WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Sick vs. Not Sick;
Prioritization
Stem
A 9-month-old infant is brought to the pediatric clinic by a
concerned parent who reports a 12-hour history of fever
(39.0°C/102.2°F), decreased feeding, and two brief episodes of
vomiting. On assessment the infant is alert, has warm skin,
slightly tacky mucous membranes, respiratory rate 38/min, and
capillary refill 2 seconds. The parent is anxious and asks
whether the infant needs immediate ED evaluation. Which
nursing action is the best priority?
Options
A. Arrange immediate transfer to the ED for IV fluids and
diagnostic tests.
B. Perform a focused sick-versus-not-sick assessment, address
hydration, explain findings to the parent, and plan follow-up.
,C. Provide antipyretic, discharge with return-precautions, and
schedule well-baby follow-up in 1 week.
D. Start oral rehydration at the clinic and advise no further
evaluation unless symptoms worsen.
Correct answer
B
Rationale — Correct (B)
A focused sick-versus-not-sick assessment is the nursing priority
to determine acuity. The infant’s appearance (alert, warm,
capillary refill 2 s) suggests mild dehydration but not shock;
addressing hydration, educating the parent, and arranging
prompt follow-up aligns with family-centered, safety-focused
care in Wong. This approach preserves resources while ensuring
close monitoring and parent participation.
Rationale — Incorrect
A. Immediate ED transfer is premature given stable perfusion
and respiratory status; unnecessary transfers increase family
stress and resource use.
C. Giving antipyretic and routine 1-week follow-up risks delayed
recognition of worsening; needs earlier reassessment.
D. Starting oral rehydration without full assessment and parent
teaching about red flags understates need for follow-up and
education.
Teaching Point
Use a focused “sick vs. not sick” assessment and involve parents
in monitoring and follow-up.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
Cognitive level: Analysis
2
Reference
Ch. 1 — The Art of Pediatric Nursing — Family-Centered
Communication
Stem
A 4-year-old scheduled for laceration repair is fearful and clings
to the mother. The mother requests that the nurse “do
whatever it takes” to calm the child and avoid sedation. Which
nursing approach best reflects the art of pediatric nursing and
family-centered practice?
Options
A. Explain the procedure quickly to the child, separate child
from parent to avoid interference, and proceed.
B. Use age-appropriate preparation, involve the mother in
comforting strategies, and offer choices to the child.
C. Agree to avoid sedation and proceed only with restraint if the
child resists.
D. Defer to the physician and ask the parent to step out during
the procedure.
, Correct answer
B
Rationale — Correct (B)
Wong emphasizes empathy, therapeutic communication,
developmentally appropriate preparation, and involving families
in care. Offering simple choices and using the parent as a
comfort resource supports the child’s sense of control,
decreases anxiety, and honors family-centered care.
Rationale — Incorrect
A. Rushing explanations and separating the child increases
anxiety and violates family-centered principles.
C. Proceeding with restraint contradicts prioritizing least-
restrictive, family-supported interventions unless absolutely
necessary.
D. Excluding the parent removes a key source of comfort and
undermines partnership in care.
Teaching Point
Use developmentally appropriate preparation and involve
parents as comfort coaches.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
Cognitive level: Application
3
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Sick vs. Not Sick;
Prioritization
Stem
A 9-month-old infant is brought to the pediatric clinic by a
concerned parent who reports a 12-hour history of fever
(39.0°C/102.2°F), decreased feeding, and two brief episodes of
vomiting. On assessment the infant is alert, has warm skin,
slightly tacky mucous membranes, respiratory rate 38/min, and
capillary refill 2 seconds. The parent is anxious and asks
whether the infant needs immediate ED evaluation. Which
nursing action is the best priority?
Options
A. Arrange immediate transfer to the ED for IV fluids and
diagnostic tests.
B. Perform a focused sick-versus-not-sick assessment, address
hydration, explain findings to the parent, and plan follow-up.
,C. Provide antipyretic, discharge with return-precautions, and
schedule well-baby follow-up in 1 week.
D. Start oral rehydration at the clinic and advise no further
evaluation unless symptoms worsen.
Correct answer
B
Rationale — Correct (B)
A focused sick-versus-not-sick assessment is the nursing priority
to determine acuity. The infant’s appearance (alert, warm,
capillary refill 2 s) suggests mild dehydration but not shock;
addressing hydration, educating the parent, and arranging
prompt follow-up aligns with family-centered, safety-focused
care in Wong. This approach preserves resources while ensuring
close monitoring and parent participation.
Rationale — Incorrect
A. Immediate ED transfer is premature given stable perfusion
and respiratory status; unnecessary transfers increase family
stress and resource use.
C. Giving antipyretic and routine 1-week follow-up risks delayed
recognition of worsening; needs earlier reassessment.
D. Starting oral rehydration without full assessment and parent
teaching about red flags understates need for follow-up and
education.
Teaching Point
Use a focused “sick vs. not sick” assessment and involve parents
in monitoring and follow-up.
,Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
Cognitive level: Analysis
2
Reference
Ch. 1 — The Art of Pediatric Nursing — Family-Centered
Communication
Stem
A 4-year-old scheduled for laceration repair is fearful and clings
to the mother. The mother requests that the nurse “do
whatever it takes” to calm the child and avoid sedation. Which
nursing approach best reflects the art of pediatric nursing and
family-centered practice?
Options
A. Explain the procedure quickly to the child, separate child
from parent to avoid interference, and proceed.
B. Use age-appropriate preparation, involve the mother in
comforting strategies, and offer choices to the child.
C. Agree to avoid sedation and proceed only with restraint if the
child resists.
D. Defer to the physician and ask the parent to step out during
the procedure.
, Correct answer
B
Rationale — Correct (B)
Wong emphasizes empathy, therapeutic communication,
developmentally appropriate preparation, and involving families
in care. Offering simple choices and using the parent as a
comfort resource supports the child’s sense of control,
decreases anxiety, and honors family-centered care.
Rationale — Incorrect
A. Rushing explanations and separating the child increases
anxiety and violates family-centered principles.
C. Proceeding with restraint contradicts prioritizing least-
restrictive, family-supported interventions unless absolutely
necessary.
D. Excluding the parent removes a key source of comfort and
undermines partnership in care.
Teaching Point
Use developmentally appropriate preparation and involve
parents as comfort coaches.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
Cognitive level: Application
3
