Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 01, Section: The Art of Pediatric Nursing /
Philosophy of Care
Stem: A 4-year-old with asthma refuses a nebulizer. The parent
asks the nurse to “force” the child to accept treatment so it can
be finished quickly. What is the nurse’s best response?
A. Tell the parent coercion gets faster results and proceed.
B. Explain the treatment, offer choices (mask vs. mouthpiece),
and coach the child.
C. Restrain the child briefly so the medication can be delivered.
D. Delay treatment until the child calms without further action.
Correct answer: B
Rationale — correct: Choice B supports family-centered,
developmentally appropriate care and therapeutic
communication to improve cooperation while respecting
autonomy; this aligns with pediatric nursing philosophy
prioritizing least-restrictive, child-focused interventions.
Rationale — A: Coercion undermines trust and is inconsistent
,with family-centered, ethical pediatric practice.
Rationale — C: Restraint is a last resort only for safety; using it
for convenience risks trauma and ethical violation.
Rationale — D: Unnecessary delay may worsen airway status;
proactive teaching/coaching is preferable.
Teaching point: Use developmentally appropriate choices and
coaching, not coercion.
Citation: Hockenberry, Wong’s Nursing Care of Infants and
Children (12th ed.), Ch. 1, The Art of Pediatric Nursing /
Philosophy of Care.
2
Reference: Ch. 01, Section: Role of the Pediatric Nurse /
Therapeutic Relationship
Stem: A school-age child with a chronic cardiac condition asks
the nurse, “Will I be able to play sports like my friends?” Which
nursing approach best supports the therapeutic relationship
and promotes coping?
A. Give a firm “no” to avoid false hope.
B. Provide honest information about limitations and involve
family in activity planning.
C. Tell the child to focus on schoolwork instead of sports.
D. Refer the child to the physician and say nothing further.
Correct answer: B
,Rationale — correct: B uses honest, age-appropriate teaching,
shared decision-making, and family involvement—key elements
of therapeutic relationship and family advocacy in pediatrics.
Rationale — A: A blunt “no” risks damaging trust and
discouraging participation in safe activities.
Rationale — C: Redirecting without addressing concerns is
dismissive and non-therapeutic.
Rationale — D: Immediate referral without support misses a
chance for nurse-led education and reassurance.
Teaching point: Be honest, age-appropriate, and collaborate
with family in activity planning.
Citation: Hockenberry, Wong, Ch. 1, Role of the Pediatric Nurse
/ Therapeutic Relationship.
3
Reference: Ch. 10, Section: Health Promotion of the Infant and
Family — Nutrition
Stem: At a 6-month well visit, parents ask when to introduce
solid foods. Which recommendation should the nurse
prioritize?
A. Start single-ingredient solids now; continue
breastmilk/formula.
B. Delay all solids until 12 months to avoid allergies.
C. Give cow’s milk instead of formula starting now.
D. Begin mashed family foods and stop breastmilk immediately.
, Correct answer: A
Rationale — correct: A aligns with infant feeding guidance:
introduce single-ingredient solids around 4–6 months while
continuing milk feeds to meet nutritional needs and reduce
aspiration/allergy risk.
Rationale — B: Routine delay to 12 months is unnecessary and
can impair iron intake; recent guidance supports 4–6 months.
Rationale — C: Cow’s milk is not recommended as primary milk
before 12 months due to iron deficiency risk.
Rationale — D: Stopping milk early risks nutrient deficits; family
foods must be age-appropriate.
Teaching point: Introduce single-ingredient solids at ~6 months
while continuing breastmilk/formula.
Citation: Hockenberry, Wong, Ch. 10, Health Promotion of the
Infant and Family — Nutrition.
4
Reference: Ch. 01, Section: Oral Health
Stem: A parent of an 8-month-old asks when to start
toothpaste. Which instruction should the nurse provide?
A. Begin brushing with a smear of fluoridated toothpaste at first
tooth eruption.
B. Wait until the child can spit before using any toothpaste.
C. Avoid fluoride until age 5 to prevent staining.
D. Use only water; toothpaste is unnecessary until toddlerhood.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1
Reference: Ch. 01, Section: The Art of Pediatric Nursing /
Philosophy of Care
Stem: A 4-year-old with asthma refuses a nebulizer. The parent
asks the nurse to “force” the child to accept treatment so it can
be finished quickly. What is the nurse’s best response?
A. Tell the parent coercion gets faster results and proceed.
B. Explain the treatment, offer choices (mask vs. mouthpiece),
and coach the child.
C. Restrain the child briefly so the medication can be delivered.
D. Delay treatment until the child calms without further action.
Correct answer: B
Rationale — correct: Choice B supports family-centered,
developmentally appropriate care and therapeutic
communication to improve cooperation while respecting
autonomy; this aligns with pediatric nursing philosophy
prioritizing least-restrictive, child-focused interventions.
Rationale — A: Coercion undermines trust and is inconsistent
,with family-centered, ethical pediatric practice.
Rationale — C: Restraint is a last resort only for safety; using it
for convenience risks trauma and ethical violation.
Rationale — D: Unnecessary delay may worsen airway status;
proactive teaching/coaching is preferable.
Teaching point: Use developmentally appropriate choices and
coaching, not coercion.
Citation: Hockenberry, Wong’s Nursing Care of Infants and
Children (12th ed.), Ch. 1, The Art of Pediatric Nursing /
Philosophy of Care.
2
Reference: Ch. 01, Section: Role of the Pediatric Nurse /
Therapeutic Relationship
Stem: A school-age child with a chronic cardiac condition asks
the nurse, “Will I be able to play sports like my friends?” Which
nursing approach best supports the therapeutic relationship
and promotes coping?
A. Give a firm “no” to avoid false hope.
B. Provide honest information about limitations and involve
family in activity planning.
C. Tell the child to focus on schoolwork instead of sports.
D. Refer the child to the physician and say nothing further.
Correct answer: B
,Rationale — correct: B uses honest, age-appropriate teaching,
shared decision-making, and family involvement—key elements
of therapeutic relationship and family advocacy in pediatrics.
Rationale — A: A blunt “no” risks damaging trust and
discouraging participation in safe activities.
Rationale — C: Redirecting without addressing concerns is
dismissive and non-therapeutic.
Rationale — D: Immediate referral without support misses a
chance for nurse-led education and reassurance.
Teaching point: Be honest, age-appropriate, and collaborate
with family in activity planning.
Citation: Hockenberry, Wong, Ch. 1, Role of the Pediatric Nurse
/ Therapeutic Relationship.
3
Reference: Ch. 10, Section: Health Promotion of the Infant and
Family — Nutrition
Stem: At a 6-month well visit, parents ask when to introduce
solid foods. Which recommendation should the nurse
prioritize?
A. Start single-ingredient solids now; continue
breastmilk/formula.
B. Delay all solids until 12 months to avoid allergies.
C. Give cow’s milk instead of formula starting now.
D. Begin mashed family foods and stop breastmilk immediately.
, Correct answer: A
Rationale — correct: A aligns with infant feeding guidance:
introduce single-ingredient solids around 4–6 months while
continuing milk feeds to meet nutritional needs and reduce
aspiration/allergy risk.
Rationale — B: Routine delay to 12 months is unnecessary and
can impair iron intake; recent guidance supports 4–6 months.
Rationale — C: Cow’s milk is not recommended as primary milk
before 12 months due to iron deficiency risk.
Rationale — D: Stopping milk early risks nutrient deficits; family
foods must be age-appropriate.
Teaching point: Introduce single-ingredient solids at ~6 months
while continuing breastmilk/formula.
Citation: Hockenberry, Wong, Ch. 10, Health Promotion of the
Infant and Family — Nutrition.
4
Reference: Ch. 01, Section: Oral Health
Stem: A parent of an 8-month-old asks when to start
toothpaste. Which instruction should the nurse provide?
A. Begin brushing with a smear of fluoridated toothpaste at first
tooth eruption.
B. Wait until the child can spit before using any toothpaste.
C. Avoid fluoride until age 5 to prevent staining.
D. Use only water; toothpaste is unnecessary until toddlerhood.
