WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. Section I — Perspectives of Pediatric Nursing — Family-
centered care and developmental context
Stem
A 10-month-old infant is admitted for dehydration after 24
hours of vomiting and decreased formula intake. The mother
appears anxious and asks whether she should stop offering
water and continue formula. The infant is lethargic with sunken
fontanelle and dry mucous membranes. Which nursing action
best reflects family-centered, developmentally appropriate
care?
A. Explain to the mother that formula should be withheld for 12
hours and only electrolyte solution offered.
B. Teach the mother to continue small, frequent formula feeds
and provide oral rehydration solution while involving her in the
plan.
,C. Encourage the mother to give free access to plain water and
hold formula until vomiting stops.
D. Inform the mother that hospitalization will require NPO
status and IV fluids immediately without parent input.
Correct answer
B
Rationale — Correct (B)
Continuing small, frequent formula feeds with oral rehydration
as tolerated aligns with infant developmental needs and family-
centered care. Involving the mother supports parental role and
shared decision-making; this matches Wong’s guidance to
balance physiologic needs with family involvement and age-
appropriate feeding practices.
Rationales — Incorrect
A. Withholding formula for 12 hours is inappropriate for an
infant and risks hypoglycemia; prolonged fasting is not
recommended as first-line.
C. Free access to plain water in an infant risks electrolyte
imbalance; oral rehydration solution is preferred.
D. Immediate NPO/IV without parent involvement undermines
family-centered care unless the infant shows shock or cannot
tolerate oral fluids.
Teaching Point
Use small, frequent feeds and involve caregivers in rehydration
decisions.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
2
Reference
Ch. Section I — Perspectives of Pediatric Nursing — Cultural
competence and family diversity
Stem
A 15-year-old adolescent with type 1 diabetes and his father
arrive for a clinic visit. The father speaks limited English and
defers all questions to the teen. The adolescent expresses
concern about managing insulin at school but appears reluctant
to speak. As the pediatric nurse, what action best addresses
family dynamics and cultural respect while promoting
adolescent autonomy?
A. Speak only to the father to respect parental authority and
provide educational pamphlets in English.
B. Arrange for an interpreter, then privately encourage the
adolescent to describe his concerns and involve the father in
the plan.
C. Ask the adolescent to translate medical instructions to his
father to maintain family privacy.
D. Provide the father with a strict written insulin schedule and
ask him to supervise the adolescent at school.
, Correct answer
B
Rationale — Correct (B)
Using an interpreter honors cultural and linguistic needs while
privately empowering the adolescent to voice self-management
concerns, aligning with family-centered care and adolescent
rights. Wong emphasizes culturally competent communication
and balancing parental involvement with adolescent autonomy.
Rationales — Incorrect
A. Speaking only to the father ignores the adolescent’s
autonomy and fails language access needs.
C. Asking the teen to translate places inappropriate
responsibility on the adolescent and risks miscommunication.
D. Imposing paternal supervision at school disregards
adolescent independence and practical school logistics.
Teaching Point
Use interpreters; support adolescent autonomy while including
family in plans.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. Section I — Perspectives of Pediatric Nursing — Family-
centered care and developmental context
Stem
A 10-month-old infant is admitted for dehydration after 24
hours of vomiting and decreased formula intake. The mother
appears anxious and asks whether she should stop offering
water and continue formula. The infant is lethargic with sunken
fontanelle and dry mucous membranes. Which nursing action
best reflects family-centered, developmentally appropriate
care?
A. Explain to the mother that formula should be withheld for 12
hours and only electrolyte solution offered.
B. Teach the mother to continue small, frequent formula feeds
and provide oral rehydration solution while involving her in the
plan.
,C. Encourage the mother to give free access to plain water and
hold formula until vomiting stops.
D. Inform the mother that hospitalization will require NPO
status and IV fluids immediately without parent input.
Correct answer
B
Rationale — Correct (B)
Continuing small, frequent formula feeds with oral rehydration
as tolerated aligns with infant developmental needs and family-
centered care. Involving the mother supports parental role and
shared decision-making; this matches Wong’s guidance to
balance physiologic needs with family involvement and age-
appropriate feeding practices.
Rationales — Incorrect
A. Withholding formula for 12 hours is inappropriate for an
infant and risks hypoglycemia; prolonged fasting is not
recommended as first-line.
C. Free access to plain water in an infant risks electrolyte
imbalance; oral rehydration solution is preferred.
D. Immediate NPO/IV without parent involvement undermines
family-centered care unless the infant shows shock or cannot
tolerate oral fluids.
Teaching Point
Use small, frequent feeds and involve caregivers in rehydration
decisions.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
2
Reference
Ch. Section I — Perspectives of Pediatric Nursing — Cultural
competence and family diversity
Stem
A 15-year-old adolescent with type 1 diabetes and his father
arrive for a clinic visit. The father speaks limited English and
defers all questions to the teen. The adolescent expresses
concern about managing insulin at school but appears reluctant
to speak. As the pediatric nurse, what action best addresses
family dynamics and cultural respect while promoting
adolescent autonomy?
A. Speak only to the father to respect parental authority and
provide educational pamphlets in English.
B. Arrange for an interpreter, then privately encourage the
adolescent to describe his concerns and involve the father in
the plan.
C. Ask the adolescent to translate medical instructions to his
father to maintain family privacy.
D. Provide the father with a strict written insulin schedule and
ask him to supervise the adolescent at school.
, Correct answer
B
Rationale — Correct (B)
Using an interpreter honors cultural and linguistic needs while
privately empowering the adolescent to voice self-management
concerns, aligning with family-centered care and adolescent
rights. Wong emphasizes culturally competent communication
and balancing parental involvement with adolescent autonomy.
Rationales — Incorrect
A. Speaking only to the father ignores the adolescent’s
autonomy and fails language access needs.
C. Asking the teen to translate places inappropriate
responsibility on the adolescent and risks miscommunication.
D. Imposing paternal supervision at school disregards
adolescent independence and practical school logistics.
Teaching Point
Use interpreters; support adolescent autonomy while including
family in plans.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
