TEST BANK FOR WONG'S
NURSING CARE OF INFANTS AND
CHILDREN, 12TH EDITION BY
MARILYN J. HOCKENBERRY, DAVID
WILSON| ALL CHAPTERS 1-34|
LATEST
Wong's Nursing Care of Infants and Children, 12th
Edition
Practice Examination — Hockenberry, Duffy & Gibbs (2024)
Instructions: This examination consists of multiple-choice questions drawn from the
Test Bank for the 12th Edition. Each question is followed by the correct answer and a
detailed rationale.
PART I: FOUNDATIONS OF PEDIATRIC NURSING (Chapters 1–6)
Question 1
A 6-year-old is admitted with a chronic seizure disorder for status evaluation. The
parents ask to stay overnight and participate in medication administration. Which
nursing action best reflects family-centered pediatric care?
A. Ask the parents to remain in the waiting area until rounds are complete
B. Explain hospital policy that only licensed staff may handle medications
C. Invite the parents to stay, teach them seizure precautions, and supervise their
,participation
D. Allow the parents to give the medication without supervision since they know the
child
Answer: C
Rationale: Inviting parents to stay and teaching/supervising supports family-centered
care while maintaining safety and scope of practice. It balances partnership and clinical
oversight. Excluding parents from the bedside undermines family-centered principles.
Citing policy without offering alternatives disregards family involvement. Allowing
unsupervised medication administration risks medication errors and violates safe
practice .
Question 2
A parent expresses vaccine hesitancy about the MMR for their 15-month-old, citing
safety concerns from online groups. Which nursing response best supports informed
decision-making?
A. Tell the parent that vaccines are mandatory and must be given today
B. Provide balanced, evidence-based information and ask about specific concerns
C. Agree with the parent's concerns and postpone all vaccinations
D. Refer the parent immediately to hospital security for refusal
Answer: B
Rationale: Providing evidence-based information and eliciting specific concerns
facilitates informed consent and therapeutic dialogue. Coercion damages trust and is
not therapeutic or family-centered. Simply agreeing and postponing ignores the nurse's
role in education and harm prevention. Escalation to security is inappropriate and
punitive for vaccine hesitancy .
Question 3
During a 24-month well-child visit, a toddler does not use two-word phrases and only
points to objects. What is the nurse's best next action?
,A. Reassure the parents this is normal and schedule a 6-month follow-up
B. Administer a validated developmental screening tool and refer if concern
persists
C. Advise immediate initiation of speech therapy without further assessment
D. Tell parents to ignore the behavior; toddlers develop at different rates
Answer: B
Rationale: Use of validated screening tools at recommended intervals identifies delays
early and supports appropriate referral. Delaying assessment may miss an opportunity
for early intervention. Referring without screening lacks evidence-based triage—
screening guides referrals. Dismissing parental concern risks delayed diagnosis and
intervention .
Question 4
The nurse is planning care for a hospitalized preschool-aged child. Which should the
nurse plan to ensure atraumatic care?
A. Limit explanation of procedures because the child is preschool aged
B. Ask that all family members leave the room when performing procedures
C. Allow the child to choose the type of juice to drink with the administration of
oral medications
D. Explain that EMLA cream cannot be used for the morning lab draw because there is
not time for it to be effective
Answer: C
Rationale: The overriding goal in providing atraumatic care is first, do no harm.
Allowing the child a choice of juice to drink when taking oral medications provides the
child with a sense of control. The preschool child should be prepared before procedures,
so limiting explanations of procedures would increase anxiety. The family should be
allowed to stay with the child during procedures, minimizing stress. Lidocaine/prilocaine
(EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed
cream in time for morning laboratory draws to minimize pain .
, Question 5
Which situation denotes a nontherapeutic nurse-patient-family relationship?
A. The nurse is planning to read a favorite fairy tale to a patient
B. During shift report, the nurse is criticizing parents for not visiting their child
C. The nurse is discussing with a fellow nurse the emotional draw to a certain patient
D. The nurse is working with a family to find ways to decrease the family's dependence
on health care providers
Answer: B
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and shows
an under-involvement with the parents. Reading a fairy tale is a therapeutic and age-
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is
therapeutic and shows a willingness to understand feelings. Working with parents to
decrease dependence on health care providers is therapeutic and helps to empower the
family .
Question 6
The nurse is aware that which age group is at risk for childhood injury because of the
cognitive characteristic of magical and egocentric thinking?
A. Preschool
B. Young school age
C. Middle school age
D. Adolescence
Answer: A
Rationale: Preschool children have the cognitive characteristic of magical and
egocentric thinking, meaning they are unable to comprehend danger to self or others .
Question 7
An adolescent patient wants to make decisions about treatment options, along with his
parents. Which moral value is the nurse displaying when supporting the adolescent to
make decisions?
NURSING CARE OF INFANTS AND
CHILDREN, 12TH EDITION BY
MARILYN J. HOCKENBERRY, DAVID
WILSON| ALL CHAPTERS 1-34|
LATEST
Wong's Nursing Care of Infants and Children, 12th
Edition
Practice Examination — Hockenberry, Duffy & Gibbs (2024)
Instructions: This examination consists of multiple-choice questions drawn from the
Test Bank for the 12th Edition. Each question is followed by the correct answer and a
detailed rationale.
PART I: FOUNDATIONS OF PEDIATRIC NURSING (Chapters 1–6)
Question 1
A 6-year-old is admitted with a chronic seizure disorder for status evaluation. The
parents ask to stay overnight and participate in medication administration. Which
nursing action best reflects family-centered pediatric care?
A. Ask the parents to remain in the waiting area until rounds are complete
B. Explain hospital policy that only licensed staff may handle medications
C. Invite the parents to stay, teach them seizure precautions, and supervise their
,participation
D. Allow the parents to give the medication without supervision since they know the
child
Answer: C
Rationale: Inviting parents to stay and teaching/supervising supports family-centered
care while maintaining safety and scope of practice. It balances partnership and clinical
oversight. Excluding parents from the bedside undermines family-centered principles.
Citing policy without offering alternatives disregards family involvement. Allowing
unsupervised medication administration risks medication errors and violates safe
practice .
Question 2
A parent expresses vaccine hesitancy about the MMR for their 15-month-old, citing
safety concerns from online groups. Which nursing response best supports informed
decision-making?
A. Tell the parent that vaccines are mandatory and must be given today
B. Provide balanced, evidence-based information and ask about specific concerns
C. Agree with the parent's concerns and postpone all vaccinations
D. Refer the parent immediately to hospital security for refusal
Answer: B
Rationale: Providing evidence-based information and eliciting specific concerns
facilitates informed consent and therapeutic dialogue. Coercion damages trust and is
not therapeutic or family-centered. Simply agreeing and postponing ignores the nurse's
role in education and harm prevention. Escalation to security is inappropriate and
punitive for vaccine hesitancy .
Question 3
During a 24-month well-child visit, a toddler does not use two-word phrases and only
points to objects. What is the nurse's best next action?
,A. Reassure the parents this is normal and schedule a 6-month follow-up
B. Administer a validated developmental screening tool and refer if concern
persists
C. Advise immediate initiation of speech therapy without further assessment
D. Tell parents to ignore the behavior; toddlers develop at different rates
Answer: B
Rationale: Use of validated screening tools at recommended intervals identifies delays
early and supports appropriate referral. Delaying assessment may miss an opportunity
for early intervention. Referring without screening lacks evidence-based triage—
screening guides referrals. Dismissing parental concern risks delayed diagnosis and
intervention .
Question 4
The nurse is planning care for a hospitalized preschool-aged child. Which should the
nurse plan to ensure atraumatic care?
A. Limit explanation of procedures because the child is preschool aged
B. Ask that all family members leave the room when performing procedures
C. Allow the child to choose the type of juice to drink with the administration of
oral medications
D. Explain that EMLA cream cannot be used for the morning lab draw because there is
not time for it to be effective
Answer: C
Rationale: The overriding goal in providing atraumatic care is first, do no harm.
Allowing the child a choice of juice to drink when taking oral medications provides the
child with a sense of control. The preschool child should be prepared before procedures,
so limiting explanations of procedures would increase anxiety. The family should be
allowed to stay with the child during procedures, minimizing stress. Lidocaine/prilocaine
(EMLA) cream is a topical local anesthetic. The nurse should plan to use the prescribed
cream in time for morning laboratory draws to minimize pain .
, Question 5
Which situation denotes a nontherapeutic nurse-patient-family relationship?
A. The nurse is planning to read a favorite fairy tale to a patient
B. During shift report, the nurse is criticizing parents for not visiting their child
C. The nurse is discussing with a fellow nurse the emotional draw to a certain patient
D. The nurse is working with a family to find ways to decrease the family's dependence
on health care providers
Answer: B
Rationale: Criticizing parents for not visiting in shift report is nontherapeutic and shows
an under-involvement with the parents. Reading a fairy tale is a therapeutic and age-
appropriate action. Discussing feelings of an emotional draw with a fellow nurse is
therapeutic and shows a willingness to understand feelings. Working with parents to
decrease dependence on health care providers is therapeutic and helps to empower the
family .
Question 6
The nurse is aware that which age group is at risk for childhood injury because of the
cognitive characteristic of magical and egocentric thinking?
A. Preschool
B. Young school age
C. Middle school age
D. Adolescence
Answer: A
Rationale: Preschool children have the cognitive characteristic of magical and
egocentric thinking, meaning they are unable to comprehend danger to self or others .
Question 7
An adolescent patient wants to make decisions about treatment options, along with his
parents. Which moral value is the nurse displaying when supporting the adolescent to
make decisions?
