West Coast NURS 307 Pediatric Nursing Final Exam
Prep | Latest Update 2026/2027 | 200 Practice
Questions & Detailed Answers | Actual Q&A with
Rationales | A+ Graded
Section 1: Foundations of Pediatric Nursing — FamilyCentered Care & Atraumatic Care (Questions 1–15)
1. Which statement best describes familycentered pediatric care?
A. The healthcare team makes all decisions for the family.
B. Parents participate only during discharge teaching.
C. The family is considered an important partner in the child's care.
D. The child should be separated from family during most procedures.
Correct Answer: C. The family is considered an important partner in the child's care.
Explanation: Familycentered care recognizes the family as a constant in the child's life and encourages
participation in planning, decisionmaking, and care.
2. What is the primary goal of atraumatic care?
A. Eliminate every painful procedure.
B. Minimize physical and psychological stress for the child and family.
C. Prevent parents from participating in care.
D. Ensure complete compliance with treatment.
Correct Answer: B. Minimize physical and psychological stress for the child and family.
Explanation: Atraumatic care focuses on minimizing pain, fear, separation, loss of control, and other
sources of physical and psychological stress.
3. Which intervention promotes a child's sense of control during hospitalization?
A. Offer limited developmentally appropriate choices.
B. Make every decision without the child.
,C. Avoid explaining procedures.
D. Allow the child to refuse all necessary care.
Correct Answer: A. Offer limited developmentally appropriate choices.
Explanation: Offering limited choices, such as selecting an arm for a bloodpressure measurement,
promotes control while maintaining safe care.
4. Which approach is most appropriate when preparing a preschooler for a procedure?
A. Use abstract explanations.
B. Give no information until the procedure starts.
C. Use simple concrete language and therapeutic play.
D. Explain the procedure only to the parent.
Correct Answer: C. Use simple concrete language and therapeutic play.
Explanation: Preschoolers understand concrete explanations and benefit from play and demonstrations
using familiar objects or dolls.
5. Which communication approach is most appropriate for an adolescent?
A. Speak only with the parent.
B. Provide privacy and address the adolescent directly.
C. Avoid sensitive topics.
D. Use toddlerlevel language.
Correct Answer: B. Provide privacy and address the adolescent directly.
Explanation: Adolescents should be addressed directly and given appropriate privacy to discuss
psychosocial and health concerns.
6. A nurse is caring for a hospitalized toddler. Which intervention best supports the toddler's
developmental needs?
A. Discourage the parents from rooming in.
B. Maintain the child's home routines as much as possible.
C. Restrict all play activities.
D. Avoid explaining procedures to the child.
,Correct Answer: B. Maintain the child's home routines as much as possible.
Explanation: Toddlers thrive on routine and predictability. Maintaining home routines (meals, naps,
bedtime) reduces stress and supports autonomy during hospitalization.
7. A nurse is admitting a schoolage child to the hospital. Which action best promotes a sense of
industry?
A. Allowing the child to complete schoolwork and praising accomplishments.
B. Making all decisions for the child.
C. Discouraging participation in selfcare.
D. Avoiding peer contact.
Correct Answer: A. Allowing the child to complete schoolwork and praising accomplishments.
Explanation: Schoolage children need opportunities to achieve and be recognized for accomplishments.
Encouraging schoolwork and selfcare fosters industry versus inferiority.
8. Which nursing intervention is an example of atraumatic care?
A. Performing all procedures without explaining them.
B. Using topical anesthetics before venipuncture.
C. Separating the child from parents during procedures.
D. Avoiding comfort measures.
Correct Answer: B. Using topical anesthetics before venipuncture.
Explanation: Topical anesthetics reduce procedurerelated pain and are a core strategy of atraumatic
care.
9. A nurse is teaching parents about preventing injury in a 6monthold infant. Which instruction is most
important?
A. Place the infant in a walker for mobility.
B. Never leave the infant unattended on a changing table or bed.
C. Allow the infant to sleep with soft bedding.
D. Introduce small toys for play.
Correct Answer: B. Never leave the infant unattended on a changing table or bed.
, Explanation: Infants can roll over unexpectedly, and falls are a leading cause of injury. Never leaving the
infant unattended on elevated surfaces prevents falls.
10. Which statement by a parent indicates understanding of familycentered care?
A. "I should wait in the hallway during my child's care."
B. "I can participate in my child's care by helping with comfort measures."
C. "The nurses will make all decisions without my input."
D. "I should not ask questions about my child's treatment."
Correct Answer: B. "I can participate in my child's care by helping with comfort measures."
Explanation: Familycentered care encourages parents to be active partners in their child's care, including
comfort measures, decisionmaking, and care planning.
11. A nurse is preparing a 4yearold for surgery. Which intervention is most appropriate?
A. Provide detailed explanations of the surgical procedure.
B. Use a doll to demonstrate what will happen.
C. Tell the child the surgery will not hurt at all.
D. Postpone all explanations until the day of surgery.
Correct Answer: B. Use a doll to demonstrate what will happen.
Explanation: Preschoolers benefit from concrete, visual explanations and therapeutic play using dolls or
familiar objects.
12. Which principle guides the nurse when obtaining informed consent for a pediatric procedure?
A. The child's assent should be obtained when developmentally appropriate.
B. Only the physician needs to be involved in the consent process.
C. Parental consent is unnecessary if the child agrees.
D. Consent can be obtained from any adult accompanying the child.
Correct Answer: A. The child's assent should be obtained when developmentally appropriate.
Explanation: For older children and adolescents, obtaining assent (agreement) alongside parental
consent respects the child's developing autonomy and is an ethical best practice.
Prep | Latest Update 2026/2027 | 200 Practice
Questions & Detailed Answers | Actual Q&A with
Rationales | A+ Graded
Section 1: Foundations of Pediatric Nursing — FamilyCentered Care & Atraumatic Care (Questions 1–15)
1. Which statement best describes familycentered pediatric care?
A. The healthcare team makes all decisions for the family.
B. Parents participate only during discharge teaching.
C. The family is considered an important partner in the child's care.
D. The child should be separated from family during most procedures.
Correct Answer: C. The family is considered an important partner in the child's care.
Explanation: Familycentered care recognizes the family as a constant in the child's life and encourages
participation in planning, decisionmaking, and care.
2. What is the primary goal of atraumatic care?
A. Eliminate every painful procedure.
B. Minimize physical and psychological stress for the child and family.
C. Prevent parents from participating in care.
D. Ensure complete compliance with treatment.
Correct Answer: B. Minimize physical and psychological stress for the child and family.
Explanation: Atraumatic care focuses on minimizing pain, fear, separation, loss of control, and other
sources of physical and psychological stress.
3. Which intervention promotes a child's sense of control during hospitalization?
A. Offer limited developmentally appropriate choices.
B. Make every decision without the child.
,C. Avoid explaining procedures.
D. Allow the child to refuse all necessary care.
Correct Answer: A. Offer limited developmentally appropriate choices.
Explanation: Offering limited choices, such as selecting an arm for a bloodpressure measurement,
promotes control while maintaining safe care.
4. Which approach is most appropriate when preparing a preschooler for a procedure?
A. Use abstract explanations.
B. Give no information until the procedure starts.
C. Use simple concrete language and therapeutic play.
D. Explain the procedure only to the parent.
Correct Answer: C. Use simple concrete language and therapeutic play.
Explanation: Preschoolers understand concrete explanations and benefit from play and demonstrations
using familiar objects or dolls.
5. Which communication approach is most appropriate for an adolescent?
A. Speak only with the parent.
B. Provide privacy and address the adolescent directly.
C. Avoid sensitive topics.
D. Use toddlerlevel language.
Correct Answer: B. Provide privacy and address the adolescent directly.
Explanation: Adolescents should be addressed directly and given appropriate privacy to discuss
psychosocial and health concerns.
6. A nurse is caring for a hospitalized toddler. Which intervention best supports the toddler's
developmental needs?
A. Discourage the parents from rooming in.
B. Maintain the child's home routines as much as possible.
C. Restrict all play activities.
D. Avoid explaining procedures to the child.
,Correct Answer: B. Maintain the child's home routines as much as possible.
Explanation: Toddlers thrive on routine and predictability. Maintaining home routines (meals, naps,
bedtime) reduces stress and supports autonomy during hospitalization.
7. A nurse is admitting a schoolage child to the hospital. Which action best promotes a sense of
industry?
A. Allowing the child to complete schoolwork and praising accomplishments.
B. Making all decisions for the child.
C. Discouraging participation in selfcare.
D. Avoiding peer contact.
Correct Answer: A. Allowing the child to complete schoolwork and praising accomplishments.
Explanation: Schoolage children need opportunities to achieve and be recognized for accomplishments.
Encouraging schoolwork and selfcare fosters industry versus inferiority.
8. Which nursing intervention is an example of atraumatic care?
A. Performing all procedures without explaining them.
B. Using topical anesthetics before venipuncture.
C. Separating the child from parents during procedures.
D. Avoiding comfort measures.
Correct Answer: B. Using topical anesthetics before venipuncture.
Explanation: Topical anesthetics reduce procedurerelated pain and are a core strategy of atraumatic
care.
9. A nurse is teaching parents about preventing injury in a 6monthold infant. Which instruction is most
important?
A. Place the infant in a walker for mobility.
B. Never leave the infant unattended on a changing table or bed.
C. Allow the infant to sleep with soft bedding.
D. Introduce small toys for play.
Correct Answer: B. Never leave the infant unattended on a changing table or bed.
, Explanation: Infants can roll over unexpectedly, and falls are a leading cause of injury. Never leaving the
infant unattended on elevated surfaces prevents falls.
10. Which statement by a parent indicates understanding of familycentered care?
A. "I should wait in the hallway during my child's care."
B. "I can participate in my child's care by helping with comfort measures."
C. "The nurses will make all decisions without my input."
D. "I should not ask questions about my child's treatment."
Correct Answer: B. "I can participate in my child's care by helping with comfort measures."
Explanation: Familycentered care encourages parents to be active partners in their child's care, including
comfort measures, decisionmaking, and care planning.
11. A nurse is preparing a 4yearold for surgery. Which intervention is most appropriate?
A. Provide detailed explanations of the surgical procedure.
B. Use a doll to demonstrate what will happen.
C. Tell the child the surgery will not hurt at all.
D. Postpone all explanations until the day of surgery.
Correct Answer: B. Use a doll to demonstrate what will happen.
Explanation: Preschoolers benefit from concrete, visual explanations and therapeutic play using dolls or
familiar objects.
12. Which principle guides the nurse when obtaining informed consent for a pediatric procedure?
A. The child's assent should be obtained when developmentally appropriate.
B. Only the physician needs to be involved in the consent process.
C. Parental consent is unnecessary if the child agrees.
D. Consent can be obtained from any adult accompanying the child.
Correct Answer: A. The child's assent should be obtained when developmentally appropriate.
Explanation: For older children and adolescents, obtaining assent (agreement) alongside parental
consent respects the child's developing autonomy and is an ethical best practice.
