WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Family-centered
care and nurse role
Stem
A 2-year-old toddler (sensorimotor — emerging autonomy) is
admitted for elective hernia repair. The mother appears anxious
and asks if she can stay with the child during induction of
anesthesia. The child clings to the mother when separated and
shows increased crying and tachycardia. Which nursing action
best aligns with family-centered pediatric care and promotes
the child’s coping?
Options
A. Explain to the mother that only one parent is allowed in the
pre-op holding area and ask her to return at transfer to
recovery.
B. Offer developmentally appropriate preparation to the
,mother and facilitate parental presence during induction if
allowed by policy.
C. Ask the mother to step out to allow staff to perform rapid
preoperative checks without distraction.
D. Suggest that the mother go home to rest and return after the
child is in recovery to avoid infection risk.
Correct answer
B
Rationale — Correct (3–4 sentences)
Facilitating parental presence and preparing the parent with
developmentally appropriate information supports family-
centered care, promotes the toddler’s sense of security, and
reduces separation anxiety. Wong emphasizes partnering with
families and including them in care decisions to improve child
coping and outcomes. This action balances hospital policy with
developmental needs and safety considerations.
Rationale — Incorrect
A. Restrictive enforcement without offering alternatives
disregards family-centered principles and increases child
distress.
C. Asking the parent to leave for staff convenience ignores the
child’s developmental need for attachment and may worsen
physiological stress.
D. Sending the parent home is unnecessary for elective surgery
and undermines family-centered support; infection risk is
managed by standard precautions.
,Teaching point (≤20 words)
Parental presence and preparation reduce pediatric anxiety and
improve cooperation during procedures.
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 — Access, equity, and cultural
considerations
Stem
A 14-year-old adolescent (formal operational) from a recent
immigrant family presents with a chronic cough. The father
prefers traditional remedies and is hesitant about diagnostic
testing. The adolescent requests full disclosure and wants to
participate in decisions. What is the nurse’s best immediate
action?
Options
A. Honor the father’s wishes and postpone diagnostic testing
until family consents.
B. Privately explain to the adolescent that confidentiality is
absolute and proceed without informing the parents.
C. Engage both the adolescent and family in a culturally
sensitive discussion about diagnostic options and adolescent
, assent/parental permission requirements.
D. Inform the family that traditional remedies are ineffective
and insist on immediate testing.
Correct answer
C
Rationale — Correct (3–4 sentences)
Wong emphasizes culturally sensitive, family-centered
communication and respecting adolescent autonomy within
legal/ethical boundaries. The nurse should facilitate a dialogue
that acknowledges cultural beliefs, explains the rationale for
testing, and clarifies consent/assent, promoting shared
decision-making. This approach supports trust and improves
adherence.
Rationale — Incorrect
A. Automatically deferring to the parent without discussion
risks delayed diagnosis and undermines adolescent
involvement.
B. Absolute confidentiality is not applicable when parental
permission or urgent medical decisions are required; legal and
ethical limits must be discussed.
D. Dismissing cultural practices is coercive and damages
rapport; education should be respectful and evidence-based.
Teaching point (≤20 words)
Use culturally sensitive dialogue to balance family values with
adolescent assent and clinical needs.
AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Family-centered
care and nurse role
Stem
A 2-year-old toddler (sensorimotor — emerging autonomy) is
admitted for elective hernia repair. The mother appears anxious
and asks if she can stay with the child during induction of
anesthesia. The child clings to the mother when separated and
shows increased crying and tachycardia. Which nursing action
best aligns with family-centered pediatric care and promotes
the child’s coping?
Options
A. Explain to the mother that only one parent is allowed in the
pre-op holding area and ask her to return at transfer to
recovery.
B. Offer developmentally appropriate preparation to the
,mother and facilitate parental presence during induction if
allowed by policy.
C. Ask the mother to step out to allow staff to perform rapid
preoperative checks without distraction.
D. Suggest that the mother go home to rest and return after the
child is in recovery to avoid infection risk.
Correct answer
B
Rationale — Correct (3–4 sentences)
Facilitating parental presence and preparing the parent with
developmentally appropriate information supports family-
centered care, promotes the toddler’s sense of security, and
reduces separation anxiety. Wong emphasizes partnering with
families and including them in care decisions to improve child
coping and outcomes. This action balances hospital policy with
developmental needs and safety considerations.
Rationale — Incorrect
A. Restrictive enforcement without offering alternatives
disregards family-centered principles and increases child
distress.
C. Asking the parent to leave for staff convenience ignores the
child’s developmental need for attachment and may worsen
physiological stress.
D. Sending the parent home is unnecessary for elective surgery
and undermines family-centered support; infection risk is
managed by standard precautions.
,Teaching point (≤20 words)
Parental presence and preparation reduce pediatric anxiety and
improve cooperation during procedures.
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 — Access, equity, and cultural
considerations
Stem
A 14-year-old adolescent (formal operational) from a recent
immigrant family presents with a chronic cough. The father
prefers traditional remedies and is hesitant about diagnostic
testing. The adolescent requests full disclosure and wants to
participate in decisions. What is the nurse’s best immediate
action?
Options
A. Honor the father’s wishes and postpone diagnostic testing
until family consents.
B. Privately explain to the adolescent that confidentiality is
absolute and proceed without informing the parents.
C. Engage both the adolescent and family in a culturally
sensitive discussion about diagnostic options and adolescent
, assent/parental permission requirements.
D. Inform the family that traditional remedies are ineffective
and insist on immediate testing.
Correct answer
C
Rationale — Correct (3–4 sentences)
Wong emphasizes culturally sensitive, family-centered
communication and respecting adolescent autonomy within
legal/ethical boundaries. The nurse should facilitate a dialogue
that acknowledges cultural beliefs, explains the rationale for
testing, and clarifies consent/assent, promoting shared
decision-making. This approach supports trust and improves
adherence.
Rationale — Incorrect
A. Automatically deferring to the parent without discussion
risks delayed diagnosis and undermines adolescent
involvement.
B. Absolute confidentiality is not applicable when parental
permission or urgent medical decisions are required; legal and
ethical limits must be discussed.
D. Dismissing cultural practices is coercive and damages
rapport; education should be respectful and evidence-based.
Teaching point (≤20 words)
Use culturally sensitive dialogue to balance family values with
adolescent assent and clinical needs.
