WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing
Stem
A 4-year-old preschooler is brought to the clinic for a well-child
visit. The parent reports the child occasionally resists bedtime
and has frequent temper tantrums when routines change. On
exam the child is cooperative, height/weight on the 50th
percentile, and demonstrates parallel play with a toy beside the
nurse. Which nursing interpretation and family-centered action
is most appropriate now?
A. Reassure the parent this behavior is developmentally normal
and advise to ignore tantrums.
B. Discuss establishing consistent bedtime routines and offer
anticipatory guidance for transitions.
C. Refer immediately for behavioral therapy because frequent
tantrums indicate a behavioral disorder.
,D. Recommend limiting social play to one child at a time to
reduce overstimulation.
Correct Answer
B
Rationales
Correct (B): The child’s tantrums and resistance to change are
consistent with preschool developmental stage; Wong
emphasizes anticipatory guidance and family-centered
strategies (consistent routines, preparation for transitions). This
intervention supports parental role, safety, and developmental
needs.
A: Saying “ignore” without education is incomplete; some
tantrums require structured responses and positive routines.
C: Immediate referral is premature; there is no red flag (growth
and play appropriate) to warrant urgent behavioral therapy.
D: Advising social isolation is unnecessary and may hinder social
development; parallel play at this age is typical.
Teaching Point
Provide anticipatory guidance and consistent routines for
preschoolers during transitions.
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
Stem
During a hospital admission, the parents of a 15-month-old
toddler ask whether they should stay with their child overnight.
The toddler is clingy and cries when a parent leaves. Based on
family-centered pediatric nursing principles, which nursing
action is best?
A. Encourage both parents to stay as much as possible and
assist with bedside accommodations.
B. Recommend rotating parental visits to prevent parental
exhaustion and maintain routines.
C. Advise parents to limit visits to short periods to reduce the
toddler’s separation dependence.
D. Suggest parents allow the child to sleep in the hospital crib
alone to promote independence.
Correct Answer
A
Rationales
Correct (A): Wong promotes family-centered care and the
therapeutic role of parents in hospitalization — parental
presence reduces stress, supports attachment, and improves
outcomes. Assisting with accommodations is a nursing priority.
B: Rotating visits may be necessary in some settings but
discouraging joint presence without assessing family needs is
premature.
, C: Limiting visits can increase toddler distress and is
inconsistent with family-centered approaches.
D: For a hospitalized, clingy toddler, abrupt separation without
parental support risks increased anxiety and safety concerns.
Teaching Point
Parental presence during hospitalization reduces stress and
promotes recovery in young children.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
Reference
Ch. 2 — Health Care for Children
Stem
A 13-year-old adolescent presents for a school sports physical.
The adolescent appears withdrawn and reports poor sleep and
frequent headaches over the last month after recently moving
schools. Vital signs normal. Which nursing question best
assesses psychosocial risk consistent with a family-centered
pediatric approach?
A. “Are you getting enough calcium and vitamin D in your diet?”
B. “Have you felt down, hopeless, or had thoughts of harming
yourself?”
C. “Do you find math class difficult?”
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing
Stem
A 4-year-old preschooler is brought to the clinic for a well-child
visit. The parent reports the child occasionally resists bedtime
and has frequent temper tantrums when routines change. On
exam the child is cooperative, height/weight on the 50th
percentile, and demonstrates parallel play with a toy beside the
nurse. Which nursing interpretation and family-centered action
is most appropriate now?
A. Reassure the parent this behavior is developmentally normal
and advise to ignore tantrums.
B. Discuss establishing consistent bedtime routines and offer
anticipatory guidance for transitions.
C. Refer immediately for behavioral therapy because frequent
tantrums indicate a behavioral disorder.
,D. Recommend limiting social play to one child at a time to
reduce overstimulation.
Correct Answer
B
Rationales
Correct (B): The child’s tantrums and resistance to change are
consistent with preschool developmental stage; Wong
emphasizes anticipatory guidance and family-centered
strategies (consistent routines, preparation for transitions). This
intervention supports parental role, safety, and developmental
needs.
A: Saying “ignore” without education is incomplete; some
tantrums require structured responses and positive routines.
C: Immediate referral is premature; there is no red flag (growth
and play appropriate) to warrant urgent behavioral therapy.
D: Advising social isolation is unnecessary and may hinder social
development; parallel play at this age is typical.
Teaching Point
Provide anticipatory guidance and consistent routines for
preschoolers during transitions.
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
Stem
During a hospital admission, the parents of a 15-month-old
toddler ask whether they should stay with their child overnight.
The toddler is clingy and cries when a parent leaves. Based on
family-centered pediatric nursing principles, which nursing
action is best?
A. Encourage both parents to stay as much as possible and
assist with bedside accommodations.
B. Recommend rotating parental visits to prevent parental
exhaustion and maintain routines.
C. Advise parents to limit visits to short periods to reduce the
toddler’s separation dependence.
D. Suggest parents allow the child to sleep in the hospital crib
alone to promote independence.
Correct Answer
A
Rationales
Correct (A): Wong promotes family-centered care and the
therapeutic role of parents in hospitalization — parental
presence reduces stress, supports attachment, and improves
outcomes. Assisting with accommodations is a nursing priority.
B: Rotating visits may be necessary in some settings but
discouraging joint presence without assessing family needs is
premature.
, C: Limiting visits can increase toddler distress and is
inconsistent with family-centered approaches.
D: For a hospitalized, clingy toddler, abrupt separation without
parental support risks increased anxiety and safety concerns.
Teaching Point
Parental presence during hospitalization reduces stress and
promotes recovery in young children.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
Reference
Ch. 2 — Health Care for Children
Stem
A 13-year-old adolescent presents for a school sports physical.
The adolescent appears withdrawn and reports poor sleep and
frequent headaches over the last month after recently moving
schools. Vital signs normal. Which nursing question best
assesses psychosocial risk consistent with a family-centered
pediatric approach?
A. “Are you getting enough calcium and vitamin D in your diet?”
B. “Have you felt down, hopeless, or had thoughts of harming
yourself?”
C. “Do you find math class difficult?”
