Promotion and Maintenance
12. Which depicts accurate documentation for a dressing change on a child who has an
appendectomy incision?
a. Dressing change to appendectomy incision completed, child tolerated procedure
well, parent present
b. No complications noted during dressing change to appendectomy incision
c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old
dressing, new dressing applied, procedure tolerated well by child
d. No changes to appendectomy incisional area, dressing changed, child complained
of pain during procedure, new dressing clean, dry and intact
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