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Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank
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Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank Wong's Essentials of Pe...

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Wong's Essentials of Pediatric Nursing 11th Edition
Hockenberry Rodgers Wilson Test Bank

Chapter 1. Perspectives of Pediatric Nursing

MULTIPLE CHOICE
1. The nurse is planning care for a hospitalized preschool-aged child. Which should the
nurseplan 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. Explain that EMLA cream cannot be used for the morning lab draw because
there is not time for
d. it to be effective.
ANS: C

The overriding goal in providing atraumatic care is first, do no harm. Allowing the child a
choiceof juice to drink when taking oral medications provides the child with a sense of
control. The preschool child should be prepared before procedures, so limiting explanations
of procedures would increase anxiety. The family should be allowed to stay with the child
during procedures, minimizing stress. Lidocaine/prilocaine (EMLA) cream is a topical local
anesthetic. The nurse should plan to use the prescribed cream in time for morning
laboratory draws to minimize pain. DIF: Cognitive Level: Applying REF: pp. 8-9 TOP: Nursing
Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. 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.
The nurse is working with a family to find ways to decrease the familys dependence on health
d. care providers.
ANS: B

Criticizing parents for not visiting in shift report is nontherapeutic and shows an
underinvolvement with the parents. Reading a fairy tale is a therapeutic and age
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is
therapeutic and shows a willingness to understand feelings. Working with parents to
decrease dependence on health careproviders is therapeutic and helps to empower the
family.
DIF: Cognitive Level: Analyzing REF: dl. 9 TOP: Integrated Process: Caring
MSC: Client Needs: Psychosocial Integrity
3. The nurse is aware that which age group is at risk for childhood injury because
of thecognitive characteristic of magical and egocentric thinking?
a. Preschool
b. Young school age
c. Middle school age
d. Adolescen
tANS: A
Preschool children have the cognitive characteristic of magical and egocentric thinking, meaning
they are unable to comprehend danger to self or others. Young and middle school-aged

Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank

,Wong's

childrenhave transitional cognitive processes, and they may attempt dangerous acts
without detailed




Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank

,Wong's




planning but recognize danger to themselves or others. Adolescents have formal
operationalcognitive processes and are preoccupied with abstract thinking.
DIF: Cognitive Level: Understanding REF: dl. 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
4. The school nurse is assessing children for risk factors related to childhood injuries.
Whichchild 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
injuriesANS: B
Boys have a preponderance for injuries over girls because of a difference in behavioral
characteristics, a high activity temperament is associated with risk-taking behaviors, and
stress predisposes children to increased risk taking and self-destructive behaviors.
Therefore, a male child with a high activity level and living in a stressful environment has
the highest number of risk factors. A girl with several siblings and a stable home life is low
risk. A boy with previous injuries has two risk factors, but an even temper is not a risk
factor for injuries. A girl who reactsnegatively to new situations but has no previous serious
illnesses has only one risk factor.
DIF: Cognitive Level: Analyzing REF: dl. 4
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
5. 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 greaterthan which?
a. 50th percentile
b. 75th percentile
c. 80th percentile
d. 95th
percentileANS: D
Obesity in children and adolescents is defined as a body mass index at or greater than the 95th
percentile for youth of the same age and gender.
DIF: Cognitive Level: Remembering REF: dl. 3 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
6. The nurse is teaching parents about the types of behaviors children exhibit when
living withchronic 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.ANS: C




Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank

,Wong's




The statement that the child will show caring behaviors needs further teaching. Children
living with chronic violence may exhibit behaviors such as difficulty concentrating in
school, memoryimpairment, aggressive play, uncaring behaviors, and lasting symptoms of
stress.
DIF: Cognitive Level: Applying REF: dl. 6
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
7. The nurse is evaluating research studies according to the GRADE criteria and has
determinedthe quality of evidence on the subject is moderate. Which type of evidence does
this determination indicate?
a. Strong evidence from unbiased observational studies
b. Evidence from randomized clinical trials showed inconsistent results
c. Consistent evidence from well-performed randomized clinical trials
d. Evidence for at least one critical outcome from randomized clinical trials had serious
flawsANS: B
Evidence from randomized clinical trials with important limitations indicates that the evidence is
of moderate quality. Strong evidence from unbiased observational studies and consistent
evidence from well-performed randomized clinical trials indicates high quality. Evidence
for atleast one critical outcome from randomized clinical trials that has serious flaws
indicates low quality.
DIF: Cognitive Level: Remembering REF: dl. 12 TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
8. An adolescent patient wants to make decisions about treatment options, along
with his parents. Which moral value is the nurse displaying when supporting the
adolescent to makedecisions?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficenc
eANS: B
Autonomy is the patients right to be self-governing. The adolescent is trying to be autonomous,
so the nurse is supporting this value. Justice is the concept of fairness. Beneficence is the
obligation to promote the patients well-being. Nonmaleficence is the obligation to
minimize orprevent harm.
DIF: Cognitive Level: Analyzing REF: dl. 11 TOP: Nursing Process: Evaluation
MSC: Client Needs: Health Promotion and Maintenance
9. The nurse manager is compiling a report for a hospital committee on the quality of
nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in
the report?
a. The average age of the nurses on the unit
b. The salary ranges for the nurses on the unit
c. The education and certification of the nurses on the unit
d. The number of nurses who have applied but were not hired for the
unitANS: C




Wong's Essentials of Pediatric Nursing 11th Edition Hockenberry Rodgers Wilson Test Bank

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