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Wong's Essentials of Pediatric
Nursing 11th Edition - Test Bank
This test bank contains 120 questions covering all major topics in
pediatric nursing. Each question is designed to test critical thinking and
application of pediatric nursing principles. Answer key is provided at
the end.
SECTION A:
GROWTH AND DEVELOPMENT
Question 1: According to Erikson's psychosocial development theory, what is the primary developmental task for a 4-year-old child? A) Trust vs. Mistrust B) Autonomy vs. Shame and Doubt C) Initiative vs. Guilt D) Industry vs. Inferiority Question 2: The nurse is assessing a 6-month-old infant. Which developmental milestone should the nurse expect to observe? A) Sitting without support B) Crawling on hands and knees C) Rolling from back to front D) Walking with assistance Question 3: A mother asks when her 15-month-old toddler should be able to walk independently. The nurse's best response is: A) "Your child should have been walking by 12 months" B) "Most children walk between 9-18 months, so your child is within normal range"
C) "We need to refer to a specialist immediately" D) "Your child will walk when ready, don't worry" Question 4: Which play activity is most appropriate for a 3-year-old child? A) Board games with rules B) Parallel play with building blocks C) Cooperative team sports D) Complex puzzles with 100+ pieces Question 5: The nurse is teaching parents about language development. At what age should a child typically say their first word? A) 6 months B) 9 months C) 12 months D) 18 months SECTION B: NUTRITION AND FEEDING Question 6: The American Academy of Pediatrics recommends exclusive breastfeeding for: A) 3 months B) 4 months C) 6 months D) 12 months Question 7: A 9-month-old infant is ready for finger foods. Which food should the nurse recommend as safest? A) Grapes cut in half B) Whole nuts C) Soft cooked carrots cut into small pieces D) Popcorn
Question 20: A child with pneumonia is receiving oxygen therapy. The nurse should monitor for: A) Oxygen toxicity only B) Signs of improved oxygenation C) Decreased respiratory rate only D) Increased carbon dioxide levels SECTION E: CARDIOVASCULAR DISORDERS Question 21: The most common congenital heart defect is: A) Tetralogy of Fallot B) Ventricular septal defect C) Patent ductus arteriosus D) Coarctation of aorta Question 22: A child with a congenital heart defect develops clubbing of fingers. This indicates: A) Acute infection B) Chronic hypoxemia C) Nutritional deficiency D) Medication side effect Question 23: Post-operative care for a child after cardiac surgery includes: A) Encouraging early ambulation B) Monitoring for signs of infection C) Providing high-sodium diet D) Restricting all visitors Question 24: Which sign indicates heart failure in an infant? A) Bradycardia B) Poor feeding and failure to thrive C) Increased urine output D) Decreased respiratory rate Question 25: A child with rheumatic fever requires: A) Immediate cardiac surgery B) Long- term antibiotic therapy C) Complete bed rest for 6 months D) High-sodium diet SECTION F: GASTROINTESTINAL DISORDERS Question 26: The priority nursing intervention for a child with gastroenteritis is: A) Administering antidiarrheal medications B) Maintaining fluid and electrolyte balance C) Providing high-fiber diet D) Restricting all oral intake Question 27: A 3-week-old infant presents with projectile vomiting. The nurse suspects: A) Gastroenteritis B) Pyloric stenosis C) Intussusception D) Appendicitis Question 28: Which statement about celiac disease is correct? A) It's caused by lactose intolerance B) Gluten-free diet is required lifelong C) It only affects the stomach D) Symptoms appear only in adulthood Question 29: A child with appendicitis should: A) Receive enemas to relieve constipation B) Have nothing by mouth (NPO) C) Be given laxatives D) Apply heat to the abdomen Question 30: The nurse is caring for a child with Hirschsprung disease. The primary problem is: A) Excessive peristalsis B) Absence of nerve cells in bowel wall C) Overproduction of digestive enzymes D) Gastric acid hypersecretion SECTION G: GENITOURINARY DISORDERS Question 31: The most common cause of urinary tract infections in children is: A) Staphylococcus aureus B) Escherichia coli C) Streptococcus pneumoniae D) Pseudomonas aeruginosa
Question 32: A child with nephrotic syndrome typically presents with: A) Hematuria and hypertension B) Proteinuria and edema C) Oliguria and fever D) Dysuria and frequency Question 33: Which intervention is appropriate for a child with acute glomerulonephritis? A) Encouraging increased fluid intake B) Monitoring blood pressure C) Providing high-protein diet D) Administering diuretics immediately Question 34: The nurse is teaching parents about preventing urinary tract infections. Which statement is correct? A) "Bubble baths help prevent infections" B) "Wipe from back to front after toileting" C) "Encourage adequate fluid intake" D) "Hold urine for long periods" Question 35: A child with acute kidney injury requires: A) Unlimited fluid intake B) High- potassium diet C) Strict monitoring of intake and output D) Increased protein consumption SECTION H: NEUROLOGICAL DISORDERS Question 36: The most common type of cerebral palsy is: A) Athetoid B) Ataxic C) Spastic D) Mixed Question 37: A child experiencing a tonic-clonic seizure requires: A) Restraining the child's movements B) Placing objects in the mouth C) Protecting from injury D) Giving oral medications immediately Question 38: Which finding indicates increased intracranial pressure in an infant? A) Sunken fontanelles B) Bulging fontanelles C) Decreased head circumference D) Normal vital signs Question 39: A child with spina bifida is at risk for: A) Intellectual disability only B) Latex allergy C) Hearing loss only D) Vision problems only Question 40: The nurse is caring for a child with hydrocephalus and a ventriculoperitoneal shunt. Signs of shunt malfunction include: A) Decreased head circumference B) Improved appetite C) Vomiting and lethargy D) Increased activity level SECTION I: MUSCULOSKELETAL DISORDERS Question 41: A child in a hip spica cast requires: A) Complete bed rest B) Skin assessment under cast edges C) Restricted fluid intake D) Immediate weight-bearing Question 42: Which condition is characterized by lateral curvature of the spine? A) Kyphosis B) Lordosis C) Scoliosis D) Torticollis Question 43: A child with juvenile idiopathic arthritis experiences morning stiffness. The nurse should recommend: A) Complete rest until stiffness resolves B) Warm baths and gentle range of motion C) Cold therapy only D) Avoiding all physical activity Question 44: The nurse is teaching cast care to parents. Which statement requires clarification? A) "Keep the cast dry" B) "Check circulation frequently" C) "Use a coat hanger to scratch under the cast" D) "Elevate the casted extremity"
Question 57: A child with diabetes develops ketoacidosis. Priority intervention is: A) Administering insulin immediately B) Providing oral glucose C) Fluid resuscitation D) Restricting all intake Question 58: Which symptom indicates hypoglycemia in a child with diabetes? A) Increased urination B) Extreme thirst C) Sweating and shakiness D) Fruity breath odor Question 59: A child with hypothyroidism requires: A) Dietary restrictions only B) Lifelong thyroid hormone replacement C) Surgical intervention D) Temporary treatment Question 60: Growth hormone deficiency in children results in: A) Excessive height B) Short stature C) Obesity only D) Intellectual disability SECTION M: COMMUNICABLE DISEASES Question 61: A child with chickenpox should be isolated until: A) Fever subsides B) All lesions are crusted over C) Appetite returns D) 24 hours after rash appears Question 62: The incubation period for measles is: A) 1-3 days B) 5-7 days C) 10-14 days D) 21-28 days Question 63: A child with pertussis (whooping cough) is most contagious during: A) Incubation period B) Catarrhal stage C) Paroxysmal stage D) Convalescent stage Question 64: Which precaution is required for a child with respiratory syncytial virus (RSV)? A) Airborne precautions B) Contact precautions C) Droplet precautions D) No special precautions Question 65: The characteristic rash of roseola appears: A) Before the fever B) During the fever C) After the fever subsides D) Never appears SECTION N: EMERGENCY AND TRAUMA CARE Question 66: A child presents with suspected poisoning. The nurse should first: A) Induce vomiting immediately B) Assess airway, breathing, and circulation C) Give activated charcoal D) Contact poison control Question 67: Which intervention is appropriate for a child with a burn injury? A) Applying ice to the burn B) Removing all clothing C) Covering with cool, moist dressings D) Applying butter to the burn Question 68: A child with a head injury should be monitored for: A) Improved level of consciousness only B) Changes in neurological status C) Increased appetite D) Decreased pain Question 69: The priority assessment for a child with suspected child abuse is: A) Documenting all injuries B) Ensuring child safety C) Interviewing the parents D) Calling law enforcement
Question 70: A child experiences a near-drowning incident. The nurse should: A) Assume the child is fine if conscious B) Monitor for delayed complications C) Discharge immediately if stable D) Provide only supportive care SECTION O: PAIN MANAGEMENT Question 71: The most reliable indicator of pain in a verbal child is: A) Vital sign changes B) Behavioral changes C) Self-report D) Parent report Question 72: Which pain scale is appropriate for a 4-year-old child? A) Numeric rating scale (0-10) B) FACES pain scale C) Visual analog scale D) McGill Pain Questionnaire Question 73: Non-pharmacological pain management for children includes: A) Distraction and relaxation techniques B) Medication only C) Ignoring the pain D) Restraining the child Question 74: A child receiving opioid pain medication should be monitored for: A) Increased appetite B) Respiratory depression C) Hyperactivity D) Increased urination Question 75: Which statement about pain in children is correct? A) Infants don't experience pain B) Children exaggerate pain C) Children experience pain similarly to adults D) Pain medication is dangerous for children SECTION P: MEDICATION ADMINISTRATION Question 76: The safest method for calculating pediatric drug dosages is: A) Age-based calculations B) Body weight calculations C) Body surface area calculations D) Adult dose divided by 2 Question 77: When administering medications to children, the nurse should: A) Force the child to take medication B) Mix medications with formula C) Use developmentally appropriate approaches D) Give medications without explanation Question 78: Which route of medication administration has the fastest absorption? A) Oral B) Intramuscular C) Intravenous D) Topical Question 79: A child refuses to take oral medication. The nurse should: A) Force the medication B) Skip the dose C) Explore alternative approaches D) Mix with juice without telling the child Question 80: When giving injections to children, the nurse should: A) Use the largest needle possible B) Inject as quickly as possible C) Provide comfort measures D) Avoid explaining the procedure SECTION Q: HOSPITALIZATION AND FAMILY- CENTERED CARE Question 81: The primary stressor for hospitalized toddlers is: A) Pain B) Separation from parents C) Fear of procedures D) Loss of control
Question 93: A child with juvenile diabetes should: A) Avoid all physical activity B) Participate in age-appropriate activities C) Follow a very restrictive diet D) Be excused from school regularly Question 94: Family adaptation to chronic illness involves: A) Immediate acceptance B) Ongoing adjustment process C) Complete lifestyle changes D) Professional care only Question 95: The goal of care for children with chronic conditions is: A) Cure the condition B) Maximize quality of life C) Limit all activities D) Hospitalize frequently SECTION T: ADOLESCENT HEALTH Question 96: The leading cause of death in adolescents is: A) Cancer B) Accidents C) Suicide D) Infectious diseases Question 97: Which characteristic is typical of adolescent development? A) Concrete thinking B) Identity formation C) Dependence on parents D) Simple peer relationships Question 98: Adolescent risk-taking behaviors include: A) Substance use and unsafe driving B) Studying and following rules C) Staying home with family D) Avoiding peer activities Question 99: When providing health education to adolescents, the nurse should: A) Involve parents in all discussions B) Respect confidentiality appropriately C) Use childlike language D) Avoid discussing sensitive topics Question 100: The nurse is discussing sexuality with an adolescent. The approach should be: A) Judgmental and directive B) Non-judgmental and informative C) Avoided completely D) Discussed only with parents present SECTION U: ADDITIONAL CRITICAL THINKING QUESTIONS Question 101: A 2-year-old child has a temperature of 104°F (40°C). The priority nursing action is: A) Giving acetaminophen immediately B) Applying cooling blankets C) Assessing for febrile seizures D) Notifying the physician Question 102: Which assessment finding in a 6-month-old infant requires immediate intervention? A) Crying when parents leave B) Respiratory rate of 35 C) Sunken fontanelle with poor skin turgor D) Sleeping 14 hours per day Question 103: A child with a tracheostomy requires suctioning. The nurse should: A) Suction for 15 seconds maximum B) Use sterile technique C) Suction only when secretions are visible D) All of the above Question 104: The nurse observes a child having difficulty swallowing. The priority concern is: A) Nutritional status B) Aspiration risk C) Hydration status D) Growth and development
Question 105: A child with a developmental disability requires: A) Lowered expectations B) Individualized care planning C) Institutional care D) Minimal stimulation Question 106: Which intervention promotes optimal development in hospitalized children? A) Maintaining bed rest B) Limiting stimulation C) Providing age-appropriate activities D) Restricting visitors Question 107: A child with failure to thrive requires: A) Immediate tube feeding B) Comprehensive assessment C) Increased caloric intake only D) Medication therapy Question 108: The nurse is caring for a child with a central venous catheter. Priority nursing care includes: A) Flushing weekly B) Monitoring for infection C) Avoiding dressing changes D) Restricting activity completely Question 109: A child experiencing separation anxiety during hospitalization benefits from: A) Strict visiting schedules B) Consistent caregivers C) Sedation D) Isolation from family Question 110: Which factor is most important in pediatric medication safety? A) Brand name preference B) Accurate dosage calculation C) Timing of administration D) Route of administration Question 111: A child with a gastrostomy tube requires: A) Continuous feeding only B) Skin care around the site C) Bed rest D) Restricted fluid intake Question 112: The nurse is teaching parents about car seat safety. Which statement is correct? A) "Children can use adult seat belts at age 4" B) "Rear-facing car seats until age 2 minimum" C) "Booster seats are not necessary" D) "Front seat riding is safe at age 8" Question 113: A child with a learning disability requires: A) Lower academic expectations B) Individualized educational support C) Medication therapy D) Social isolation Question 114: Which sign indicates dehydration in an infant? A) Increased urination B) Bulging fontanelle C) Decreased skin turgor D) Increased appetite Question 115: A child with allergies requires: A) Complete environmental isolation B) Identification and avoidance of triggers C) Medication only D) Dietary restrictions only Question 116: The nurse is providing discharge teaching for a child with asthma. Priority information includes: A) Trigger identification and avoidance B) Medication compliance C) Peak flow monitoring D) All of the above Question 117: A child with a genetic condition requires: A) Isolation from peers B) Genetic counseling for family C) Immediate institutionalization D) Restrictive lifestyle Question 118: Which principle guides pediatric nursing care? A) Children are small adults B) Family-centered care C) Standardized approaches D) Minimal parental involvement Question 119: A child with a hearing impairment requires: A) Isolation from peers B) Communication adaptations C) Reduced expectations D) Constant supervision
Section U (Critical Thinking): 101. A | 102. C | 103. D | 104. B | 105. B | 106. C | 107. B |
- B | 109. B | 110. B | 111. B | 112. B | 113. B | 114. C | 115. B | 116. D | 117. B | 118. B |
- B | 120. C STUDY TIPS FOR A+++ PERFORMANCE
- Review Rationales: Understand why each answer is correct
- Focus on Priority: Many questions test priority nursing actions
- Remember Safety: Safety is always the priority in pediatric care
- Know Development: Understanding normal development is crucial
- Family-Centered Care: Always consider the family in care planning
- Medication Safety: Dosage calculations and safety are critical
- Assessment Skills: Know normal vs. abnormal findings for each age group
- Emergency Priorities: ABC (Airway, Breathing, Circulation) always comes first
- Therapeutic Communication: Use age-appropriate communication techniques
- Cultural Sensitivity: Consider cultural factors in care planning Good luck with your studies!
