WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1.
Reference
Section I — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 3-year-old boy is brought to the clinic by his mother for a
well-child visit. The mother says he resists new situations and
becomes clingy with unfamiliar adults. He speaks in three-word
sentences and can undress with minimal help. Vital signs are
normal. As the pediatric nurse, which interpretation best
reflects the child’s developmental status and informs immediate
nursing counseling for the family?
A. The child’s clinginess indicates an autism spectrum disorder
and needs referral for developmental testing.
B. The child’s language and self-help skills are appropriate for
his age; advise the mother about normal stranger anxiety and
guided socialization.
,C. The child’s limited independence suggests cognitive delay;
recommend early intervention services immediately.
D. The child’s behavior indicates oppositional defiant
tendencies; provide behavior modification handouts.
Correct answer
B
Rationale — Correct (B)
Three-year-olds commonly display separation/stranger anxiety
and are typically using three-word sentences and basic self-help
skills; reassurance and guidance on age-appropriate
socialization and play support are indicated. Counseling the
parent about normal developmental variability, structured
exposures to new adults, and encouragement of autonomy
aligns with family-centered health promotion. Wong
emphasizes interpreting behaviors within developmental norms
to avoid unnecessary referrals.
Rationale — Incorrect (A)
Clinginess alone does not indicate autism; autism requires
deficits in social communication plus restricted interests—this
option risks inappropriate labeling.
Rationale — Incorrect (C)
Self-help and language described are age-appropriate;
immediate early intervention is not indicated based solely on
clinginess.
,Rationale — Incorrect (D)
Oppositional defiant disorder is inappropriate for a typical 3-
year-old’s separation responses; this misattributes normal
developmental behavior to pathology.
Teaching point
Interpret behaviors using age norms before pathologizing;
support parental guidance and socialization.
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 Promotion — Childhood Health Problems
Stem
A 6-month-old infant is brought for immunizations. Parent
expresses concern after reading online about vaccine side
effects and asks whether to delay the DTaP vaccine. The infant
is healthy, exclusively breastfed, and growth is appropriate.
Which nursing response best balances evidence-based guidance
and family-centered communication?
A. Insist the parent consent now and administer the vaccine
without discussion to ensure protection.
B. Provide empathetic listening, explain the evidence for
vaccine safety and the risks of delay, and offer written
, resources; proceed with immunization if parent agrees.
C. Advise waiting until one year to allow the infant’s immune
system to mature.
D. Recommend delaying only the pertussis component because
pertussis causes the most reactions.
Correct answer
B
Rationale — Correct (B)
Family-centered care requires empathetic communication and
provision of evidence-based information to support informed
consent. Wong highlights nurses’ role in health promotion and
patient education; explaining benefits/risks and giving
trustworthy resources empowers parents and often increases
vaccine acceptance. If the parent consents after discussion,
immunization proceeds per schedule.
Rationale — Incorrect (A)
Forcing vaccination without discussion undermines family-
centered care and informed consent; it may damage trust and is
inappropriate.
Rationale — Incorrect (C)
Delaying vaccines contrary to schedule increases risk of
preventable disease; there is no evidence benefit to waiting
until one year.
Rationale — Incorrect (D)
Selective delay of components is not supported and may leave
AND CHILDREN, 12TH EDITION
TEST BANK
1.
Reference
Section I — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 3-year-old boy is brought to the clinic by his mother for a
well-child visit. The mother says he resists new situations and
becomes clingy with unfamiliar adults. He speaks in three-word
sentences and can undress with minimal help. Vital signs are
normal. As the pediatric nurse, which interpretation best
reflects the child’s developmental status and informs immediate
nursing counseling for the family?
A. The child’s clinginess indicates an autism spectrum disorder
and needs referral for developmental testing.
B. The child’s language and self-help skills are appropriate for
his age; advise the mother about normal stranger anxiety and
guided socialization.
,C. The child’s limited independence suggests cognitive delay;
recommend early intervention services immediately.
D. The child’s behavior indicates oppositional defiant
tendencies; provide behavior modification handouts.
Correct answer
B
Rationale — Correct (B)
Three-year-olds commonly display separation/stranger anxiety
and are typically using three-word sentences and basic self-help
skills; reassurance and guidance on age-appropriate
socialization and play support are indicated. Counseling the
parent about normal developmental variability, structured
exposures to new adults, and encouragement of autonomy
aligns with family-centered health promotion. Wong
emphasizes interpreting behaviors within developmental norms
to avoid unnecessary referrals.
Rationale — Incorrect (A)
Clinginess alone does not indicate autism; autism requires
deficits in social communication plus restricted interests—this
option risks inappropriate labeling.
Rationale — Incorrect (C)
Self-help and language described are age-appropriate;
immediate early intervention is not indicated based solely on
clinginess.
,Rationale — Incorrect (D)
Oppositional defiant disorder is inappropriate for a typical 3-
year-old’s separation responses; this misattributes normal
developmental behavior to pathology.
Teaching point
Interpret behaviors using age norms before pathologizing;
support parental guidance and socialization.
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 Promotion — Childhood Health Problems
Stem
A 6-month-old infant is brought for immunizations. Parent
expresses concern after reading online about vaccine side
effects and asks whether to delay the DTaP vaccine. The infant
is healthy, exclusively breastfed, and growth is appropriate.
Which nursing response best balances evidence-based guidance
and family-centered communication?
A. Insist the parent consent now and administer the vaccine
without discussion to ensure protection.
B. Provide empathetic listening, explain the evidence for
vaccine safety and the risks of delay, and offer written
, resources; proceed with immunization if parent agrees.
C. Advise waiting until one year to allow the infant’s immune
system to mature.
D. Recommend delaying only the pertussis component because
pertussis causes the most reactions.
Correct answer
B
Rationale — Correct (B)
Family-centered care requires empathetic communication and
provision of evidence-based information to support informed
consent. Wong highlights nurses’ role in health promotion and
patient education; explaining benefits/risks and giving
trustworthy resources empowers parents and often increases
vaccine acceptance. If the parent consents after discussion,
immunization proceeds per schedule.
Rationale — Incorrect (A)
Forcing vaccination without discussion undermines family-
centered care and informed consent; it may damage trust and is
inappropriate.
Rationale — Incorrect (C)
Delaying vaccines contrary to schedule increases risk of
preventable disease; there is no evidence benefit to waiting
until one year.
Rationale — Incorrect (D)
Selective delay of components is not supported and may leave
