Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing (Section: Perspectives of Pediatric Nursing)
Key Concept: Family-centered care and therapeutic
relationship.
Stem: A 6-year-old scheduled for IV placement becomes tearful
and clings to parent. Which initial nursing action best supports
family-centered, atraumatic care? (≤65 words)
A. Explain the procedure quickly and proceed.
B. Ask parent to leave so the child can cooperate.
C. Offer parent presence and describe step-by-step what will
happen.
D. Tell the child they must be brave for a reward after.
Correct Answer: C
Rationale (Correct): Offering parental presence and clear, step-
by-step explanations supports family-centered, atraumatic care
and reduces child distress; this is a core nursing aim in pediatric
practice (Chapter 1, Perspectives of Pediatric Nursing).
asia.elsevierhealth.com
Rationale (Incorrect):
A — Rushed explanations increase anxiety and undermine trust
(Chapter 1).
B — Removing the parent often increases distress and is
,contrary to family-centered care.
D — Promising rewards and minimizing feelings may invalidate
the child’s fear and is less effective than supportive explanation.
Teaching Point: Parental presence + clear steps reduce child
distress and promote atraumatic care.
2.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing (Section: The Art of Pediatric Nursing)
Key Concept: Therapeutic relationship and trust building.
Stem: Which nurse behavior best establishes a therapeutic
relationship with an adolescent patient? (≤65 words)
A. Using medical jargon to sound authoritative.
B. Listening nonjudgmentally and maintaining confidentiality
limits.
C. Telling the adolescent what to do without discussion.
D. Leaving the room during sensitive questions to save time.
Correct Answer: B
Rationale (Correct): Active, nonjudgmental listening and clarity
about confidentiality foster trust and therapeutic rapport—
fundamental to pediatric nursing (Chapter 1, The Art of
Pediatric Nursing). asia.elsevierhealth.com
Rationale (Incorrect):
A — Jargon impedes communication and rapport.
,C — Authoritarian approaches undermine adolescent autonomy
and collaboration.
D — Avoiding sensitive topics reduces opportunities for
assessment and support.
Teaching Point: Nonjudgmental listening and clear
confidentiality build therapeutic trust.
3.
Chapter & Subtopic: Chapter 2 – Family, Social, Cultural, and
Religious Influences on Child Health Promotion
Key Concept: Cultural competence and care planning.
Stem: A Somali family uses traditional remedies. The best
nursing approach when planning care is to: (≤65 words)
A. Prohibit all traditional practices immediately.
B. Dismiss family beliefs as unsafe.
C. Ask about remedies, assess safety, and negotiate a culturally
respectful plan.
D. Replace traditional practices with Western methods without
discussion.
Correct Answer: C
Rationale (Correct): Asking, assessing safety, and negotiating
care respects cultural values while prioritizing safety—
consistent with family-centered, culturally competent practice
(Chapter 2). asia.elsevierhealth.com
, Rationale (Incorrect):
A — Prohibiting practices without assessment damages trust.
B — Dismissing beliefs is culturally insensitive and harms
partnership.
D — Unilateral replacement disregards family input and may
reduce adherence.
Teaching Point: Assess and negotiate culturally sensitive care
that ensures child safety.
4.
Chapter & Subtopic: Chapter 4 – Communication and Physical
Assessment of the Child and Family
Key Concept: Recognize and analyze cues during assessment.
Stem: During assessment, a 3-year-old’s respiration is 36/min at
rest with subcostal retractions. The nurse’s priority
interpretation is: (≤65 words)
A. Normal respiratory rate and no concern.
B. Tachypnea with increased work of breathing—possible
respiratory compromise.
C. Respiratory depression—prepare naloxone.
D. Fever only, no respiratory issue.
Correct Answer: B
Rationale (Correct): In a toddler, RR of 36 with subcostal
retractions indicates tachypnea with increased work of
Chapter 1: Perspectives of Pediatric Nursing.
1.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing (Section: Perspectives of Pediatric Nursing)
Key Concept: Family-centered care and therapeutic
relationship.
Stem: A 6-year-old scheduled for IV placement becomes tearful
and clings to parent. Which initial nursing action best supports
family-centered, atraumatic care? (≤65 words)
A. Explain the procedure quickly and proceed.
B. Ask parent to leave so the child can cooperate.
C. Offer parent presence and describe step-by-step what will
happen.
D. Tell the child they must be brave for a reward after.
Correct Answer: C
Rationale (Correct): Offering parental presence and clear, step-
by-step explanations supports family-centered, atraumatic care
and reduces child distress; this is a core nursing aim in pediatric
practice (Chapter 1, Perspectives of Pediatric Nursing).
asia.elsevierhealth.com
Rationale (Incorrect):
A — Rushed explanations increase anxiety and undermine trust
(Chapter 1).
B — Removing the parent often increases distress and is
,contrary to family-centered care.
D — Promising rewards and minimizing feelings may invalidate
the child’s fear and is less effective than supportive explanation.
Teaching Point: Parental presence + clear steps reduce child
distress and promote atraumatic care.
2.
Chapter & Subtopic: Chapter 1 – Perspectives of Pediatric
Nursing (Section: The Art of Pediatric Nursing)
Key Concept: Therapeutic relationship and trust building.
Stem: Which nurse behavior best establishes a therapeutic
relationship with an adolescent patient? (≤65 words)
A. Using medical jargon to sound authoritative.
B. Listening nonjudgmentally and maintaining confidentiality
limits.
C. Telling the adolescent what to do without discussion.
D. Leaving the room during sensitive questions to save time.
Correct Answer: B
Rationale (Correct): Active, nonjudgmental listening and clarity
about confidentiality foster trust and therapeutic rapport—
fundamental to pediatric nursing (Chapter 1, The Art of
Pediatric Nursing). asia.elsevierhealth.com
Rationale (Incorrect):
A — Jargon impedes communication and rapport.
,C — Authoritarian approaches undermine adolescent autonomy
and collaboration.
D — Avoiding sensitive topics reduces opportunities for
assessment and support.
Teaching Point: Nonjudgmental listening and clear
confidentiality build therapeutic trust.
3.
Chapter & Subtopic: Chapter 2 – Family, Social, Cultural, and
Religious Influences on Child Health Promotion
Key Concept: Cultural competence and care planning.
Stem: A Somali family uses traditional remedies. The best
nursing approach when planning care is to: (≤65 words)
A. Prohibit all traditional practices immediately.
B. Dismiss family beliefs as unsafe.
C. Ask about remedies, assess safety, and negotiate a culturally
respectful plan.
D. Replace traditional practices with Western methods without
discussion.
Correct Answer: C
Rationale (Correct): Asking, assessing safety, and negotiating
care respects cultural values while prioritizing safety—
consistent with family-centered, culturally competent practice
(Chapter 2). asia.elsevierhealth.com
, Rationale (Incorrect):
A — Prohibiting practices without assessment damages trust.
B — Dismissing beliefs is culturally insensitive and harms
partnership.
D — Unilateral replacement disregards family input and may
reduce adherence.
Teaching Point: Assess and negotiate culturally sensitive care
that ensures child safety.
4.
Chapter & Subtopic: Chapter 4 – Communication and Physical
Assessment of the Child and Family
Key Concept: Recognize and analyze cues during assessment.
Stem: During assessment, a 3-year-old’s respiration is 36/min at
rest with subcostal retractions. The nurse’s priority
interpretation is: (≤65 words)
A. Normal respiratory rate and no concern.
B. Tachypnea with increased work of breathing—possible
respiratory compromise.
C. Respiratory depression—prepare naloxone.
D. Fever only, no respiratory issue.
Correct Answer: B
Rationale (Correct): In a toddler, RR of 36 with subcostal
retractions indicates tachypnea with increased work of
