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Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
MULTIPLE CHOICE
- 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. 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 mortality data. Treatment modalities and cost are not included in morbidity and mortality data. DIF: Cognitive Level: Apply REF: p. 11
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 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: Apply REF: p. 2
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
- 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. 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 REF: p. 7 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Firearm homicide
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
- 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 REF: p. 7 TOP: Integrated Process: Nursing Process: Planning MSC: Area of Client Needs: Health Promotion and Maintenance
- Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14?
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 REF: p. 3 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 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. DIF: Cognitive Level: Remember REF: p. 2 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance
- 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 atraumatic 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. 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 with a patient and family? a. Staff is concerned about the nurse’s actions 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 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. 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.
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Beneficence
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
Truthfulness is the concept of honesty. DIF: Cognitive Level: Understand REF: p. 10 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Physiological Integrity
- 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 use 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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: 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
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 ANS: C The nurse should document assessments and reassessments. Appearance of the incision described in objective terms should be included during a dressing change. The nurse should document patient’s response and the outcomes of the care provided. In this example, these 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. 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
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
- 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. d. (^) Establishing objectives ANS: C The nursing process stages are similar, whether the client is one child or a population of children. The assessment phase of the nursing process focuses on collecting subjective and objective data. Planning is the development of community-centered goals and objectives. Diagnosis is the identification of problems specific to the community. DIF: Cognitive Level: Understand REF: p. 11 TOP: Integrated Process: Communication and Documentation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
Assessment
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
with solved answers 2022
- A nurse is establishing several health programs, such as bicycle safety, to improve the health status of a target population. This describes which step in the community nursing process? a. Planning b. Evaluation c. Assessment d. Implementation ANS: D The nurse working with the community to put into practice a program to reach community goals is the implementation phase of the community nursing process. Planning involves designing the program to meet community-centered goals. The evaluation stage would determine the effectiveness of the program. During the assessment phase, the nurse would identify the resources necessary and the barriers that would interfere with implementation. DIF: Cognitive Level: Understand REF: p. 11 TOP: Integrated Process: Nursing Process: Implementation MSC: Area of Client Needs: Safe and Effective Care Environment: Management of Care
Chapter 01: Perspectives of Pediatric Nursing|Wong’s
Essentials of Pediatric Nursing, 10th Edition questions
