Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A 7-year-old child with asthma is admitted for
increased wheezing. The parents ask how the pediatric nurse
will include them in daily care decisions. Which nursing action
best demonstrates family-centered care?
A. Explain the hospital’s plan and inform parents when tasks are
completed.
B. Invite parents to participate in morning rounds and decision
making about treatments.
C. Let parents observe care but ask them not to interfere with
clinical activities.
D. Provide parents with written policies and direct them to the
unit educator for questions.
Correct Answer: B
Rationales:
• Correct (B): Inviting parents to participate in rounds and
treatment decisions actively engages the family as
partners, consistent with family-centered pediatric nursing
(promotes shared decision making and better outcomes).
, • Incorrect (A): Merely informing parents is passive and does
not foster shared planning or partnership.
• Incorrect (C): Observing without participation maintains
power imbalance and reduces family involvement.
• Incorrect (D): Providing policies is administrative; it does
not actively integrate family input into clinical decisions.
Teaching Point: Involve families as partners in decision
making.
Citation: Hockenberry — Wong’s Nursing Care of Infants &
Children, 12th Ed., Ch. 1: Perspectives of Pediatric Nursing
2
Reference: Ch. 2, Section: Health Promotion and Anticipatory
Guidance
Question Stem: A 15-month-old toddler is receiving well-child
care. The nurse notices the child still uses a bottle for milk most
of the day. Which nursing response best addresses oral health
and nutrition?
A. Recommend continuing the bottle until age 2 for comfort.
B. Teach parents to transition to a cup and limit milk to bedtime
only.
C. Suggest offering only water in the bottle between meals.
D. Advise switching to whole cow’s milk in the bottle
immediately.
,Correct Answer: C
Rationales:
• Correct (C): Offering only water in bottles between meals
reduces prolonged exposure of teeth to sugars and lowers
risk of early childhood caries while allowing gradual
transition.
• Incorrect (A): Continuing frequent bottle use increases
caries risk and is not evidence-based.
• Incorrect (B): Limiting to bedtime only still exposes teeth
to milk sugars at night; better to eliminate milk in the
bottle.
• Incorrect (D): Switching to cow’s milk in the bottle does
not address prolonged exposure; the container and
frequency matter.
Teaching Point: Eliminate milk from bottles; offer water
between meals to prevent caries.
Citation: Hockenberry — Wong’s Nursing Care of Infants &
Children, 12th Ed., Ch. 2: Health Promotion and
Anticipatory Guidance
3
Reference: Ch. 3, Section: Growth and Development —
Toddler/Preschool
Question Stem: A 3-year-old hospitalized child who is toilet
training has several daytime accidents. Which nursing
, intervention best supports developmental progress and
psychosocial wellbeing?
A. Remind parents that accidents are a behavioral issue needing
strict correction.
B. Provide positive reinforcement for successful toileting and
allow regression without punishment.
C. Interrupt activities to take the child to the toilet every 15
minutes regardless of cues.
D. Encourage parents to postpone toilet training until after
discharge.
Correct Answer: B
Rationales:
• Correct (B): Positive reinforcement and avoiding
punishment promote trust and support normal regression
during illness—consistent with developmental care
principles.
• Incorrect (A): Strict correction increases shame and
anxiety, harming development and therapeutic
relationship.
• Incorrect (C): Overly frequent, non-cue based toileting
undermines autonomy and can increase distress.
• Incorrect (D): Postponing training unnecessarily delays
development; support during hospitalization is
appropriate.
Teaching Point: Use positive reinforcement; avoid
punishment for regression.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A 7-year-old child with asthma is admitted for
increased wheezing. The parents ask how the pediatric nurse
will include them in daily care decisions. Which nursing action
best demonstrates family-centered care?
A. Explain the hospital’s plan and inform parents when tasks are
completed.
B. Invite parents to participate in morning rounds and decision
making about treatments.
C. Let parents observe care but ask them not to interfere with
clinical activities.
D. Provide parents with written policies and direct them to the
unit educator for questions.
Correct Answer: B
Rationales:
• Correct (B): Inviting parents to participate in rounds and
treatment decisions actively engages the family as
partners, consistent with family-centered pediatric nursing
(promotes shared decision making and better outcomes).
, • Incorrect (A): Merely informing parents is passive and does
not foster shared planning or partnership.
• Incorrect (C): Observing without participation maintains
power imbalance and reduces family involvement.
• Incorrect (D): Providing policies is administrative; it does
not actively integrate family input into clinical decisions.
Teaching Point: Involve families as partners in decision
making.
Citation: Hockenberry — Wong’s Nursing Care of Infants &
Children, 12th Ed., Ch. 1: Perspectives of Pediatric Nursing
2
Reference: Ch. 2, Section: Health Promotion and Anticipatory
Guidance
Question Stem: A 15-month-old toddler is receiving well-child
care. The nurse notices the child still uses a bottle for milk most
of the day. Which nursing response best addresses oral health
and nutrition?
A. Recommend continuing the bottle until age 2 for comfort.
B. Teach parents to transition to a cup and limit milk to bedtime
only.
C. Suggest offering only water in the bottle between meals.
D. Advise switching to whole cow’s milk in the bottle
immediately.
,Correct Answer: C
Rationales:
• Correct (C): Offering only water in bottles between meals
reduces prolonged exposure of teeth to sugars and lowers
risk of early childhood caries while allowing gradual
transition.
• Incorrect (A): Continuing frequent bottle use increases
caries risk and is not evidence-based.
• Incorrect (B): Limiting to bedtime only still exposes teeth
to milk sugars at night; better to eliminate milk in the
bottle.
• Incorrect (D): Switching to cow’s milk in the bottle does
not address prolonged exposure; the container and
frequency matter.
Teaching Point: Eliminate milk from bottles; offer water
between meals to prevent caries.
Citation: Hockenberry — Wong’s Nursing Care of Infants &
Children, 12th Ed., Ch. 2: Health Promotion and
Anticipatory Guidance
3
Reference: Ch. 3, Section: Growth and Development —
Toddler/Preschool
Question Stem: A 3-year-old hospitalized child who is toilet
training has several daytime accidents. Which nursing
, intervention best supports developmental progress and
psychosocial wellbeing?
A. Remind parents that accidents are a behavioral issue needing
strict correction.
B. Provide positive reinforcement for successful toileting and
allow regression without punishment.
C. Interrupt activities to take the child to the toilet every 15
minutes regardless of cues.
D. Encourage parents to postpone toilet training until after
discharge.
Correct Answer: B
Rationales:
• Correct (B): Positive reinforcement and avoiding
punishment promote trust and support normal regression
during illness—consistent with developmental care
principles.
• Incorrect (A): Strict correction increases shame and
anxiety, harming development and therapeutic
relationship.
• Incorrect (C): Overly frequent, non-cue based toileting
undermines autonomy and can increase distress.
• Incorrect (D): Postponing training unnecessarily delays
development; support during hospitalization is
appropriate.
Teaching Point: Use positive reinforcement; avoid
punishment for regression.
