WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference: Section I — Perspectives of Pediatric Nursing —
Health Care for Children
Stem: A 3-year-old toddler (preschool developmental stage) is
brought by his mother for a well-child visit. The mother reports
frequent respiratory infections and difficulty accessing after-
hours care. The child appears well now. Which nursing action
best addresses the family’s health-care access concern to
promote continuity of care?
A. Explain routine immunization schedules and leave contact
numbers for urgent clinics.
B. Assess the family’s barriers to accessing care and assist with
creating an after-hours plan/referral.
C. Recommend the family go to the emergency department if
symptoms worsen at night.
D. Provide written home-care instructions for common
respiratory infections.
Correct Answer: B
,Rationales:
Correct (B): Assessing barriers and actively assisting the family
to create an after-hours plan or referral applies family-centered
care and addresses systemic access problems. This intervention
promotes continuity, reduces preventable ED visits, and aligns
with health-promotion responsibilities of the pediatric nurse.
A: Educating about immunizations is important but does not
address the immediate barrier of after-hours access or create a
plan.
C: Directing the family to the ED as the default is not family-
centered, may increase unnecessary ED use, and ignores access
planning.
D: Written instructions are useful but insufficient without
assessing and addressing barriers to care; they assume the
family can follow instructions without support.
Teaching Point: Assess and address family access barriers; co-
develop realistic after-hours plans.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter X.
2
Reference: Section I — Health Promotion — Growth &
Development
Stem: A 9-month-old infant (sensorimotor stage) is brought for
a well-visit. The mother is worried because the infant is not
,pulling to stand yet but is sitting unsupported and transferring
objects between hands. Which nursing interpretation and next
action is most appropriate?
A. Reassure the mother that pulling to stand at 9 months is
within expected variation; schedule routine developmental
surveillance.
B. Explain that lack of pulling to stand indicates developmental
delay and immediately refer to early intervention.
C. Teach the mother exercises to encourage standing and plan a
developmental screening now.
D. Advise waiting until 12 months to decide since standing
typically occurs by then.
Correct Answer: C
Rationales:
Correct (C): The infant has some age-appropriate skills (sitting,
object transfer). Teaching targeted activities to encourage
standing and performing a formal developmental screening
now applies analysis and promotes early identification and
intervention if needed, consistent with health-promotion
practices.
A: Reassurance alone may miss an opportunity for timely
screening and directed interventions.
B: Immediate referral without screening may be premature;
screening should guide referral decisions.
D: Waiting until 12 months delays potential early intervention;
proactive screening is preferred.
, Teaching Point: Screen early when concerns arise; combine
parent education with targeted developmental activities.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter X.
3
Reference: Section I — Childhood Health Problems —
Recognizing Red Flags
Stem: A 2-month-old infant is brought with a 24-hour history of
poor feeding, lethargy, and temperature 38.5°C (101.3°F). The
infant’s color is mottled and capillary refill is 4 seconds. The
parents are anxious. What is the nurse’s priority action?
A. Teach parents fever-management techniques and advise
follow-up with pediatrician.
B. Arrange immediate evaluation for sepsis and transfer to
higher level of care.
C. Offer oral fluids and observe for improvement for several
hours at home.
D. Provide antipyretic dose and schedule a clinic appointment
tomorrow.
Correct Answer: B
Rationales:
Correct (B): An infant <3 months with fever plus lethargy,
mottling, and delayed capillary refill is a red flag for serious
AND CHILDREN, 12TH EDITION
TEST BANK
1
Reference: Section I — Perspectives of Pediatric Nursing —
Health Care for Children
Stem: A 3-year-old toddler (preschool developmental stage) is
brought by his mother for a well-child visit. The mother reports
frequent respiratory infections and difficulty accessing after-
hours care. The child appears well now. Which nursing action
best addresses the family’s health-care access concern to
promote continuity of care?
A. Explain routine immunization schedules and leave contact
numbers for urgent clinics.
B. Assess the family’s barriers to accessing care and assist with
creating an after-hours plan/referral.
C. Recommend the family go to the emergency department if
symptoms worsen at night.
D. Provide written home-care instructions for common
respiratory infections.
Correct Answer: B
,Rationales:
Correct (B): Assessing barriers and actively assisting the family
to create an after-hours plan or referral applies family-centered
care and addresses systemic access problems. This intervention
promotes continuity, reduces preventable ED visits, and aligns
with health-promotion responsibilities of the pediatric nurse.
A: Educating about immunizations is important but does not
address the immediate barrier of after-hours access or create a
plan.
C: Directing the family to the ED as the default is not family-
centered, may increase unnecessary ED use, and ignores access
planning.
D: Written instructions are useful but insufficient without
assessing and addressing barriers to care; they assume the
family can follow instructions without support.
Teaching Point: Assess and address family access barriers; co-
develop realistic after-hours plans.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter X.
2
Reference: Section I — Health Promotion — Growth &
Development
Stem: A 9-month-old infant (sensorimotor stage) is brought for
a well-visit. The mother is worried because the infant is not
,pulling to stand yet but is sitting unsupported and transferring
objects between hands. Which nursing interpretation and next
action is most appropriate?
A. Reassure the mother that pulling to stand at 9 months is
within expected variation; schedule routine developmental
surveillance.
B. Explain that lack of pulling to stand indicates developmental
delay and immediately refer to early intervention.
C. Teach the mother exercises to encourage standing and plan a
developmental screening now.
D. Advise waiting until 12 months to decide since standing
typically occurs by then.
Correct Answer: C
Rationales:
Correct (C): The infant has some age-appropriate skills (sitting,
object transfer). Teaching targeted activities to encourage
standing and performing a formal developmental screening
now applies analysis and promotes early identification and
intervention if needed, consistent with health-promotion
practices.
A: Reassurance alone may miss an opportunity for timely
screening and directed interventions.
B: Immediate referral without screening may be premature;
screening should guide referral decisions.
D: Waiting until 12 months delays potential early intervention;
proactive screening is preferred.
, Teaching Point: Screen early when concerns arise; combine
parent education with targeted developmental activities.
Citation: Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s
Nursing Care of Infants and Children (12th ed.). Chapter X.
3
Reference: Section I — Childhood Health Problems —
Recognizing Red Flags
Stem: A 2-month-old infant is brought with a 24-hour history of
poor feeding, lethargy, and temperature 38.5°C (101.3°F). The
infant’s color is mottled and capillary refill is 4 seconds. The
parents are anxious. What is the nurse’s priority action?
A. Teach parents fever-management techniques and advise
follow-up with pediatrician.
B. Arrange immediate evaluation for sepsis and transfer to
higher level of care.
C. Offer oral fluids and observe for improvement for several
hours at home.
D. Provide antipyretic dose and schedule a clinic appointment
tomorrow.
Correct Answer: B
Rationales:
Correct (B): An infant <3 months with fever plus lethargy,
mottling, and delayed capillary refill is a red flag for serious
