AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Family-centered
Care
Stem
A 9-month-old infant is admitted for bronchiolitis. The mother is
tearful and reports no family nearby. The infant is breastfed and
becomes fussy when separated. Which initial nursing action
best reflects family-centered care while supporting clinical
needs?
A. Place the infant in a quiet crib in the nurses’ station to allow
staff observation.
B. Explain to the mother that she must rest; encourage brief
parental separation during assessments.
C. Invite the mother to room-in and coach her on positioning
and comforting during examinations.
D. Ask the mother to sign consent forms and step out until
treatment decisions are made.
,Correct answer: C
Rationale — Correct (C)
Inviting rooming-in and coaching supports family-centered care,
reduces infant stress (separation anxiety at this age), and
improves cooperation during assessment. Wong emphasizes
partnering with families and integrating parents into care to
support developmental needs and clinical outcomes.
Rationale — Incorrect
A: Isolating the infant ignores parental role, increases infant
distress, and undermines family-centered priorities.
B: For a 9-month-old, prolonged separation increases distress;
brief separation only if clinically necessary.
D: Administrative tasks can be organized without removing the
parent; exclusion harms trust and reduces family engagement.
Teaching point:
Room-in and parent coaching reduce infant distress and
improve assessment cooperation.
Citation:
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2)
Reference
Ch. 1 — Health Care for Children — Continuity of Care
,Stem
A 13-year-old with newly diagnosed Type 1 diabetes is being
discharged after stabilization. The mother expresses anxiety
about diabetes management at home. Which discharge plan
component should the nurse prioritize?
A. Provide a printed pamphlet describing insulin types and
schedules.
B. Arrange a follow-up appointment and schedule in-home
diabetes education with a certified diabetes educator.
C. Tell the family to contact the clinic if they have questions.
D. Demonstrate injection technique once and rely on the clinic
visit for reinforcement.
Correct answer: B
Rationale — Correct (B)
Wong emphasizes continuity of care and evidence-based
discharge planning: arranging follow-up plus structured in-
home or outpatient diabetes education ensures caregiver
competency, reduces readmission risk, and supports adolescent
self-management.
Rationale — Incorrect
A: A pamphlet alone is insufficient—families need hands-on
teaching and return demonstration.
C: Passive instruction places burden on family and risks missed
problems.
D: A single demonstration is inadequate to ensure competence
and safety.
, Teaching point:
Prioritize scheduled education and follow-up to ensure family
competency and safe home care.
Citation:
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3)
Reference
Ch. 1 — Health Promotion — Immunization Counseling
Stem
A 2-month-old comes for well-child care; the mother is hesitant
about vaccines due to online claims. The infant’s vitals are
normal. Which nursing strategy best applies evidence-based
practice and family-centered communication?
A. Tell the mother vaccines are mandatory and proceed without
discussion.
B. Provide empathetic listening, ask about specific concerns,
and offer evidence-based resources tailored to her questions.
C. Refuse vaccination until she agrees and discharge from clinic.
D. Defer the discussion and schedule the vaccine at the next
visit.
Correct answer: B