TEST BANK FOR
WONGS ESSENTIALS OF PEDIATRIC NURSING 10TH EDITION
BY: HOCKENBERRY
Table Of Contents
Chapter 1: Perspectives of Pediatric Nursing
Chapter 2: Family, Social, Cultural, and Religious Influences on
Child Health Promotion
Chapter 3: Developmental and Genetic Influences on Child Health
Promotion
Chapter 4: Communication and Physical Assessment of the Child
and Family
Chapter 5: Pain Assessment in and Management in Children
Chapter 6: Infectious Disease
Chapter 7: Health Promotion of the Newborn and Family
Chapter 8: Health Problems of Newborns
Chapter 9: Health Promotion of the Infant and Family
Chapter 10: Health Problem of Infants
Chapter 11: Health Promotion of the Toddler and Family
Chapter 12: Health Promotion of the Preschooler and Family
Chapter 13: Health Problems of Toddlers and Preschoolers
Chapter 14: Health Promotion of the School Age Child and Family
Chapter 15: Health Promotion of the Adolescent and Family
Chapter 16: Health Problems of School Age Children and Adolescents
Chapter 17: Quality of Life for Children Living with Chronic or Complex Diseases
Chapter 18: Impact of Cognitive or Sensory Impairment on the Child and Family
Chapter 19: Family-Centered Care of the Child During Illness and Hospitalization
Chapter 20: Pediatric Variations of Nursing Interventions
Chapter 21: The Child with Respiratory Dysfunction
Chapter 22: The Child with Gastrointestinal Dysfunction
Chapter 23: The Child with Cardiovascular Dysfunction
Chapter 24: The Child with Hematologic or Immunologic Dysfunction
Chapter 25: The Child with Cancer
Chapter 26: The Child with Genitourinary Dysfunction
Chapter 27: The Child with Cerebral Dysfunction
Chapter 28: The Child with Endocrine Dysfunction
Chapter 29: The Child with Musculoskeletal or Articular Dysfunction
Chapter 30: The Child with Neuromuscular or Muscular Dysfunction
,Chapter 01: Perspectives of Pediatric Nursing
Hockenberry: Wong’s Essentials of Pediatric Nursing, 10th Edition
MULTIPLE CHOICE
1. A NURSE is planning a teaching session for parents of preschool children. Which
statementexplains why the NURSE should include information about morbidity and
mortality?
a. Life span statistics are included in the data.
b. It explains effectiveness of treatment.
c. Cost-effective treatment is detailed for the general population.
d. High-risk age groups for certain disorders or hazards are identified.
SOLUTION:D
Analysis of morbidity and mortality data provides the parents with information about which
groups of individuals are at risk for which health problems. Life span statistics is a part of the
mortality data. Treatment modalities and cost are not included in morbidity and mortality data.
DIF: Cognitive Level: Apply REF: p. 11
TOPIC: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
2. A clinic NURSE is planning a teaching session about childhood obesity prevention for parents
of school-age children. The NURSE should include which associated risk of obesity in the
teachingplan?
a. Type I diabetes
b. Respiratory disease
c. Celiac disease
d. Type II diabetes
SOLUTION: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: Apply REF: p. 2
TOPIC: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
3. Which is the leading cause of death in infants younger than 1 year?
a. Congenital anomalies
b. Sudden infant death syndrome
c. Respiratory distress syndrome
d. Bacterial sepsis of the newborn
SOLUTION:A
Congenital anomalies account for 20.1% of deaths in infants younger than 1 year. Sudden
infant death syndrome accounts for 8.2% of deaths in this age group. Respiratory distress
syndrome accounts for 3.4% of deaths in this age group. Infections specific to the perinatal
period account for 2.7% of deaths in this age group.
, DIF: Cognitive Level: Remember REF: p. 6
TOPIC: Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which leading cause of death topic should the NURSE emphasize to a group
ofAfrican-American boys ranging in age from 15 to 19 years?
a. Suicide
b. Cancer
c. Firearm homicide
d. Occupational injuries
SOLUTION: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 REF: p. 7
TOPIC: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. Which is the major cause of death for children older than 1 year?
a. Cancer
b. Heart disease
c. Unintentional injuries
d. Congenital anomalies
SOLUTION: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 REF: p. 7
TOPIC: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
6. Which is the leading cause of death from unintentional injuries for females ranging in age
from 1 to 14?
a. Mechanical suffocation
b. Drowning
c. Motor vehicle–related fatalities
d. Fire- and burn-related fatalities
SOLUTION:C
Motor vehicle–related fatalities are the leading cause of death for females ranging in age from
1 to 14, either as passengers or as pedestrians. Mechanical suffocation is fourth or fifth,
depending on the age. Drowning is the second- or third-leading cause of death, depending on
the age. Fire- and burn-related fatalities are the second-leading cause of death.
DIF: Cognitive Level: Remember REF: p. 3
, TOPIC: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
7. 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
SOLUTION: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 REF: p. 3
TOPIC: Integrated Process: Nursing Process:
Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
8. Which is now referred to as the “new morbidity”?
a. Limitations in the major activities of daily living
b. Unintentional injuries that cause chronic health problems
c. Discoveries of new therapies to treat health problems
d. Behavioral, social, and educational problems that alter health
SOLUTION:D
The new morbidity reflects the behavioral, social, and educational problems that interfere with
the child’s social and academic development. It is currently estimated that the incidence of
these issues is from 5% to 30%. Limitations in major activities of daily living and
unintentional injuries that result in chronic health problems are included in morbidity data.
Discovery of new therapies would be reflected in changes in morbidity data over time.
DIF: Cognitive Level: Remember REF: p. 2
TOPIC: Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Health Promotion and Maintenance
9. A NURSE on a pediatric unit is practicing family-centered care. Which is most descriptive of
thecare 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
SOLUTION: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.
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