WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 4-year-old boy with newly diagnosed asthma arrives with his
mother for a follow-up. The child appears well, is playing
quietly, and has an intermittent cough but normal respiratory
rate and no retractions. The mother asks what the nurse should
prioritize during this visit. Which is the nurse’s best priority?
A. Begin spirometry testing immediately.
B. Review inhaler technique and a written asthma action plan
with the family.
C. Schedule a referral for allergy testing.
D. Advise immediate use of daily systemic corticosteroids.
,Correct answer
B
Rationale — Correct (B)
Teaching inhaler technique and providing a written asthma
action plan directly address health promotion, family education,
and self-management—core elements of pediatric care when
the child is clinically stable. Wong emphasizes empowering
families with practical skills and clear action plans to reduce
morbidity. This intervention is immediately actionable, family-
centered, and preventive.
Rationale — Incorrect
A. Spirometry may be useful but often requires cooperation and
is not first priority when teaching self-management to family.
C. Allergy testing may be appropriate later but is not the
immediate priority for family education and safety.
D. Daily systemic corticosteroids are not indicated for routine
asthma control and carry systemic risks.
Teaching point
Teach technique and provide a written action plan to families
for safe asthma management.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
,Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem
A 15-month-old female presents for the 15-month well-child
visit. Her immunizations are up to date. The mother reports the
child rarely plays with others and prefers to play alone at home.
The nurse’s most appropriate next action is:
A. Screen for autism spectrum disorder immediately and refer
for early intervention.
B. Reassure the mother that solitary play is typical at this age
and provide anticipatory guidance.
C. Recommend enrollment in structured preschool classes right
away.
D. Advise disciplinary techniques to force more social
interaction.
Correct answer
B
Rationale — Correct (B)
At 15 months, parallel/solitary play and preference for familiar
caregivers can be developmentally appropriate; Wong stresses
age-appropriate expectations and anticipatory guidance. The
nurse should validate parental concerns, provide guidance on
promoting social play (e.g., supervised playdates, modeling),
and schedule developmental surveillance. Immediate referral
for ASD evaluation is not warranted without additional red
flags.
, Rationale — Incorrect
A. Immediate ASD referral is premature absent other
developmental deficits.
C. Structured preschool may be beneficial later; not an
immediate necessity.
D. Forcing interaction or punitive strategies is inappropriate and
not family-centered.
Teaching point
Differentiate age-appropriate solitary play from early red flags;
give anticipatory guidance.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Childhood Health
Problems
Stem
A school nurse receives a call that an 11-year-old girl has a fever
of 38.5°C and complains of sore throat and difficulty
swallowing. The child is alert but drooling slightly and appears
anxious. The nurse’s best immediate action is:
A. Give acetaminophen and advise rest at home.
B. Assess airway patency and call for urgent medical evaluation.
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 4-year-old boy with newly diagnosed asthma arrives with his
mother for a follow-up. The child appears well, is playing
quietly, and has an intermittent cough but normal respiratory
rate and no retractions. The mother asks what the nurse should
prioritize during this visit. Which is the nurse’s best priority?
A. Begin spirometry testing immediately.
B. Review inhaler technique and a written asthma action plan
with the family.
C. Schedule a referral for allergy testing.
D. Advise immediate use of daily systemic corticosteroids.
,Correct answer
B
Rationale — Correct (B)
Teaching inhaler technique and providing a written asthma
action plan directly address health promotion, family education,
and self-management—core elements of pediatric care when
the child is clinically stable. Wong emphasizes empowering
families with practical skills and clear action plans to reduce
morbidity. This intervention is immediately actionable, family-
centered, and preventive.
Rationale — Incorrect
A. Spirometry may be useful but often requires cooperation and
is not first priority when teaching self-management to family.
C. Allergy testing may be appropriate later but is not the
immediate priority for family education and safety.
D. Daily systemic corticosteroids are not indicated for routine
asthma control and carry systemic risks.
Teaching point
Teach technique and provide a written action plan to families
for safe asthma management.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
,Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem
A 15-month-old female presents for the 15-month well-child
visit. Her immunizations are up to date. The mother reports the
child rarely plays with others and prefers to play alone at home.
The nurse’s most appropriate next action is:
A. Screen for autism spectrum disorder immediately and refer
for early intervention.
B. Reassure the mother that solitary play is typical at this age
and provide anticipatory guidance.
C. Recommend enrollment in structured preschool classes right
away.
D. Advise disciplinary techniques to force more social
interaction.
Correct answer
B
Rationale — Correct (B)
At 15 months, parallel/solitary play and preference for familiar
caregivers can be developmentally appropriate; Wong stresses
age-appropriate expectations and anticipatory guidance. The
nurse should validate parental concerns, provide guidance on
promoting social play (e.g., supervised playdates, modeling),
and schedule developmental surveillance. Immediate referral
for ASD evaluation is not warranted without additional red
flags.
, Rationale — Incorrect
A. Immediate ASD referral is premature absent other
developmental deficits.
C. Structured preschool may be beneficial later; not an
immediate necessity.
D. Forcing interaction or punitive strategies is inappropriate and
not family-centered.
Teaching point
Differentiate age-appropriate solitary play from early red flags;
give anticipatory guidance.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Childhood Health
Problems
Stem
A school nurse receives a call that an 11-year-old girl has a fever
of 38.5°C and complains of sore throat and difficulty
swallowing. The child is alert but drooling slightly and appears
anxious. The nurse’s best immediate action is:
A. Give acetaminophen and advise rest at home.
B. Assess airway patency and call for urgent medical evaluation.
