WONGS ESSENTIALS OF PEDIATRIC
NURSING 11TH EDITION EXAM SCRIPT 2026
PEDIATRIC PATHOPHYSIOLOGY COMPLETE
SOLUTION VIEW
◉ A 6-year-old is hospitalized with a fractured femur. Based on the
nurse's knowledge of pain assessment tools and child development,
which assessment tools are most appropriate for this age child?
Select all that apply.
Oucher scale
CRIES scale
Poker chip tool
Faces pain scale
Postoperative pain score
Answer: Oucher scale
,Poker chip tool
Faces pain scale
A 6-year-old should be able to use the Oucher scale to choose which
face best matches their pain level. A 6-year-old should be able to
count and understand the concept of the Poker chip tool. A 6-year-
old should be able to use the Faces pain scale to choose which face
best matches their pain level. The CRIES scale was developed for
assessing pain in the preterm and term neonate. The Postoperative
pain score assesses pain in 1- to 7-month-old-infants.
◉ The nurses caring for a child are concerned about the child's
frequent requests for pain medication. During a team conference, a
nurse suggests that they consider administering a placebo instead of
the usual pain medication. This decision should be based on
knowledge that
it is unjustified and unethical to administer placebos instead of pain
medication.
the absence of a response to a placebo means the child's pain has an
organic basis.
,a positive response to a placebo will not occur if the child's pain has
an organic basis.
administering a placebo instead of the usual pain medication is
effective in determining whether a child's pain is real.
Answer: it is unjustified and unethical to administer placebos
instead of pain medication.
Placebos should never be given by any route in the assessment or
management of pain. The response to a placebo is not a measure of
the origin of pain and should never be used as a means of assessing
pain. The response to a placebo is not a measure of the origin of pain
and should never be used as a means of assessing pain. Placebos
should never be given as a means to determine whether pain is real.
Individuals respond differently to placebos; therefore, the patient's
response may not be an accurate measure of pain.
◉ The nurse is caring for a 12-year-old child who sustained major
burns when putting charcoal lighter on a campfire. The nurse
observes that the child is "very brave" and appears to accept pain
with little or no response. What is the most appropriate nursing
action?
, Request a psychological consultation.
Ask why the child does not have pain.
Praise the child for the ability to withstand pain.
Encourage continued bravery as a coping strategy.
Answer: Request a psychological consultation.
A psychological consultation will assist the child in verbalizing fears.
This age-group is very concerned with physical appearance. The
psychologist can help integrate the issues the child is facing. It is
likely that the child is having pain but not acknowledging the pain.
Speaking with a psychologist might assist the child in relaying fears
and pain. If the child is feeling pain, the nurse should not offer praise
for hiding the pain. The nurse should encourage the child to speak
up during painful episodes so that the pain can be managed
appropriately. Bravery may not be an effective coping strategy if the
child is in severe pain.
NURSING 11TH EDITION EXAM SCRIPT 2026
PEDIATRIC PATHOPHYSIOLOGY COMPLETE
SOLUTION VIEW
◉ A 6-year-old is hospitalized with a fractured femur. Based on the
nurse's knowledge of pain assessment tools and child development,
which assessment tools are most appropriate for this age child?
Select all that apply.
Oucher scale
CRIES scale
Poker chip tool
Faces pain scale
Postoperative pain score
Answer: Oucher scale
,Poker chip tool
Faces pain scale
A 6-year-old should be able to use the Oucher scale to choose which
face best matches their pain level. A 6-year-old should be able to
count and understand the concept of the Poker chip tool. A 6-year-
old should be able to use the Faces pain scale to choose which face
best matches their pain level. The CRIES scale was developed for
assessing pain in the preterm and term neonate. The Postoperative
pain score assesses pain in 1- to 7-month-old-infants.
◉ The nurses caring for a child are concerned about the child's
frequent requests for pain medication. During a team conference, a
nurse suggests that they consider administering a placebo instead of
the usual pain medication. This decision should be based on
knowledge that
it is unjustified and unethical to administer placebos instead of pain
medication.
the absence of a response to a placebo means the child's pain has an
organic basis.
,a positive response to a placebo will not occur if the child's pain has
an organic basis.
administering a placebo instead of the usual pain medication is
effective in determining whether a child's pain is real.
Answer: it is unjustified and unethical to administer placebos
instead of pain medication.
Placebos should never be given by any route in the assessment or
management of pain. The response to a placebo is not a measure of
the origin of pain and should never be used as a means of assessing
pain. The response to a placebo is not a measure of the origin of pain
and should never be used as a means of assessing pain. Placebos
should never be given as a means to determine whether pain is real.
Individuals respond differently to placebos; therefore, the patient's
response may not be an accurate measure of pain.
◉ The nurse is caring for a 12-year-old child who sustained major
burns when putting charcoal lighter on a campfire. The nurse
observes that the child is "very brave" and appears to accept pain
with little or no response. What is the most appropriate nursing
action?
, Request a psychological consultation.
Ask why the child does not have pain.
Praise the child for the ability to withstand pain.
Encourage continued bravery as a coping strategy.
Answer: Request a psychological consultation.
A psychological consultation will assist the child in verbalizing fears.
This age-group is very concerned with physical appearance. The
psychologist can help integrate the issues the child is facing. It is
likely that the child is having pain but not acknowledging the pain.
Speaking with a psychologist might assist the child in relaying fears
and pain. If the child is feeling pain, the nurse should not offer praise
for hiding the pain. The nurse should encourage the child to speak
up during painful episodes so that the pain can be managed
appropriately. Bravery may not be an effective coping strategy if the
child is in severe pain.
