PEDS EXAM #3
2026 | Practice Questions, Answers & Detailed
Rationales | Pediatric Nursing Exam Study Guide
Resource Features
➢ Practice questions and answers
➢ Detailed rationales
➢ Pediatric clinical scenarios
➢ NCLEX-style questions
➢ Clinical judgment practice
➢ Pediatric assessment review
➢ Exam-focused preparation
,TABLE OF CONTENTS
Section 1: Communication Techniques (Questions 1-16)
Section 2: Developmental & Age-Appropriate Care (Questions 17-35)
Section 3: Family-Centered Care (Questions 36-47)
Section 4: Separation Anxiety & Hospitalization (Questions 48-58)
Section 5: Hospital Settings & Discharge Planning (Questions 54-66)
Section 6: Play Therapy & Coping Strategies (Questions 67-70)
Section 7: Musculoskeletal System - Assessment (Questions 71-86)
Section 8: Musculoskeletal System - Interventions (Questions 87-114)
SECTION 1: COMMUNICATION TECHNIQUES
Question 1
Which creative communication technique involves using the
language of children to probe areas of their thinking while
bypassing conscious inhibitions or fears?
A) Storytelling
B) Facilitative response
C) Sentence completion
D) Third-person technique
Answer: A) Storytelling
Rationale: Storytelling is a creative communication technique
that uses the language of children to explore their thinking while
,bypassing conscious inhibitions or fears. Through stories, children
can project their feelings onto characters, allowing the nurse to
gain insight into the child's perceptions and concerns without
direct questioning. Facilitative responses encourage further
discussion, sentence completion is a projective technique, and
third-person technique involves speaking about someone else to
gather information.
Question 2
Which manifestation is a sign of information overload in a
patient or family member?
A) Asking direct questions
B) Requesting an interpreter
C) Frequently looking at the clock
D) Directing the focus of discussion
Answer: C) Frequently looking at the clock
Rationale: Frequently looking at the clock is a behavioral
manifestation of information overload. When patients or family
members are overwhelmed with information, they may display
nonverbal cues such as clock-watching, restlessness, decreased
attention span, or lack of responsiveness. Asking direct questions
, indicates active engagement, requesting an interpreter suggests a
language barrier, and directing the focus of discussion indicates
active participation rather than overload.
Question 3
The nurse manager is concerned about a nurse working in the
long-term acute care pediatric unit being under involved in
patient care. Which action by the nurse would lead the nurse
manager to this conclusion?
A) Avoiding talking to the parent
B) Inviting the child to social events
C) Providing personal information
D) Competing with other staff for care
Answer: A) Avoiding talking to the parent
Rationale: Avoiding talking to the parent is a clear indicator of
under involvement in patient care. Under involvement is
characterized by emotional distance, limited interaction with
patients and families, and failure to establish therapeutic
relationships. Inviting children to social events, providing personal
information, and competing for care responsibilities are all signs
of over involvement rather than under involvement.
2026 | Practice Questions, Answers & Detailed
Rationales | Pediatric Nursing Exam Study Guide
Resource Features
➢ Practice questions and answers
➢ Detailed rationales
➢ Pediatric clinical scenarios
➢ NCLEX-style questions
➢ Clinical judgment practice
➢ Pediatric assessment review
➢ Exam-focused preparation
,TABLE OF CONTENTS
Section 1: Communication Techniques (Questions 1-16)
Section 2: Developmental & Age-Appropriate Care (Questions 17-35)
Section 3: Family-Centered Care (Questions 36-47)
Section 4: Separation Anxiety & Hospitalization (Questions 48-58)
Section 5: Hospital Settings & Discharge Planning (Questions 54-66)
Section 6: Play Therapy & Coping Strategies (Questions 67-70)
Section 7: Musculoskeletal System - Assessment (Questions 71-86)
Section 8: Musculoskeletal System - Interventions (Questions 87-114)
SECTION 1: COMMUNICATION TECHNIQUES
Question 1
Which creative communication technique involves using the
language of children to probe areas of their thinking while
bypassing conscious inhibitions or fears?
A) Storytelling
B) Facilitative response
C) Sentence completion
D) Third-person technique
Answer: A) Storytelling
Rationale: Storytelling is a creative communication technique
that uses the language of children to explore their thinking while
,bypassing conscious inhibitions or fears. Through stories, children
can project their feelings onto characters, allowing the nurse to
gain insight into the child's perceptions and concerns without
direct questioning. Facilitative responses encourage further
discussion, sentence completion is a projective technique, and
third-person technique involves speaking about someone else to
gather information.
Question 2
Which manifestation is a sign of information overload in a
patient or family member?
A) Asking direct questions
B) Requesting an interpreter
C) Frequently looking at the clock
D) Directing the focus of discussion
Answer: C) Frequently looking at the clock
Rationale: Frequently looking at the clock is a behavioral
manifestation of information overload. When patients or family
members are overwhelmed with information, they may display
nonverbal cues such as clock-watching, restlessness, decreased
attention span, or lack of responsiveness. Asking direct questions
, indicates active engagement, requesting an interpreter suggests a
language barrier, and directing the focus of discussion indicates
active participation rather than overload.
Question 3
The nurse manager is concerned about a nurse working in the
long-term acute care pediatric unit being under involved in
patient care. Which action by the nurse would lead the nurse
manager to this conclusion?
A) Avoiding talking to the parent
B) Inviting the child to social events
C) Providing personal information
D) Competing with other staff for care
Answer: A) Avoiding talking to the parent
Rationale: Avoiding talking to the parent is a clear indicator of
under involvement in patient care. Under involvement is
characterized by emotional distance, limited interaction with
patients and families, and failure to establish therapeutic
relationships. Inviting children to social events, providing personal
information, and competing for care responsibilities are all signs
of over involvement rather than under involvement.
