Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: The Art of Pediatric Nursing — Family
Advocacy and Caring
Stem: A 7-year-old with newly diagnosed type 1 diabetes and
their parents tell you they feel overwhelmed by insulin
administration, blood glucose monitoring, and school
coordination. As the pediatric nurse, which action best
demonstrates family advocacy?
A. Teach parents insulin administration and discharge with
printed instructions.
B. Arrange a meeting with school personnel to develop an
individualized health plan (IHP).
C. Suggest parents hire a home health nurse for the first month.
D. Recommend parents join an online diabetes support group.
Correct Answer: B
Rationale — Correct: Arranging an IHP with school personnel
addresses the child’s daily needs, incorporates family concerns
into a plan, and promotes continuity of care across settings —
key components of family advocacy in pediatric nursing.
(Chapter concept: family-centered advocacy and care
,coordination).
Rationale — Incorrect:
A. Teaching is necessary but insufficient alone; advocacy
requires systems-level coordination, not just education.
C. Hiring home health may help but doesn't ensure school-
based safety or reflect family priorities/advocacy.
D. Support groups offer emotional support but do not secure
institutional responsibilities or protections at school.
Teaching Point: Advocate for family needs across care settings,
not just at bedside.
Citation: Hockenberry, M. J. (2024). Wong’s Nursing Care of
Infants and Children (12th ed.), Ch. 1, The Art of Pediatric
Nursing — Family Advocacy and Caring. Evolve
2
Reference: Ch. 1, Section: Disease Prevention and Health
Promotion
Stem: The clinic is planning a community educational event
targeting childhood obesity prevention. Which nurse-led action
most directly supports disease prevention at the population
level?
A. Teaching one parent how to count calories for their child.
B. Distributing age-appropriate physical activity guidelines and
organizing a weekly community play group.
C. Recommending a physician-prescribed weight-loss
medication for an obese adolescent.
,D. Providing individualized meal plans for three high-risk
families.
Correct Answer: B
Rationale — Correct: Population-level prevention includes
community interventions that promote physical activity and
provide accessible guidance — addressing environmental and
behavioral determinants of obesity.
Rationale — Incorrect:
A. Calorie counting for one parent is individual-level and less
impactful on community disease prevention.
C. Pharmacologic treatment is an individual clinical
intervention, not primary prevention; it also requires medical
evaluation.
D. Individualized plans are helpful but limited in population
impact compared with community programs.
Teaching Point: Prioritize community-level health promotion for
sustainable prevention.
Citation: Hockenberry, M. J. (2024). Wong’s (12th ed.), Ch. 1,
Disease Prevention and Health Promotion. Google Books
3
Reference: Ch. 1, Section: Health Promotion — Oral Health
Stem: A 4-year-old child presents for a well visit. The parent
asks when to begin toothbrushing with fluoride toothpaste and
how much to use. What is the best nurse response?
A. “Begin at 3 years old with a pea-sized amount of fluoride
, toothpaste.”
B. “Begin when the child can spit reliably; use a smear for
children younger than 3 and a pea-size for older.”
C. “Fluoride toothpaste isn't recommended until age 6 to avoid
swallowing.”
D. “Use adult toothpaste with a thin layer on the toothbrush for
better cleaning.”
Correct Answer: B
Rationale — Correct: Current pediatric oral health guidance
recommends starting brushing when the first tooth erupts; use
a smear (rice-grain) for <3 years and a pea-size for children ≥3
years who can spit. This balances caries prevention and fluoride
ingestion risk.
Rationale — Incorrect:
A. Waiting until 3 is too late; eruption and early brusing should
begin with first teeth.
C. Delaying fluoride until age 6 increases caries risk; supervised
small-amount use is recommended earlier.
D. Adult toothpaste amounts are too large and risk fluoride
ingestion in young children.
Teaching Point: Start brushing at first tooth; use smear (<3 yrs)
then pea-size (≥3 yrs).
Citation: Hockenberry, M. J. (2024). Wong’s (12th ed.), Ch. 1,
Health Promotion — Oral Health. Evolve
4
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
Reference: Ch. 1, Section: The Art of Pediatric Nursing — Family
Advocacy and Caring
Stem: A 7-year-old with newly diagnosed type 1 diabetes and
their parents tell you they feel overwhelmed by insulin
administration, blood glucose monitoring, and school
coordination. As the pediatric nurse, which action best
demonstrates family advocacy?
A. Teach parents insulin administration and discharge with
printed instructions.
B. Arrange a meeting with school personnel to develop an
individualized health plan (IHP).
C. Suggest parents hire a home health nurse for the first month.
D. Recommend parents join an online diabetes support group.
Correct Answer: B
Rationale — Correct: Arranging an IHP with school personnel
addresses the child’s daily needs, incorporates family concerns
into a plan, and promotes continuity of care across settings —
key components of family advocacy in pediatric nursing.
(Chapter concept: family-centered advocacy and care
,coordination).
Rationale — Incorrect:
A. Teaching is necessary but insufficient alone; advocacy
requires systems-level coordination, not just education.
C. Hiring home health may help but doesn't ensure school-
based safety or reflect family priorities/advocacy.
D. Support groups offer emotional support but do not secure
institutional responsibilities or protections at school.
Teaching Point: Advocate for family needs across care settings,
not just at bedside.
Citation: Hockenberry, M. J. (2024). Wong’s Nursing Care of
Infants and Children (12th ed.), Ch. 1, The Art of Pediatric
Nursing — Family Advocacy and Caring. Evolve
2
Reference: Ch. 1, Section: Disease Prevention and Health
Promotion
Stem: The clinic is planning a community educational event
targeting childhood obesity prevention. Which nurse-led action
most directly supports disease prevention at the population
level?
A. Teaching one parent how to count calories for their child.
B. Distributing age-appropriate physical activity guidelines and
organizing a weekly community play group.
C. Recommending a physician-prescribed weight-loss
medication for an obese adolescent.
,D. Providing individualized meal plans for three high-risk
families.
Correct Answer: B
Rationale — Correct: Population-level prevention includes
community interventions that promote physical activity and
provide accessible guidance — addressing environmental and
behavioral determinants of obesity.
Rationale — Incorrect:
A. Calorie counting for one parent is individual-level and less
impactful on community disease prevention.
C. Pharmacologic treatment is an individual clinical
intervention, not primary prevention; it also requires medical
evaluation.
D. Individualized plans are helpful but limited in population
impact compared with community programs.
Teaching Point: Prioritize community-level health promotion for
sustainable prevention.
Citation: Hockenberry, M. J. (2024). Wong’s (12th ed.), Ch. 1,
Disease Prevention and Health Promotion. Google Books
3
Reference: Ch. 1, Section: Health Promotion — Oral Health
Stem: A 4-year-old child presents for a well visit. The parent
asks when to begin toothbrushing with fluoride toothpaste and
how much to use. What is the best nurse response?
A. “Begin at 3 years old with a pea-sized amount of fluoride
, toothpaste.”
B. “Begin when the child can spit reliably; use a smear for
children younger than 3 and a pea-size for older.”
C. “Fluoride toothpaste isn't recommended until age 6 to avoid
swallowing.”
D. “Use adult toothpaste with a thin layer on the toothbrush for
better cleaning.”
Correct Answer: B
Rationale — Correct: Current pediatric oral health guidance
recommends starting brushing when the first tooth erupts; use
a smear (rice-grain) for <3 years and a pea-size for children ≥3
years who can spit. This balances caries prevention and fluoride
ingestion risk.
Rationale — Incorrect:
A. Waiting until 3 is too late; eruption and early brusing should
begin with first teeth.
C. Delaying fluoride until age 6 increases caries risk; supervised
small-amount use is recommended earlier.
D. Adult toothpaste amounts are too large and risk fluoride
ingestion in young children.
Teaching Point: Start brushing at first tooth; use smear (<3 yrs)
then pea-size (≥3 yrs).
Citation: Hockenberry, M. J. (2024). Wong’s (12th ed.), Ch. 1,
Health Promotion — Oral Health. Evolve
4
