WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1.
Reference
Ch. 1 — Perspectives of Pediatric Nursing
Stem: A 4-year-old boy brought to the clinic by his mother has a
2-day history of fever, decreased activity, and refusal to eat. He
is alert but irritable; T 38.5°C, RR 28, HR 120, capillary refill <2
seconds. The mother is tearful and asks whether to go to the
emergency department now.
A. Reassure the mother that this is likely a viral illness and
advise home care with antipyretics.
B. Teach red-flag signs to watch for and arrange same-day
evaluation by the pediatrician.
C. Recommend immediate ED evaluation for possible sepsis due
to tachycardia.
D. Suggest alternating ibuprofen and acetaminophen and follow
up in 48 hours.
Correct answer: B
Rationale — Correct (B): Provides family-centered education
and immediate access to evaluation — balances safety with
,avoiding unnecessary ED use. It acknowledges parental concern
and schedules prompt assessment to detect deterioration.
Aligns with pediatric nursing perspective emphasizing advocacy,
early recognition, and family partnership.
Rationale — Incorrect:
A: Too dismissive; lacks safety planning or timely reassessment.
C: Tachycardia alone in a 4-year-old with fever is not definitive
for sepsis; immediate ED referral is premature without
additional red flags.
D: Symptomatic care alone delays evaluation and fails to
address parental anxiety or provide clear red-flag instructions.
Teaching point: Early same-day evaluation + clear red-flag
education balances safety and family needs.
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
Stem: A school nurse is creating a care plan for an 11-year-old
with Type 1 diabetes. The child self-manages insulin but reports
occasional hypoglycemia at school. Parents prefer minimal
teacher involvement. Which nursing priority best reflects
pediatric nursing perspectives?
A. Honor parental preference and avoid informing teachers to
preserve the child’s privacy.
B. Teach the child advanced self-management so no school staff
,need be involved.
C. Develop a written plan with parental consent that identifies
staff trained to manage hypoglycemia.
D. Recommend the child stay at home on days when glucose is
unstable.
Correct answer: C
Rationale — Correct (C): Family-centered care balances privacy
with safety by creating a written plan and training designated
staff per school policy. Promotes advocacy, collaboration, and
child safety.
Rationale — Incorrect:
A: Prioritizes privacy over safety; unsafe if hypoglycemia occurs
without staff prepared to intervene.
B: Unrealistic for an 11-year-old to be solely responsible;
ignores need for adult supervision.
D: Overly restrictive and harms normal development and
schooling.
Teaching point: Written, consented emergency plans with
trained staff protect safety and privacy.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
3. Reference
Ch. 2 — Health Care for Children
, Stem: A 2-month-old infant arrives for well-child care. The
parent asks why immunizations and growth tracking are
emphasized in pediatric settings compared with adult care.
Which nursing explanation best reflects pediatric health-care
principles?
A. “Children need more frequent visits to build a medical record
for adulthood.”
B. “Frequent visits monitor rapid growth, developmental
milestones, and preventive care like vaccines.”
C. “Children travel between caregivers more often, so records
must be updated.”
D. “Pediatric visits are primarily for parental education, not
clinical surveillance.”
Correct answer: B
Rationale — Correct (B): Emphasizes rapid physiologic and
developmental change in infancy requiring frequent monitoring
and preventive interventions (vaccines, growth, milestones).
Aligns with pediatric health-care focus on prevention and early
detection.
Rationale — Incorrect:
A: Not primary reason; focus is on current developmental
needs.
C: Partially true but not the best explanation of clinical
rationale.
D: Understates clinical surveillance role; pediatric visits are both
educational and medical.
AND CHILDREN, 12TH EDITION
TEST BANK
1.
Reference
Ch. 1 — Perspectives of Pediatric Nursing
Stem: A 4-year-old boy brought to the clinic by his mother has a
2-day history of fever, decreased activity, and refusal to eat. He
is alert but irritable; T 38.5°C, RR 28, HR 120, capillary refill <2
seconds. The mother is tearful and asks whether to go to the
emergency department now.
A. Reassure the mother that this is likely a viral illness and
advise home care with antipyretics.
B. Teach red-flag signs to watch for and arrange same-day
evaluation by the pediatrician.
C. Recommend immediate ED evaluation for possible sepsis due
to tachycardia.
D. Suggest alternating ibuprofen and acetaminophen and follow
up in 48 hours.
Correct answer: B
Rationale — Correct (B): Provides family-centered education
and immediate access to evaluation — balances safety with
,avoiding unnecessary ED use. It acknowledges parental concern
and schedules prompt assessment to detect deterioration.
Aligns with pediatric nursing perspective emphasizing advocacy,
early recognition, and family partnership.
Rationale — Incorrect:
A: Too dismissive; lacks safety planning or timely reassessment.
C: Tachycardia alone in a 4-year-old with fever is not definitive
for sepsis; immediate ED referral is premature without
additional red flags.
D: Symptomatic care alone delays evaluation and fails to
address parental anxiety or provide clear red-flag instructions.
Teaching point: Early same-day evaluation + clear red-flag
education balances safety and family needs.
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
Stem: A school nurse is creating a care plan for an 11-year-old
with Type 1 diabetes. The child self-manages insulin but reports
occasional hypoglycemia at school. Parents prefer minimal
teacher involvement. Which nursing priority best reflects
pediatric nursing perspectives?
A. Honor parental preference and avoid informing teachers to
preserve the child’s privacy.
B. Teach the child advanced self-management so no school staff
,need be involved.
C. Develop a written plan with parental consent that identifies
staff trained to manage hypoglycemia.
D. Recommend the child stay at home on days when glucose is
unstable.
Correct answer: C
Rationale — Correct (C): Family-centered care balances privacy
with safety by creating a written plan and training designated
staff per school policy. Promotes advocacy, collaboration, and
child safety.
Rationale — Incorrect:
A: Prioritizes privacy over safety; unsafe if hypoglycemia occurs
without staff prepared to intervene.
B: Unrealistic for an 11-year-old to be solely responsible;
ignores need for adult supervision.
D: Overly restrictive and harms normal development and
schooling.
Teaching point: Written, consented emergency plans with
trained staff protect safety and privacy.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter 1.
3. Reference
Ch. 2 — Health Care for Children
, Stem: A 2-month-old infant arrives for well-child care. The
parent asks why immunizations and growth tracking are
emphasized in pediatric settings compared with adult care.
Which nursing explanation best reflects pediatric health-care
principles?
A. “Children need more frequent visits to build a medical record
for adulthood.”
B. “Frequent visits monitor rapid growth, developmental
milestones, and preventive care like vaccines.”
C. “Children travel between caregivers more often, so records
must be updated.”
D. “Pediatric visits are primarily for parental education, not
clinical surveillance.”
Correct answer: B
Rationale — Correct (B): Emphasizes rapid physiologic and
developmental change in infancy requiring frequent monitoring
and preventive interventions (vaccines, growth, milestones).
Aligns with pediatric health-care focus on prevention and early
detection.
Rationale — Incorrect:
A: Not primary reason; focus is on current developmental
needs.
C: Partially true but not the best explanation of clinical
rationale.
D: Understates clinical surveillance role; pediatric visits are both
educational and medical.
