WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 2-year-old toddler is brought to the clinic by his mother for a
well-child visit. The mother says he has had two ear infections
in the past 6 months and they live in a crowded home with
older siblings who attend daycare. On exam the child is active,
growth parameters at 50th percentile, and immunizations are
up to date. Which nursing consideration best addresses this
child’s risk factors for recurrent otitis media?
A. Counsel the mother to avoid daycare until age 3 to reduce
infection exposure.
B. Discuss smoke exposure, feeding position, and timely
vaccination as modifiable risk factors.
C. Recommend prophylactic antibiotics for 6 months to prevent
recurrence.
,D. Reassure the mother that recurrent infections are normal
and require no changes.
Correct answer
B
Rationale — Correct (B)
Wong emphasizes identifying modifiable environmental and
care practices that increase otitis media risk (e.g., secondhand
smoke, bottle propping, and daycare exposure) and addressing
them through family-centered teaching. Discussing vaccination
(e.g., influenza, pneumococcal where indicated), eliminating
smoke exposure, and correcting feeding positions reduces risk
and is within nursing scope. This approach is evidence-based,
practical, and respects family context.
Rationale — Incorrect
A. Avoiding daycare is unrealistic and not routinely
recommended; education about hygiene and exposure
reduction is preferred.
C. Prophylactic antibiotics risk resistance and are not routine
first-line prevention.
D. Reassurance only neglects modifiable risk factors and misses
a health-promotion opportunity.
Teaching point
Target modifiable environmental and feeding risks; educate
caregivers on prevention.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem
A 14-year-old adolescent female tells the school nurse she
wants to start strength training to lose weight. She is at Tanner
stage IV and reports skipping breakfast frequently. Vital signs
are normal; BMI is at 97th percentile. Which nursing response
best promotes healthy weight management while supporting
adolescent autonomy?
A. Provide a structured calorie-restricted meal plan the
adolescent must follow.
B. Encourage balanced meals, regular physical activity, and
involve family in healthy choices.
C. Suggest she use a commercial weight-loss supplement to
accelerate results.
D. Advise discontinuing all snack foods immediately and
exercising daily for 60 minutes.
Correct answer
B
, Rationale — Correct (B)
Wong highlights family-centered health promotion and
adolescent developmental needs: support autonomy, teach
balanced nutrition and safe exercise, and involve family to
ensure sustainable changes. This option addresses behavior
change, safety, and growth needs without extreme measures.
Rationale — Incorrect
A. A prescriptive calorie plan undermines adolescent autonomy
and may be unsafe without assessment.
C. Weight-loss supplements are not recommended for
adolescents due to safety concerns.
D. Abrupt prohibition and rigid exercise directives can promote
disordered behaviors and poor adherence.
Teaching point
Promote balanced nutrition, safe exercise, and family support
respecting adolescent autonomy.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Childhood Health
Problems
AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 2-year-old toddler is brought to the clinic by his mother for a
well-child visit. The mother says he has had two ear infections
in the past 6 months and they live in a crowded home with
older siblings who attend daycare. On exam the child is active,
growth parameters at 50th percentile, and immunizations are
up to date. Which nursing consideration best addresses this
child’s risk factors for recurrent otitis media?
A. Counsel the mother to avoid daycare until age 3 to reduce
infection exposure.
B. Discuss smoke exposure, feeding position, and timely
vaccination as modifiable risk factors.
C. Recommend prophylactic antibiotics for 6 months to prevent
recurrence.
,D. Reassure the mother that recurrent infections are normal
and require no changes.
Correct answer
B
Rationale — Correct (B)
Wong emphasizes identifying modifiable environmental and
care practices that increase otitis media risk (e.g., secondhand
smoke, bottle propping, and daycare exposure) and addressing
them through family-centered teaching. Discussing vaccination
(e.g., influenza, pneumococcal where indicated), eliminating
smoke exposure, and correcting feeding positions reduces risk
and is within nursing scope. This approach is evidence-based,
practical, and respects family context.
Rationale — Incorrect
A. Avoiding daycare is unrealistic and not routinely
recommended; education about hygiene and exposure
reduction is preferred.
C. Prophylactic antibiotics risk resistance and are not routine
first-line prevention.
D. Reassurance only neglects modifiable risk factors and misses
a health-promotion opportunity.
Teaching point
Target modifiable environmental and feeding risks; educate
caregivers on prevention.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem
A 14-year-old adolescent female tells the school nurse she
wants to start strength training to lose weight. She is at Tanner
stage IV and reports skipping breakfast frequently. Vital signs
are normal; BMI is at 97th percentile. Which nursing response
best promotes healthy weight management while supporting
adolescent autonomy?
A. Provide a structured calorie-restricted meal plan the
adolescent must follow.
B. Encourage balanced meals, regular physical activity, and
involve family in healthy choices.
C. Suggest she use a commercial weight-loss supplement to
accelerate results.
D. Advise discontinuing all snack foods immediately and
exercising daily for 60 minutes.
Correct answer
B
, Rationale — Correct (B)
Wong highlights family-centered health promotion and
adolescent developmental needs: support autonomy, teach
balanced nutrition and safe exercise, and involve family to
ensure sustainable changes. This option addresses behavior
change, safety, and growth needs without extreme measures.
Rationale — Incorrect
A. A prescriptive calorie plan undermines adolescent autonomy
and may be unsafe without assessment.
C. Weight-loss supplements are not recommended for
adolescents due to safety concerns.
D. Abrupt prohibition and rigid exercise directives can promote
disordered behaviors and poor adherence.
Teaching point
Promote balanced nutrition, safe exercise, and family support
respecting adolescent autonomy.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Childhood Health
Problems
