WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference: Ch. 1 — Perspectives of Pediatric Nursing — Family-
Centered Care Principles
Stem: A 3-year-old toddler with recurrent otitis media is
brought to the clinic by his mother who expresses concern
about frequent antibiotic use and daycare exposures. The nurse
assesses family routines, parental work schedules, and
caregiver knowledge about ear infection prevention. Which
nursing action best aligns with family-centered pediatric
nursing?
A. Provide the mother with a printed antibiotic schedule and
ask her to call if symptoms recur.
B. Discuss strategies to reduce infection risk at daycare and
collaborate with the mother to create a care plan that fits her
schedule.
C. Recommend immediate transfer to a pediatric ENT specialist
for surgical evaluation.
D. Tell the mother that frequent infections are normal and to
,continue current care.
Correct answer: B
Rationale — Correct: Option B supports evidence-based
prevention, involves the family in planning, and tailors
strategies to the mother’s circumstances—core family-centered
nursing. It promotes partnership, respects parental expertise,
and addresses social and environmental contributors to illness
as recommended in Wong.
Rationale — Incorrect:
A: Useful information but passive and does not engage family
problem-solving or address environmental risk.
C: Premature without trial of prevention and ENT referral not
first-line for recurrent infections.
D: Dismissive and unsafe; ignores prevention opportunities and
parental concerns.
Teaching point: Collaborate with families to create realistic,
evidence-based prevention plans.
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 and Care
Settings
Stem: A 16-year-old adolescent with poorly controlled asthma
missed three clinic appointments. His mother reports
transportation barriers and fear about medication side effects.
,As the pediatric nurse coordinating care, which action most
directly improves access while respecting family concerns?
A. Insist the family attend in-person visits and threaten
discharge if missed again.
B. Arrange telehealth follow-up visits and schedule medication
counseling with a nurse educator.
C. Switch the adolescent to a more potent inhaled steroid
without family input.
D. Tell the family to go to the emergency department when
symptoms worsen.
Correct answer: B
Rationale — Correct: Option B addresses access barriers via
telehealth and provides targeted education to address
medication concerns—both improve adherence and align with
family-centered, equitable care models emphasized in Wong.
Rationale — Incorrect:
A: Coercive and likely to worsen engagement; not family-
centered.
C: Medication changes should involve shared decision-making
and assessment of adherence/education first.
D: Emergency care is for acute exacerbations; advising ED use
for routine management increases morbidity and cost.
Teaching point: Use telehealth and education to overcome
access barriers and engage families.
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 — Anticipatory Guidance
Stem: A 9-month-old infant is brought for a well-visit with
parents who ask when they should start introducing solid finger
foods. The infant is sitting supported and demonstrates raking
grasp. Which nursing response best applies anticipatory
guidance?
A. Recommend soft, mashed table foods now and advise on
choking prevention and supervision.
B. Tell the parents to wait until 18 months before introducing
any solids.
C. Advise offering whole grapes and hot dogs as they are
common family foods.
D. Provide no guidance and tell parents to follow the
grandmother’s advice.
Correct answer: A
Rationale — Correct: Option A applies developmental
assessment (sitting, grasp) to timing of feeding, and includes
safety guidance (texture, supervision), which is central to
anticipatory guidance and health promotion in pediatric
nursing.
Rationale — Incorrect:
B: Unnecessarily delayed and not developmentally appropriate.
C: Whole grapes and hot dogs are choking hazards for infants—
unsafe recommendation.
D: Neglects professional guidance and risks inconsistent, unsafe
practices.
AND CHILDREN, 12TH EDITION
TEST BANK
1)
Reference: Ch. 1 — Perspectives of Pediatric Nursing — Family-
Centered Care Principles
Stem: A 3-year-old toddler with recurrent otitis media is
brought to the clinic by his mother who expresses concern
about frequent antibiotic use and daycare exposures. The nurse
assesses family routines, parental work schedules, and
caregiver knowledge about ear infection prevention. Which
nursing action best aligns with family-centered pediatric
nursing?
A. Provide the mother with a printed antibiotic schedule and
ask her to call if symptoms recur.
B. Discuss strategies to reduce infection risk at daycare and
collaborate with the mother to create a care plan that fits her
schedule.
C. Recommend immediate transfer to a pediatric ENT specialist
for surgical evaluation.
D. Tell the mother that frequent infections are normal and to
,continue current care.
Correct answer: B
Rationale — Correct: Option B supports evidence-based
prevention, involves the family in planning, and tailors
strategies to the mother’s circumstances—core family-centered
nursing. It promotes partnership, respects parental expertise,
and addresses social and environmental contributors to illness
as recommended in Wong.
Rationale — Incorrect:
A: Useful information but passive and does not engage family
problem-solving or address environmental risk.
C: Premature without trial of prevention and ENT referral not
first-line for recurrent infections.
D: Dismissive and unsafe; ignores prevention opportunities and
parental concerns.
Teaching point: Collaborate with families to create realistic,
evidence-based prevention plans.
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 and Care
Settings
Stem: A 16-year-old adolescent with poorly controlled asthma
missed three clinic appointments. His mother reports
transportation barriers and fear about medication side effects.
,As the pediatric nurse coordinating care, which action most
directly improves access while respecting family concerns?
A. Insist the family attend in-person visits and threaten
discharge if missed again.
B. Arrange telehealth follow-up visits and schedule medication
counseling with a nurse educator.
C. Switch the adolescent to a more potent inhaled steroid
without family input.
D. Tell the family to go to the emergency department when
symptoms worsen.
Correct answer: B
Rationale — Correct: Option B addresses access barriers via
telehealth and provides targeted education to address
medication concerns—both improve adherence and align with
family-centered, equitable care models emphasized in Wong.
Rationale — Incorrect:
A: Coercive and likely to worsen engagement; not family-
centered.
C: Medication changes should involve shared decision-making
and assessment of adherence/education first.
D: Emergency care is for acute exacerbations; advising ED use
for routine management increases morbidity and cost.
Teaching point: Use telehealth and education to overcome
access barriers and engage families.
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 — Anticipatory Guidance
Stem: A 9-month-old infant is brought for a well-visit with
parents who ask when they should start introducing solid finger
foods. The infant is sitting supported and demonstrates raking
grasp. Which nursing response best applies anticipatory
guidance?
A. Recommend soft, mashed table foods now and advise on
choking prevention and supervision.
B. Tell the parents to wait until 18 months before introducing
any solids.
C. Advise offering whole grapes and hot dogs as they are
common family foods.
D. Provide no guidance and tell parents to follow the
grandmother’s advice.
Correct answer: A
Rationale — Correct: Option A applies developmental
assessment (sitting, grasp) to timing of feeding, and includes
safety guidance (texture, supervision), which is central to
anticipatory guidance and health promotion in pediatric
nursing.
Rationale — Incorrect:
B: Unnecessarily delayed and not developmentally appropriate.
C: Whole grapes and hot dogs are choking hazards for infants—
unsafe recommendation.
D: Neglects professional guidance and risks inconsistent, unsafe
practices.
