WONG’S NURSING CARE OF INFANTS
AND CHILDREN, 12TH EDITION
TEST BANK
Q1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health care access
& disparities
Stem
A 4-year-old girl (preschooler) presents for a well-child visit with
her single mother who reports frequent school absences due to
asthma exacerbations. The child’s daycare is in a low-income
neighborhood and the mother reports difficulty affording
medication. On assessment the child’s respiratory rate is 28/min
and breath sounds reveal expiratory wheeze at baseline. Which
nursing action is the priority?
A. Teach the mother correct inhaler use and spacing devices.
B. Arrange social work referral for medication assistance and
home environment evaluation.
C. Provide written asthma action plan and follow-up
appointment in 2 weeks.
,D. Discuss trigger avoidance strategies with the mother and
daycare staff.
Correct Answer
B
Rationale — Correct (B)
Wong emphasizes addressing social determinants that limit
access to care. Arranging social work/referral for medication
assistance and home evaluation addresses the immediate
barrier (inability to obtain meds) and identifies environmental
triggers — a priority for safe, equitable care. This is family-
centered and prevents further acute events.
Rationale — Incorrect
A. Inhaler teaching is necessary but ineffective if medications
aren’t affordable — intervention alone is incomplete.
C. Providing a plan and follow-up is appropriate but not
sufficient if structural barriers (cost) remain.
D. Trigger education is important but secondary to ensuring the
child has access to prescribed medication and support.
Teaching Point
Address social and access barriers first to enable all other self-
management strategies.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
,Q2
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health promotion
(anticipatory guidance)
Stem
A 6-month-old infant (sitting independently) is seen with first-
time parents at a routine visit. Parents are anxious about
starting solids now and ask what to introduce and how to
prevent choking. The infant demonstrates good head control.
Which nursing action best aligns with anticipatory guidance?
A. Advise introduction of cow’s milk and honey today to add
calories.
B. Recommend iron-fortified cereal then single-ingredient
pureed fruits and vegetables, one new food every 3–5 days.
C. Suggest offering whole grapes and nuts for finger feeding to
promote autonomy.
D. Tell the parents to wait until 12 months to introduce any solid
foods.
Correct Answer
B
Rationale — Correct (B)
Wong supports evidence-based, developmental anticipatory
guidance: at ~6 months, introduce iron-fortified cereal and
single-ingredient purees, spacing new foods to monitor for
, allergies. Guidance should be family-centered and safety-
focused (prevent choking, ensure iron intake).
Rationale — Incorrect
A. Cow’s milk and honey are contraindicated under 12 months
(risk of anemia, botulism).
C. Whole grapes and nuts are choking hazards for infants;
inappropriate.
D. Delaying all solids to 12 months risks iron deficiency and is
inconsistent with current recommendations.
Teaching Point
Introduce iron-rich foods at ~6 months; avoid honey and
choking hazards under 1 year.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
Q3
Reference
Ch. 1 — The Art of Pediatric Nursing — Atraumatic care &
family-centered communication
Stem
A 9-year-old (school-age) scheduled for a blood draw is very
anxious and clings to his father. The nurse notes a raised heart
rate (120) and pale appearance. Which approach best reflects
atraumatic, family-centered nursing care?
AND CHILDREN, 12TH EDITION
TEST BANK
Q1
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health care access
& disparities
Stem
A 4-year-old girl (preschooler) presents for a well-child visit with
her single mother who reports frequent school absences due to
asthma exacerbations. The child’s daycare is in a low-income
neighborhood and the mother reports difficulty affording
medication. On assessment the child’s respiratory rate is 28/min
and breath sounds reveal expiratory wheeze at baseline. Which
nursing action is the priority?
A. Teach the mother correct inhaler use and spacing devices.
B. Arrange social work referral for medication assistance and
home environment evaluation.
C. Provide written asthma action plan and follow-up
appointment in 2 weeks.
,D. Discuss trigger avoidance strategies with the mother and
daycare staff.
Correct Answer
B
Rationale — Correct (B)
Wong emphasizes addressing social determinants that limit
access to care. Arranging social work/referral for medication
assistance and home evaluation addresses the immediate
barrier (inability to obtain meds) and identifies environmental
triggers — a priority for safe, equitable care. This is family-
centered and prevents further acute events.
Rationale — Incorrect
A. Inhaler teaching is necessary but ineffective if medications
aren’t affordable — intervention alone is incomplete.
C. Providing a plan and follow-up is appropriate but not
sufficient if structural barriers (cost) remain.
D. Trigger education is important but secondary to ensuring the
child has access to prescribed medication and support.
Teaching Point
Address social and access barriers first to enable all other self-
management strategies.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
,Q2
Reference
Ch. 1 — Perspectives of Pediatric Nursing — Health promotion
(anticipatory guidance)
Stem
A 6-month-old infant (sitting independently) is seen with first-
time parents at a routine visit. Parents are anxious about
starting solids now and ask what to introduce and how to
prevent choking. The infant demonstrates good head control.
Which nursing action best aligns with anticipatory guidance?
A. Advise introduction of cow’s milk and honey today to add
calories.
B. Recommend iron-fortified cereal then single-ingredient
pureed fruits and vegetables, one new food every 3–5 days.
C. Suggest offering whole grapes and nuts for finger feeding to
promote autonomy.
D. Tell the parents to wait until 12 months to introduce any solid
foods.
Correct Answer
B
Rationale — Correct (B)
Wong supports evidence-based, developmental anticipatory
guidance: at ~6 months, introduce iron-fortified cereal and
single-ingredient purees, spacing new foods to monitor for
, allergies. Guidance should be family-centered and safety-
focused (prevent choking, ensure iron intake).
Rationale — Incorrect
A. Cow’s milk and honey are contraindicated under 12 months
(risk of anemia, botulism).
C. Whole grapes and nuts are choking hazards for infants;
inappropriate.
D. Delaying all solids to 12 months risks iron deficiency and is
inconsistent with current recommendations.
Teaching Point
Introduce iron-rich foods at ~6 months; avoid honey and
choking hazards under 1 year.
Citation
Hockenberry, M. J., & Rodgers, C. C. (2024). Wong’s Nursing
Care of Infants and Children (12th ed.). Chapter 1.
Q3
Reference
Ch. 1 — The Art of Pediatric Nursing — Atraumatic care &
family-centered communication
Stem
A 9-year-old (school-age) scheduled for a blood draw is very
anxious and clings to his father. The nurse notes a raised heart
rate (120) and pale appearance. Which approach best reflects
atraumatic, family-centered nursing care?
