Herzing University
Q1. Which statement best describes atraumatic care in pediatric nursing?
A) Care that eliminates the need for parental involvement
B) Care that minimizes or eliminates psychological and physical distress
C) Care that avoids all painful procedures
D) Care that focuses exclusively on physical symptoms
Correct Answer: B) Care that minimizes or eliminates psychological and
physical distress
Rationale: Atraumatic care aims to reduce or eliminate the physical and
psychological distress experienced by children and families during health
care.
Q2. Which intervention best supports atraumatic care for a hospitalized
child?
A) Separating the child from the parents whenever possible
B) Minimizing unnecessary parent-child separation
C) Performing procedures without explanation
D) Restricting all play activities
Correct Answer: B) Minimizing unnecessary parent-child separation
Rationale: Maintaining appropriate family presence can reduce anxiety and
provide emotional security.
Q3. A nurse is preparing a preschooler for a painful procedure. Which action
is most appropriate?
A) Tell the child the procedure will not hurt.
B) Provide an age-appropriate explanation of what will happen.
C) Explain the procedure only to the parents.
D) Avoid discussing the procedure until it begins.
Correct Answer: B) Provide an age-appropriate explanation of what will
happen.
Rationale: Honest, developmentally appropriate preparation helps children
understand what to expect and reduces fear.
Q4. Which intervention is an example of reducing a pediatric patient's
physical stress?
A) Holding the child in a parent's lap during an appropriate procedure
B) Restricting parental contact
C) Using unfamiliar medical terminology
D) Avoiding comfort measures
Correct Answer: A) Holding the child in a parent's lap during an appropriate
, procedure
Rationale: Therapeutic holding and parental presence can reduce distress
while maintaining safety.
Q5. Which intervention is an appropriate distraction technique for a young
child during a procedure?
A) Asking the child to remain completely silent
B) Blowing bubbles with the child
C) Explaining advanced pathophysiology
D) Removing all familiar objects
Correct Answer: B) Blowing bubbles with the child
Rationale: Bubbles provide developmentally appropriate distraction and can
redirect attention away from the procedure.
Q6. The nurse is caring for a frightened preschooler. Which action is most
appropriate?
A) Stand over the child while speaking rapidly.
B) Position at the child's eye level.
C) Avoid eye contact completely.
D) Direct all questions only to the parent.
Correct Answer: B) Position at the child's eye level.
Rationale: Eye-level communication is less threatening and encourages
trust and interaction.
Q7. Which nursing statement uses appropriate communication with a
hospitalized child?
A) "You need to stop crying."
B) "Don't move your arm."
C) "Tell me what you are worried about."
D) "This won't hurt at all."
Correct Answer: C) "Tell me what you are worried about."
Rationale: Encouraging the child to express feelings promotes therapeutic
communication and allows the nurse to identify concerns.
Q8. Why should the nurse use positive rather than negative statements
when speaking with a child?
A) Positive statements are easier for the child to understand and follow.
B) Negative statements improve pain tolerance.
C) Children cannot understand negative words.
D) Negative statements increase parental involvement.
Correct Answer: A) Positive statements are easier for the child to understand
and follow.