WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 4-year-old girl is brought to the clinic by her mother for a well
visit. The parent expresses concern about frequent clinic wait
times and fragmented communication among providers. As the
pediatric nurse, which action best addresses the family’s
concern while promoting family-centered care?
A. Explain clinic scheduling limitations and advise the parent to
arrive early.
B. Offer to coordinate a single visit summary and arrange a
follow-up call to review the child’s care plan.
C. Suggest the parent keep a personal health record and bring it
to all visits.
D. Recommend switching to a different clinic with shorter wait
times.
,Correct answer: B
Rationale — Correct (B)
Coordinating a visit summary and offering follow-up
communication directly addresses fragmentation and supports
family-centered care by improving information continuity. This
nursing action is within scope, promotes parental involvement,
and aligns with evidence supporting care coordination to
improve satisfaction and outcomes.
Rationale — Incorrect
A: Telling the parent to arrive early shifts responsibility without
addressing systemic communication; not family-centered.
C: Encouraging a personal health record is helpful but
insufficient alone to resolve fragmented provider
communication.
D: Recommending a clinic change may not be feasible and
avoids addressing immediate needs; also places burden on the
family.
Teaching point
Coordinate summaries and follow-up to improve continuity and
family trust.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
2
,Reference
Section I — Health Promotion
Stem
A 15-month-old toddler arrives for immunizations. The mother
is anxious and reports conflicting information online about
vaccine safety. Which nursing response best applies principles
of health promotion and evidence-based practice?
A. Provide a printed vaccine schedule and ask the parent to
decide later.
B. Acknowledge the concern, discuss the benefits and risks
using evidence and offer reputable resources.
C. Tell the parent vaccines are safe and essential and insist on
immediate administration.
D. Delay immunizations until the parent finds a provider who
will agree with their beliefs.
Correct answer: B
Rationale — Correct (B)
Acknowledge parental concerns (family-centered approach) and
use evidence to discuss benefits/risks, offering reputable
resources. This applies health promotion and EBP—informing
decision-making while maintaining trust and safety.
Rationale — Incorrect
A: Providing only a schedule is neutral and misses the
opportunity to address concerns through education.
C: Insistence without addressing fears undermines trust and
, may reduce adherence.
D: Delaying care risks the child’s health and abdicates the
nurse’s role in education and promotion.
Teaching point
Use respectful, evidence-based discussions and reputable
resources to support informed vaccine decisions.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
Reference
Section I — Childhood Health Problems
Stem
A 10-year-old boy with newly diagnosed type 1 diabetes is
admitted for education after stabilization. His parents seem
overwhelmed and ask the nurse who will administer insulin at
home. Which nursing action best reflects family-centered care
and promotes safe transition to home?
A. Teach only the mother insulin administration, assuming she
will be primary caregiver.
B. Provide step-by-step insulin teaching to both parents,
observe return demonstration, and arrange outpatient follow-
up teaching.
C. Give written instructions and discharge with a referral to
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Section I — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 4-year-old girl is brought to the clinic by her mother for a well
visit. The parent expresses concern about frequent clinic wait
times and fragmented communication among providers. As the
pediatric nurse, which action best addresses the family’s
concern while promoting family-centered care?
A. Explain clinic scheduling limitations and advise the parent to
arrive early.
B. Offer to coordinate a single visit summary and arrange a
follow-up call to review the child’s care plan.
C. Suggest the parent keep a personal health record and bring it
to all visits.
D. Recommend switching to a different clinic with shorter wait
times.
,Correct answer: B
Rationale — Correct (B)
Coordinating a visit summary and offering follow-up
communication directly addresses fragmentation and supports
family-centered care by improving information continuity. This
nursing action is within scope, promotes parental involvement,
and aligns with evidence supporting care coordination to
improve satisfaction and outcomes.
Rationale — Incorrect
A: Telling the parent to arrive early shifts responsibility without
addressing systemic communication; not family-centered.
C: Encouraging a personal health record is helpful but
insufficient alone to resolve fragmented provider
communication.
D: Recommending a clinic change may not be feasible and
avoids addressing immediate needs; also places burden on the
family.
Teaching point
Coordinate summaries and follow-up to improve continuity and
family trust.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
2
,Reference
Section I — Health Promotion
Stem
A 15-month-old toddler arrives for immunizations. The mother
is anxious and reports conflicting information online about
vaccine safety. Which nursing response best applies principles
of health promotion and evidence-based practice?
A. Provide a printed vaccine schedule and ask the parent to
decide later.
B. Acknowledge the concern, discuss the benefits and risks
using evidence and offer reputable resources.
C. Tell the parent vaccines are safe and essential and insist on
immediate administration.
D. Delay immunizations until the parent finds a provider who
will agree with their beliefs.
Correct answer: B
Rationale — Correct (B)
Acknowledge parental concerns (family-centered approach) and
use evidence to discuss benefits/risks, offering reputable
resources. This applies health promotion and EBP—informing
decision-making while maintaining trust and safety.
Rationale — Incorrect
A: Providing only a schedule is neutral and misses the
opportunity to address concerns through education.
C: Insistence without addressing fears undermines trust and
, may reduce adherence.
D: Delaying care risks the child’s health and abdicates the
nurse’s role in education and promotion.
Teaching point
Use respectful, evidence-based discussions and reputable
resources to support informed vaccine decisions.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
Reference
Section I — Childhood Health Problems
Stem
A 10-year-old boy with newly diagnosed type 1 diabetes is
admitted for education after stabilization. His parents seem
overwhelmed and ask the nurse who will administer insulin at
home. Which nursing action best reflects family-centered care
and promotes safe transition to home?
A. Teach only the mother insulin administration, assuming she
will be primary caregiver.
B. Provide step-by-step insulin teaching to both parents,
observe return demonstration, and arrange outpatient follow-
up teaching.
C. Give written instructions and discharge with a referral to
