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Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
A nurse is planning a teaching session for parents of preschool children. Which statement explains 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. - correct answer โ
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ANS: 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
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
mortality data. Treatment modalities and cost are not included in morbidity and mortality data. DIF: Cognitive Level: Apply REF: p. 11 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 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 teaching plan? a. Type I diabetes b. Respiratory disease c. Celiac disease d. Type II diabetes - correct answer โ
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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
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
perinatal period account for 2.7% of deaths in this age group. DIF: Cognitive Level: Remember REF: p. 6 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years? a. Suicide b. Cancer c. Firearm homicide d. Occupational injuries - correct answer โ
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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.
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
Occupational injuries do not contribute to a significant death rate for this age group. DIF: Cognitive Level: Understand REF: p. 7 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance Which is the major cause of death for children older than 1 year? a. Cancer b. Heart disease c. Unintentional injuries d. Congenital anomalies - correct answer โ
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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.
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance 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 - correct answer โ
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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 REF: p. 3
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance 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 - correct answer โ
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ANS: 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.
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
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: Remember REF: p. 7 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Health Promotion and Maintenance The nurse is preparing an in-service education to staff about a traumatic care for pediatric patients. Which intervention should the nurse include? a. Prepare the child for separation from parents during hospitalization by reviewing a video. b. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
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. - correct answer โ
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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 REF: p. 8 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Psychosocial Integrity Which is most suggestive that a nurse has a nontherapeutic relationship witha patient and family? a. Staff is concerned about the nurse's
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
DIF: Cognitive Level: Analyze REF: p. 8 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Psychosocial Integrity Which is most descriptive of clinical reasoning? a. A simple developmental process b. Purposeful and goal-directed c. Based on deliberate and irrational thought d. Assists individuals in guessing what is most appropriate - correct answer โ
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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 REF: p. 10
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care 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 - correct answer โ
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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 REF: p. 10
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
follow established guidelines. Clarifying a physician's prescription for morphine constitutes safe nursing care. DIF: Cognitive Level: Apply REF: p. 10 TOP: Integrated Process: Nursing Process: Evaluation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent's lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child? a. Risk for anxiety b. Anxiety c. Readiness for enhanced coping d. Ineffective coping - correct answer โ
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ANS: A A potential problem is categorized as a risk. The toddler has a risk to become anxious when the
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
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: Remember REF: p. 11 TOP: Integrated Process: Nursing Process: Diagnosis MSC: Area of Client Needs: Health Promotion and Maintenance A child has a postoperative appendectomy incision covered by a dressing. The nurse has just completed a prescribed dressing change for this child. Which description is an accurate documentation of this procedure? a. Dressing change to appendectomy incision completed, child tolerated procedure well, parent present b. No complications noted during dressing change to appendectomy incision
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
DIF: Cognitive Level: Analyze REF: p. 12 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
- A nurse is planning a class on accident prevention for parents of toddlers. Which safety topic is the priority for this class? a. Appropriate use of car seat restraints b. Safety crossing the street c. Helmet use when riding a bicycle d. Poison control numbers - correct answer โ
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ANS: A Motor vehicle accidents (MVAs) continue to be the most common cause of death in children older than 1 year, therefore the priority topic is appropriate use of car seat restraints. Safety crossing the street and bicycle helmet use are topics that should be included for preschool
Nursing Hockenberry: Wong's
Essentials of Pediatric Nursing, 10th
Edition testbank
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 use of car seat restraints. DIF: Cognitive Level: Apply REF: p. 3 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance A nurse is collecting subjective and objective information about target populations to diagnose problems based on community needs. This describes which step in the community nursing process? a. Planning b. Diagnosis c. Assessment d. Establishing objectives - correct answer โ
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ANS: C
