AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. Section I — Perspectives of Pediatric Nursing — Role of the
Pediatric Nurse
Stem
A 6-year-old girl with newly diagnosed type 1 diabetes is
admitted for education and stabilization. The parents are tearful
and ask the nurse how involved they must be in daily care at
home. The child is developmentally appropriate and wants to
help. Which nursing response best exemplifies family-centered
pediatric nursing?
A. “You should let school nurses handle most insulin
administration so you can maintain normal routines.”
B. “I’ll teach both of you and your child age-appropriate tasks;
we’ll practice together until you feel confident.”
C. “It’s best to assign one parent to be responsible so there’s no
confusion about dosing.”
,D. “Don’t worry—most families find it easier to hire home care
nurses after discharge.”
Correct Answer
B
Rationales
Correct (B): Teaching parents and involving the child with age-
appropriate tasks supports family-centered care, increases
parental competence, and promotes the child’s developmental
participation, consistent with pediatric nursing roles. Practice
until confident enhances safety and retention.
A: Delegating care to school nurses neglects parental
involvement and may reduce family empowerment; not
appropriate discharge planning.
C: Assigning responsibility to one parent may increase burden
and undermines shared family involvement and contingency
planning.
D: Recommending home nurses without assessing family
capability or preferences is premature and may not be feasible
or family-centered.
Teaching Point
Teach collaboratively; involve family and child in age-
appropriate care to build competence and safety.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
,2
Reference
Ch. Section I — Health Care for Children — Health Promotion
Stem
A 15-month-old toddler attends well-child clinic for
immunizations. The mother asks whether anticipatory guidance
about injury prevention is necessary at this visit. Which nurse
statement best reflects health-promotion priorities for this age?
A. “Focus only on immunizations now; injury prevention is
discussed at 2-year visits.”
B. “Yes—let’s review toddler-proofing, supervision near water,
and appropriate car seat use today.”
C. “Toddlers are resilient; minor falls don’t require much
prevention.”
D. “It’s better to wait until the child is walking steadily before
implementing safety measures.”
Correct Answer
B
Rationales
Correct (B): Health promotion includes anticipatory guidance
tailored to developmental milestones. At 15 months, toddlers
are mobile and require immediate injury-prevention counseling
(home safety, water, car seats).
A: Deferring safety education delays critical prevention at a
, high-risk developmental stage.
C: Minimizes risk; unsafe and not evidence-based.
D: Waiting until walking steadily ignores current mobility and
exposes child to preventable hazards.
Teaching Point
Provide anticipatory guidance matched to current
developmental risks at each visit.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Section I.
3
Reference
Ch. Section I — Childhood Health Problems — Recognition of
Red Flags
Stem
A 4-year-old boy is brought with a 24-hour history of increasing
lethargy, poor oral intake, and sunken eyes. Vital signs: T 37.8°C,
HR 150, RR 36, capillary refill 4 seconds. The parent reports
fewer wet diapers. Which nursing action should be prioritized?
A. Offer a small oral electrolyte solution and reassess in 1 hour.
B. Perform skin turgor and fontanel assessment, obtain bedside
weight, and notify the provider immediately.
C. Document findings and advise increased fluids at home.