Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1.
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing —
Family-Centered Care
Question Stem: A 6-year-old with a chronic seizure disorder is
admitted for status evaluation. The parents ask to stay
overnight and participate in medication administration. Which
nursing action best reflects family-centered pediatric care?
A. Ask the parents to remain in the waiting area until rounds are
complete.
B. Explain hospital policy that only licensed staff may handle
medications.
C. Invite the parents to stay, teach them seizure precautions,
and supervise their participation.
D. Allow the parents to give the medication without supervision
since they know the child.
Correct Answer: C
Rationales:
• Correct (C): Inviting parents to stay and
teaching/supervising supports family-centered care while
, maintaining safety and scope of practice. It balances
partnership and clinical oversight.
• A: Excluding parents from the bedside undermines family-
centered principles and increases family stress.
• B: Citing policy without offering alternatives disregards
family involvement and education opportunities.
• D: Allowing unsupervised medication administration risks
medication errors and violates safe practice.
Teaching Point: Partner with families—teach, involve, and
supervise to ensure safety and empowerment.
Citation: Wong’s Nursing Care of Infants and Children, 12th
Ed., Ch. 1, Section: Family-Centered Care.
2.
Reference: Ch. 3, Section: Health Promotion — Immunizations
& Health Teaching
Question Stem: A parent expresses vaccine hesitancy about the
MMR for their 15-month-old, citing safety concerns from online
groups. Which nursing response best supports informed
decision-making?
A. Tell the parent that vaccines are mandatory and must be
given today.
B. Provide balanced, evidence-based information and ask about
specific concerns.
C. Agree with the parent’s concerns and postpone all
,vaccinations.
D. Refer the parent immediately to hospital security for refusal.
Correct Answer: B
Rationales:
• Correct (B): Providing evidence-based information and
eliciting specific concerns facilitates informed consent and
therapeutic dialogue.
• A: Coercion damages trust and is not therapeutic or family-
centered.
• C: Simply agreeing and postponing ignores the nurse’s role
in education and harm prevention.
• D: Escalation to security is inappropriate and punitive for
vaccine hesitancy.
Teaching Point: Use empathetic, evidence-based
education to address vaccine hesitancy and promote
informed choices.
Citation: Wong’s Nursing Care of Infants and Children, 12th
Ed., Ch. 3, Section: Immunizations & Health Teaching.
3.
Reference: Ch. 4, Section: Development — Developmental
Screening & Milestones
Question Stem: During a 24-month well-child visit, a toddler
does not use two-word phrases and only points to objects.
What is the nurse’s best next action?
, A. Reassure the parents this is normal and schedule a 6-month
follow-up.
B. Administer a validated developmental screening tool and
refer if concern persists.
C. Advise immediate initiation of speech therapy without
further assessment.
D. Tell parents to ignore the behavior; toddlers develop at
different rates.
Correct Answer: B
Rationales:
• Correct (B): Use of validated screening tools at
recommended intervals identifies delays early and
supports appropriate referral.
• A: Delaying assessment may miss an opportunity for early
intervention.
• C: Referring without screening lacks evidence-based
triage—screening guides referrals.
• D: Dismissing parental concern risks delayed diagnosis and
intervention.
Teaching Point: Screen early — validated tools guide
timely referrals for developmental delays.
Citation: Wong’s Nursing Care of Infants and Children, 12th
Ed., Ch. 4, Section: Developmental Screening.
4.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1.
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing —
Family-Centered Care
Question Stem: A 6-year-old with a chronic seizure disorder is
admitted for status evaluation. The parents ask to stay
overnight and participate in medication administration. Which
nursing action best reflects family-centered pediatric care?
A. Ask the parents to remain in the waiting area until rounds are
complete.
B. Explain hospital policy that only licensed staff may handle
medications.
C. Invite the parents to stay, teach them seizure precautions,
and supervise their participation.
D. Allow the parents to give the medication without supervision
since they know the child.
Correct Answer: C
Rationales:
• Correct (C): Inviting parents to stay and
teaching/supervising supports family-centered care while
, maintaining safety and scope of practice. It balances
partnership and clinical oversight.
• A: Excluding parents from the bedside undermines family-
centered principles and increases family stress.
• B: Citing policy without offering alternatives disregards
family involvement and education opportunities.
• D: Allowing unsupervised medication administration risks
medication errors and violates safe practice.
Teaching Point: Partner with families—teach, involve, and
supervise to ensure safety and empowerment.
Citation: Wong’s Nursing Care of Infants and Children, 12th
Ed., Ch. 1, Section: Family-Centered Care.
2.
Reference: Ch. 3, Section: Health Promotion — Immunizations
& Health Teaching
Question Stem: A parent expresses vaccine hesitancy about the
MMR for their 15-month-old, citing safety concerns from online
groups. Which nursing response best supports informed
decision-making?
A. Tell the parent that vaccines are mandatory and must be
given today.
B. Provide balanced, evidence-based information and ask about
specific concerns.
C. Agree with the parent’s concerns and postpone all
,vaccinations.
D. Refer the parent immediately to hospital security for refusal.
Correct Answer: B
Rationales:
• Correct (B): Providing evidence-based information and
eliciting specific concerns facilitates informed consent and
therapeutic dialogue.
• A: Coercion damages trust and is not therapeutic or family-
centered.
• C: Simply agreeing and postponing ignores the nurse’s role
in education and harm prevention.
• D: Escalation to security is inappropriate and punitive for
vaccine hesitancy.
Teaching Point: Use empathetic, evidence-based
education to address vaccine hesitancy and promote
informed choices.
Citation: Wong’s Nursing Care of Infants and Children, 12th
Ed., Ch. 3, Section: Immunizations & Health Teaching.
3.
Reference: Ch. 4, Section: Development — Developmental
Screening & Milestones
Question Stem: During a 24-month well-child visit, a toddler
does not use two-word phrases and only points to objects.
What is the nurse’s best next action?
, A. Reassure the parents this is normal and schedule a 6-month
follow-up.
B. Administer a validated developmental screening tool and
refer if concern persists.
C. Advise immediate initiation of speech therapy without
further assessment.
D. Tell parents to ignore the behavior; toddlers develop at
different rates.
Correct Answer: B
Rationales:
• Correct (B): Use of validated screening tools at
recommended intervals identifies delays early and
supports appropriate referral.
• A: Delaying assessment may miss an opportunity for early
intervention.
• C: Referring without screening lacks evidence-based
triage—screening guides referrals.
• D: Dismissing parental concern risks delayed diagnosis and
intervention.
Teaching Point: Screen early — validated tools guide
timely referrals for developmental delays.
Citation: Wong’s Nursing Care of Infants and Children, 12th
Ed., Ch. 4, Section: Developmental Screening.
4.
