Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
Multiple-Choice Test Bank: Perspectives of Pediatric Nursing
1. Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing:
Role of the Pediatric Nurse
Question Stem: A school nurse is conducting vision and hearing
screenings for all students in the third grade. The nurse also
provides education on the importance of limiting screen time to
protect their vision. This nursing activity is best categorized as
which primary role?
Options:
A) Family advocacy
B) Health promotion
C) Coordination and collaboration
D) Support and counseling
Correct Answer: B) Health promotion
Rationales:
• Correct (B): Health promotion focuses on activities that
enhance well-being and prevent illness, such as screening
programs and patient education on healthy lifestyle
choices. This aligns with the nurse's role in fostering
optimal health (Wong's, Ch. 1).
• Incorrect (A): Advocacy involves acting on behalf of a child
or family to ensure their needs are met within the
healthcare system, which is not the primary action here.
, • Incorrect (C): Coordination involves organizing care among
multiple providers, which is not described in this scenario.
• Incorrect (D): Support and counseling involve providing
emotional support and guidance during times of stress or
illness, which extends beyond the preventive screening
described.
Teaching Point: Health promotion focuses on preventing
illness and maintaining well-being through education and
screening.
2. Chapter & Subtopic: Chapter 1 – Health Care for Children:
Injury Prevention
Question Stem: The parents of a 9-month-old infant are
concerned about safety as their child begins to crawl. Which
nursing recommendation is most effective for preventing the
leading cause of injury-related death in this age group?
Options:
A) Installing window guards on all upper-level windows
B) Placing the infant to sleep on their back on a firm mattress
C) Ensuring all small toys and objects are out of reach
D) Installing a rear-facing car seat in the back seat of the vehicle
Correct Answer: D) Installing a rear-facing car seat in the back
seat of the vehicle
Rationales:
• Correct (D): Motor vehicle injuries are the leading cause of
death from injury for children in this age group. Proper use
of a rear-facing car seat is the most effective, evidence-
, based intervention to prevent these fatalities (Wong's, Ch.
1).
• Incorrect (A): Falls are a common cause of injury but are
not the leading cause of death.
• Incorrect (B): This prevents Sudden Infant Death Syndrome
(SIDS), which is not an injury-related death.
• Incorrect (C): This prevents choking, a common cause of
injury but not the leading cause of injury-related death.
Teaching Point: Motor vehicle accidents are the leading
cause of injury death in children; proper car seat use is
critical.
3. Chapter & Subtopic: Chapter 1 – Childhood Morbidity:
Obesity
Question Stem: A community health nurse is planning a
primary prevention program to address the rising rate of
childhood obesity. Which strategy would be the most
appropriate focus?
Options:
A) Implementing a BMI screening program at all local
elementary schools
B) Referring obese adolescents to a pediatric endocrinologist for
management
C) Teaching parents of toddlers about appropriate portion sizes
and limiting sugary drinks
D) Facilitating a support group for children who are being
bullied about their weight
, Correct Answer: C) Teaching parents of toddlers about
appropriate portion sizes and limiting sugary drinks
Rationales:
• Correct (C): Primary prevention aims to prevent a problem
before it occurs. Educating parents on healthy nutritional
habits during early childhood can prevent the
development of obesity (Wong's, Ch. 1).
• Incorrect (A): Screening is a form of secondary prevention
(early identification).
• Incorrect (B): Specialist referral is a tertiary prevention
strategy (managing an existing condition).
• Incorrect (D): A support group is a tertiary prevention
strategy aimed at dealing with the consequences of an
existing condition.
Teaching Point: Primary prevention for obesity focuses on
establishing healthy eating habits before problems
develop.
4. Chapter & Subtopic: Chapter 1 – Mental Health Problems:
Nurse's Role
Question Stem: A 15-year-old patient confides in the school
nurse that they are feeling extremely sad, hopeless, and have
had thoughts of "not wanting to be here anymore." What is the
nurse's priority action?
Options:
A) Ensure the adolescent's immediate safety and notify parents
Chapter 1: Perspectives of Pediatric Nursing.
Multiple-Choice Test Bank: Perspectives of Pediatric Nursing
1. Chapter & Subtopic: Chapter 1 – The Art of Pediatric Nursing:
Role of the Pediatric Nurse
Question Stem: A school nurse is conducting vision and hearing
screenings for all students in the third grade. The nurse also
provides education on the importance of limiting screen time to
protect their vision. This nursing activity is best categorized as
which primary role?
Options:
A) Family advocacy
B) Health promotion
C) Coordination and collaboration
D) Support and counseling
Correct Answer: B) Health promotion
Rationales:
• Correct (B): Health promotion focuses on activities that
enhance well-being and prevent illness, such as screening
programs and patient education on healthy lifestyle
choices. This aligns with the nurse's role in fostering
optimal health (Wong's, Ch. 1).
• Incorrect (A): Advocacy involves acting on behalf of a child
or family to ensure their needs are met within the
healthcare system, which is not the primary action here.
, • Incorrect (C): Coordination involves organizing care among
multiple providers, which is not described in this scenario.
• Incorrect (D): Support and counseling involve providing
emotional support and guidance during times of stress or
illness, which extends beyond the preventive screening
described.
Teaching Point: Health promotion focuses on preventing
illness and maintaining well-being through education and
screening.
2. Chapter & Subtopic: Chapter 1 – Health Care for Children:
Injury Prevention
Question Stem: The parents of a 9-month-old infant are
concerned about safety as their child begins to crawl. Which
nursing recommendation is most effective for preventing the
leading cause of injury-related death in this age group?
Options:
A) Installing window guards on all upper-level windows
B) Placing the infant to sleep on their back on a firm mattress
C) Ensuring all small toys and objects are out of reach
D) Installing a rear-facing car seat in the back seat of the vehicle
Correct Answer: D) Installing a rear-facing car seat in the back
seat of the vehicle
Rationales:
• Correct (D): Motor vehicle injuries are the leading cause of
death from injury for children in this age group. Proper use
of a rear-facing car seat is the most effective, evidence-
, based intervention to prevent these fatalities (Wong's, Ch.
1).
• Incorrect (A): Falls are a common cause of injury but are
not the leading cause of death.
• Incorrect (B): This prevents Sudden Infant Death Syndrome
(SIDS), which is not an injury-related death.
• Incorrect (C): This prevents choking, a common cause of
injury but not the leading cause of injury-related death.
Teaching Point: Motor vehicle accidents are the leading
cause of injury death in children; proper car seat use is
critical.
3. Chapter & Subtopic: Chapter 1 – Childhood Morbidity:
Obesity
Question Stem: A community health nurse is planning a
primary prevention program to address the rising rate of
childhood obesity. Which strategy would be the most
appropriate focus?
Options:
A) Implementing a BMI screening program at all local
elementary schools
B) Referring obese adolescents to a pediatric endocrinologist for
management
C) Teaching parents of toddlers about appropriate portion sizes
and limiting sugary drinks
D) Facilitating a support group for children who are being
bullied about their weight
, Correct Answer: C) Teaching parents of toddlers about
appropriate portion sizes and limiting sugary drinks
Rationales:
• Correct (C): Primary prevention aims to prevent a problem
before it occurs. Educating parents on healthy nutritional
habits during early childhood can prevent the
development of obesity (Wong's, Ch. 1).
• Incorrect (A): Screening is a form of secondary prevention
(early identification).
• Incorrect (B): Specialist referral is a tertiary prevention
strategy (managing an existing condition).
• Incorrect (D): A support group is a tertiary prevention
strategy aimed at dealing with the consequences of an
existing condition.
Teaching Point: Primary prevention for obesity focuses on
establishing healthy eating habits before problems
develop.
4. Chapter & Subtopic: Chapter 1 – Mental Health Problems:
Nurse's Role
Question Stem: A 15-year-old patient confides in the school
nurse that they are feeling extremely sad, hopeless, and have
had thoughts of "not wanting to be here anymore." What is the
nurse's priority action?
Options:
A) Ensure the adolescent's immediate safety and notify parents
