WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing — Family-
Centered Care and Developmental Considerations
Stem
A 15-month-old toddler is admitted with a fractured femur after
a fall at home. The child is clingy, refuses bottle, and cries when
nurse approaches. The parents say the child usually calms only
when one parent is present. Which nursing action best
demonstrates family-centered, developmentally appropriate
care while promoting safety and pain control?
A. Explain the procedural steps to parents, then ask them to
leave so staff can perform care efficiently.
B. Offer parental presence during dressing changes and coach
parents on comforting techniques while administering
prescribed analgesic.
C. Restrain the toddler briefly during dressing changes to
prevent movement and speed the procedure.
,D. Provide distraction toys to the child and request parents wait
in the hallway until the child calms.
Correct Answer
B
Rationale — Correct (B)
Allowing parental presence and coaching them in soothing
aligns with family-centered care and the toddler’s
developmental need for security. Combining comforting
techniques with timely analgesia supports pain control and
cooperation, reduces distress, and improves safety during
procedures.
Rationale — Incorrect
A. Removing parents increases toddler distress and undermines
family-centered practice; not developmentally supportive.
C. Restraint without parental involvement is likely traumatic,
increases mistrust, and should be avoided unless absolutely
necessary for safety.
D. Distraction helps, but separating parent from toddler ignores
attachment needs and may worsen distress.
Teaching Point
Allow parental presence and coach comforting strategies during
procedures for toddlers.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
,2
Reference
Section I — Health Care for Children — Access, Continuity, and
Cultural Considerations
Stem
A 10-year-old child from a recently immigrated family presents
to the clinic with poorly controlled asthma. The family cites
difficulty accessing follow-up and not understanding written
instructions in English. Which nursing intervention best
addresses continuity of care and cultural competence?
A. Provide the family with a translated asthma action plan and
arrange a follow-up home visit with a community health worker.
B. Give the family multiple English-language handouts and
schedule a routine clinic appointment in four weeks.
C. Recommend they purchase an air purifier and suggest
internet resources in English for education.
D. Explain that the clinic’s schedule is full and advise them to
return to the ED if symptoms worsen.
Correct Answer
A
Rationale — Correct (A)
Providing translated, actionable education plus arranging a
community-based follow-up addresses language barriers,
, supports continuity, and reflects culturally competent, family-
centered care that improves outcomes.
Rationale — Incorrect
B. English-only materials and delayed follow-up do not address
language barriers or access issues.
C. Suggesting resources without addressing language and
follow-up is insufficient and may worsen self-management.
D. Telling family to use ED for worsening symptoms is not
proactive, negates continuity, and is not culturally sensitive.
Teaching Point
Provide linguistically appropriate materials and community
follow-up to improve continuity and access.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
Reference
Section I — Health Promotion — Anticipatory Guidance and
Developmental Screening
Stem
A 4-month-old infant comes for a well-child visit. Parents report
concern that the infant does not roll from tummy to back yet
but feeds and smiles appropriately. On examination, the infant
demonstrates head control, responds socially, and has
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing — Family-
Centered Care and Developmental Considerations
Stem
A 15-month-old toddler is admitted with a fractured femur after
a fall at home. The child is clingy, refuses bottle, and cries when
nurse approaches. The parents say the child usually calms only
when one parent is present. Which nursing action best
demonstrates family-centered, developmentally appropriate
care while promoting safety and pain control?
A. Explain the procedural steps to parents, then ask them to
leave so staff can perform care efficiently.
B. Offer parental presence during dressing changes and coach
parents on comforting techniques while administering
prescribed analgesic.
C. Restrain the toddler briefly during dressing changes to
prevent movement and speed the procedure.
,D. Provide distraction toys to the child and request parents wait
in the hallway until the child calms.
Correct Answer
B
Rationale — Correct (B)
Allowing parental presence and coaching them in soothing
aligns with family-centered care and the toddler’s
developmental need for security. Combining comforting
techniques with timely analgesia supports pain control and
cooperation, reduces distress, and improves safety during
procedures.
Rationale — Incorrect
A. Removing parents increases toddler distress and undermines
family-centered practice; not developmentally supportive.
C. Restraint without parental involvement is likely traumatic,
increases mistrust, and should be avoided unless absolutely
necessary for safety.
D. Distraction helps, but separating parent from toddler ignores
attachment needs and may worsen distress.
Teaching Point
Allow parental presence and coach comforting strategies during
procedures for toddlers.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
,2
Reference
Section I — Health Care for Children — Access, Continuity, and
Cultural Considerations
Stem
A 10-year-old child from a recently immigrated family presents
to the clinic with poorly controlled asthma. The family cites
difficulty accessing follow-up and not understanding written
instructions in English. Which nursing intervention best
addresses continuity of care and cultural competence?
A. Provide the family with a translated asthma action plan and
arrange a follow-up home visit with a community health worker.
B. Give the family multiple English-language handouts and
schedule a routine clinic appointment in four weeks.
C. Recommend they purchase an air purifier and suggest
internet resources in English for education.
D. Explain that the clinic’s schedule is full and advise them to
return to the ED if symptoms worsen.
Correct Answer
A
Rationale — Correct (A)
Providing translated, actionable education plus arranging a
community-based follow-up addresses language barriers,
, supports continuity, and reflects culturally competent, family-
centered care that improves outcomes.
Rationale — Incorrect
B. English-only materials and delayed follow-up do not address
language barriers or access issues.
C. Suggesting resources without addressing language and
follow-up is insufficient and may worsen self-management.
D. Telling family to use ED for worsening symptoms is not
proactive, negates continuity, and is not culturally sensitive.
Teaching Point
Provide linguistically appropriate materials and community
follow-up to improve continuity and access.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
Reference
Section I — Health Promotion — Anticipatory Guidance and
Developmental Screening
Stem
A 4-month-old infant comes for a well-child visit. Parents report
concern that the infant does not roll from tummy to back yet
but feeds and smiles appropriately. On examination, the infant
demonstrates head control, responds socially, and has
