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WONG'S ESSENTIALS OF PEDIATRIC NURSING
EXAM 2026 – 2027 LATEST VERSION QUESTIONS
AND ANSWERS 2026 EDITION
Wong's Essentials of Pediatric Nursing, 11th Edition: 250 Practice Questions
DOMAIN 1: PERSPECTIVES OF PEDIATRIC NURSING (25 Questions)
1. The clinic nurse is reviewing statistics on infant mortality for the United States
versus other countries. Compared with other countries that have a population of at
least 25 million, the nurse makes which determination?
A) The United States is ranked last among 27 countries
B) The United States is ranked similar to 20 other developed countries
C) The United States is ranked in the middle of 20 other developed countries
D) The United States is ranked highest among 27 other industrialized countries
Answer: A) The United States is ranked last among 27 countries
Rationale: Although the death rate has decreased, the United States still ranks last in
infant mortality among nations with a population of at least 25 million. The United States
has the highest infant death rate of developed nations .
2. Which is the leading cause of death in infants younger than 1 year in the United
States?
A) Congenital anomalies
B) Sudden infant death syndrome
C) Disorders related to short gestation and low birth weight
D) Maternal complications specific to the perinatal period
Answer: A) Congenital anomalies
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Rationale: Congenital anomalies account for 20.1% of deaths in infants younger than 1
year compared with SIDS (8.2%), disorders related to short gestation (16.5%), and
maternal complications (6.1%) .
3. What is the major cause of death for children older than 1 year in the United
States?
A) Cancer
B) Congenital anomalies
C) Injuries
D) Respiratory infections
Answer: C) Injuries
Rationale: Injuries are the leading cause of death for children older than 1 year. Injuries
are also the most common cause of death and disability in children in the United States.
4. Which responsibilities are included in the pediatric nurse's promotion of the
health and well-being of children? (Select all that apply.)
A) Promoting disease prevention
B) Providing financial assistance
C) Providing support and counseling
D) Establishing lifelong friendships
E) Establishing a therapeutic relationship
F) Participating in ethical decision making
Answer: A, C, E, F
Rationale: Pediatric nursing responsibilities include promoting disease prevention,
providing support and counseling, establishing therapeutic relationships, and
participating in ethical decision-making. Providing financial assistance and establishing
lifelong friendships are not nursing responsibilities .
5. The nurse is planning care for a patient with a different ethnic background.
Which should be an appropriate goal?
A) Adapt, as necessary, ethnic practices to health needs
B) Attempt, in a nonjudgmental way, to change ethnic beliefs
C) Encourage continuation of ethnic practices in the hospital setting
D) Strive to keep ethnic background from influencing health needs
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Answer: A) Adapt, as necessary, ethnic practices to health needs
Rationale: Culturally competent care involves adapting ethnic practices to health needs
when necessary while respecting cultural beliefs. Changing beliefs or ignoring cultural
background is not appropriate .
6. The nurse discovers welts on the back of a Vietnamese child during a home
health visit. The child's mother says she has rubbed the edge of a coin on her
child's oiled skin. The nurse should recognize this as what?
A) Child abuse
B) Cultural practice to rid the body of disease
C) Cultural practice to treat enuresis or temper tantrums
D) Child discipline measure common in the Vietnamese culture
Answer: B) Cultural practice to rid the body of disease
Rationale: Coin rubbing (cao gio) is a traditional Vietnamese practice used to rid the
body of disease. It leaves welts that may be confused with abuse, but it is a cultural
healing practice .
7. A Hispanic toddler has pneumonia. The nurse notices that the parent
consistently feeds the child only the broth that comes on the clear liquid tray. Food
items such as Jell-O, Popsicles, and juices are left. Which statement best explains
this?
A) The parent is trying to feed the child only what the child likes most
B) Hispanics believe the evil eye enters when a person gets cold
C) The parent is trying to restore normal balance through appropriate hot remedies
D) Hispanics believe an imbalance of hot and cold causes illness
Answer: C) The parent is trying to restore normal balance through appropriate hot
remedies
Rationale: Many Hispanic cultures follow the "hot-cold" theory of illness. Pneumonia is
considered a "cold" condition, so hot remedies such as broth are given to restore
balance. Cold foods would be avoided .
8. Which is the leading cause of death in infants younger than 1 year in the United
States?
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A) Sudden infant death syndrome
B) Congenital anomalies
C) Disorders related to short gestation and low birth weight
D) Maternal complications specific to the perinatal period
Answer: B) Congenital anomalies
Rationale: Congenital anomalies account for the highest percentage of deaths in infants
younger than 1 year .
9. The nurse is reviewing statistics on infant mortality. The United States ranks last
in infant mortality among nations with a population of at least:
A) 10 million
B) 15 million
C) 20 million
D) 25 million
Answer: D) 25 million
Rationale: The United States ranks last in infant mortality among nations with a
population of at least 25 million .
10. The pediatric nurse's role in health promotion includes:
A) Treating acute illnesses only
B) Preventing disease and promoting wellness
C) Providing care only in hospital settings
D) Focusing only on physical health
Answer: B) Preventing disease and promoting wellness
Rationale: Pediatric nursing emphasizes health promotion and disease prevention
across all developmental stages, not just treating acute illness .
11. An adolescent patient wants to make decisions about treatment options, along
with his parents. Which moral value is the nurse displaying when supporting the
adolescent to make decisions?
A) Justice
B) Autonomy
C) Beneficence
D) Nonmaleficence
WONG'S ESSENTIALS OF PEDIATRIC NURSING
EXAM 2026 – 2027 LATEST VERSION QUESTIONS
AND ANSWERS 2026 EDITION
Wong's Essentials of Pediatric Nursing, 11th Edition: 250 Practice Questions
DOMAIN 1: PERSPECTIVES OF PEDIATRIC NURSING (25 Questions)
1. The clinic nurse is reviewing statistics on infant mortality for the United States
versus other countries. Compared with other countries that have a population of at
least 25 million, the nurse makes which determination?
A) The United States is ranked last among 27 countries
B) The United States is ranked similar to 20 other developed countries
C) The United States is ranked in the middle of 20 other developed countries
D) The United States is ranked highest among 27 other industrialized countries
Answer: A) The United States is ranked last among 27 countries
Rationale: Although the death rate has decreased, the United States still ranks last in
infant mortality among nations with a population of at least 25 million. The United States
has the highest infant death rate of developed nations .
2. Which is the leading cause of death in infants younger than 1 year in the United
States?
A) Congenital anomalies
B) Sudden infant death syndrome
C) Disorders related to short gestation and low birth weight
D) Maternal complications specific to the perinatal period
Answer: A) Congenital anomalies
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Rationale: Congenital anomalies account for 20.1% of deaths in infants younger than 1
year compared with SIDS (8.2%), disorders related to short gestation (16.5%), and
maternal complications (6.1%) .
3. What is the major cause of death for children older than 1 year in the United
States?
A) Cancer
B) Congenital anomalies
C) Injuries
D) Respiratory infections
Answer: C) Injuries
Rationale: Injuries are the leading cause of death for children older than 1 year. Injuries
are also the most common cause of death and disability in children in the United States.
4. Which responsibilities are included in the pediatric nurse's promotion of the
health and well-being of children? (Select all that apply.)
A) Promoting disease prevention
B) Providing financial assistance
C) Providing support and counseling
D) Establishing lifelong friendships
E) Establishing a therapeutic relationship
F) Participating in ethical decision making
Answer: A, C, E, F
Rationale: Pediatric nursing responsibilities include promoting disease prevention,
providing support and counseling, establishing therapeutic relationships, and
participating in ethical decision-making. Providing financial assistance and establishing
lifelong friendships are not nursing responsibilities .
5. The nurse is planning care for a patient with a different ethnic background.
Which should be an appropriate goal?
A) Adapt, as necessary, ethnic practices to health needs
B) Attempt, in a nonjudgmental way, to change ethnic beliefs
C) Encourage continuation of ethnic practices in the hospital setting
D) Strive to keep ethnic background from influencing health needs
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Answer: A) Adapt, as necessary, ethnic practices to health needs
Rationale: Culturally competent care involves adapting ethnic practices to health needs
when necessary while respecting cultural beliefs. Changing beliefs or ignoring cultural
background is not appropriate .
6. The nurse discovers welts on the back of a Vietnamese child during a home
health visit. The child's mother says she has rubbed the edge of a coin on her
child's oiled skin. The nurse should recognize this as what?
A) Child abuse
B) Cultural practice to rid the body of disease
C) Cultural practice to treat enuresis or temper tantrums
D) Child discipline measure common in the Vietnamese culture
Answer: B) Cultural practice to rid the body of disease
Rationale: Coin rubbing (cao gio) is a traditional Vietnamese practice used to rid the
body of disease. It leaves welts that may be confused with abuse, but it is a cultural
healing practice .
7. A Hispanic toddler has pneumonia. The nurse notices that the parent
consistently feeds the child only the broth that comes on the clear liquid tray. Food
items such as Jell-O, Popsicles, and juices are left. Which statement best explains
this?
A) The parent is trying to feed the child only what the child likes most
B) Hispanics believe the evil eye enters when a person gets cold
C) The parent is trying to restore normal balance through appropriate hot remedies
D) Hispanics believe an imbalance of hot and cold causes illness
Answer: C) The parent is trying to restore normal balance through appropriate hot
remedies
Rationale: Many Hispanic cultures follow the "hot-cold" theory of illness. Pneumonia is
considered a "cold" condition, so hot remedies such as broth are given to restore
balance. Cold foods would be avoided .
8. Which is the leading cause of death in infants younger than 1 year in the United
States?
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A) Sudden infant death syndrome
B) Congenital anomalies
C) Disorders related to short gestation and low birth weight
D) Maternal complications specific to the perinatal period
Answer: B) Congenital anomalies
Rationale: Congenital anomalies account for the highest percentage of deaths in infants
younger than 1 year .
9. The nurse is reviewing statistics on infant mortality. The United States ranks last
in infant mortality among nations with a population of at least:
A) 10 million
B) 15 million
C) 20 million
D) 25 million
Answer: D) 25 million
Rationale: The United States ranks last in infant mortality among nations with a
population of at least 25 million .
10. The pediatric nurse's role in health promotion includes:
A) Treating acute illnesses only
B) Preventing disease and promoting wellness
C) Providing care only in hospital settings
D) Focusing only on physical health
Answer: B) Preventing disease and promoting wellness
Rationale: Pediatric nursing emphasizes health promotion and disease prevention
across all developmental stages, not just treating acute illness .
11. An adolescent patient wants to make decisions about treatment options, along
with his parents. Which moral value is the nurse displaying when supporting the
adolescent to make decisions?
A) Justice
B) Autonomy
C) Beneficence
D) Nonmaleficence
