Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Multiple-Choice Test Bank: Perspectives of Pediatric Nursing
1. Chapter 1 – Infant Mortality
A community health nurse is analyzing local infant mortality
rate (IMR) data to prioritize interventions. Which factor is
consistently identified as a primary contributor to racial and
ethnic disparities in the IMR within the United States?
A. High rates of teenage pregnancy
B. Genetic predisposition to specific diseases
C. Socioeconomic inequalities and limited access to prenatal
care
D. Cultural beliefs discouraging hospital births
Correct Answer: C
Rationales:
• Correct (C): Socioeconomic inequalities, including poverty,
food insecurity, and inadequate access to quality prenatal
and pediatric care, are the most significant underlying
factors contributing to disparities in infant mortality. This is
supported by data from the CDC and discussed in Wong's
as a key social determinant of health.
• Incorrect (A): While teenage pregnancy is a risk factor, it is
not the primary driver of the profound racial disparities
observed.
, • Incorrect (B): Genetic factors play a role in specific
conditions but are not the leading cause of population-
level disparities in IMR.
• Incorrect (D): Cultural beliefs may influence care choices
but are not the root cause of healthcare access inequities.
Teaching Point: Addressing socioeconomic barriers and
improving access to care are essential nursing strategies to
reduce infant mortality disparities.
2. Chapter 1 – Role of the Pediatric Nurse
The pediatric nurse is providing discharge teaching to the
parents of a toddler newly diagnosed with asthma. This action
best exemplifies which primary role of the pediatric nurse?
A. Family advocacy
B. Health teaching
C. Coordination and collaboration
D. Therapeutic relationship
Correct Answer: B
Rationales:
• Correct (B): Health teaching is a core nursing function that
involves educating patients and families about disease
processes, treatments, and health promotion to foster
independence and self-care.
, • Incorrect (A): Advocacy involves acting on behalf of a
patient to ensure their needs are met, which is not the
primary action described here.
• Incorrect (C): Coordination involves organizing care among
multiple providers, which may occur but is not the focus of
this scenario.
• Incorrect (D): The therapeutic relationship is the
foundation for all care but describes the nurse-patient
connection, not the specific action of teaching.
Teaching Point: Health teaching empowers families to manage
chronic illnesses effectively and safely at home.
3. Chapter 1 – Clinical Judgment: Recognize Cues
A school nurse is assessing a 10-year-old child who reports
feeling shaky and dizzy. Which finding is the most significant
cue suggesting hypoglycemia?
A. Pale, cool skin
B. Complaint of headache
C. Heart rate of 88 bpm
D. Reports feeling anxious
Correct Answer: A
Rationales:
• Correct (A): Pale, cool, clammy skin is a classic autonomic
sign of hypoglycemia caused by a catecholamine response.
, • Incorrect (B): A headache is a non-specific cue that can be
associated with numerous conditions.
• Incorrect (C): A heart rate of 88 bpm is within normal
limits for a school-aged child and is not a key indicator of
hypoglycemia.
• Incorrect (D): Anxiety can be a symptom of hypoglycemia
but is less specific than the clear autonomic sign of pale,
cool skin.
Teaching Point: Recognizing autonomic signs like pallor and
diaphoresis is critical for rapid identification of hypoglycemia.
4. Chapter 1 – Obesity and Type 2 Diabetes
A nurse is planning a community health initiative to reduce the
risk of childhood obesity. Which strategy directly addresses a
key modifiable risk factor?
A. Mandating genetic screening for all infants
B. Promoting policies that increase access to safe parks and
playgrounds
C. Distributing pamphlets about the long-term complications of
diabetes
D. Hosting a single lecture on nutrition for parents
Correct Answer: B
Rationales:
Chapter 1: Perspectives of Pediatric Nursing.
Multiple-Choice Test Bank: Perspectives of Pediatric Nursing
1. Chapter 1 – Infant Mortality
A community health nurse is analyzing local infant mortality
rate (IMR) data to prioritize interventions. Which factor is
consistently identified as a primary contributor to racial and
ethnic disparities in the IMR within the United States?
A. High rates of teenage pregnancy
B. Genetic predisposition to specific diseases
C. Socioeconomic inequalities and limited access to prenatal
care
D. Cultural beliefs discouraging hospital births
Correct Answer: C
Rationales:
• Correct (C): Socioeconomic inequalities, including poverty,
food insecurity, and inadequate access to quality prenatal
and pediatric care, are the most significant underlying
factors contributing to disparities in infant mortality. This is
supported by data from the CDC and discussed in Wong's
as a key social determinant of health.
• Incorrect (A): While teenage pregnancy is a risk factor, it is
not the primary driver of the profound racial disparities
observed.
, • Incorrect (B): Genetic factors play a role in specific
conditions but are not the leading cause of population-
level disparities in IMR.
• Incorrect (D): Cultural beliefs may influence care choices
but are not the root cause of healthcare access inequities.
Teaching Point: Addressing socioeconomic barriers and
improving access to care are essential nursing strategies to
reduce infant mortality disparities.
2. Chapter 1 – Role of the Pediatric Nurse
The pediatric nurse is providing discharge teaching to the
parents of a toddler newly diagnosed with asthma. This action
best exemplifies which primary role of the pediatric nurse?
A. Family advocacy
B. Health teaching
C. Coordination and collaboration
D. Therapeutic relationship
Correct Answer: B
Rationales:
• Correct (B): Health teaching is a core nursing function that
involves educating patients and families about disease
processes, treatments, and health promotion to foster
independence and self-care.
, • Incorrect (A): Advocacy involves acting on behalf of a
patient to ensure their needs are met, which is not the
primary action described here.
• Incorrect (C): Coordination involves organizing care among
multiple providers, which may occur but is not the focus of
this scenario.
• Incorrect (D): The therapeutic relationship is the
foundation for all care but describes the nurse-patient
connection, not the specific action of teaching.
Teaching Point: Health teaching empowers families to manage
chronic illnesses effectively and safely at home.
3. Chapter 1 – Clinical Judgment: Recognize Cues
A school nurse is assessing a 10-year-old child who reports
feeling shaky and dizzy. Which finding is the most significant
cue suggesting hypoglycemia?
A. Pale, cool skin
B. Complaint of headache
C. Heart rate of 88 bpm
D. Reports feeling anxious
Correct Answer: A
Rationales:
• Correct (A): Pale, cool, clammy skin is a classic autonomic
sign of hypoglycemia caused by a catecholamine response.
, • Incorrect (B): A headache is a non-specific cue that can be
associated with numerous conditions.
• Incorrect (C): A heart rate of 88 bpm is within normal
limits for a school-aged child and is not a key indicator of
hypoglycemia.
• Incorrect (D): Anxiety can be a symptom of hypoglycemia
but is less specific than the clear autonomic sign of pale,
cool skin.
Teaching Point: Recognizing autonomic signs like pallor and
diaphoresis is critical for rapid identification of hypoglycemia.
4. Chapter 1 – Obesity and Type 2 Diabetes
A nurse is planning a community health initiative to reduce the
risk of childhood obesity. Which strategy directly addresses a
key modifiable risk factor?
A. Mandating genetic screening for all infants
B. Promoting policies that increase access to safe parks and
playgrounds
C. Distributing pamphlets about the long-term complications of
diabetes
D. Hosting a single lecture on nutrition for parents
Correct Answer: B
Rationales:
