WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1) Reference
Ch. 1 — Perspectives of Pediatric Nursing — Role of the
Pediatric Nurse
Stem: A 3-year-old toddler (preschool developmental stage) is
admitted after a low-grade fever and cough. The child clings to
the parent and cries when staff approach. The parent reports
the child had a mildly distressing outpatient visit last month. As
the pediatric nurse preparing the first assessment, which
approach best demonstrates family-centered, therapeutic care
while obtaining needed assessment data?
A. Ask the parent to step out so the nurse can obtain a
complete auscultation and throat exam without distraction.
B. Invite the parent to hold the child on their lap while the
nurse performs the least invasive assessment first, offering
choices.
C. Begin with a quick throat exam and deep lung auscultation to
minimize total time in the room.
,D. Allow the child to warm up without assessment for 30
minutes before any contact.
Correct answer: B
Rationale — Correct (B): Inviting the parent to hold the child
and performing least-invasive tasks first supports family-
centered care and developmentally appropriate assessment.
This approach reduces anxiety, increases cooperation, and
yields more reliable data while honoring the family’s role. Wong
emphasizes using family presence to facilitate safe, effective
nursing assessment.
Rationale — Incorrect (A): Asking the parent to leave increases
separation anxiety for a preschooler and may compromise
cooperation and accuracy of assessment.
Rationale — Incorrect (C): Prioritizing only speed risks causing
more distress and less reliable findings; sequence should be
least to most invasive.
Rationale — Incorrect (D): A fixed 30-minute delay may be
unnecessary and could delay timely urgent assessment if
required.
Teaching point: Use family presence and least-invasive steps
first to reduce distress and improve assessment accuracy.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
Evolve
,2) Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem: A 7-year-old school-age child arrives for a well visit. The
parent asks about car-seat safety now that the child has
outgrown a forward-facing harness. The child is 48 inches tall
and weighs 52 pounds. Which nursing recommendation best
aligns with evidence-based injury prevention guidance and
family education?
A. Transfer the child to an adult seat belt immediately since
height exceeds average for toddler seats.
B. Continue using a forward-facing harness seat until the child is
at least 8 years old.
C. Use a booster seat until the adult lap-shoulder belt fits
properly across the shoulder and lap.
D. Remove all car restraints if the child insists on not using them
for comfort.
Correct answer: C
Rationale — Correct (C): Booster seats position the vehicle lap-
shoulder belt correctly for school-age children until belt fit is
appropriate—this reduces injury risk. Wong emphasizes
anticipatory guidance and injury prevention education tailored
to developmental size and family circumstances.
Rationale — Incorrect (A): Adult belts often do not fit properly
at this height and can increase risk of abdominal or cervical
injury.
, Rationale — Incorrect (B): Age alone is not the criterion; height
and proper belt fit guide transition.
Rationale — Incorrect (D): Removing restraints is unsafe and
contrary to injury-prevention standards.
Teaching point: Use a booster until adult belt fits across
shoulder and pelvis, not the abdomen.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
Evolve
3) Reference
Ch. 1 — Perspectives of Pediatric Nursing — Childhood Health
Problems
Stem: A 15-month-old infant presents with persistent vomiting
and decreased urine output for 12 hours. The parent reports
fewer wet diapers and lethargy. On exam the child is irritable,
has dry mucous membranes, and a capillary refill of 4 seconds.
Using “sick vs not sick” clinical judgment, what is the nurse’s
priority action?
A. Offer oral electrolyte solution and reassess in 2 hours.
B. Arrange for immediate intravenous fluid resuscitation and
notify provider.
C. Provide antiemetic and discharge with home fluid-
replacement instructions.
D. Place the child in a quiet room and observe for 4–6 hours.
AND CHILDREN, 12TH EDITION
TEST BANK
1) Reference
Ch. 1 — Perspectives of Pediatric Nursing — Role of the
Pediatric Nurse
Stem: A 3-year-old toddler (preschool developmental stage) is
admitted after a low-grade fever and cough. The child clings to
the parent and cries when staff approach. The parent reports
the child had a mildly distressing outpatient visit last month. As
the pediatric nurse preparing the first assessment, which
approach best demonstrates family-centered, therapeutic care
while obtaining needed assessment data?
A. Ask the parent to step out so the nurse can obtain a
complete auscultation and throat exam without distraction.
B. Invite the parent to hold the child on their lap while the
nurse performs the least invasive assessment first, offering
choices.
C. Begin with a quick throat exam and deep lung auscultation to
minimize total time in the room.
,D. Allow the child to warm up without assessment for 30
minutes before any contact.
Correct answer: B
Rationale — Correct (B): Inviting the parent to hold the child
and performing least-invasive tasks first supports family-
centered care and developmentally appropriate assessment.
This approach reduces anxiety, increases cooperation, and
yields more reliable data while honoring the family’s role. Wong
emphasizes using family presence to facilitate safe, effective
nursing assessment.
Rationale — Incorrect (A): Asking the parent to leave increases
separation anxiety for a preschooler and may compromise
cooperation and accuracy of assessment.
Rationale — Incorrect (C): Prioritizing only speed risks causing
more distress and less reliable findings; sequence should be
least to most invasive.
Rationale — Incorrect (D): A fixed 30-minute delay may be
unnecessary and could delay timely urgent assessment if
required.
Teaching point: Use family presence and least-invasive steps
first to reduce distress and improve assessment accuracy.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
Evolve
,2) Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Promotion
Stem: A 7-year-old school-age child arrives for a well visit. The
parent asks about car-seat safety now that the child has
outgrown a forward-facing harness. The child is 48 inches tall
and weighs 52 pounds. Which nursing recommendation best
aligns with evidence-based injury prevention guidance and
family education?
A. Transfer the child to an adult seat belt immediately since
height exceeds average for toddler seats.
B. Continue using a forward-facing harness seat until the child is
at least 8 years old.
C. Use a booster seat until the adult lap-shoulder belt fits
properly across the shoulder and lap.
D. Remove all car restraints if the child insists on not using them
for comfort.
Correct answer: C
Rationale — Correct (C): Booster seats position the vehicle lap-
shoulder belt correctly for school-age children until belt fit is
appropriate—this reduces injury risk. Wong emphasizes
anticipatory guidance and injury prevention education tailored
to developmental size and family circumstances.
Rationale — Incorrect (A): Adult belts often do not fit properly
at this height and can increase risk of abdominal or cervical
injury.
, Rationale — Incorrect (B): Age alone is not the criterion; height
and proper belt fit guide transition.
Rationale — Incorrect (D): Removing restraints is unsafe and
contrary to injury-prevention standards.
Teaching point: Use a booster until adult belt fits across
shoulder and pelvis, not the abdomen.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
Evolve
3) Reference
Ch. 1 — Perspectives of Pediatric Nursing — Childhood Health
Problems
Stem: A 15-month-old infant presents with persistent vomiting
and decreased urine output for 12 hours. The parent reports
fewer wet diapers and lethargy. On exam the child is irritable,
has dry mucous membranes, and a capillary refill of 4 seconds.
Using “sick vs not sick” clinical judgment, what is the nurse’s
priority action?
A. Offer oral electrolyte solution and reassess in 2 hours.
B. Arrange for immediate intravenous fluid resuscitation and
notify provider.
C. Provide antiemetic and discharge with home fluid-
replacement instructions.
D. Place the child in a quiet room and observe for 4–6 hours.
