WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing (Chapter 1)
Stem
A 4-year-old girl at a well-child visit sits on her mother’s lap and
refuses to play with the toys, appearing withdrawn. Her mother
reports the family recently moved, the child has started
preschool, and she sleeps more but has normal appetite. On
assessment the child’s affect is flat but vital signs are within
normal limits. Which nursing interpretation is most
appropriate?
Options
A. The child likely has a depressive disorder requiring
immediate psychiatric referral.
B. The child’s behavior suggests transient adjustment stress
related to recent life changes; provide support and monitor.
C. The child’s increased sleep indicates an infectious process;
,obtain laboratory testing.
D. The child is demonstrating normal preschool shyness; no
intervention is needed.
Correct answer
B
Rationales
Correct Option (B): The scenario shows recent stressors (move,
preschool) and behavioral change without physiological signs of
illness. Wong emphasizes assessing contextual family events
and using supportive monitoring before labeling pathology.
Family-centered interventions and close follow-up are
appropriate.
Option A: Premature—depressive disorder diagnosis requires
persistent symptoms, functional impairment, and assessment
over time; immediate psychiatric referral is not yet indicated.
Option C: No signs of infection (fever, poor appetite, abnormal
vitals); lab testing would be premature.
Option D: Dismissing changes as normal shyness ignores
contextual stressors and delays needed support.
Teaching point
Assess context and monitor behavioral changes before
diagnosing psychiatric disorders.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
,2
Reference
Section I — Health Care for Children (Chapter 2)
Stem
A 15-month-old boy presents to the clinic for a fever of 38.9°C
and cough for 24 hours. His parents ask whether to bring him to
the emergency department or manage at home. The child is
alert, drinking fluids, has mild nasal flaring, and an oxygen
saturation of 97% on room air. Which nursing response best
guides the family?
Options
A. Advise immediate ED evaluation because any fever over
38.5°C in toddlers is an emergency.
B. Instruct parents to monitor at home with antipyretics and
follow up with the primary provider in 24–48 hours unless
symptoms worsen.
C. Recommend starting antibiotics at home since young children
with cough and fever commonly have bacterial infections.
D. Tell the parents to withhold fluids and observe for 48 hours
to see if fever resolves spontaneously.
Correct answer
B
Rationales
Correct Option (B): Child is alert with stable vitals and adequate
, hydration; Wong endorses triaging: educate caregivers on red
flags (respiratory distress, poor intake, lethargy) and close
outpatient follow-up. Provide antipyretic guidance and return
instructions.
Option A: Overly aggressive—fever alone without danger signs
is not an ED indication.
Option C: Inappropriate—antibiotics are not indicated
empirically for viral symptoms; unnecessary use risks harm.
Option D: Dangerous—withholding fluids risks dehydration;
parents should maintain hydration and seek care if worsens.
Teaching point
Triage by danger signs; fever without red flags is managed at
home with close follow-up.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 2.
3
Reference
Section I — Health Promotion (Chapter 3)
Stem
A 10-year-old boy presents for a school sports physical. His BMI
is at the 95th percentile. The mother asks what lifestyle changes
to prioritize. The child prefers video games and reports minimal
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing (Chapter 1)
Stem
A 4-year-old girl at a well-child visit sits on her mother’s lap and
refuses to play with the toys, appearing withdrawn. Her mother
reports the family recently moved, the child has started
preschool, and she sleeps more but has normal appetite. On
assessment the child’s affect is flat but vital signs are within
normal limits. Which nursing interpretation is most
appropriate?
Options
A. The child likely has a depressive disorder requiring
immediate psychiatric referral.
B. The child’s behavior suggests transient adjustment stress
related to recent life changes; provide support and monitor.
C. The child’s increased sleep indicates an infectious process;
,obtain laboratory testing.
D. The child is demonstrating normal preschool shyness; no
intervention is needed.
Correct answer
B
Rationales
Correct Option (B): The scenario shows recent stressors (move,
preschool) and behavioral change without physiological signs of
illness. Wong emphasizes assessing contextual family events
and using supportive monitoring before labeling pathology.
Family-centered interventions and close follow-up are
appropriate.
Option A: Premature—depressive disorder diagnosis requires
persistent symptoms, functional impairment, and assessment
over time; immediate psychiatric referral is not yet indicated.
Option C: No signs of infection (fever, poor appetite, abnormal
vitals); lab testing would be premature.
Option D: Dismissing changes as normal shyness ignores
contextual stressors and delays needed support.
Teaching point
Assess context and monitor behavioral changes before
diagnosing psychiatric disorders.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
,2
Reference
Section I — Health Care for Children (Chapter 2)
Stem
A 15-month-old boy presents to the clinic for a fever of 38.9°C
and cough for 24 hours. His parents ask whether to bring him to
the emergency department or manage at home. The child is
alert, drinking fluids, has mild nasal flaring, and an oxygen
saturation of 97% on room air. Which nursing response best
guides the family?
Options
A. Advise immediate ED evaluation because any fever over
38.5°C in toddlers is an emergency.
B. Instruct parents to monitor at home with antipyretics and
follow up with the primary provider in 24–48 hours unless
symptoms worsen.
C. Recommend starting antibiotics at home since young children
with cough and fever commonly have bacterial infections.
D. Tell the parents to withhold fluids and observe for 48 hours
to see if fever resolves spontaneously.
Correct answer
B
Rationales
Correct Option (B): Child is alert with stable vitals and adequate
, hydration; Wong endorses triaging: educate caregivers on red
flags (respiratory distress, poor intake, lethargy) and close
outpatient follow-up. Provide antipyretic guidance and return
instructions.
Option A: Overly aggressive—fever alone without danger signs
is not an ED indication.
Option C: Inappropriate—antibiotics are not indicated
empirically for viral symptoms; unnecessary use risks harm.
Option D: Dangerous—withholding fluids risks dehydration;
parents should maintain hydration and seek care if worsens.
Teaching point
Triage by danger signs; fever without red flags is managed at
home with close follow-up.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 2.
3
Reference
Section I — Health Promotion (Chapter 3)
Stem
A 10-year-old boy presents for a school sports physical. His BMI
is at the 95th percentile. The mother asks what lifestyle changes
to prioritize. The child prefers video games and reports minimal
