Page 1 of 205
PEDS WONG COMPREHENSIVE 2026 QUESTIONS EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
Delayed Development is any significant lag in physical, cognitive, behavioral,
emotional, or social development when compared against developmental
norms
Cognitive Impairment encompasses intellectual and adaptive functioning
significantly below average
What is the difference between CI and developmental disabilities?
List five causes of cognitive impairment and cite one example of each.
infection/intoxication (rubella, syphillis, prenatal smoking, lead)
trauma/physical agents (hypozia, radiation)
metabolic/nutritional abnormalities
gros postnatal brain disease (neurofiromatosis)
gestational disorders (premie, LBW)
psychiatric disorders (autism)
Identify the standardized test most commonly used in infants to evaluate
cognitive ability.
Bayley Scales of Infant Dvp
HINT for neuromotor testing (motor/cognition)
, Page 2 of 205
Leiter International Performance Scale good if no english or significant language
impairment
Identify the standardized test most commonly used in infants to evaluate
cognitive ability.
Bayley Scales of Infant Development
HINT for neuromotor testing (motor/cognition)
Leiter International Performance Scale good if no english or significant language
impairment
The American Association on Intellectual and Developmental Disabilities
definition of intellectual disability includes:
a. significant limitations in intellectual functioning and adaptive behavior.
b. an emphasis on function.
c. only intelligence and no other criteria.
d. an age limit of 16.
a. significant limitations in intellectual functioning and adaptive behavior.
must be <18 y.o.
List at least four early signs that are suggestive of cognitive impairment.
Nonresponsiveness to contact; poor eye contact during feeding; diminished
spontaneous activity; decreased alertness to voice or movement; irritability; slow
feeding
dysmorphic syndromes (microcephaly, etc)
major organ system dysfunction
B difficulties
, Page 3 of 205
fine/gross motor delays
language difficulties/delay
When teaching a child with a cognitive impairment, the nurse's best strategy to
present symbols in an exaggerated, concrete form is:
a. singing.
b. memorizing.
c. verbal explanation.
d. ignoring the child.
a. singing.
understand learning abilities/deficits
concrete ideas easier to learn than abstract; DEMONSTRATION over verbal
explanation (but if so, use one-step directions b/c they have hard time remembering)
repetition important
difficulty discriminating b/w 2+ stimuli unless in exaggerated concrete form void of
extraneous stimulion
Define the term fading.
specifically taking the child through each sequence of the desired activity and
gradually fading out phys assistance so child becomes more independent
Define the term shaping.
waiting for the child to give a response that approximates the desired behavior, then
reinforcing successive approximations of the end goal
Acquiring social skills for the child who is intellectually disabled includes:
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a. learning acceptable sexual behavior.
b. being exposed to strangers.
c. learning to greet visitors appropriately.
d. all of the above.
d. all of the above.
teach social behaviors early (waving, thank you, sitting modestly)
acceptable sexual B to avoid exploitation
need stranger exposure b/c no learning transfer between situations, so practice is
needed
How can a CI child be disciplined?
simple, consistent limit-setting
if not cognitively able to, moral lessons are of little value
reinforcement and time-outs best, avoid aversive strategies
Which of the following strategies would best help the intellectually disabled
child acquire social skills?
a. Use discipline and negative reinforcement.
b. Provide information about the importance of socialization skills.
c. Use active rehearsal with role-playing and practice sessions.
d. Use all of the above.
c. Use active rehearsal with role-playing and practice sessions.
What kind of play do CI children need?
sensorimotor for extended period; expose to sounds/sights/sensations
outings, visitations
PEDS WONG COMPREHENSIVE 2026 QUESTIONS EXAM
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
Delayed Development is any significant lag in physical, cognitive, behavioral,
emotional, or social development when compared against developmental
norms
Cognitive Impairment encompasses intellectual and adaptive functioning
significantly below average
What is the difference between CI and developmental disabilities?
List five causes of cognitive impairment and cite one example of each.
infection/intoxication (rubella, syphillis, prenatal smoking, lead)
trauma/physical agents (hypozia, radiation)
metabolic/nutritional abnormalities
gros postnatal brain disease (neurofiromatosis)
gestational disorders (premie, LBW)
psychiatric disorders (autism)
Identify the standardized test most commonly used in infants to evaluate
cognitive ability.
Bayley Scales of Infant Dvp
HINT for neuromotor testing (motor/cognition)
, Page 2 of 205
Leiter International Performance Scale good if no english or significant language
impairment
Identify the standardized test most commonly used in infants to evaluate
cognitive ability.
Bayley Scales of Infant Development
HINT for neuromotor testing (motor/cognition)
Leiter International Performance Scale good if no english or significant language
impairment
The American Association on Intellectual and Developmental Disabilities
definition of intellectual disability includes:
a. significant limitations in intellectual functioning and adaptive behavior.
b. an emphasis on function.
c. only intelligence and no other criteria.
d. an age limit of 16.
a. significant limitations in intellectual functioning and adaptive behavior.
must be <18 y.o.
List at least four early signs that are suggestive of cognitive impairment.
Nonresponsiveness to contact; poor eye contact during feeding; diminished
spontaneous activity; decreased alertness to voice or movement; irritability; slow
feeding
dysmorphic syndromes (microcephaly, etc)
major organ system dysfunction
B difficulties
, Page 3 of 205
fine/gross motor delays
language difficulties/delay
When teaching a child with a cognitive impairment, the nurse's best strategy to
present symbols in an exaggerated, concrete form is:
a. singing.
b. memorizing.
c. verbal explanation.
d. ignoring the child.
a. singing.
understand learning abilities/deficits
concrete ideas easier to learn than abstract; DEMONSTRATION over verbal
explanation (but if so, use one-step directions b/c they have hard time remembering)
repetition important
difficulty discriminating b/w 2+ stimuli unless in exaggerated concrete form void of
extraneous stimulion
Define the term fading.
specifically taking the child through each sequence of the desired activity and
gradually fading out phys assistance so child becomes more independent
Define the term shaping.
waiting for the child to give a response that approximates the desired behavior, then
reinforcing successive approximations of the end goal
Acquiring social skills for the child who is intellectually disabled includes:
, Page 4 of 205
a. learning acceptable sexual behavior.
b. being exposed to strangers.
c. learning to greet visitors appropriately.
d. all of the above.
d. all of the above.
teach social behaviors early (waving, thank you, sitting modestly)
acceptable sexual B to avoid exploitation
need stranger exposure b/c no learning transfer between situations, so practice is
needed
How can a CI child be disciplined?
simple, consistent limit-setting
if not cognitively able to, moral lessons are of little value
reinforcement and time-outs best, avoid aversive strategies
Which of the following strategies would best help the intellectually disabled
child acquire social skills?
a. Use discipline and negative reinforcement.
b. Provide information about the importance of socialization skills.
c. Use active rehearsal with role-playing and practice sessions.
d. Use all of the above.
c. Use active rehearsal with role-playing and practice sessions.
What kind of play do CI children need?
sensorimotor for extended period; expose to sounds/sights/sensations
outings, visitations
