Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing,
Philosophy of Care
Stem: A nurse is orienting to a pediatric unit that utilizes a
family-centered care model. Which of the following actions by
the unit staff best exemplifies the core principle of this
philosophy?
Options:
A) Allowing parents to visit only during designated hours to
ensure unit quiet time.
B) Providing the parents with a detailed clinical report while the
child is in the playroom.
C) Encouraging parents to room-in and participate in the child's
morning care routine.
D) Asking the parents to wait in the waiting room during nursing
shift changes.
Correct Answer: C
Rationales:
• Correct (C): Family-centered care is founded on the
concept that the family is the constant in a child's life.
Encouraging parental participation in care, such as
rooming-in and assisting with activities of daily living,
promotes partnership, control, and continuity for both the
, child and family (Wong's, 12th ed., Ch. 1: Philosophy of
Care).
• Incorrect (A): Restricted visitation is a barrier to family-
centered care and limits family presence, which is crucial
for the child's emotional well-being.
• Incorrect (B): Providing a report away from the child
excludes them (based on age and understanding) and does
not foster collaborative, open communication.
• Incorrect (D): Excluding parents during routine unit
activities creates a separation between the family and the
healthcare team, contrary to a collaborative partnership.
Teaching Point: Family-centered care empowers families as
essential partners in the child's care plan.
Question 2
Chapter & Subtopic: Chapter 1 – Role of the Pediatric Nurse,
Therapeutic Relationship
Stem: A 7-year-old child is scheduled for a tonsillectomy. Which
approach by the nurse would be most effective in preparing the
child for the procedure?
Options:
A) Using medical terminology to explain the surgery in detail to
the parents at the child's bedside.
B) Providing a stuffed animal and using a toy medical kit for
demonstration.
C) Asking the child to read the preoperative consent form aloud.
,D) Explaining the procedure only to the parents to avoid
frightening the child.
Correct Answer: B
Rationales:
• Correct (B): School-age children learn best through
concrete explanations and play. Using demonstration with
toys is an age-appropriate, therapeutic technique to
reduce anxiety and promote understanding (Wong's, 12th
ed., Ch. 1: Therapeutic Relationship).
• Incorrect (A): Using complex terminology can increase
anxiety for both the child and parents and does not engage
the child at their developmental level.
• Incorrect (C): A consent form is a legal document written
for adults; it is incomprehensible and intimidating for a
child.
• Incorrect (D): Excluding the child from preparation
removes their opportunity to ask questions and can
increase fear of the unknown.
Teaching Point: Utilize play and concrete tools to prepare
school-age children for procedures.
Question 3
Chapter & Subtopic: Chapter 1 – Health Promotion, Injury
Prevention
Stem: During a well-child visit, the nurse provides anticipatory
guidance to the parents of a 6-month-old infant. Which
, instruction is the highest priority for injury prevention at this
age?
Options:
A) "Begin teaching water safety and swimming lessons."
B) "Ensure your car seat is rear-facing in the back seat."
C) "Place safety gates at the top and bottom of stairs."
D) "Keep all small objects and toxic substances locked away."
Correct Answer: B
Rationales:
• Correct (B): Motor vehicle injuries are a leading cause of
death in children. The AAP recommends rear-facing car
seats until at least age 2, making this the highest priority
safety intervention (Wong's, 12th ed., Ch. 1: Injury
Prevention).
• Incorrect (A): Formal swimming lessons are not
recommended until after age 1; this guidance is not
developmentally appropriate for a 6-month-old.
• Incorrect (C): Crawling and climbing typically begin around
8-10 months, so this is slightly premature as the highest
priority.
• Incorrect (D): While important, this is a broader safety
topic. The specific, evidence-based mandate for rear-facing
car seats carries more weight as a priority.
Teaching Point: Prioritize motor vehicle safety; rear-facing
car seats are non-negotiable for infants.
Chapter 1: Perspectives of Pediatric Nursing.
Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing,
Philosophy of Care
Stem: A nurse is orienting to a pediatric unit that utilizes a
family-centered care model. Which of the following actions by
the unit staff best exemplifies the core principle of this
philosophy?
Options:
A) Allowing parents to visit only during designated hours to
ensure unit quiet time.
B) Providing the parents with a detailed clinical report while the
child is in the playroom.
C) Encouraging parents to room-in and participate in the child's
morning care routine.
D) Asking the parents to wait in the waiting room during nursing
shift changes.
Correct Answer: C
Rationales:
• Correct (C): Family-centered care is founded on the
concept that the family is the constant in a child's life.
Encouraging parental participation in care, such as
rooming-in and assisting with activities of daily living,
promotes partnership, control, and continuity for both the
, child and family (Wong's, 12th ed., Ch. 1: Philosophy of
Care).
• Incorrect (A): Restricted visitation is a barrier to family-
centered care and limits family presence, which is crucial
for the child's emotional well-being.
• Incorrect (B): Providing a report away from the child
excludes them (based on age and understanding) and does
not foster collaborative, open communication.
• Incorrect (D): Excluding parents during routine unit
activities creates a separation between the family and the
healthcare team, contrary to a collaborative partnership.
Teaching Point: Family-centered care empowers families as
essential partners in the child's care plan.
Question 2
Chapter & Subtopic: Chapter 1 – Role of the Pediatric Nurse,
Therapeutic Relationship
Stem: A 7-year-old child is scheduled for a tonsillectomy. Which
approach by the nurse would be most effective in preparing the
child for the procedure?
Options:
A) Using medical terminology to explain the surgery in detail to
the parents at the child's bedside.
B) Providing a stuffed animal and using a toy medical kit for
demonstration.
C) Asking the child to read the preoperative consent form aloud.
,D) Explaining the procedure only to the parents to avoid
frightening the child.
Correct Answer: B
Rationales:
• Correct (B): School-age children learn best through
concrete explanations and play. Using demonstration with
toys is an age-appropriate, therapeutic technique to
reduce anxiety and promote understanding (Wong's, 12th
ed., Ch. 1: Therapeutic Relationship).
• Incorrect (A): Using complex terminology can increase
anxiety for both the child and parents and does not engage
the child at their developmental level.
• Incorrect (C): A consent form is a legal document written
for adults; it is incomprehensible and intimidating for a
child.
• Incorrect (D): Excluding the child from preparation
removes their opportunity to ask questions and can
increase fear of the unknown.
Teaching Point: Utilize play and concrete tools to prepare
school-age children for procedures.
Question 3
Chapter & Subtopic: Chapter 1 – Health Promotion, Injury
Prevention
Stem: During a well-child visit, the nurse provides anticipatory
guidance to the parents of a 6-month-old infant. Which
, instruction is the highest priority for injury prevention at this
age?
Options:
A) "Begin teaching water safety and swimming lessons."
B) "Ensure your car seat is rear-facing in the back seat."
C) "Place safety gates at the top and bottom of stairs."
D) "Keep all small objects and toxic substances locked away."
Correct Answer: B
Rationales:
• Correct (B): Motor vehicle injuries are a leading cause of
death in children. The AAP recommends rear-facing car
seats until at least age 2, making this the highest priority
safety intervention (Wong's, 12th ed., Ch. 1: Injury
Prevention).
• Incorrect (A): Formal swimming lessons are not
recommended until after age 1; this guidance is not
developmentally appropriate for a 6-month-old.
• Incorrect (C): Crawling and climbing typically begin around
8-10 months, so this is slightly premature as the highest
priority.
• Incorrect (D): While important, this is a broader safety
topic. The specific, evidence-based mandate for rear-facing
car seats carries more weight as a priority.
Teaching Point: Prioritize motor vehicle safety; rear-facing
car seats are non-negotiable for infants.
