Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Six Essential
Cognitive Skills of Clinical Judgment
Question Stem: While admitting a 4-year-old
with bilateral bruises in different healing stages,
the nurse first notes the injury pattern and
delayed care. Which cognitive skill should the
nurse use first?
A. Analyze cues
B. Prioritize hypotheses
C. Recognize cues
D. Take action
Correct Answer: C. Recognize cues
Rationales:
,• Correct (C): Recognizing abnormal cues
(patterned bruising, multiple healing stages,
delayed presentation) is the first clinical
judgment skill; it prompts further data
collection and safety assessment. Wong
frames clinical judgment beginning with cue
recognition. Stuvia
• Incorrect (A): Analysis follows recognition;
analyzing without first noticing abnormal
cues risks missing the concern.
• Incorrect (B): Prioritizing hypotheses occurs
after cues are recognized and analyzed; it is
premature here.
• Incorrect (D): Immediate action may be
needed eventually, but first the nurse must
recognize and analyze cues to determine
appropriate actions.
Teaching Point: Always start clinical
judgment by identifying abnormal/critical
, cues.
Citation: Hockenberry, M. J. (2024). Ch. 1,
Six Essential Cognitive Skills of Clinical
Judgment. Wong’s Nursing Care of Infants
and Children (12th ed.). Evolve
2
Reference: Ch. 2, Section: Family, Social,
Cultural, and Religious Influences on Child
Health Promotion
Question Stem: A nurse plans discharge
teaching for a toddler whose family recently
immigrated and uses traditional herbal
remedies. What is the best nursing approach?
A. Instruct the family to stop all traditional
remedies immediately.
B. Explore cultural beliefs and discuss potential
interactions with prescribed therapies.
C. Provide written instructions only in English to
, avoid confusion.
D. Tell the family that traditional practices are
irrelevant to medical care.
Correct Answer: B. Explore cultural beliefs and
discuss potential interactions with prescribed
therapies.
Rationales:
• Correct (B): Family-centered care requires
culturally sensitive assessment; exploring
beliefs allows the nurse to identify harmful
interactions and negotiate safe, acceptable
plans. Wong emphasizes assessing family
influences and partnering with families.
Nursing Hero
• Incorrect (A): Mandating cessation
disrespects culture and may reduce
adherence; collaborative discussion is
preferred.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 1, Section: Six Essential
Cognitive Skills of Clinical Judgment
Question Stem: While admitting a 4-year-old
with bilateral bruises in different healing stages,
the nurse first notes the injury pattern and
delayed care. Which cognitive skill should the
nurse use first?
A. Analyze cues
B. Prioritize hypotheses
C. Recognize cues
D. Take action
Correct Answer: C. Recognize cues
Rationales:
,• Correct (C): Recognizing abnormal cues
(patterned bruising, multiple healing stages,
delayed presentation) is the first clinical
judgment skill; it prompts further data
collection and safety assessment. Wong
frames clinical judgment beginning with cue
recognition. Stuvia
• Incorrect (A): Analysis follows recognition;
analyzing without first noticing abnormal
cues risks missing the concern.
• Incorrect (B): Prioritizing hypotheses occurs
after cues are recognized and analyzed; it is
premature here.
• Incorrect (D): Immediate action may be
needed eventually, but first the nurse must
recognize and analyze cues to determine
appropriate actions.
Teaching Point: Always start clinical
judgment by identifying abnormal/critical
, cues.
Citation: Hockenberry, M. J. (2024). Ch. 1,
Six Essential Cognitive Skills of Clinical
Judgment. Wong’s Nursing Care of Infants
and Children (12th ed.). Evolve
2
Reference: Ch. 2, Section: Family, Social,
Cultural, and Religious Influences on Child
Health Promotion
Question Stem: A nurse plans discharge
teaching for a toddler whose family recently
immigrated and uses traditional herbal
remedies. What is the best nursing approach?
A. Instruct the family to stop all traditional
remedies immediately.
B. Explore cultural beliefs and discuss potential
interactions with prescribed therapies.
C. Provide written instructions only in English to
, avoid confusion.
D. Tell the family that traditional practices are
irrelevant to medical care.
Correct Answer: B. Explore cultural beliefs and
discuss potential interactions with prescribed
therapies.
Rationales:
• Correct (B): Family-centered care requires
culturally sensitive assessment; exploring
beliefs allows the nurse to identify harmful
interactions and negotiate safe, acceptable
plans. Wong emphasizes assessing family
influences and partnering with families.
Nursing Hero
• Incorrect (A): Mandating cessation
disrespects culture and may reduce
adherence; collaborative discussion is
preferred.
