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 2-year-old toddler with history of recurrent otitis media is
brought to clinic by his mother, who reports the child has had
low-grade fever and tugging at his right ear for 12 hours. The
child is clingy to the mother and cries when separated; he is
consolable with feeding. Vital signs: T 38.0°C, RR 28, HR 120. On
otoscopic exam the right tympanic membrane appears slightly
erythematous with reduced mobility. Using family-centered
care principles and pediatric assessment priorities, what is the
nurse’s best next action?
Options
A. Reassure the mother that the child appears mildly ill and
schedule a follow-up in 48 hours.
B. Offer pain relief (age-appropriate acetaminophen), educate
,on administration, and notify the provider for likely acute otitis
media management.
C. Encourage immediate separation to perform a more
thorough exam without the mother present to reduce
clinginess.
D. Advise the mother to increase oral fluids and only return if
fever persists more than 72 hours.
Correct Answer
B
Rationales
• Correct (B): The child shows signs consistent with acute
otitis media (ear tugging, fever, erythematous TM, reduced
mobility). Pain control is priority for symptom relief and
safety; educating the caregiver supports family-centered
care. Notifying the provider promotes timely evaluation for
possible antibiotics per clinical guidelines.
• Incorrect (A): Scheduling routine follow-up without
immediate pain relief neglects symptom control and delays
provider evaluation; the child is symptomatic now.
• Incorrect (C): For toddlers, separation increases distress
and impairs cooperation; family presence is therapeutic
and supports accurate assessment.
• Incorrect (D): While hydration is supportive, simply
advising return only if fever persists ignores current pain
and likely need for provider assessment.
,Teaching Point
Prioritize pain control and involve caregivers immediately when
children show symptomatic infection.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
Reference
Ch. 2 — Health Promotion — Immunizations and Anticipatory
Guidance
Stem
A 15-month-old child is brought for a well visit. The parents are
hesitant about the MMR vaccine, expressing concern about
adverse effects they read online. The child is walking, uses two-
word phrases, and has no chronic conditions. The nurse must
use evidence-based teaching and family-centered
communication. What is the nurse’s best approach?
Options
A. Respectfully acknowledge concerns, provide clear evidence-
based information about MMR benefits and risks, and offer to
answer questions before administration.
B. Tell the parents that refusal is irresponsible and inform them
the clinic will not accept them as patients if they decline.
C. Defer any discussion and administer the vaccine without
, parental consent because it’s in the child’s best interest.
D. Agree with parents’ concerns and document vaccine refusal
without further education.
Correct Answer
A
Rationales
• Correct (A): Family-centered care requires acknowledging
concerns, using evidence-based information, and engaging
in shared decision-making. Providing clear risks/benefits
and answering questions supports informed consent and
trust.
• Incorrect (B): Shaming or coercion damages therapeutic
relationship and is not consistent with family-centered
practice; explore concerns instead.
• Incorrect (C): Administering vaccines without parental
consent is unethical and illegal except in specific
jurisdictions/options; do not proceed without consent.
• Incorrect (D): Documenting refusal without education
misses an opportunity for evidence-based counseling and
may increase health risk.
Teaching Point
Use empathetic, evidence-based counseling to address vaccine
hesitancy and support informed decisions.
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health Care for
Children
Stem
A 2-year-old toddler with history of recurrent otitis media is
brought to clinic by his mother, who reports the child has had
low-grade fever and tugging at his right ear for 12 hours. The
child is clingy to the mother and cries when separated; he is
consolable with feeding. Vital signs: T 38.0°C, RR 28, HR 120. On
otoscopic exam the right tympanic membrane appears slightly
erythematous with reduced mobility. Using family-centered
care principles and pediatric assessment priorities, what is the
nurse’s best next action?
Options
A. Reassure the mother that the child appears mildly ill and
schedule a follow-up in 48 hours.
B. Offer pain relief (age-appropriate acetaminophen), educate
,on administration, and notify the provider for likely acute otitis
media management.
C. Encourage immediate separation to perform a more
thorough exam without the mother present to reduce
clinginess.
D. Advise the mother to increase oral fluids and only return if
fever persists more than 72 hours.
Correct Answer
B
Rationales
• Correct (B): The child shows signs consistent with acute
otitis media (ear tugging, fever, erythematous TM, reduced
mobility). Pain control is priority for symptom relief and
safety; educating the caregiver supports family-centered
care. Notifying the provider promotes timely evaluation for
possible antibiotics per clinical guidelines.
• Incorrect (A): Scheduling routine follow-up without
immediate pain relief neglects symptom control and delays
provider evaluation; the child is symptomatic now.
• Incorrect (C): For toddlers, separation increases distress
and impairs cooperation; family presence is therapeutic
and supports accurate assessment.
• Incorrect (D): While hydration is supportive, simply
advising return only if fever persists ignores current pain
and likely need for provider assessment.
,Teaching Point
Prioritize pain control and involve caregivers immediately when
children show symptomatic infection.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
2
Reference
Ch. 2 — Health Promotion — Immunizations and Anticipatory
Guidance
Stem
A 15-month-old child is brought for a well visit. The parents are
hesitant about the MMR vaccine, expressing concern about
adverse effects they read online. The child is walking, uses two-
word phrases, and has no chronic conditions. The nurse must
use evidence-based teaching and family-centered
communication. What is the nurse’s best approach?
Options
A. Respectfully acknowledge concerns, provide clear evidence-
based information about MMR benefits and risks, and offer to
answer questions before administration.
B. Tell the parents that refusal is irresponsible and inform them
the clinic will not accept them as patients if they decline.
C. Defer any discussion and administer the vaccine without
, parental consent because it’s in the child’s best interest.
D. Agree with parents’ concerns and document vaccine refusal
without further education.
Correct Answer
A
Rationales
• Correct (A): Family-centered care requires acknowledging
concerns, using evidence-based information, and engaging
in shared decision-making. Providing clear risks/benefits
and answering questions supports informed consent and
trust.
• Incorrect (B): Shaming or coercion damages therapeutic
relationship and is not consistent with family-centered
practice; explore concerns instead.
• Incorrect (C): Administering vaccines without parental
consent is unethical and illegal except in specific
jurisdictions/options; do not proceed without consent.
• Incorrect (D): Documenting refusal without education
misses an opportunity for evidence-based counseling and
may increase health risk.
Teaching Point
Use empathetic, evidence-based counseling to address vaccine
hesitancy and support informed decisions.
