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TEST BANK FOR WONGS ESSENTIAL OF PEDIATRIC NURSING 11TH EDITION BY MARILYN UPDATED2025

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WONGS ESSENTIAL OF PEDIATRIC NURSING

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WONGS ESSENTIAL OF PEDIATRIC NURSING

TEST BANK FOR WONGS ESSENTIAL OF PEDIATRIC NURSING 11TH EDITION BY MARILYN TEST BANK FOR WONGS ESSENTIAL OF PEDIATRIC NURSING 11TH EDITION BY MARILYN TEST BANK FOR WONGS ESSENTIAL OF PEDIATRIC NURSING 11TH EDITION BY MARILYN

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11th edition by marilyn
test bank for wongs essential of pediatric nursing
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wongs essential of pediatric nursing

Institution WONGS ESSENTIAL OF PEDIATRIC NURSING
Module WONGS ESSENTIAL OF PEDIATRIC NURSING

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PEDIATRIC NURSING 11TH EDITION BY MARILYN
J. HOCKENBERRY,
TEST BANK FOR DAVID WILSON CHERYL C 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
RODGERS
Wong's Essentials of Pediatric Nursing 11th Edition associated with obesity, and celiac disease is the inability to metabolize gluten in foods and is not
associated with obesity.
Authors: Marilyn J. Hockenberry, David Wilson Cheryl C Rodgers DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Health Promotion and Maintenance
Table of Content
Chapter 01: Children, Their Families, and the Nurse 2. Which second-leading cause of death topic would the nurse emphasize to a group of boys
Chapter 02: Social, Cultural, Religious, and Family Influences on Child Health Promotion ranging in age from 15 to 19 years?
Chapter 03: Developmental and Genetic Influences on Child Health Promotion a. Suicide
Chapter 04: Communication and Physical Assessment of the Child and Family
Chapter 05: Pain Assessment and Management in Children b. Cancer
Chapter 06: Childhood Communicable and Infectious Diseases c. Homicide
Chapter 07: Health Promotion of the Newborn and Family d. Occupational injuries
Chapter 08: Health Problems of Newborns
Chapter 09: Health Promotion of the Infant and Family
Chapter 10: Health Problems of Infants
Chapter 11: Health Promotion of the Toddler and Family
ANS: C
Chapter 12: Health Promotion of the Preschooler and Family Firearm homicide is the second overall cause of death in this age group and the leading cause of
Chapter 13: Health Problems of Toddlers and Preschoolers death in African-American males. Suicide is the third-leading cause of death in this population.
Chapter 14: Health Promotion of the School-Age Child and Family Cancer, although a major health problem, is the fourth-leading cause of death in this age group.
Chapter 15: Health Promotion of the Adolescent and Family Occupational injuries do not contribute to a significant death rate for this age group.
Chapter 16: Health Problems of School-Age Children and Adolescents
Chapter 17: Impact of Chronic Illness, Disability, or End-of-Life Care on the Child and Family
Chapter 18: Impact of Cognitive or Sensory Impairment on the Child and Family DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
Chapter 19: Family-Centered Care of the Child During Illness and Hospitalization MSC: Area of Client Needs: Health Promotion and Maintenance
Chapter 20: Pediatric Nursing Interventions and Skills
Chapter 21: The Child With Respiratory Dysfunction 3. Which is the major cause of death for children older than 1 year?
Chapter 22: The Child With Gastrointestinal Dysfunction
Chapter 23: The Child With Cardiovascular Dysfunction
a. Cancer
Chapter 24: The Child With Hematologic or Immunologic Dysfunction b. Heart disease
Chapter 25: The Child With Cancer c. Unintentional injuries
Chapter 26: The Child With Genitourinary Dysfunction d. Congenital anomalies
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 ANS: C
Chapter 31: The Child With Integumentary Dysfunction 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.
Chapter 01: Children, Their Families, and the Nurse Cancer ranks either second or fourth, depending on the age group, and heart disease ranks fifth in
Evolve Resources for Wong’s Essentials of Pediatric Nursing, 11th Edition the majority of the age groups.

DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Planning
MULTIPLE CHOICE MSC: Area of Client Needs: Health Promotion and Maintenance
1. The nurse would include which associated risk when planning a teaching session about 4. Which factor most impacts the type of injury a child is susceptible to, according to the child’s
childhood obesity? age?
a. Type I diabetes a. Physical health of the child
b. Respiratory disease b. Developmental level of the child
c. Celiac disease c. Educational level of the child
d. Type II diabetes d. Number of responsible adults in the home
ANS: D

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DIF: Cognitive Level: Understand
ANS: B TOP: Integrated Process: Nursing Process: Implementation
The child’s developmental stage determines the type of injury that is likely to occur. The child’s MSC: Area of Client Needs: Psychosocial Integrity
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 7. Which is suggestive that a nurse has a nontherapeutic relationship with a patient and family?
developmental level in determining the type of injury. The number of responsible adults in the a. Staff is concerned about the nurse’s closeness with the patient and family.
home may affect the number of unintentional injuries, but the type of injury is related to the b. Staff assignments allow the nurse to care for same patient and family over an
child’s developmental stage. extended time.
c. Nurse is able to withdraw emotionally when emotional overload occurs but still
DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning remains committed.
MSC: Area of Client Needs: Health Promotion and Maintenance d. Nurse uses teaching skills to instruct patient and family rather than doing
everything for them.
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 ANS: A
b. Encouraging family dependence on health care systems A clue to a nontherapeutic staff-patient relationship is concern by other staff members. Allowing
c. Recognizing that the family is the constant in a child’s life the nurse to care for the same patient over time would be therapeutic for the patient and family.
d. Excluding families from the decision-making process 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.
ANS: C
The three key components of family-centered care are respect, collaboration, and support. DIF: Cognitive Level: Analyze TOP: Integrated Process: Nursing Process: Assessment
Family-centered care recognizes the family as the constant in the child’s life. Taking over total MSC: Area of Client Needs: Psychosocial Integrity
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 8. Which is descriptive of clinical reasoning?
expected to be part of the decision-making process. a. A simple developmental process
b. A cognitive process used to analyze data
DIF: Cognitive Level: Understand c. Based on deliberate and irrational thought
TOP: Integrated Process: Nursing Process: Implementation d. Assists individuals in guessing which is most appropriate
MSC: Area of Client Needs: Health Promotion and Maintenance

6. Which intervention would the nurse include when providing atraumatic care? ANS: B
a. Prepare the child for separation from parents during hospitalization by reviewing a Clinical reasoning is a complex, developmental process based on rational and deliberate thought.
video. Clinical reasoning is not a developmental process. Clinical reasoning is based on rational and
b. Prepare the child before any unfamiliar treatment or procedure. deliberate thought. Clinical reasoning is not a guessing process.
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. DIF: Cognitive Level: Understand TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
ANS: B
Preparing the child for any unfamiliar treatments, controlling pain, allowing privacy, providing 9. A nurse makes the decision to apply a topical anesthetic to a child’s skin before drawing blood.
play activities for expression of fear and aggression, providing choices, and respecting cultural Which ethical principle is the nurse demonstrating?
differences are components of atraumatic care. In the provision of atraumatic care, the separation a. Autonomy
of child from parents during hospitalization is minimized. The nurse should promote a sense of b. Beneficence
control for the child. Preventing and minimizing bodily injury and pain are major components of c. Justice
atraumatic care. d. Truthfulness

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12. Which depicts accurate documentation for a dressing change on a child who has an
ANS: B appendectomy incision?
Beneficence is the obligation to promote the patient’s well-being. Applying a topical anesthetic a. Dressing change to appendectomy incision completed, child tolerated procedure
before drawing blood promotes reducing the discomfort of the venipuncture. Autonomy is the well, parent present
patient’s right to be self-governing. Justice is the concept of fairness. Truthfulness is the concept b. No complications noted during dressing change to appendectomy incision
of honesty. c. Appendectomy incision non-reddened, sutures intact, no drainage noted on old
dressing, new dressing applied, procedure tolerated well by child
DIF: Cognitive Level: Understand d. No changes to appendectomy incisional area, dressing changed, child complained
TOP: Integrated Process: Nursing Process: Implementation of pain during procedure, new dressing clean, dry and intact
MSC: Area of Client Needs: Physiological Integrity

10. Which action by the nurse demonstrates use of evidence-based practice (EBP)? ANS: C
a. Gathering equipment for a procedure The nurse should document assessments and reassessments. Appearance of the incision
b. Documenting changes in a patient’s status described in objective terms should be included during a dressing change. The nurse should
c. Questioning the practice of daily central line dressing changes document patient’s response and the outcomes of the care provided. In this example, these
d. Clarifying a physician’s prescription for morphine include drainage on the old dressing, the application of the new dressing, and the child’s
response. The other statements partially fulfill the requirements of documenting assessments and
reassessments, patient’s response, and outcome, but do not include all three.
ANS: C
The nurse who questions the daily central line dressing change is ascertaining whether clinical DIF: Cognitive Level: Analyze
interventions result in positive outcomes for patients. This demonstrates EBP, which implies TOP: Integrated Process: Nursing Process: Implementation
questioning why something is effective and whether a better approach exists. Gathering MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
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 13. A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is
nursing care. the priority for this class?
a. Correct use of car seat restraints
DIF: Cognitive Level: Apply TOP: Integrated Process: Nursing Process: Evaluation b. Safety crossing the street
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care c. Helmet use when riding a bicycle
d. Poison control numbers
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 ANS: A
b. Anxiety Motor vehicle accidents (MVAs) continue to be the most common cause of death in children
c. Readiness for enhanced coping older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety
d. Ineffective coping crossing the street and bicycle helmet use are topics that should be included for preschool parents
but are not priorities for parents of toddlers. Information about poison control is important for
parents of toddlers and would be a safety topic to include but is not the priority over appropriate
ANS: A use of car seat restraints.
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 DIF: Cognitive Level: Apply TOP: Integrated Process: Nursing Process: Planning
showing current anxiety or ineffective coping. The child is not at a point for readiness for MSC: Area of Client Needs: Health Promotion and Maintenance
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

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14. A nurse is collecting subjective and objective information about target populations to diagnose The nurse working with the community to put into practice a program to reach community goals
problems based on community needs. This describes which step in the community nursing is the implementation phase of the community nursing process. Planning involves designing the
process? program to meet community-centered goals. The evaluation stage would determine the
a. Planning effectiveness of the program. During the assessment phase, the nurse would identify the
b. Diagnosis resources necessary and the barriers that would interfere with implementation.
c. Assessment
d. Establishing objectives DIF: Cognitive Level: Apply
TOP: Integrated Process: Nursing Process: Implementation
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
ANS: C
Assessment is a continuous process that operates at all phases of problem solving and is the 16. When communicating with other professionals, which is important for the nurse to do?
foundation for decision making. Assessment involves multiple nursing skills and consists of the a. Ask others what they want to know.
purposeful collection, classification, and analysis of data from a variety of sources. Diagnosing is b. Share everything known about the family.
the next step of the nursing process when the problem is identified. The nurse should establish c. Restrict communication to clinically relevant information.
objectives for the activity before starting the nursing process. d. Recognize that confidentiality is not possible.

DIF: Cognitive Level: Remember TOP: Integrated Process: Nursing Process: Assessment
MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care ANS: C
The nurse will need to share, through both oral and written communication, clinically relevant
15. A nurse has established several health programs, such as bicycle safety, to improve the health information with other involved health professionals. Asking others what they want to know and
status of a target population. This describes which step in the community nursing process? sharing everything known about the family is inappropriate. Patients have a right to
a. Planning confidentiality. The nurse is not permitted to share information about clients, except clinically
b. Evaluation relevant information that pertains to the child’s care. Confidentiality permits the disclosure of
c. Assessment information to other health professionals on a need-to-know basis.
d. Implementation
DIF: Cognitive Level: Apply
TOP: Integrated Process: Communication and Documentation
ANS: D MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care

17. A nurse is formulating a clinical question for evidence-based practice. Place in sequential order
the steps the nurse should use to clarify the scope of the problem and clinical topic of interest:

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