Comprehensive Pediatric Nursing Test Bank: Core to
Specialized Content Aligned with Wong’s Nursing Care of
Infants and Children, 12th Edition, Emphasizing Family-
Centered Care and Evidence-Based Practice.
Chapter 1: Theoretical Foundations of Pediatric Nursing
Multiple Choice
1. Question: Which nursing theory emphasizes the importance of
promoting health and preventing illness in pediatric patients
through a holistic approach?
A. Orem’s Self-Care Deficit Theory
B. Gordon’s Functional Health Patterns
C. Roy’s Adaptation Model
D. King’s Theory of Goal Attainment
Answer: B. Gordon’s Functional Health Patterns
Rationale: Gordon’s model provides a framework for
assessing and addressing all aspects of health (e.g., health
perception, nutritional status, activity level), aligning with
pediatric nursing’s focus on prevention and wellness.
2. True/False
Question: Pediatric nurses must prioritize the family’s cultural
beliefs over standardized care protocols.
Answer: False
Rationale: While cultural beliefs are important, nurses must
balance respect for cultural practices with evidence-based care to
ensure patient safety.
,Chapter 2: Child Development Frameworks
Multiple Choice
3. Question: Which developmental theorist proposed the concept of
“sensitive periods” for learning and development?
A. Jean Piaget
B. Erik Erikson
C. Urie Bronfenbrenner
D. Lev Vygotsky
Answer: D. Lev Vygotsky
Rationale: Vygotsky emphasized the importance of social
interaction and the zone of proximal development, including
sensitive periods for cognitive growth.
4. Fill-in-the-Blank
Question: The term used to describe a child’s ability to adapt to
new experiences and recover from stress is ______ .
Answer: Resilience
Rationale: Resilience is a key concept in child development,
highlighting the child’s capacity to cope with adversity.
Chapter 3: Family Dynamics and Theories
Multiple Choice
5. Question: Which family theory focuses on the family’s ability to
adapt to stressors and maintain stability?
A. Structural Family Theory
B. Systems Theory
C. Developmental-Contextual Theory
, D. Bowen’s Family Systems Theory
Answer: B. Systems Theory
Rationale: Systems theory views the family as an interconnected
system where changes in one part affect the whole.
6. Essay Question
Question: Describe how a nurse applies the family-centered care
model in pediatric practice.
Answer: Family-centered care involves collaborating with families
to set goals, respecting their cultural values, and involving them in
decision-making. The nurse communicates openly, provides
education, and advocates for the child’s needs within the family
context.
Chapters 4–6: Health Assessment Principles for Children
Multiple Choice
7. Question: When assessing an infant’s abdomen, the nurse should:
A. Proceed immediately to palpation to check for masses.
B. Perform percussion before auscultation.
C. Start with inspection to observe for distension or bruising.
D. Use a cold stethoscope to avoid startling the child.
Answer: C. Start with inspection to observe for distension or
bruising.
Rationale: Inspection minimizes discomfort and allows the nurse
to identify visible abnormalities before more invasive techniques.
8. True/False
Question: A child’s vital signs should be measured in a quiet
environment to ensure accuracy.
Answer: True
, Rationale: Environmental factors like noise or activity can elevate
heart rate and blood pressure, leading to inaccurate readings.
Chapters 7–9: Ethical and Legal Considerations
Multiple Choice
9. Question: A 14-year-old refuses a blood transfusion due to religious
beliefs. The nurse must prioritize:
A. The parents’ wishes.
B. The child’s autonomy.
C. The hospital’s policy.
D. The principle of nonmaleficence.
Answer: D. The principle of nonmaleficence (do no harm).
Rationale: Nonmaleficence requires the nurse to avoid harm,
potentially overriding autonomy if the refusal poses immediate
danger to the child.
10. Short Answer
Question: Define “informed consent” in pediatric practice.
Answer: Informed consent requires that parents/legal guardians
understand the risks, benefits, and alternatives of a procedure and
voluntarily agree to it, while respecting the child’s assent when
developmentally appropriate.
Chapter 1: Theoretical Foundations of Pediatric Nursing
Case Study Question
Scenario: A pediatric nurse is developing a care plan for a child with
asthma. Which nursing theory would best guide interventions that focus
on the child’s environment and interactions with caregivers?
Answer: Systems Theory (Chapter 1)
Rationale: Systems theory views the child, family, and
Specialized Content Aligned with Wong’s Nursing Care of
Infants and Children, 12th Edition, Emphasizing Family-
Centered Care and Evidence-Based Practice.
Chapter 1: Theoretical Foundations of Pediatric Nursing
Multiple Choice
1. Question: Which nursing theory emphasizes the importance of
promoting health and preventing illness in pediatric patients
through a holistic approach?
A. Orem’s Self-Care Deficit Theory
B. Gordon’s Functional Health Patterns
C. Roy’s Adaptation Model
D. King’s Theory of Goal Attainment
Answer: B. Gordon’s Functional Health Patterns
Rationale: Gordon’s model provides a framework for
assessing and addressing all aspects of health (e.g., health
perception, nutritional status, activity level), aligning with
pediatric nursing’s focus on prevention and wellness.
2. True/False
Question: Pediatric nurses must prioritize the family’s cultural
beliefs over standardized care protocols.
Answer: False
Rationale: While cultural beliefs are important, nurses must
balance respect for cultural practices with evidence-based care to
ensure patient safety.
,Chapter 2: Child Development Frameworks
Multiple Choice
3. Question: Which developmental theorist proposed the concept of
“sensitive periods” for learning and development?
A. Jean Piaget
B. Erik Erikson
C. Urie Bronfenbrenner
D. Lev Vygotsky
Answer: D. Lev Vygotsky
Rationale: Vygotsky emphasized the importance of social
interaction and the zone of proximal development, including
sensitive periods for cognitive growth.
4. Fill-in-the-Blank
Question: The term used to describe a child’s ability to adapt to
new experiences and recover from stress is ______ .
Answer: Resilience
Rationale: Resilience is a key concept in child development,
highlighting the child’s capacity to cope with adversity.
Chapter 3: Family Dynamics and Theories
Multiple Choice
5. Question: Which family theory focuses on the family’s ability to
adapt to stressors and maintain stability?
A. Structural Family Theory
B. Systems Theory
C. Developmental-Contextual Theory
, D. Bowen’s Family Systems Theory
Answer: B. Systems Theory
Rationale: Systems theory views the family as an interconnected
system where changes in one part affect the whole.
6. Essay Question
Question: Describe how a nurse applies the family-centered care
model in pediatric practice.
Answer: Family-centered care involves collaborating with families
to set goals, respecting their cultural values, and involving them in
decision-making. The nurse communicates openly, provides
education, and advocates for the child’s needs within the family
context.
Chapters 4–6: Health Assessment Principles for Children
Multiple Choice
7. Question: When assessing an infant’s abdomen, the nurse should:
A. Proceed immediately to palpation to check for masses.
B. Perform percussion before auscultation.
C. Start with inspection to observe for distension or bruising.
D. Use a cold stethoscope to avoid startling the child.
Answer: C. Start with inspection to observe for distension or
bruising.
Rationale: Inspection minimizes discomfort and allows the nurse
to identify visible abnormalities before more invasive techniques.
8. True/False
Question: A child’s vital signs should be measured in a quiet
environment to ensure accuracy.
Answer: True
, Rationale: Environmental factors like noise or activity can elevate
heart rate and blood pressure, leading to inaccurate readings.
Chapters 7–9: Ethical and Legal Considerations
Multiple Choice
9. Question: A 14-year-old refuses a blood transfusion due to religious
beliefs. The nurse must prioritize:
A. The parents’ wishes.
B. The child’s autonomy.
C. The hospital’s policy.
D. The principle of nonmaleficence.
Answer: D. The principle of nonmaleficence (do no harm).
Rationale: Nonmaleficence requires the nurse to avoid harm,
potentially overriding autonomy if the refusal poses immediate
danger to the child.
10. Short Answer
Question: Define “informed consent” in pediatric practice.
Answer: Informed consent requires that parents/legal guardians
understand the risks, benefits, and alternatives of a procedure and
voluntarily agree to it, while respecting the child’s assent when
developmentally appropriate.
Chapter 1: Theoretical Foundations of Pediatric Nursing
Case Study Question
Scenario: A pediatric nurse is developing a care plan for a child with
asthma. Which nursing theory would best guide interventions that focus
on the child’s environment and interactions with caregivers?
Answer: Systems Theory (Chapter 1)
Rationale: Systems theory views the child, family, and
