Complete Test Bank Wongs Essentials Of
Pediatric Nursing 11th Edition Hockenberry
Rodgers Wilson Questions & Answers with
rationales (Chapter 1-31)
,Chapter 1: Introduction to Pediatric Nursing (Expanded)
Question 1:
A nurse is caring for a 5-year-old child admitted for observation. Which statement best reflects family-
centered care?
A. "We will provide care only when the parents leave the room."
B. "We will involve the parents in daily care planning and decision-making."
C. "We should limit parental involvement to emergencies only."
D. "Parents should not be present during procedures to reduce stress."
Answer: B
Rationale: Family-centered care emphasizes partnership with families, involving them in planning and
decision-making. Limiting parental involvement (A, C, D) goes against family-centered principles.
Question 2:
Which of the following is the primary goal of pediatric nursing?
A. To treat only the child’s illness
B. To support the child’s physical, emotional, and developmental needs
C. To ensure the child follows the hospital rules
D. To prioritize parental needs over the child’s needs
Answer: B
Rationale: Pediatric nursing focuses on holistic care that supports the child’s physical, emotional,
developmental, and social needs.
Question 3:
A nurse is assessing developmental milestones in a 2-year-old child. Which milestone would be
expected?
A. Speaking in two-word phrases
B. Counting to ten
C. Reading simple sentences
D. Writing own name
Answer: A
Rationale: By age 2, children typically speak in two-word phrases. Counting and literacy skills develop
later.
Question 4:
Which factor is most important in promoting effective communication with a hospitalized toddler?
A. Using medical terminology
,B. Speaking in a calm and simple manner
C. Expecting the child to answer complex questions
D. Avoiding eye contact to reduce fear
Answer: B
Rationale: Toddlers benefit from calm, simple language. Complex terms (A, C) or avoiding eye contact
(D) hinder communication.
Question 5:
Which of the following best defines atraumatic care?
A. Using restraints to ensure child safety
B. Minimizing physical and psychological stress during healthcare
C. Avoiding all medical procedures
D. Allowing only nurses to perform procedures
Answer: B
Rationale: Atraumatic care aims to reduce physical and emotional stress for children and families.
Question 6:
A nurse plans to provide care using the principles of atraumatic care. Which action aligns with this
approach?
A. Limiting parental presence during procedures
B. Using play to explain procedures to a child
C. Ignoring a child’s fears to prevent reinforcement
D. Reprimanding a child for uncooperative behavior
Answer: B
Rationale: Using play helps children understand procedures and reduces anxiety, aligning with
atraumatic care principles.
Question 7:
Which age group is most likely to experience separation anxiety when hospitalized?
A. Infants
B. Toddlers
C. School-age children
D. Adolescents
Answer: B
Rationale: Toddlers often experience intense separation anxiety when away from parents. Infants may
show distress, but it is less cognitively influenced; older children handle separation better.
, Question 8:
A nurse is preparing an infant for a routine vaccination. Which technique demonstrates atraumatic care?
A. Using restraints to prevent movement
B. Offering a pacifier and swaddling during injection
C. Scolding the infant for crying
D. Performing procedure quickly without explanation
Answer: B
Rationale: Swaddling and pacifiers help comfort infants during procedures, minimizing stress and
aligning with atraumatic care.
Question 9:
Which statement by a nurse reflects the concept of developmental care in pediatrics?
A. "We treat all children the same regardless of age."
B. "We adjust our interventions based on the child’s developmental stage."
C. "Procedures are more important than the child’s understanding."
D. "Parents should be excluded from discussions to avoid confusion."
Answer: B
Rationale: Developmental care involves tailoring interventions to the child’s cognitive, emotional, and
physical development.
Question 10:
When using a family-centered care approach, which action is appropriate?
A. Deciding care plans without parent input
B. Encouraging parents to participate in bedside care and decision-making
C. Limiting parent involvement to visiting hours only
D. Expecting parents to follow strict hospital routines without flexibility
Answer: B
Rationale: Family-centered care encourages parental involvement in daily care, planning, and decision-
making.
Question 11:
A 4-year-old child is hospitalized for a minor procedure. The nurse notices the child clings to the parent
and cries excessively. What is the most likely cause?
A. Post-traumatic stress
B. Separation anxiety
C. Developmental delay
D. Adverse reaction to medication
Answer: B
Rationale: Preschool children often experience separation anxiety in unfamiliar hospital settings.