TEST BANK — WONG’S NURSING CARE OF INFANTS AND
CHILDREN, 12TH EDITION
1. Which principle best reflects family-centered pediatric nursing?
The nurse makes decisions without family input
The family is treated as a constant in the child’s life
Parents should leave during procedures
Care is based only on the child’s diagnosis
2. A nurse is planning care for a hospitalized child. Which action best demonstrates atraumatic care?
Performing all procedures quickly without explanation
Separating the child from caregivers
Using comfort measures and minimizing unnecessary distress
Avoiding pain medication to prevent dependence
3. Which statement best describes the goal of family-centered care?
Replace parental decision-making with nursing decisions
Promote collaboration among the child, family, and health team
Limit family presence to visiting hours
Focus on physical needs only
4. Which finding most strongly supports the use of a family-centered approach?
The child has a chronic condition
The family has knowledge of the child’s routines and responses
The nurse has more education than the family
The child is receiving an oral medication
Real human photograph (public-domain historical image) used as a visual anchor.
5. Which nursing action is most appropriate when a child is frightened by a procedure?
Use medical terminology
Tell the child not to cry
Allow age-appropriate choices when possible
Restrain the child immediately
6. Which outcome is most consistent with pediatric nursing focused on health promotion?
The child avoids all physical activity
Page 1
, The family develops skills to support healthy development
The nurse completes all care for the child
The child remains hospitalized until symptoms disappear
7. When caring for a child from a different cultural background, the nurse should first:
Assume the family follows common local practices
Ask the family about beliefs that may affect care
Avoid discussing cultural practices
Use the nurse’s own values as the standard
8. Which nursing behavior best promotes culturally responsive care?
Using an interpreter when needed
Asking a sibling to translate complex medical information
Avoiding questions about beliefs
Assuming all members of a culture have identical practices
9. A parent requests a traditional practice that is unfamiliar to the nurse. What is the best initial response?
Immediately prohibit the practice
Ask what the practice means and assess for safety
Ignore the request
Tell the parent hospital routines always take priority
10. Which factor is most likely to influence a child’s health behavior over time?
Family routines and beliefs
The color of the hospital room
The nurse’s preferred diet
The child’s favorite television program
11. Which action best supports shared decision-making with an adolescent and family?
Provide information and invite questions from both
Direct all communication only to the parent
Exclude the adolescent from decisions
Avoid discussing alternatives
12. A family’s religious practice conflicts with a scheduled procedure. What should the nurse do first?
Dismiss the concern
Explore the concern and collaborate on an acceptable plan
Cancel the procedure independently
Tell the family religious practices are not relevant
13. Which hereditary pattern is characterized by a condition appearing when a child inherits two disease-causing
recessive alleles?
Autosomal dominant
Autosomal recessive
X-linked dominant
Mitochondrial
14. A child has a parent with an autosomal dominant disorder. Which statement is generally correct?
The child must inherit the disorder
Page 2
, Each pregnancy may carry a 50% chance of inheriting the altered allele
Only sons can inherit it
Only daughters can inherit it
15. Which nursing action is appropriate when obtaining a three-generation family health history?
Record only illnesses of the child
Document significant conditions, ages, and relationships
Avoid documenting causes of death
Record only conditions confirmed by genetic testing
16. When beginning a pediatric health history, the nurse should generally:
Start with the most invasive examination
Establish rapport and explain the purpose of the assessment
Ask the child to remain silent
Speak only with the parent regardless of age
17. Which approach is most appropriate for assessing a preschooler?
Use simple concrete words and allow time for response
Use abstract explanations
Ask only yes/no questions
Perform the assessment without introducing equipment
18. During a physical examination of a young child, which sequence is usually least threatening?
Auscultation before inspection
Inspection followed by less intrusive techniques before painful procedures
Painful procedure first
Only palpation and percussion
19. Which vital sign should be counted for a full minute in a young child when rhythm is irregular?
Temperature
Respiratory rate
Blood pressure
Pulse oximetry
20. Which pain scale is most appropriate for a preverbal or nonverbal child?
Numeric rating scale only
FLACC scale
Visual analog scale only
McGill questionnaire only
21. A school-age child can reliably describe pain intensity. Which tool is most appropriate?
Numeric rating scale
FLACC only
Newborn facial coding only
Apical pulse
22. Which statement about pediatric pain is most accurate?
Infants do not experience pain
Pain assessment should use age- and development-appropriate tools
Page 3
, Parents should never be involved
Behavior is unrelated to pain
23. Which intervention is a nonpharmacologic method for reducing procedural pain?
Distraction
Withholding fluids
Prolonging the procedure
Avoiding caregiver presence in every case
24. Which child is at greatest risk for dehydration during an acute diarrheal illness?
A healthy adolescent
A young infant
A healthy school-age child
A 17-year-old athlete
25. A child with suspected measles is admitted. Which transmission-based precaution is most appropriate?
Airborne precautions
Contact precautions only
Standard precautions only
Protective isolation only
26. Which finding is most characteristic of varicella?
Vesicular lesions in different stages of healing
A single dry lesion on the elbow
A chronic nonpruritic plaque
A painless oral ulcer only
27. A child with bacterial meningitis is being admitted. Which precaution is indicated initially for suspected
meningococcal disease?
Droplet precautions
Airborne precautions
Reverse isolation only
No precautions
Diagram: simplified pediatric cardiovascular blood-flow pathway.
28. Which newborn finding requires immediate nursing attention?
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CHILDREN, 12TH EDITION
1. Which principle best reflects family-centered pediatric nursing?
The nurse makes decisions without family input
The family is treated as a constant in the child’s life
Parents should leave during procedures
Care is based only on the child’s diagnosis
2. A nurse is planning care for a hospitalized child. Which action best demonstrates atraumatic care?
Performing all procedures quickly without explanation
Separating the child from caregivers
Using comfort measures and minimizing unnecessary distress
Avoiding pain medication to prevent dependence
3. Which statement best describes the goal of family-centered care?
Replace parental decision-making with nursing decisions
Promote collaboration among the child, family, and health team
Limit family presence to visiting hours
Focus on physical needs only
4. Which finding most strongly supports the use of a family-centered approach?
The child has a chronic condition
The family has knowledge of the child’s routines and responses
The nurse has more education than the family
The child is receiving an oral medication
Real human photograph (public-domain historical image) used as a visual anchor.
5. Which nursing action is most appropriate when a child is frightened by a procedure?
Use medical terminology
Tell the child not to cry
Allow age-appropriate choices when possible
Restrain the child immediately
6. Which outcome is most consistent with pediatric nursing focused on health promotion?
The child avoids all physical activity
Page 1
, The family develops skills to support healthy development
The nurse completes all care for the child
The child remains hospitalized until symptoms disappear
7. When caring for a child from a different cultural background, the nurse should first:
Assume the family follows common local practices
Ask the family about beliefs that may affect care
Avoid discussing cultural practices
Use the nurse’s own values as the standard
8. Which nursing behavior best promotes culturally responsive care?
Using an interpreter when needed
Asking a sibling to translate complex medical information
Avoiding questions about beliefs
Assuming all members of a culture have identical practices
9. A parent requests a traditional practice that is unfamiliar to the nurse. What is the best initial response?
Immediately prohibit the practice
Ask what the practice means and assess for safety
Ignore the request
Tell the parent hospital routines always take priority
10. Which factor is most likely to influence a child’s health behavior over time?
Family routines and beliefs
The color of the hospital room
The nurse’s preferred diet
The child’s favorite television program
11. Which action best supports shared decision-making with an adolescent and family?
Provide information and invite questions from both
Direct all communication only to the parent
Exclude the adolescent from decisions
Avoid discussing alternatives
12. A family’s religious practice conflicts with a scheduled procedure. What should the nurse do first?
Dismiss the concern
Explore the concern and collaborate on an acceptable plan
Cancel the procedure independently
Tell the family religious practices are not relevant
13. Which hereditary pattern is characterized by a condition appearing when a child inherits two disease-causing
recessive alleles?
Autosomal dominant
Autosomal recessive
X-linked dominant
Mitochondrial
14. A child has a parent with an autosomal dominant disorder. Which statement is generally correct?
The child must inherit the disorder
Page 2
, Each pregnancy may carry a 50% chance of inheriting the altered allele
Only sons can inherit it
Only daughters can inherit it
15. Which nursing action is appropriate when obtaining a three-generation family health history?
Record only illnesses of the child
Document significant conditions, ages, and relationships
Avoid documenting causes of death
Record only conditions confirmed by genetic testing
16. When beginning a pediatric health history, the nurse should generally:
Start with the most invasive examination
Establish rapport and explain the purpose of the assessment
Ask the child to remain silent
Speak only with the parent regardless of age
17. Which approach is most appropriate for assessing a preschooler?
Use simple concrete words and allow time for response
Use abstract explanations
Ask only yes/no questions
Perform the assessment without introducing equipment
18. During a physical examination of a young child, which sequence is usually least threatening?
Auscultation before inspection
Inspection followed by less intrusive techniques before painful procedures
Painful procedure first
Only palpation and percussion
19. Which vital sign should be counted for a full minute in a young child when rhythm is irregular?
Temperature
Respiratory rate
Blood pressure
Pulse oximetry
20. Which pain scale is most appropriate for a preverbal or nonverbal child?
Numeric rating scale only
FLACC scale
Visual analog scale only
McGill questionnaire only
21. A school-age child can reliably describe pain intensity. Which tool is most appropriate?
Numeric rating scale
FLACC only
Newborn facial coding only
Apical pulse
22. Which statement about pediatric pain is most accurate?
Infants do not experience pain
Pain assessment should use age- and development-appropriate tools
Page 3
, Parents should never be involved
Behavior is unrelated to pain
23. Which intervention is a nonpharmacologic method for reducing procedural pain?
Distraction
Withholding fluids
Prolonging the procedure
Avoiding caregiver presence in every case
24. Which child is at greatest risk for dehydration during an acute diarrheal illness?
A healthy adolescent
A young infant
A healthy school-age child
A 17-year-old athlete
25. A child with suspected measles is admitted. Which transmission-based precaution is most appropriate?
Airborne precautions
Contact precautions only
Standard precautions only
Protective isolation only
26. Which finding is most characteristic of varicella?
Vesicular lesions in different stages of healing
A single dry lesion on the elbow
A chronic nonpruritic plaque
A painless oral ulcer only
27. A child with bacterial meningitis is being admitted. Which precaution is indicated initially for suspected
meningococcal disease?
Droplet precautions
Airborne precautions
Reverse isolation only
No precautions
Diagram: simplified pediatric cardiovascular blood-flow pathway.
28. Which newborn finding requires immediate nursing attention?
Page 4
