WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
1.
Reference: Ch. 1 — Perspectives of Pediatric Nursing — Health
Care for Children / Family-Centered Care
Stem: A 4-year-old girl is admitted for dehydration after 2 days
of vomiting and diarrhea. Her mother is tearful and asks to stay
with her child 24/7. The child is clingy and refuses to play. As
the pediatric nurse planning care, which action is the priority to
support the child and family? (4 years — preschooler; family-
centered context)
A. Encourage mother to step out for short breaks while the
child naps to preserve parental energy.
B. Assign the child to a playroom for distraction while nursing
completes assessments.
C. Facilitate rooming-in and involve the mother in the child’s
care activities (offer fluids, oral care) with staff support.
D. Limit parental involvement to prevent interference with
clinical assessments.
,Correct answer: C
Rationale — Correct (C): Facilitating rooming-in and involving
the parent supports attachment, reduces child anxiety, and
improves cooperation with care. Wong emphasizes family-
centered care and parental participation as therapeutic —
particularly for preschoolers who rely on a primary caregiver for
emotional regulation. Engaging the mother also improves
understanding of hydration needs and safety at discharge.
Rationale — A: Encouraging breaks is important but not the
immediate priority; support should be offered while
maintaining parental presence.
Rationale — B: Removing the child from the parent may
increase anxiety and is not family-centered.
Rationale — D: Limiting parental involvement undermines
family-centered principles and may worsen the child’s distress.
Teaching point: Promote rooming-in and parent participation to
reduce pediatric anxiety and improve outcomes.
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 — The Art
of Pediatric Nursing / Atraumatic Care
Stem: A 6-month-old infant requires a routine immunization in
the clinic. The parent asks how to make the experience less
,traumatic. Which nursing action best aligns with atraumatic
care principles? (6 months — sensorimotor stage; focus on
pain/distress mitigation)
A. Administer oral sucrose and use a rapid containment
technique to complete the injection.
B. Explain the procedure in detail to the infant before injecting
to promote understanding.
C. Restrain the infant's arms to ensure accuracy and prevent
movement.
D. Delay the immunization until the infant is walking so they can
better handle the stress.
Correct answer: A
Rationale — Correct (A): Wong highlights atraumatic care
strategies such as age-appropriate pain relief (e.g., sucrose for
infants), swift technique, and comforting measures to reduce
distress. For infants, immediate analgesic measures and
efficient procedure execution minimize pain and trauma.
Rationale — B: Infants cannot understand verbal explanations;
this is developmentally inappropriate.
Rationale — C: Unnecessary restraint increases trauma; gentle
containment is preferred only when required for safety.
Rationale — D: Delaying immunization jeopardizes health
promotion and is not evidence-based.
Teaching point: Use age-appropriate comfort and quick
technique to minimize procedural trauma in infants.
, Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
3.
Reference: Ch. 2 — Family, Social, Cultural, and Religious
Influences on Child Health Promotion
Stem: A 9-year-old boy with asthma whose family practices
traditional herbal remedies presents with increased wheezing.
The parents prefer herbal tea and request no inhaled
medications. What is the best nursing response? (9 years —
school-age; cultural consideration)
A. Respectfully explore the family's beliefs, assess their
understanding of asthma risks, and collaborate on a plan that
includes prescribed bronchodilator therapy.
B. Tell the parents that herbal remedies are ineffective and
immediately administer medication against their wishes.
C. Discharge the child home with instructions to use herbal
treatments and return only if condition worsens.
D. Refuse to provide care until parents agree to follow hospital
policy on medications.
Correct answer: A
Rationale — Correct (A): Wong stresses culturally competent,
family-centered dialogue: assess beliefs, provide education
about disease risk, and negotiate a plan that integrates
evidence-based treatment while respecting family values. This
AND CHILDREN, 12TH EDITION
TEST BANK
1
1.
Reference: Ch. 1 — Perspectives of Pediatric Nursing — Health
Care for Children / Family-Centered Care
Stem: A 4-year-old girl is admitted for dehydration after 2 days
of vomiting and diarrhea. Her mother is tearful and asks to stay
with her child 24/7. The child is clingy and refuses to play. As
the pediatric nurse planning care, which action is the priority to
support the child and family? (4 years — preschooler; family-
centered context)
A. Encourage mother to step out for short breaks while the
child naps to preserve parental energy.
B. Assign the child to a playroom for distraction while nursing
completes assessments.
C. Facilitate rooming-in and involve the mother in the child’s
care activities (offer fluids, oral care) with staff support.
D. Limit parental involvement to prevent interference with
clinical assessments.
,Correct answer: C
Rationale — Correct (C): Facilitating rooming-in and involving
the parent supports attachment, reduces child anxiety, and
improves cooperation with care. Wong emphasizes family-
centered care and parental participation as therapeutic —
particularly for preschoolers who rely on a primary caregiver for
emotional regulation. Engaging the mother also improves
understanding of hydration needs and safety at discharge.
Rationale — A: Encouraging breaks is important but not the
immediate priority; support should be offered while
maintaining parental presence.
Rationale — B: Removing the child from the parent may
increase anxiety and is not family-centered.
Rationale — D: Limiting parental involvement undermines
family-centered principles and may worsen the child’s distress.
Teaching point: Promote rooming-in and parent participation to
reduce pediatric anxiety and improve outcomes.
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 — The Art
of Pediatric Nursing / Atraumatic Care
Stem: A 6-month-old infant requires a routine immunization in
the clinic. The parent asks how to make the experience less
,traumatic. Which nursing action best aligns with atraumatic
care principles? (6 months — sensorimotor stage; focus on
pain/distress mitigation)
A. Administer oral sucrose and use a rapid containment
technique to complete the injection.
B. Explain the procedure in detail to the infant before injecting
to promote understanding.
C. Restrain the infant's arms to ensure accuracy and prevent
movement.
D. Delay the immunization until the infant is walking so they can
better handle the stress.
Correct answer: A
Rationale — Correct (A): Wong highlights atraumatic care
strategies such as age-appropriate pain relief (e.g., sucrose for
infants), swift technique, and comforting measures to reduce
distress. For infants, immediate analgesic measures and
efficient procedure execution minimize pain and trauma.
Rationale — B: Infants cannot understand verbal explanations;
this is developmentally inappropriate.
Rationale — C: Unnecessary restraint increases trauma; gentle
containment is preferred only when required for safety.
Rationale — D: Delaying immunization jeopardizes health
promotion and is not evidence-based.
Teaching point: Use age-appropriate comfort and quick
technique to minimize procedural trauma in infants.
, Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
3.
Reference: Ch. 2 — Family, Social, Cultural, and Religious
Influences on Child Health Promotion
Stem: A 9-year-old boy with asthma whose family practices
traditional herbal remedies presents with increased wheezing.
The parents prefer herbal tea and request no inhaled
medications. What is the best nursing response? (9 years —
school-age; cultural consideration)
A. Respectfully explore the family's beliefs, assess their
understanding of asthma risks, and collaborate on a plan that
includes prescribed bronchodilator therapy.
B. Tell the parents that herbal remedies are ineffective and
immediately administer medication against their wishes.
C. Discharge the child home with instructions to use herbal
treatments and return only if condition worsens.
D. Refuse to provide care until parents agree to follow hospital
policy on medications.
Correct answer: A
Rationale — Correct (A): Wong stresses culturally competent,
family-centered dialogue: assess beliefs, provide education
about disease risk, and negotiate a plan that integrates
evidence-based treatment while respecting family values. This
