Wong's Nursing Care of Infants and Children
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1.
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A 4-year-old is admitted for asthma
exacerbation. The parents ask how you will include them in care
planning. Which nursing action best demonstrates family-
centered care?
A. Provide discharge instructions only at the time of discharge.
B. Invite the parents to participate in daily goal-setting and
teaching.
C. Ask the physician to speak with the parents about the
treatment plan.
D. Allow parents to visit only during designated visiting hours.
Correct Answer: B
Rationales:
• Correct (B): Family-centered care actively involves parents
in goal-setting and teaching; this improves adherence and
child outcomes. (Emphasizes partnership and education.)
, • A: Waiting until discharge misses opportunities for ongoing
teaching and empowerment.
• C: Delegating all communication to the physician
undermines the nurse’s role in collaboration and
education.
• D: Restrictive visiting limits family involvement and
support, contrary to family-centered principles.
Teaching Point: Involve families in daily planning and teaching
to improve outcomes.
Citation: Hockenberry, Wong’s Nursing Care of Infants &
Children, 12th Ed., Ch. 1, Perspectives of Pediatric Nursing.
2.
Reference: Ch. 2, Section: Health Promotion—Well-Child Visits
& Anticipatory Guidance
Question Stem: During a 9-month well visit, the infant’s
caregiver asks about choking prevention. Which instruction
should the nurse prioritize?
A. Offer whole grapes and hot dogs only with supervision.
B. Avoid small, hard candies and round foods; cut foods into
small, noncircular pieces.
C. Give hard cookies to strengthen chewing muscles.
D. Introduce peanut-butter-based snacks to prevent allergies.
Correct Answer: B
,Rationales:
• Correct (B): Removing high-risk foods and modifying
size/shape reduces choking risk—key anticipatory
guidance.
• A: Supervision alone is insufficient; certain foods should be
avoided or modified.
• C: Hard cookies increase choking risk and are inappropriate
for this age.
• D: Introducing allergenic foods follows allergy guidance but
is unrelated and could be risky without context.
Teaching Point: Modify food size/shape and avoid small, hard
items to prevent choking.
Citation: Hockenberry, Wong’s, 12th Ed., Ch. 2, Health
Promotion—Anticipatory Guidance.
3.
Reference: Ch. 3, Section: Growth & Development—
Developmental Milestones
Question Stem: A 15-month-old is unable to walk
independently and uses only a pincer grasp. Which nursing
interpretation is most appropriate?
A. This is normal — no further action needed.
B. Document as typical development for age.
C. Recognize as a possible delay and initiate developmental
, screening and referral.
D. Advise withholding solid foods until walking develops.
Correct Answer: C
Rationales:
• Correct (C): Independent walking typically occurs by 12–15
months; inability to walk at 15 months warrants screening
and possible referral.
• A: Dismissing may delay necessary early intervention.
• B: Not typical; documentation should reflect concern and
action.
• D: Withholding food is unrelated to motor delay and
inappropriate.
Teaching Point: Screen and refer children with suspected
developmental delays promptly.
Citation: Hockenberry, Wong’s, 12th Ed., Ch. 3, Growth &
Development—Milestones.
4.
Reference: Ch. 4, Section: Nutrition—Infant & Child Feeding
Practices
Question Stem: A 2-year-old with poor weight gain eats small
amounts but is active. Which intervention should the nurse
prioritize?
A. Recommend a low-fat diet.
12th Edition
• Author(s)Marilyn J. Hockenberry
TEST BANK
1.
Reference: Ch. 1, Section: Perspectives of Pediatric Nursing
Question Stem: A 4-year-old is admitted for asthma
exacerbation. The parents ask how you will include them in care
planning. Which nursing action best demonstrates family-
centered care?
A. Provide discharge instructions only at the time of discharge.
B. Invite the parents to participate in daily goal-setting and
teaching.
C. Ask the physician to speak with the parents about the
treatment plan.
D. Allow parents to visit only during designated visiting hours.
Correct Answer: B
Rationales:
• Correct (B): Family-centered care actively involves parents
in goal-setting and teaching; this improves adherence and
child outcomes. (Emphasizes partnership and education.)
, • A: Waiting until discharge misses opportunities for ongoing
teaching and empowerment.
• C: Delegating all communication to the physician
undermines the nurse’s role in collaboration and
education.
• D: Restrictive visiting limits family involvement and
support, contrary to family-centered principles.
Teaching Point: Involve families in daily planning and teaching
to improve outcomes.
Citation: Hockenberry, Wong’s Nursing Care of Infants &
Children, 12th Ed., Ch. 1, Perspectives of Pediatric Nursing.
2.
Reference: Ch. 2, Section: Health Promotion—Well-Child Visits
& Anticipatory Guidance
Question Stem: During a 9-month well visit, the infant’s
caregiver asks about choking prevention. Which instruction
should the nurse prioritize?
A. Offer whole grapes and hot dogs only with supervision.
B. Avoid small, hard candies and round foods; cut foods into
small, noncircular pieces.
C. Give hard cookies to strengthen chewing muscles.
D. Introduce peanut-butter-based snacks to prevent allergies.
Correct Answer: B
,Rationales:
• Correct (B): Removing high-risk foods and modifying
size/shape reduces choking risk—key anticipatory
guidance.
• A: Supervision alone is insufficient; certain foods should be
avoided or modified.
• C: Hard cookies increase choking risk and are inappropriate
for this age.
• D: Introducing allergenic foods follows allergy guidance but
is unrelated and could be risky without context.
Teaching Point: Modify food size/shape and avoid small, hard
items to prevent choking.
Citation: Hockenberry, Wong’s, 12th Ed., Ch. 2, Health
Promotion—Anticipatory Guidance.
3.
Reference: Ch. 3, Section: Growth & Development—
Developmental Milestones
Question Stem: A 15-month-old is unable to walk
independently and uses only a pincer grasp. Which nursing
interpretation is most appropriate?
A. This is normal — no further action needed.
B. Document as typical development for age.
C. Recognize as a possible delay and initiate developmental
, screening and referral.
D. Advise withholding solid foods until walking develops.
Correct Answer: C
Rationales:
• Correct (C): Independent walking typically occurs by 12–15
months; inability to walk at 15 months warrants screening
and possible referral.
• A: Dismissing may delay necessary early intervention.
• B: Not typical; documentation should reflect concern and
action.
• D: Withholding food is unrelated to motor delay and
inappropriate.
Teaching Point: Screen and refer children with suspected
developmental delays promptly.
Citation: Hockenberry, Wong’s, 12th Ed., Ch. 3, Growth &
Development—Milestones.
4.
Reference: Ch. 4, Section: Nutrition—Infant & Child Feeding
Practices
Question Stem: A 2-year-old with poor weight gain eats small
amounts but is active. Which intervention should the nurse
prioritize?
A. Recommend a low-fat diet.
