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Wongs Essentials of Pediatric Nursing 7th Edition Hockenberry Jackson Test Bank

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Wongs Essentials of Pediatric Nursing 7th Edition Hockenberry Jackson Test Bank

  • ISBN-10:0006768822
  • ISBN-13:978-0006768821

 

Description

Wongs Essentials of Pediatric Nursing 7th Edition Hockenberry Jackson Test Bank

  • ISBN-10:0006768822
  • ISBN-13:978-0006768821

 

 

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Hockenberry, et al.: Wong’s Essential of Pediatric Nursing, 7th Edition

 

Chapter 14: Health Problems of Toddlers and Preschoolers

 

MULTIPLE CHOICE

 

  1. Which of the following is described as the time interval between infection or exposure to disease and appearance of initial symptoms?
1. Incubation period
2. Prodromal period
3. Desquamation period
4. Period of communicability

 

ANS:   1

  1. The incubation period is the interval between infection or exposure and appearance of symptoms.
  2. The prodromal period is the interval between the time when early manifestations of disease appear and the time when the overt clinical syndrome is evident.
  3. Desquamation refers to the shedding of skin.
  4. The period of communicability is time or times during which an infectious agent may be transferred directly or indirectly from an infected person to another person.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 434         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Strict isolation is required for a child who is hospitalized with:
1. Mumps.
2. Chickenpox.
3. Exanthema subitum (roseola).
4. Erythema infectiosum (Fifth disease).

 

ANS:   2

  1. Chickenpox is communicable through direct contact, droplet spread, and contaminated objects.
  2. Mumps is transmitted from direct contact with saliva of infected person, and is most communicable before onset of swelling.
  3. The transmission and source of this viral infection, exanthema subitum, (roseola) is unknown.
  4. Erythema infectiosum (Fifth disease) is communicable before onset of symptoms.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 436         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Acyclovir (Zovirax) is given to children with chickenpox to:
1. Minimize scarring.
2. Decrease the number of lesions.
3. Prevent aplastic anemia.
4. Prevent spread of the disease.

 

ANS:   2

  1. Acyclovir decreases the number of lesions, shortens duration of fever, and decreases itching, lethargy, and anorexia.
  2. Treating pruritus and discouraging itching minimizes scarring.
  3. Aplastic anemia is not a complication of chickenpox.
  4. Strict isolation until vesicles are dried prevents spread of disease.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 437         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. The single parent of a 12-year-old child who has just been diagnosed with chickenpox tells the nurse that staying home with the child and missing work cannot be afforded. The parent asks the nurse if some medication will shorten the course of the illness. Which of the following is the most appropriate nursing intervention?
1. Reassure the parent that it is not necessary to stay home with the child.
2. Explain that no medication will shorten the course of the illness.
3. Explain the advantages of the medication acyclovir to treat chickenpox.
4. Explain the advantages of the medication varicella-zoster immune globulin (VZIG) to treat chickenpox.

 

ANS:   3

  1. Acyclovir is effective in treating the number of lesions, shortening the duration of fever, and decreasing itching, lethargy, and anorexia.
  2. It is important the parent stay with the child to monitor fever.
  3. Acyclovir lessens the severity of chickenpox.
  4. VZIG is given only to high-risk children.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 437         TOP:    Integrated Process: Teaching/Learning

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

 

 

 

 

 

  1. Which of the following may be given to high-risk children after exposure to chickenpox to prevent varicella?
1. Acyclovir
2. Varicella globulin
3. Diphenhydramine hydrochloride
4. VZIG

 

ANS:   4

  1. VZIG is given to high-risk children to prevent the development of chicken pox.
  2. Acyclovir decreases the severity, not the development, of chickenpox.
  3. Varicella globulin is not effective because it is not the immune globulin.
  4. Diphenhydramine may help pruritus but not the actual chickenpox.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 437         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapy

 

  1. Vitamin A supplementation may be recommended for the young child who has which of the following?
1. Mumps
2. Rubella
3. Measles (rubeola)
4. Erythema infectiosum

 

ANS:   3

  1. Evidence shows vitamin A decreases morbidity and mortality in measles.
  2. Mumps are treated with analgesics for pain and antipyretics for fever.
  3. Rubella is treated similarly to mumps.
  4. Erythema infectiosum is treated similarly to mumps and rubella.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 441         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. When is a child with chickenpox considered to be no longer contagious?
1. When fever is absent
2. When lesions are crusted
3. 24 hours after lesions erupt
4. 8 days after onset of illness

 

ANS:   2

  1. When the lesions are crusted, the chickenpox is no longer contagious. This may be a week after onset of disease.
  2. Chickenpox is still contagious when child has fever.
  3. Children are contagious after lesions erupt.
  4. If lesions are crusted at 8 days, the child is no longer contagious.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 437         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. In which of these communicable diseases are Koplik spots present?
1. Rubella
2. Measles (rubeola)
3. Chickenpox (varicella)
4. Exanthema subitum (roseola)

 

ANS:   2

  1. Koplik spots are small irregular red spots with a minute, bluish white center found on the buccal mucosa 2 days before systemic rash.
  2. Rubella occurs with rash on the face, which rapidly spreads downward.
  3. Varicella appears with highly pruritic macules, followed by papules and vesicles.
  4. Roseola is seen with rose-pink macules on the trunk, then spreading to face and extremities.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 440         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Which of the following is a common childhood communicable disease that may cause severe defects in the fetus when it occurs in its congenital form?
1. Erythema infectiosum
2. Roseola
3. Rubeola
4. Rubella

 

ANS:   4

  1. Rubella causes teratogenic effects on the fetus.
  2. There is a low risk of fetal death to those in contact with children affected with Fifth disease.

2 and 3.  Roseola and rubeola are not dangerous to the fetus.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 443         TOP:    Integrated Process: Nursing Process: Problem Identification

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

 

 

  1. Which of the following is the causative agent of scarlet fever?
1. Enteroviruses
2. Corynebacterium
3. Scarlet fever virus
4. Group A β-hemolytic streptococci (GABHS)

 

ANS:   4

  1. GABHS infection causes scarlet fever.
  2. Enteroviruses do not cause the same complications.
  3. Corynebacterium causes diphtheria.
  4. Scarlet fever is not caused by a virus.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 444         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. A parent reports to the nurse that her child has inflamed conjunctivae of both eyes with purulent drainage and crusting of the eyelids, especially on awakening. These manifestations suggest:
1. Viral conjunctivitis.
2. Allergic conjunctivitis.
3. Bacterial conjunctivitis.
4. Conjunctivitis caused by foreign body.

 

ANS:   3

  1. Bacterial conjunctivitis has these symptoms.
  2. Viral conjunctivitis has watery drainage.
  3. Allergic conjunctivitis has watery drainage.
  4. Foreign body causes tearing, pain, and usually only one eye is affected.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 444         TOP:    Integrated Process: Teaching/Learning

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Which of the following is an important nursing consideration when caring for a child with herpetic gingivostomatitis (HGS)?
1. Apply topical anesthetics before eating.
2. Drink from a cup, not a straw.
3. Wait to brush teeth until lesions are sufficiently healed.
4. Explain to parents how this is sexually transmitted.

 

ANS:   1

  1. Treatment for HGS is aimed at relief of pain.
  2. Drinking bland fluids through a straw helps avoid painful lesions.
  3. Mouth care is encouraged with a soft toothbrush.
  4. HGS is usually caused by herpes simplex virus type I, not associated with sexual transmission.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 447         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. A young child is being treated for giardiasis. Which of the following should the nurse recommend to the child’s parent?
1. The parasite is difficult to transmit, so no special precautions are indicated
2. The children can swim in a pool if wearing diapers
3. Diapers must be changed as soon as soiled and disposed of in a closed receptacle.
4. Cloth diapers should be rinsed in the toilet before washing.

 

ANS:   3

  1. Diapers should be changed as soon as soiled and disposed of in a container that is not accessible to the children.
  2. The parasite can be transmittable to other family members. Treatment may be indicated for up to 1 month to treat parasites that have hatched since treatment began.
  3. If a child with giardiasis is in a pool, contamination of the entire pool is a possibility.
  4. Disposable diapers should be used for the duration of the infection. When the diaper is rinsed in the toilet, the parasite may be placed on the toilet seat or other area of the bathroom.

 

DIF:    Cognitive Level: Application             REF:    Page 449         TOP:    Integrated Process: Teaching/Learning

MSC:   Area of Client Needs: Physiologic Integrity: Physiologic Adaptation

 

  1. The most common test for diagnosing pinworms in a child is which of the following?
1. Lower gastrointestinal (GI) series
2. Three stool specimens, at intervals of 4 days
3. Observation of presence of worms after child defecates
4. Tape placed in perianal area in the morning as soon as child awakens

 

ANS:   4

  1. Transparent tape is used to collect pinworms and their eggs from the perianal area in the morning before the child defecates or bathes.
  2. Lower GI series is not helpful for diagnosing enterobiasis.
  3. Stool specimens are not necessary to diagnose pinworms.
  4. Worms will not be visible after child defecates.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 451         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. A father calls the clinic because he found his young daughter squirting Visine eye drops into her mouth. Which of the following is the most appropriate nursing action?
1. Advise to seek immediate medical treatment.
2. Advise to induce vomiting with syrup of ipecac.
3. Advise to dilute Visine by drinking several glasses of water.
4. Give reassurance that Visine is harmless.

 

ANS:   1

  1. Visine is a sympathomimetic and if ingested may cause serious consequences. Medical treatment is necessary.
  2. Inducing vomiting is no longer recommended for ingestions.
  3. Dilution will not decrease risk.
  4. Visine is not harmless. It can cause serious consequences if ingested.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 451         TOP:    Integrated Process: Teaching/Learning

MSC:   Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapy

 

  1. What is the first step in the emergency treatment of poisoning in a child?
1. Locate the poison.
2. Assess the child.
3. Prevent absorption of poison.
4. Terminate exposure to the toxic substance.

 

ANS:   2

  1. The initial step in treating poisonings is to assess child, treat immediate life-threatening conditions, and initiate cardiopulmonary resuscitation (CPR) if indicated.
  2. Locating the poison for identification is important, but not the first step.
  3. Preventing absorption of poison is important, but not the first step.
  4. Terminating the exposure to the toxic substance is the second step.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 454         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Nursing Process: Implementation

 

  1. The nurse suspects that a child has ingested some type of poison. Which of the following clinical manifestations would be most suggestive that the poison was a corrosive product?
1. Tinnitus
2. Disorientation
3. Stupor, lethargy, coma
4. Edema of lips, tongue, pharynx

 

ANS:   4

  1. Edema of lips, tongue, and pharynx indicates a corrosive ingestion.
  2. Tinnitus is indicative of aspirin ingestion.

2 and 3.  Corrosives do not act on the central nervous system (CNS).

 

DIF:    Cognitive Level: Analysis                  REF:    Page 452         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential

 

  1. A young boy is found squirting lighter fluid into his mouth. His father calls the emergency room. The nurse taking the call should know that the primary danger is which of the following?
1. Hepatic dysfunction
2. Dehydration secondary to vomiting
3. Esophageal stricture and shock
4. Bronchitis and chemical pneumonia

 

ANS:   4

  1. Lighter fluid is a hydrocarbon. The immediate danger is aspiration.
  2. Acetaminophen overdose, not hydrocarbons, causes hepatic dysfunction.
  3. Dehydration is not the primary danger.
  4. Esophageal stricture is a late or chronic issue of hydrocarbon ingestion.

 

DIF:    Cognitive Level: Application             REF:    Page 452         TOP:    Integrated Process: Physiologic Integrity: Reduction of Risk Potential

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Which of the following is a clinical manifestation of acetaminophen poisoning?
1. Hyperpyrexia
2. Hepatic involvement
3. Severe burning pain in stomach
4. Drooling and inability to clear secretions

 

ANS:   2

  1. Hepatic involvement is the third stage of acetaminophen poisoning.
  2. Hyperpyrexia is a severe elevation in body temperature and is not related to acetaminophen poisoning.
  3. Acetaminophen does not cause burning pain in stomach.
  4. Acetaminophen does not pose an airway threat.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 452         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapy

 

 

 

 

  1. Acute salicylate (ASA; aspirin) poisoning results in which of the following?
1. Chemical pneumonitis
2. Hepatic damage
3. Retractions and grunting
4. Disorientation and loss of consciousness

 

ANS:   4

  1. ASA poisoning causes disorientation and loss of consciousness.
  2. Chemical pneumonitis is caused by hydrocarbon ingestion.
  3. Hepatic damage is caused by acetaminophen overdose.
  4. ASA does not cause airway obstruction.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 452         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapy

 

  1. A young child has just arrived at the emergency room after an ingestion of aspirin at home. The practitioner has ordered activated charcoal. The nurse administers charcoal in the following manner.
1. Administer through a nasogastric tube because the child will not drink it because of the taste.
2. Serve in a clear plastic cup so the child can see how much has been drunk.
3. Give half of the solution, and then repeat the other half in 1 hour.
4. Serve in an opaque container with a straw.

 

ANS:   4

  1. Although the activated charcoal can be mixed with a flavorful beverage, it will be black and resemble mud. By serving it in a container, the child will not have any preconceived ideas about its being distasteful.
  2. The nasogastric tube should be used only in children without a gag reflex.
  3. The ability to see the charcoal solution may affect the child’s desire to drink the solution.
  4. The child should be encouraged to drink the solution all at once.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 455         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Physiologic Integrity: Pharmacologic and Parenteral Therapy

 

  1. Which of the following is the most frequent source of acute childhood lead poisoning?
1. Folk remedies
2. Unglazed pottery
3. Lead-based paint
4. Cigarette butts and ashes

 

ANS:   3

  1. Lead-based paint in houses built before 1978 is the most frequent source of lead poisoning.

1 and 2.  Some folk remedies and unglazed pottery may contain lead, but they are not the most frequent source.

  1. Cigarette butts and ashes do not contain lead.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 456         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Chelation therapy for lead poisoning is initiated when a child’s blood level (g/dL) is:
1. 10–14.
2. 15–19.
3. 20–44.
4. >45.

 

ANS:   4

  1. Chelation therapy is initiated if the child’s blood level is greater than 45 g/dL.
  2. Family should have lead-poisoning education and follow up level.
  3. Same as a, but if persists, initiate environmental investigation.
  4. Environmental investigation and lead hazard control.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 458         TOP:    Integrated Process: Nursing Process: Implementation

MSC:   Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential

 

  1. Which of the following is descriptive of a child who is abused by the parent(s)?
1. Unintentionally contributes to the abusing situation
2. Belongs to a low socioeconomic population
3. Is healthier than the nonabused siblings
4. Abuses siblings in the same way as child is abused by the parent(s)

 

ANS:   1

  1. Child’s temperament, position in the family, additional physical needs, activity level, or degree of sensitivity to parental needs unintentionally contributes to the abusing situation.
  2. Abuse occurs among all socioeconomic levels.
  3. Children who are ill or have additional physical needs are more likely to be abused.
  4. The abused child may not abuse siblings.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 461         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Psychosocial Integrity: Psychosocial Adaptation

 

 

  1. A common characteristic of those who sexually abuse children is which of the following?
1. Pressure victim into secrecy
2. Are usually unemployed and unmarried
3. Are unknown to victims and victims’ families
4. Have many victims that are each abused only once

 

ANS:   1

  1. Sex offenders may pressure the victim to secrecy regarding the activity as a “secret between us” that other people may take away if they find out.
  2. The offender may be anyone, from family members to any level of society.
  3. Sex offenders are usually trusted acquaintance of the victims and victims’ families.
  4. Many victims are abused many times over a long period.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 462         TOP:    Integrated Process: Nursing Process: Assessment

MSC:   Area of Client Needs: Psychosocial Integrity: Psychosocial Adaptation

 

  1. A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. The nurse should suspect:
1. Unintentional injury.
2. Shaken-baby syndrome.
3. Sudden infant death syndrome (SIDS).
4. Congenital neurologic problem.

 

ANS:   2

  1. Shaken-baby syndrome causes internal bleeding but may have no external signs.
  2. Unintentional injury would not cause these injuries.

3 and 4.  SIDS would not appear this way.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 463         TOP:    Integrated Process: Nursing Process: Problem Identification

MSC:   Area of Client Needs: Physiologic Integrity: Physiologic Adaptation

 

  1. Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?
1. Inappropriate parental concern for the degree of injury.
2. Absence of parents for questioning about child’s injuries.
3. Inappropriate response of child.
4. Incompatibility between the history and injury observed.

 

ANS:   4

  1. Conflicting stories about the “accident” are the most indicative red flags of abuse.

1 and 3.  Inappropriate response of care giver may be present, but is subjective.

  1. Parents should be questioned at some point during the investigation.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 463         TOP:    Integrated Process: Nursing Process: Problem Identification

MSC:   Area of Client Needs: Psychosocial Integrity: Psychosocial Adaptation