WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1.
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Role of the
Pediatric Nurse
Stem
A 6-month-old infant is brought to the clinic with persistent
vomiting and decreased wet diapers for 12 hours. The mother
appears anxious and says, “He’s not himself and won’t
breastfeed well.” As the pediatric nurse, which action is the
highest priority first step?
A. Teach the mother proper breastfeeding techniques.
B. Assess the infant’s hydration status and vital signs.
C. Offer an antiemetic per standing orders.
D. Schedule a follow-up visit in 24 hours.
Correct answer
B
,Rationale — Correct
Assessing hydration and vital signs determines the infant’s
immediate physiological status and identifies red flags
(dehydration, shock). This assessment guides urgent
interventions and triage, consistent with the nurse’s role to
prioritize safety and perform focused physical assessment
before education or medication. Family-centered
communication occurs during and after the assessment to
involve the parent.
Rationale — Incorrect
A. Teaching breastfeeding is important but premature before
evaluating stability.
C. Administering medication without assessment may mask
deterioration and is inappropriate.
D. Delayed follow-up risks missing acute dehydration; not
appropriate as first action.
Teaching point
Immediate physiologic assessment (vitals, hydration) precedes
education or scheduled follow-up.
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 — Health Promotion
Stem
A 4-year-old preschooler arrives for a well-child visit
accompanied by both parents. The mother asks which
immunizations are most important now and whether the child
needs catch-up. The nurse wants to use evidence-based
guidance to counsel the family. Which nursing approach best
supports health promotion?
A. Provide a printed vaccine schedule and ask the parents to
read at home.
B. Review the current immunization status, address parental
concerns, and offer needed immunizations during the visit.
C. Tell the parents vaccines are essential and insist the child
receive them all today.
D. Recommend delaying immunizations until a later visit to
allow time for decision-making.
Correct answer
B
Rationale — Correct
Reviewing status, addressing concerns, and offering
immunizations is evidence-based, maximizes on-site uptake,
and supports shared decision-making—central to health
promotion. This approach balances clinical recommendation
with family-centered communication and reduces missed
opportunities for prevention.
, Rationale — Incorrect
A. Passive provision of materials may not address barriers or
concerns.
C. Insistence without dialogue undermines family-centered care
and may increase resistance.
D. Unnecessary delay increases risk of preventable disease.
Teaching point
Combine assessment, evidence-based recommendation, and
respectful dialogue to promote immunization uptake.
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 15-month-old toddler is seen for a safety check. Parents
report new walking ability and ask what safety changes are
needed at home. Which nursing teaching priority best
addresses anticipatory guidance?
A. Advise removing all toys from the floor to prevent choking.
B. Instruct parents to keep medications and cleaning supplies
locked and to use stair gates.
C. Recommend restricting the toddler to one room at a time.
AND CHILDREN, 12TH EDITION
TEST BANK
1.
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Role of the
Pediatric Nurse
Stem
A 6-month-old infant is brought to the clinic with persistent
vomiting and decreased wet diapers for 12 hours. The mother
appears anxious and says, “He’s not himself and won’t
breastfeed well.” As the pediatric nurse, which action is the
highest priority first step?
A. Teach the mother proper breastfeeding techniques.
B. Assess the infant’s hydration status and vital signs.
C. Offer an antiemetic per standing orders.
D. Schedule a follow-up visit in 24 hours.
Correct answer
B
,Rationale — Correct
Assessing hydration and vital signs determines the infant’s
immediate physiological status and identifies red flags
(dehydration, shock). This assessment guides urgent
interventions and triage, consistent with the nurse’s role to
prioritize safety and perform focused physical assessment
before education or medication. Family-centered
communication occurs during and after the assessment to
involve the parent.
Rationale — Incorrect
A. Teaching breastfeeding is important but premature before
evaluating stability.
C. Administering medication without assessment may mask
deterioration and is inappropriate.
D. Delayed follow-up risks missing acute dehydration; not
appropriate as first action.
Teaching point
Immediate physiologic assessment (vitals, hydration) precedes
education or scheduled follow-up.
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 — Health Promotion
Stem
A 4-year-old preschooler arrives for a well-child visit
accompanied by both parents. The mother asks which
immunizations are most important now and whether the child
needs catch-up. The nurse wants to use evidence-based
guidance to counsel the family. Which nursing approach best
supports health promotion?
A. Provide a printed vaccine schedule and ask the parents to
read at home.
B. Review the current immunization status, address parental
concerns, and offer needed immunizations during the visit.
C. Tell the parents vaccines are essential and insist the child
receive them all today.
D. Recommend delaying immunizations until a later visit to
allow time for decision-making.
Correct answer
B
Rationale — Correct
Reviewing status, addressing concerns, and offering
immunizations is evidence-based, maximizes on-site uptake,
and supports shared decision-making—central to health
promotion. This approach balances clinical recommendation
with family-centered communication and reduces missed
opportunities for prevention.
, Rationale — Incorrect
A. Passive provision of materials may not address barriers or
concerns.
C. Insistence without dialogue undermines family-centered care
and may increase resistance.
D. Unnecessary delay increases risk of preventable disease.
Teaching point
Combine assessment, evidence-based recommendation, and
respectful dialogue to promote immunization uptake.
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 15-month-old toddler is seen for a safety check. Parents
report new walking ability and ask what safety changes are
needed at home. Which nursing teaching priority best
addresses anticipatory guidance?
A. Advise removing all toys from the floor to prevent choking.
B. Instruct parents to keep medications and cleaning supplies
locked and to use stair gates.
C. Recommend restricting the toddler to one room at a time.
