Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Item 1
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing.
Nursing Hero
Stem: A 6-month-old infant presents for a well-child visit. The
mother reports frequent nighttime awakenings and worries the
infant “isn’t developing normally.” Which nursing response best
demonstrates family-centered care and therapeutic
relationship-building?
A. Review developmental milestones and provide a printed
milestone chart.
B. Reassure the mother that some infants wake at night and
move on to the physical exam.
C. Ask open-ended questions about the infant’s sleep routines
and the mother’s concerns.
D. Schedule a developmental screening at 12 months to
reassess.
Correct Answer: C
,Rationale — Correct (C): Asking open-ended questions elicits
parent concerns, builds trust, and guides individualized teaching
— core family-centered nursing. (Ch.1 concepts on therapeutic
relationship and family advocacy.) Nursing Hero
Rationale — A: Providing a chart is useful but is a one-way
intervention and doesn’t first explore the parent’s concerns.
Rationale — B: Reassurance without assessment can minimize
parental worry and harm the relationship.
Rationale — D: Delaying assessment misses current teachable
moments and may neglect early intervention.
Teaching point: Start with open-ended inquiry to center family
concerns.
Citation: Hockenberry, M. J. — Ch. 1, Perspectives of Pediatric
Nursing. Nursing Hero
Item 2
Reference: Ch. 1, Section: Health Promotion. Nursing Hero
Stem: A community clinic nurse plans a health-promotion talk
for parents of toddlers focusing on injury prevention. Which
recommendation best matches evidence-based anticipatory
guidance?
A. Keep all floor toys out of reach to prevent choking.
B. Install window guards and supervise near stairs; use car seats
correctly.
,C. Avoid all outdoor play until children are 3 years old.
D. Limit water play until the child can swim independently.
Correct Answer: B
Rationale — Correct (B): Anticipatory guidance emphasizes
environmental safety (window guards, stair supervision) and
proper car-seat use — high-yield injury prevention strategies.
Nursing Hero
Rationale — A: Selective toy safety is useful, but “keep toys out
of reach” is impractical and not specific to choking risks.
Rationale — C: Avoiding outdoor play is unnecessary and harms
development.
Rationale — D: Supervision around water is essential; blanket
restriction until independent swimming is not recommended.
Teaching point: Target practical, developmentally appropriate
safety measures.
Citation: Hockenberry — Ch. 1, Health Promotion. Nursing Hero
Item 3
Reference: Ch. 15, Section: Health Promotion of the School-Age
Child and Family (Oral Health). Nursing Hero
Stem: A school nurse notices multiple new dental caries in 8-
year-old students. Which nursing intervention best addresses
the school-level prevention priority?
A. Send a letter to parents recommending fluoride toothpaste.
B. Organize school-based fluoride varnish clinics and oral-health
, education.
C. Recommend each child visit a dentist twice as often for one
year.
D. Distribute sugar-free gum to students to reduce caries.
Correct Answer: B
Rationale — Correct (B): School-based fluoride varnish and
education are evidence-based, population-level interventions
that reduce caries and improve access. (Health promotion
strategies in school-age children.) Nursing Hero
Rationale — A: Parent letters alone have limited impact without
practical, on-site measures.
Rationale — C: Referral is good for individuals but is less
feasible as an immediate, school-level prevention strategy.
Rationale — D: Sugar-free gum may help adults but is not an
evidence-based school intervention for children under
supervision.
Teaching point: Use pragmatic, population-level interventions
(fluoride varnish + education).
Citation: Hockenberry — Ch. 15, Health Promotion (Oral
Health). Nursing Hero
Item 4
Reference: Ch. 31, Section: Endocrine Dysfunction — Obesity
and Type 2 Diabetes. Nursing Hero+1
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Item 1
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing.
Nursing Hero
Stem: A 6-month-old infant presents for a well-child visit. The
mother reports frequent nighttime awakenings and worries the
infant “isn’t developing normally.” Which nursing response best
demonstrates family-centered care and therapeutic
relationship-building?
A. Review developmental milestones and provide a printed
milestone chart.
B. Reassure the mother that some infants wake at night and
move on to the physical exam.
C. Ask open-ended questions about the infant’s sleep routines
and the mother’s concerns.
D. Schedule a developmental screening at 12 months to
reassess.
Correct Answer: C
,Rationale — Correct (C): Asking open-ended questions elicits
parent concerns, builds trust, and guides individualized teaching
— core family-centered nursing. (Ch.1 concepts on therapeutic
relationship and family advocacy.) Nursing Hero
Rationale — A: Providing a chart is useful but is a one-way
intervention and doesn’t first explore the parent’s concerns.
Rationale — B: Reassurance without assessment can minimize
parental worry and harm the relationship.
Rationale — D: Delaying assessment misses current teachable
moments and may neglect early intervention.
Teaching point: Start with open-ended inquiry to center family
concerns.
Citation: Hockenberry, M. J. — Ch. 1, Perspectives of Pediatric
Nursing. Nursing Hero
Item 2
Reference: Ch. 1, Section: Health Promotion. Nursing Hero
Stem: A community clinic nurse plans a health-promotion talk
for parents of toddlers focusing on injury prevention. Which
recommendation best matches evidence-based anticipatory
guidance?
A. Keep all floor toys out of reach to prevent choking.
B. Install window guards and supervise near stairs; use car seats
correctly.
,C. Avoid all outdoor play until children are 3 years old.
D. Limit water play until the child can swim independently.
Correct Answer: B
Rationale — Correct (B): Anticipatory guidance emphasizes
environmental safety (window guards, stair supervision) and
proper car-seat use — high-yield injury prevention strategies.
Nursing Hero
Rationale — A: Selective toy safety is useful, but “keep toys out
of reach” is impractical and not specific to choking risks.
Rationale — C: Avoiding outdoor play is unnecessary and harms
development.
Rationale — D: Supervision around water is essential; blanket
restriction until independent swimming is not recommended.
Teaching point: Target practical, developmentally appropriate
safety measures.
Citation: Hockenberry — Ch. 1, Health Promotion. Nursing Hero
Item 3
Reference: Ch. 15, Section: Health Promotion of the School-Age
Child and Family (Oral Health). Nursing Hero
Stem: A school nurse notices multiple new dental caries in 8-
year-old students. Which nursing intervention best addresses
the school-level prevention priority?
A. Send a letter to parents recommending fluoride toothpaste.
B. Organize school-based fluoride varnish clinics and oral-health
, education.
C. Recommend each child visit a dentist twice as often for one
year.
D. Distribute sugar-free gum to students to reduce caries.
Correct Answer: B
Rationale — Correct (B): School-based fluoride varnish and
education are evidence-based, population-level interventions
that reduce caries and improve access. (Health promotion
strategies in school-age children.) Nursing Hero
Rationale — A: Parent letters alone have limited impact without
practical, on-site measures.
Rationale — C: Referral is good for individuals but is less
feasible as an immediate, school-level prevention strategy.
Rationale — D: Sugar-free gum may help adults but is not an
evidence-based school intervention for children under
supervision.
Teaching point: Use pragmatic, population-level interventions
(fluoride varnish + education).
Citation: Hockenberry — Ch. 15, Health Promotion (Oral
Health). Nursing Hero
Item 4
Reference: Ch. 31, Section: Endocrine Dysfunction — Obesity
and Type 2 Diabetes. Nursing Hero+1
