Wong’s Essentials of Pediatric Nursing, 11th
Edition Marilyn J. Hockenberry, David Wilson
Elsevier Questions And Correct Answers
(Verified Answers) Plus Rationales 2026 Q&A |
Instant Download Pdf
1. A 4-year-old child with a history of asthma presents with wheezing
and shortness of breath. Which of the following is the priority
nursing intervention?
A. Administer a bronchodilator as prescribed
B. Encourage the child to drink fluids
C. Teach the child deep-breathing exercises
D. Assess growth and development
A. Administer a bronchodilator as prescribed
Immediate relief of airway constriction is critical to prevent hypoxia.
Bronchodilators are first-line treatment for acute asthma exacerbations.
2. A nurse is caring for a child with cystic fibrosis. Which of the
following is the primary focus of nursing care?
A. Infection control and airway clearance
B. Pain management
C. Restriction of fluids
D. Seizure precautions
A. Infection control and airway clearance
Children with cystic fibrosis have thick mucus that predisposes them to
,respiratory infections; airway clearance techniques and infection
prevention are essential.
3. A parent asks why their 2-month-old infant receives the Hepatitis
B vaccine at birth. The nurse’s best response is:
A. “It protects your child from a virus that affects the liver.”
B. “It is required for school entry.”
C. “It prevents respiratory infections.”
D. “It helps with digestion.”
A. “It protects your child from a virus that affects the liver.”
Hepatitis B vaccination prevents liver infection caused by the virus and is
recommended starting at birth.
4. A 6-year-old child is diagnosed with type 1 diabetes mellitus.
Which of the following should the nurse teach the parents about
insulin administration?
A. Insulin should be given subcutaneously at consistent times daily
B. Insulin can be given orally
C. Only short-acting insulin is required
D. Insulin is only needed when the child is ill
A. Insulin should be given subcutaneously at consistent times daily
Consistent timing and subcutaneous administration help maintain stable
blood glucose levels and prevent complications.
5. A nurse is assessing a 10-year-old with dehydration. Which sign
indicates moderate dehydration?
A. Sunken eyes, dry mucous membranes, and tachycardia
B. Weight gain, edema, and bradycardia
C. Warm, moist skin and normal heart rate
D. Hypertension and confusion
,A. Sunken eyes, dry mucous membranes, and tachycardia
Moderate dehydration is characterized by signs such as sunken eyes, dry
mucous membranes, and an increased heart rate.
6. Which of the following immunizations is recommended at 12–15
months of age?
A. MMR and Varicella
B. Hepatitis B
C. Rotavirus
D. Polio
A. MMR and Varicella
The first doses of MMR and varicella vaccines are recommended at 12–
15 months to protect against measles, mumps, rubella, and chickenpox.
7. A child with nephrotic syndrome is admitted with edema. The
nurse should prioritize which assessment?
A. Daily weight
B. Heart sounds
C. Neurological status
D. Respiratory rate
A. Daily weight
Daily weight is essential to monitor fluid retention and effectiveness of
diuretic therapy in nephrotic syndrome.
8. A 5-year-old child is receiving chemotherapy. Which intervention
should the nurse implement to prevent infection?
A. Encourage hand hygiene and limit visitors
B. Administer high-protein snacks
C. Provide regular exercise
D. Promote contact with pets
, A. Encourage hand hygiene and limit visitors
Children receiving chemotherapy are immunocompromised; strict
infection control measures are vital.
9. The nurse is preparing to administer oral iron to a toddler with
iron-deficiency anemia. Which teaching point is essential?
A. Give iron with citrus juice to enhance absorption
B. Administer with milk to reduce stomach upset
C. Give iron once weekly
D. Store iron in the refrigerator
A. Give iron with citrus juice to enhance absorption
Vitamin C enhances iron absorption, while milk can inhibit it.
10. A child with leukemia is at risk for bleeding due to
thrombocytopenia. Which nursing action is most appropriate?
A. Use a soft-bristled toothbrush
B. Encourage vigorous play
C. Administer aspirin for fever
D. Perform intramuscular injections
A. Use a soft-bristled toothbrush
Soft-bristled toothbrushes minimize mucosal injury and reduce bleeding
risk in thrombocytopenic children.
11. A 7-year-old child with asthma asks why inhaled
corticosteroids are prescribed daily. The best response is:
A. “They help prevent asthma attacks, not treat sudden
symptoms.”
B. “They work only when you have a wheeze.”
C. “They are needed only during allergy season.”
D. “They are antibiotics for infections.”
Edition Marilyn J. Hockenberry, David Wilson
Elsevier Questions And Correct Answers
(Verified Answers) Plus Rationales 2026 Q&A |
Instant Download Pdf
1. A 4-year-old child with a history of asthma presents with wheezing
and shortness of breath. Which of the following is the priority
nursing intervention?
A. Administer a bronchodilator as prescribed
B. Encourage the child to drink fluids
C. Teach the child deep-breathing exercises
D. Assess growth and development
A. Administer a bronchodilator as prescribed
Immediate relief of airway constriction is critical to prevent hypoxia.
Bronchodilators are first-line treatment for acute asthma exacerbations.
2. A nurse is caring for a child with cystic fibrosis. Which of the
following is the primary focus of nursing care?
A. Infection control and airway clearance
B. Pain management
C. Restriction of fluids
D. Seizure precautions
A. Infection control and airway clearance
Children with cystic fibrosis have thick mucus that predisposes them to
,respiratory infections; airway clearance techniques and infection
prevention are essential.
3. A parent asks why their 2-month-old infant receives the Hepatitis
B vaccine at birth. The nurse’s best response is:
A. “It protects your child from a virus that affects the liver.”
B. “It is required for school entry.”
C. “It prevents respiratory infections.”
D. “It helps with digestion.”
A. “It protects your child from a virus that affects the liver.”
Hepatitis B vaccination prevents liver infection caused by the virus and is
recommended starting at birth.
4. A 6-year-old child is diagnosed with type 1 diabetes mellitus.
Which of the following should the nurse teach the parents about
insulin administration?
A. Insulin should be given subcutaneously at consistent times daily
B. Insulin can be given orally
C. Only short-acting insulin is required
D. Insulin is only needed when the child is ill
A. Insulin should be given subcutaneously at consistent times daily
Consistent timing and subcutaneous administration help maintain stable
blood glucose levels and prevent complications.
5. A nurse is assessing a 10-year-old with dehydration. Which sign
indicates moderate dehydration?
A. Sunken eyes, dry mucous membranes, and tachycardia
B. Weight gain, edema, and bradycardia
C. Warm, moist skin and normal heart rate
D. Hypertension and confusion
,A. Sunken eyes, dry mucous membranes, and tachycardia
Moderate dehydration is characterized by signs such as sunken eyes, dry
mucous membranes, and an increased heart rate.
6. Which of the following immunizations is recommended at 12–15
months of age?
A. MMR and Varicella
B. Hepatitis B
C. Rotavirus
D. Polio
A. MMR and Varicella
The first doses of MMR and varicella vaccines are recommended at 12–
15 months to protect against measles, mumps, rubella, and chickenpox.
7. A child with nephrotic syndrome is admitted with edema. The
nurse should prioritize which assessment?
A. Daily weight
B. Heart sounds
C. Neurological status
D. Respiratory rate
A. Daily weight
Daily weight is essential to monitor fluid retention and effectiveness of
diuretic therapy in nephrotic syndrome.
8. A 5-year-old child is receiving chemotherapy. Which intervention
should the nurse implement to prevent infection?
A. Encourage hand hygiene and limit visitors
B. Administer high-protein snacks
C. Provide regular exercise
D. Promote contact with pets
, A. Encourage hand hygiene and limit visitors
Children receiving chemotherapy are immunocompromised; strict
infection control measures are vital.
9. The nurse is preparing to administer oral iron to a toddler with
iron-deficiency anemia. Which teaching point is essential?
A. Give iron with citrus juice to enhance absorption
B. Administer with milk to reduce stomach upset
C. Give iron once weekly
D. Store iron in the refrigerator
A. Give iron with citrus juice to enhance absorption
Vitamin C enhances iron absorption, while milk can inhibit it.
10. A child with leukemia is at risk for bleeding due to
thrombocytopenia. Which nursing action is most appropriate?
A. Use a soft-bristled toothbrush
B. Encourage vigorous play
C. Administer aspirin for fever
D. Perform intramuscular injections
A. Use a soft-bristled toothbrush
Soft-bristled toothbrushes minimize mucosal injury and reduce bleeding
risk in thrombocytopenic children.
11. A 7-year-old child with asthma asks why inhaled
corticosteroids are prescribed daily. The best response is:
A. “They help prevent asthma attacks, not treat sudden
symptoms.”
B. “They work only when you have a wheeze.”
C. “They are needed only during allergy season.”
D. “They are antibiotics for infections.”
