Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing:
Role of the Pediatric Nurse
Stem: A pediatric nurse is providing discharge education to the
parents of a 4-year-old who was hospitalized for asthma. The
nurse ensures the parents can demonstrate proper inhaler
technique, identifies community resources for asthma support,
and schedules a follow-up appointment with the pediatrician.
This scenario best exemplifies which primary role of the
pediatric nurse?
Options:
A) Family advocacy
B) Health teaching
C) Coordination and collaboration
D) Therapeutic relationship
Correct Answer: C) Coordination and collaboration
Rationales:
• Correct (C): Coordination and collaboration involve
organizing and managing care across multiple settings and
providers. The nurse is acting as the linchpin, connecting
the family's inpatient care to outpatient resources and
follow-up, ensuring a seamless transition.
• Incorrect (A): While advocacy is involved, the primary
action described is organizing care, not specifically
speaking on the family's behalf.
, • Incorrect (B): Health teaching (demonstrating inhaler
technique) is a component, but the broader role of
scheduling and connecting to resources is coordination.
• Incorrect (D): The therapeutic relationship is the
foundation for all nursing care but describes the nurse-
patient connection, not the specific actions of organizing
care.
Teaching Point: The nurse coordinates care by linking
inpatient treatment to community and outpatient
resources.
Question 2
Chapter & Subtopic: Chapter 1 – Health Promotion: Injury
Prevention
Stem: A community health nurse is leading a seminar for
parents of toddlers. Which teaching point is the most evidence-
based strategy for preventing the leading cause of death in this
age group?
Options:
A) "Ensure your child is rear-facing in a car seat until the highest
weight or height allowed by the manufacturer."
B) "Keep all small toys and hard foods like peanuts out of your
child's reach to prevent aspiration."
C) "Install four-sided fencing with a self-latching gate around
your home swimming pool."
D) "Set your home water heater to 120°F (48.9°C) or lower to
avoid scald burns."
,Correct Answer: A) "Ensure your child is rear-facing in a car seat
until the highest weight or height allowed by the
manufacturer."
Rationales:
• Correct (A): Unintentional injuries are the leading cause of
death in toddlers, and motor vehicle crashes are the most
common type of fatal injury. Rear-facing car seats are
proven to significantly reduce mortality and are a
cornerstone of injury prevention (AAP guidelines).
• Incorrect (B): This prevents choking, a common cause of
non-fatal injury, but not the leading cause of death.
• Incorrect (C): This prevents drowning, a significant cause of
death, but not the most common.
• Incorrect (D): This prevents burns, another cause of non-
fatal injury, but not the leading cause of death.
Teaching Point: Motor vehicle injuries are the leading
cause of death in toddlers; proper car seat use is the key
preventive intervention.
Question 3
Chapter & Subtopic: Chapter 1 – Childhood Health Problems:
Obesity
Stem: The school nurse is developing a health promotion
program to address childhood obesity. According to national
guidelines, which strategy is most effective for primary
prevention?
, Options:
A) Implementing annual BMI screening for all students and
referring those at the 95th percentile to a dietitian.
B) Replacing sugar-sweetened beverages in school vending
machines with water and low-fat milk.
C) Organizing a weekly after-school running club for students
identified as overweight.
D) Providing individualized counseling to adolescents about
long-term health risks of obesity.
Correct Answer: B) Replacing sugar-sweetened beverages in
school vending machines with water and low-fat milk.
Rationales:
• Correct (B): Primary prevention aims to prevent a problem
before it occurs. Creating a healthier environment that
promotes better choices for all children (population-level
intervention) is the most effective primary prevention
strategy for obesity.
• Incorrect (A) & (C): These are examples of secondary
prevention (screening and early intervention for those at
risk or already affected).
• Incorrect (D): This is an example of tertiary prevention
(managing an existing condition to prevent complications).
Teaching Point: Primary prevention for obesity focuses on
population-level environmental changes to promote health
for all children.
Question 4
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing:
Role of the Pediatric Nurse
Stem: A pediatric nurse is providing discharge education to the
parents of a 4-year-old who was hospitalized for asthma. The
nurse ensures the parents can demonstrate proper inhaler
technique, identifies community resources for asthma support,
and schedules a follow-up appointment with the pediatrician.
This scenario best exemplifies which primary role of the
pediatric nurse?
Options:
A) Family advocacy
B) Health teaching
C) Coordination and collaboration
D) Therapeutic relationship
Correct Answer: C) Coordination and collaboration
Rationales:
• Correct (C): Coordination and collaboration involve
organizing and managing care across multiple settings and
providers. The nurse is acting as the linchpin, connecting
the family's inpatient care to outpatient resources and
follow-up, ensuring a seamless transition.
• Incorrect (A): While advocacy is involved, the primary
action described is organizing care, not specifically
speaking on the family's behalf.
, • Incorrect (B): Health teaching (demonstrating inhaler
technique) is a component, but the broader role of
scheduling and connecting to resources is coordination.
• Incorrect (D): The therapeutic relationship is the
foundation for all nursing care but describes the nurse-
patient connection, not the specific actions of organizing
care.
Teaching Point: The nurse coordinates care by linking
inpatient treatment to community and outpatient
resources.
Question 2
Chapter & Subtopic: Chapter 1 – Health Promotion: Injury
Prevention
Stem: A community health nurse is leading a seminar for
parents of toddlers. Which teaching point is the most evidence-
based strategy for preventing the leading cause of death in this
age group?
Options:
A) "Ensure your child is rear-facing in a car seat until the highest
weight or height allowed by the manufacturer."
B) "Keep all small toys and hard foods like peanuts out of your
child's reach to prevent aspiration."
C) "Install four-sided fencing with a self-latching gate around
your home swimming pool."
D) "Set your home water heater to 120°F (48.9°C) or lower to
avoid scald burns."
,Correct Answer: A) "Ensure your child is rear-facing in a car seat
until the highest weight or height allowed by the
manufacturer."
Rationales:
• Correct (A): Unintentional injuries are the leading cause of
death in toddlers, and motor vehicle crashes are the most
common type of fatal injury. Rear-facing car seats are
proven to significantly reduce mortality and are a
cornerstone of injury prevention (AAP guidelines).
• Incorrect (B): This prevents choking, a common cause of
non-fatal injury, but not the leading cause of death.
• Incorrect (C): This prevents drowning, a significant cause of
death, but not the most common.
• Incorrect (D): This prevents burns, another cause of non-
fatal injury, but not the leading cause of death.
Teaching Point: Motor vehicle injuries are the leading
cause of death in toddlers; proper car seat use is the key
preventive intervention.
Question 3
Chapter & Subtopic: Chapter 1 – Childhood Health Problems:
Obesity
Stem: The school nurse is developing a health promotion
program to address childhood obesity. According to national
guidelines, which strategy is most effective for primary
prevention?
, Options:
A) Implementing annual BMI screening for all students and
referring those at the 95th percentile to a dietitian.
B) Replacing sugar-sweetened beverages in school vending
machines with water and low-fat milk.
C) Organizing a weekly after-school running club for students
identified as overweight.
D) Providing individualized counseling to adolescents about
long-term health risks of obesity.
Correct Answer: B) Replacing sugar-sweetened beverages in
school vending machines with water and low-fat milk.
Rationales:
• Correct (B): Primary prevention aims to prevent a problem
before it occurs. Creating a healthier environment that
promotes better choices for all children (population-level
intervention) is the most effective primary prevention
strategy for obesity.
• Incorrect (A) & (C): These are examples of secondary
prevention (screening and early intervention for those at
risk or already affected).
• Incorrect (D): This is an example of tertiary prevention
(managing an existing condition to prevent complications).
Teaching Point: Primary prevention for obesity focuses on
population-level environmental changes to promote health
for all children.
Question 4
