Wongs Essentials of Pediatric Nursing 9 Part 2 of 2 By Maryln – Test Bank

Wongs Essentials of Pediatric Nursing 9 Part 2 of 2 By Maryln – Test Bank

Chapter 14: Health Problems of Toddlers and Preschoolers

MULTIPLE CHOICE

1. Which is described as the time interval between infection or exposure to disease and appearance of initial symptoms?

ANS: A

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

PTS: 1 DIF: Cognitive Level: Remember REF: 424

TOP:Integrated Process: Nursing Process: Assessment

MSC: Area of Client Needs: Physiologic Integrity

2. Airborne isolation is required for a child who is hospitalized with:

ANS: B

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

PTS: 1 DIF: Cognitive Level: Understand REF: 424

TOP:Integrated Process: Nursing Process: Implementation

MSC:Area of Client Needs: Safe and Effective Care Environment

3. Acyclovir (Zovirax) is given to children with chickenpox to:

ANS: B

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

PTS: 1 DIF: Cognitive Level: Understand REF: 429-430

TOP:Integrated Process: Nursing Process: Implementation

MSC: Area of Client Needs: Physiologic Integrity

4. The single parent of a 3-year-old child who has just been diagnosed with chickenpox tells the nurse that she cannot afford to stay home with the child and miss work. The parent asks the nurse if some medication will shorten the course of the illness. Which is the most appropriate nursing intervention?

ANS: C

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

PTS: 1 DIF: Cognitive Level: Apply REF: 429-430

TOP:Integrated Process: Teaching/Learning

MSC: Area of Client Needs: Physiologic Integrity

5. Which may be given to high-risk children after exposure to chickenpox to prevent varicella?

ANS: D

VariZIG is given to high-risk children to prevent the development of chickenpox. Acyclovir decreases the severity, not the development, of chickenpox. Varicella globulin is not effective because it is not the immune globulin. Diphenhydramine may help pruritus but not the actual chickenpox.

PTS: 1 DIF: Cognitive Level: Understand REF: 429

TOP:Integrated Process: Nursing Process: Implementation

MSC: Area of Client Needs: Physiologic Integrity

6. Vitamin A supplementation may be recommended for the young child who has which disease?

ANS: C

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

PTS: 1 DIF: Cognitive Level: Understand REF: 431

TOP:Integrated Process: Nursing Process: Implementation

MSC: Area of Client Needs: Physiologic Integrity

7. A nurse is teaching parents about caring for their child with chickenpox. The nurse should let the parents know that the child is considered to be no longer contagious when which occurs?

ANS: B

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

PTS: 1 DIF: Cognitive Level: Apply REF: 424

TOP:Integrated Process: Teaching/Learning

MSC: Area of Client Needs: Physiologic Integrity

8. A nurse is assessing a child and notes Koplik spots. In which of these communicable diseases are Koplik spots present?

ANS: B

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

PTS: 1 DIF: Cognitive Level: Apply REF: 426

TOP:Integrated Process: Nursing Process: Assessment

MSC: Area of Client Needs: Physiologic Integrity

9. Which is a common childhood communicable disease that may cause severe defects in the fetus when it occurs in its congenital form?

ANS: D

Rubella causes teratogenic effects on the fetus. There is a low risk of fetal death to those in contact with children affected with fifth disease. Roseola and rubeola are not dangerous to the fetus.

PTS: 1 DIF: Cognitive Level: Understand REF: 428

TOP:Integrated Process: Nursing Process: Assessment

MSC: Area of Client Needs: Physiologic Integrity

10. Which is the causative agent of scarlet fever?

ANS: D

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

PTS: 1 DIF: Cognitive Level: Understand REF: 428

TOP:Integrated Process: Nursing Process: Assessment

MSC: Area of Client Needs: Physiologic Integrity

Test Bank for Wong’s Essentials of Pediatric Nursing, 9th Edition, Part 2 of 2 by Marilyn J. Hockenberry

The “Test Bank for Wong’s Essentials of Pediatric Nursing, 9th Edition, Part 2 of 2” by Marilyn J. Hockenberry is an essential educational resource designed to support both educators and students in mastering the principles and practices of pediatric nursing. This comprehensive test bank complements the textbook by providing a variety of questions that assess and reinforce understanding of key pediatric nursing concepts, patient care techniques, and developmental considerations. It serves as an invaluable tool for both teaching and learning. Below is a detailed overview of the components and benefits of this test bank:

Overview of Test Bank Content

1. Chapter-by-Chapter Organization
   • The test bank is meticulously organized to align with each chapter of the textbook’s second part. This ensures comprehensive coverage of all critical topics and provides a structured approach to assessment, facilitating easy integration into the curriculum and enabling targeted learning.
2. Types of Questions
   • Multiple-Choice Questions (MCQs): These questions cover a broad spectrum of knowledge, from basic recall to complex application and critical thinking. Each question includes well-crafted distractors to challenge students’ understanding.
   • True/False Questions: These questions assess students’ ability to distinguish between correct and incorrect statements, reinforcing factual knowledge and addressing common misconceptions.
   • Fill-in-the-Blank Questions: These questions focus on recalling specific details such as key terms, processes, and important concepts, testing students’ memory and understanding.
   • Short Answer Questions: These questions require detailed yet concise responses, evaluating students’ ability to explain pediatric nursing concepts clearly and accurately.
   • Essay Questions: These questions assess students’ ability to synthesize and articulate complex ideas, demonstrating a deep understanding of pediatric nursing principles and their applications.
   • Case Studies and Scenarios: Real-world scenarios and case studies help students apply theoretical knowledge to practical nursing situations, enhancing their critical thinking and problem-solving skills.
   • Clinical Application Questions: These questions involve applying nursing interventions, planning patient care, and prioritizing actions based on patient scenarios.
3. Difficulty Levels
   • Questions are categorized by difficulty to provide a range of challenges and assess students’ proficiency at different levels, including:
     • Basic: Testing foundational knowledge and comprehension.
     • Intermediate: Requiring application of knowledge to practical nursing scenarios.
     • Advanced: Involving critical thinking, analysis, and synthesis of complex pediatric nursing information.
4. Core Focus Areas
   • Growth and Development: Questions covering the stages of child development, including physical, cognitive, and psychosocial growth.
   • Family-Centered Care: Detailed coverage of principles and practices that involve the family in the care of pediatric patients, including communication strategies and cultural considerations.
   • Health Promotion and Maintenance: Assessing knowledge of health promotion, disease prevention, immunizations, and regular health screenings in children.
   • Acute and Chronic Conditions: Questions on the management of acute and chronic health conditions in children, including nursing interventions, treatments, and patient education.
   • Pediatric Assessments: Focus on the techniques and tools used in conducting comprehensive pediatric assessments, including physical exams and developmental screenings.
   • Nutrition and Hydration: Examining the nutritional needs of children at different developmental stages and the management of hydration and feeding issues.
   • Pain Management: Coverage of strategies for assessing and managing pain in pediatric patients, including pharmacological and non-pharmacological approaches.
   • Medication Administration: Questions on safe medication administration practices specific to pediatric patients, including dosage calculations and monitoring for side effects.
   • Emergency and Critical Care: Detailed explanations for managing pediatric emergencies and providing critical care, including resuscitation techniques and stabilization.
   • Mental Health: Assessing understanding of mental health issues in children, including identification, intervention, and support for emotional and behavioral disorders.
5. Alignment with Learning Objectives
   • Each question in the test bank is aligned with the learning objectives outlined in the textbook, ensuring that assessments are relevant and targeted toward achieving the intended educational outcomes. This alignment helps in accurately measuring students’ progress and comprehension.
6. Educational Support and Utility
   • For Educators: The test bank provides a comprehensive resource for creating quizzes, exams, and other assessments. It simplifies the process of test creation and ensures consistency and alignment with the curriculum.
   • For Students: The test bank serves as a valuable tool for self-assessment and study. It helps students verify their answers, understand their mistakes, and learn the correct approach to pediatric nursing care.

Benefits of Using the Test Bank

1. Enhanced Learning and Retention
   • The diverse range of question types and difficulty levels helps reinforce learning through varied and repeated exposure to key concepts, enhancing retention and understanding.
2. Preparation for Real-World Applications
   • By focusing on real-world scenarios and practical applications, the test bank prepares students for the practical aspects of pediatric nursing, ensuring they are ready to apply their knowledge in clinical settings.
3. Comprehensive Assessment
   • The test bank allows for thorough and multi-faceted evaluation of students’ knowledge and skills, from basic understanding to advanced application, ensuring a well-rounded educational experience.
4. Efficient Teaching Resource
   • For educators, the test bank simplifies the process of creating assessments, providing a consistent and reliable tool for evaluating students’ progress and readiness for advanced studies in pediatric nursing.

Conclusion

The “Test Bank for Wong’s Essentials of Pediatric Nursing, 9th Edition, Part 2 of 2” by Marilyn J. Hockenberry is an essential resource for mastering the principles and practices of pediatric nursing. It provides structured, comprehensive, and versatile tools for assessing and enhancing students’ knowledge and skills in pediatric nursing. By aligning closely with the textbook and emphasizing real-world application, the test bank supports the development of competent, confident individuals ready to excel in their understanding and application of pediatric nursing principles.