Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A 6-year-old is brought to the clinic for a
routine visit. The nurse notes the family lives in a single-parent
household and reports food insecurity. Which nursing action
most directly addresses the social determinant affecting this
child’s health?
A. Provide age-appropriate anticipatory guidance.
B. Refer the family to local food assistance and community
resources.
C. Schedule a follow-up well visit in 6 months.
D. Encourage the parent to join online parenting support
groups.
Correct Answer: B
Rationales:
• Correct (B): Referring to food assistance targets the
identified social determinant (food insecurity) and links the
family to resources that directly improve child nutrition
and health—consistent with family-centered, community-
based health promotion in pediatric nursing. Nursing
Hero+1
, • A: Anticipatory guidance is important but does not directly
eliminate the immediate barrier of food insecurity.
• C: Delaying follow-up without addressing current needs
risks worsening health outcomes.
• D: Online support groups may offer emotional support but
are unlikely to resolve immediate resource deficits.
Teaching Point: Address social determinants by connecting
families to community resources.
Citation: Hockenberry, M. J. (2024). Wong’s Nursing Care
of Infants and Children (12th ed.), Ch. 1, Perspectives of
Pediatric Nursing. Nursing Hero+1
2
Reference: Ch. 2, Section: Family, Social, Cultural, and Religious
Influences on Child Health Promotion
Question Stem: A nurse is planning teaching for a Somali
immigrant family whose 4-year-old requires immunizations. The
parents express distrust of Western medicine. Which approach
best honors cultural sensitivity while promoting health?
A. Insist the immunizations occur immediately to meet clinic
policy.
B. Provide translated materials and arrange a cultural liaison or
interpreter to discuss concerns.
C. Defer immunizations indefinitely if parents refuse.
D. Tell the parents immunizations are medically mandatory and
,ignore their beliefs.
Correct Answer: B
Rationales:
• Correct (B): Using translation services and a cultural liaison
respects beliefs, builds trust, and supports informed
decision-making—aligned with culturally competent,
family-centered care. Nursing Hero
• A: Forcing immediate vaccination undermines trust and
may be ethically and legally problematic.
• C: Deferring without continued dialogue misses an
opportunity for education and negotiation.
• D: Dismissal of beliefs damages therapeutic relationship
and reduces care adherence.
Teaching Point: Use interpreters and cultural liaisons to
build trust and promote care.
Citation: Hockenberry, Wong’s, Ch. 2, Family, Social,
Cultural, and Religious Influences. Nursing Hero
3
Reference: Ch. 12, Section: Health Promotion of the Toddler
and Family
Question Stem: A 2-year-old toddler is at the clinic for well care.
The parent reports the child still uses a bottle at bedtime and
has frequent nighttime dental decay. What is the nurse’s best
teaching priority?
, A. Offer a pacifier instead of discussing bottle use.
B. Instruct to stop bottle use at bedtime and introduce cup use;
recommend brushing and fluoride as appropriate.
C. Recommend plain water in the bottle instead of milk.
D. Say tooth decay in toddlers is unavoidable and provide
reassurance.
Correct Answer: B
Rationales:
• Correct (B): Stopping bedtime bottle use, promoting cup
transition, and oral hygiene (brushing/fluoride) directly
prevent early childhood caries—key health promotion in
toddler care. Nursing Hero
• A: A pacifier does not address prolonged bottle exposure
to sugars.
• C: While water is safer than milk, teaching transition from
bottle to cup and oral hygiene is the higher-priority
intervention.
• D: Dental decay is preventable; dismissal is inappropriate
education.
Teaching Point: Eliminate bedtime bottles and prioritize
oral hygiene to prevent caries.
Citation: Hockenberry, Wong’s, Ch. 12, Health Promotion
of the Toddler and Family. Nursing Hero
4
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A 6-year-old is brought to the clinic for a
routine visit. The nurse notes the family lives in a single-parent
household and reports food insecurity. Which nursing action
most directly addresses the social determinant affecting this
child’s health?
A. Provide age-appropriate anticipatory guidance.
B. Refer the family to local food assistance and community
resources.
C. Schedule a follow-up well visit in 6 months.
D. Encourage the parent to join online parenting support
groups.
Correct Answer: B
Rationales:
• Correct (B): Referring to food assistance targets the
identified social determinant (food insecurity) and links the
family to resources that directly improve child nutrition
and health—consistent with family-centered, community-
based health promotion in pediatric nursing. Nursing
Hero+1
, • A: Anticipatory guidance is important but does not directly
eliminate the immediate barrier of food insecurity.
• C: Delaying follow-up without addressing current needs
risks worsening health outcomes.
• D: Online support groups may offer emotional support but
are unlikely to resolve immediate resource deficits.
Teaching Point: Address social determinants by connecting
families to community resources.
Citation: Hockenberry, M. J. (2024). Wong’s Nursing Care
of Infants and Children (12th ed.), Ch. 1, Perspectives of
Pediatric Nursing. Nursing Hero+1
2
Reference: Ch. 2, Section: Family, Social, Cultural, and Religious
Influences on Child Health Promotion
Question Stem: A nurse is planning teaching for a Somali
immigrant family whose 4-year-old requires immunizations. The
parents express distrust of Western medicine. Which approach
best honors cultural sensitivity while promoting health?
A. Insist the immunizations occur immediately to meet clinic
policy.
B. Provide translated materials and arrange a cultural liaison or
interpreter to discuss concerns.
C. Defer immunizations indefinitely if parents refuse.
D. Tell the parents immunizations are medically mandatory and
,ignore their beliefs.
Correct Answer: B
Rationales:
• Correct (B): Using translation services and a cultural liaison
respects beliefs, builds trust, and supports informed
decision-making—aligned with culturally competent,
family-centered care. Nursing Hero
• A: Forcing immediate vaccination undermines trust and
may be ethically and legally problematic.
• C: Deferring without continued dialogue misses an
opportunity for education and negotiation.
• D: Dismissal of beliefs damages therapeutic relationship
and reduces care adherence.
Teaching Point: Use interpreters and cultural liaisons to
build trust and promote care.
Citation: Hockenberry, Wong’s, Ch. 2, Family, Social,
Cultural, and Religious Influences. Nursing Hero
3
Reference: Ch. 12, Section: Health Promotion of the Toddler
and Family
Question Stem: A 2-year-old toddler is at the clinic for well care.
The parent reports the child still uses a bottle at bedtime and
has frequent nighttime dental decay. What is the nurse’s best
teaching priority?
, A. Offer a pacifier instead of discussing bottle use.
B. Instruct to stop bottle use at bedtime and introduce cup use;
recommend brushing and fluoride as appropriate.
C. Recommend plain water in the bottle instead of milk.
D. Say tooth decay in toddlers is unavoidable and provide
reassurance.
Correct Answer: B
Rationales:
• Correct (B): Stopping bedtime bottle use, promoting cup
transition, and oral hygiene (brushing/fluoride) directly
prevent early childhood caries—key health promotion in
toddler care. Nursing Hero
• A: A pacifier does not address prolonged bottle exposure
to sugars.
• C: While water is safer than milk, teaching transition from
bottle to cup and oral hygiene is the higher-priority
intervention.
• D: Dental decay is preventable; dismissal is inappropriate
education.
Teaching Point: Eliminate bedtime bottles and prioritize
oral hygiene to prevent caries.
Citation: Hockenberry, Wong’s, Ch. 12, Health Promotion
of the Toddler and Family. Nursing Hero
4
