WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 9-month-old infant is brought to the clinic by his parents for
increased nighttime coughing and difficulty feeding for 2 days.
The mother appears anxious and reports the infant has had
fewer wet diapers. Vital signs: T 37.8°C, RR 48 breaths/min, HR
150 bpm, O₂ sat 93% on room air. As the pediatric nurse, which
action is the highest priority?
Options
A. Teach parents suctioning and feeding techniques and
schedule a follow-up in 48 hours.
B. Assess the infant’s respiratory effort (retractions, nasal
flaring) and start continuous pulse oximetry.
C. Administer antitussive medication per standing order and
document parental teaching.
,D. Encourage increased oral fluids and provide anticipatory
guidance about home care.
Correct answer
B
Rationale — Correct (B)
Assessment of respiratory effort and initiation of continuous
pulse oximetry prioritizes the immediate identification of
respiratory compromise in an infant. Elevated RR and borderline
O₂ sat plus decreased urine output suggest possible
dehydration and evolving respiratory distress. Wong
emphasizes early recognition of “sick vs. not sick” cues and
monitoring to guide timely interventions and family education.
Continuous monitoring also supports family-centered
communication about status changes.
Rationale — Incorrect
A. Teaching and routine follow-up are important but premature
when respiratory compromise is possible; initial focused
assessment and monitoring are higher priority.
C. Antitussives are rarely indicated for infants and give false
reassurance; administering medications without assessment is
unsafe.
D. Fluids and guidance are supportive care but do not address
immediate assessment and monitoring needs.
Teaching point
Assess airway/respiratory status first; monitor infants closely
when RR and intake/output change.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem
A 4-year-old child arrives for a well-child visit with her mother.
The child is active, has up-to-date immunizations, but the
mother asks about establishing bedtime routines to reduce
nightly awakenings. Which nursing response best reflects
family-centered health promotion?
Options
A. Provide a standard written bedtime routine handout and
recommend a strict 7 p.m. bedtime.
B. Ask about current routines, family schedule, and co-sleeping
practices; collaborate to create a practical bedtime plan.
C. Tell the mother that nightly awakenings at 4 years are
abnormal and refer to behavioral therapy.
D. Encourage parent to increase daytime activities and ignore
night awakenings to promote independent sleep.
Correct answer
B
, Rationale — Correct (B)
Family-centered health promotion requires assessment of
current family practices and collaborative planning that fits
family routines. Wong emphasizes individualized teaching that
respects cultural and social context and promotes feasible
health behaviors. Asking about co-sleeping and schedules
enables targeted, realistic recommendations and shared
decision-making.
Rationale — Incorrect
A. A generic handout and rigid bedtime ignore family context
and may be impractical.
C. Labeling awakenings as abnormal without assessment is
premature and may alienate the family.
D. Advising to ignore awakenings may be unsafe or unrealistic,
especially if the child needs reassurance.
Teaching point
Collaborate with families to create realistic, culturally sensitive
health promotion plans.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 9-month-old infant is brought to the clinic by his parents for
increased nighttime coughing and difficulty feeding for 2 days.
The mother appears anxious and reports the infant has had
fewer wet diapers. Vital signs: T 37.8°C, RR 48 breaths/min, HR
150 bpm, O₂ sat 93% on room air. As the pediatric nurse, which
action is the highest priority?
Options
A. Teach parents suctioning and feeding techniques and
schedule a follow-up in 48 hours.
B. Assess the infant’s respiratory effort (retractions, nasal
flaring) and start continuous pulse oximetry.
C. Administer antitussive medication per standing order and
document parental teaching.
,D. Encourage increased oral fluids and provide anticipatory
guidance about home care.
Correct answer
B
Rationale — Correct (B)
Assessment of respiratory effort and initiation of continuous
pulse oximetry prioritizes the immediate identification of
respiratory compromise in an infant. Elevated RR and borderline
O₂ sat plus decreased urine output suggest possible
dehydration and evolving respiratory distress. Wong
emphasizes early recognition of “sick vs. not sick” cues and
monitoring to guide timely interventions and family education.
Continuous monitoring also supports family-centered
communication about status changes.
Rationale — Incorrect
A. Teaching and routine follow-up are important but premature
when respiratory compromise is possible; initial focused
assessment and monitoring are higher priority.
C. Antitussives are rarely indicated for infants and give false
reassurance; administering medications without assessment is
unsafe.
D. Fluids and guidance are supportive care but do not address
immediate assessment and monitoring needs.
Teaching point
Assess airway/respiratory status first; monitor infants closely
when RR and intake/output change.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem
A 4-year-old child arrives for a well-child visit with her mother.
The child is active, has up-to-date immunizations, but the
mother asks about establishing bedtime routines to reduce
nightly awakenings. Which nursing response best reflects
family-centered health promotion?
Options
A. Provide a standard written bedtime routine handout and
recommend a strict 7 p.m. bedtime.
B. Ask about current routines, family schedule, and co-sleeping
practices; collaborate to create a practical bedtime plan.
C. Tell the mother that nightly awakenings at 4 years are
abnormal and refer to behavioral therapy.
D. Encourage parent to increase daytime activities and ignore
night awakenings to promote independent sleep.
Correct answer
B
, Rationale — Correct (B)
Family-centered health promotion requires assessment of
current family practices and collaborative planning that fits
family routines. Wong emphasizes individualized teaching that
respects cultural and social context and promotes feasible
health behaviors. Asking about co-sleeping and schedules
enables targeted, realistic recommendations and shared
decision-making.
Rationale — Incorrect
A. A generic handout and rigid bedtime ignore family context
and may be impractical.
C. Labeling awakenings as abnormal without assessment is
premature and may alienate the family.
D. Advising to ignore awakenings may be unsafe or unrealistic,
especially if the child needs reassurance.
Teaching point
Collaborate with families to create realistic, culturally sensitive
health promotion plans.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
3
