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PEDIATRICS: EXAM #1 (WONG’S ESSENTIALS 10TH
EDITION EXAM 2026 QUESTIONS NEWEST 2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
)
CH 1: Perspectives of pediatric nursing
The nurse must assess 10-month-old infant. The infant is sitting on the fathers
lap and appears to be afraid of the nurse and of what might happen next.
Which initial action by the nurse would be most appropriate?
a. Initiate a game of peek-a-boo.
b. Ask father to place the infant on the examination table.
c. Undress the infant while he is still sitting on his father's lap.
d. Talks softly to the infant while taking him from his father.
A
Peek-a-boo is an excellent means of initiating communication with infants while
maintaining a safe, nonthreatening distance. The child will most likely become upset
if separated from his father. As much of the assessment as possible should be done
on the fathers lap. The nurse should have the father undress the child as needed for
the examination.
The nurse is taking a health history on an adolescent. Which best describes
how the chief complaint should be determined?
a. Ask for detailed listing of symptoms.
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b. Ask adolescent, Why did you come here today?
c. Use what adolescent says to determine, in correct medical terminology,
what the problem is.
d. Interview parent away from adolescent to determine chief complaint.
B
The chief complaint is the specific reason for the childs visit to the clinic, office, or
hospital. Because the adolescent is the focus of the history, this is an appropriate
way to determine the chief complaint. A detailed listing of symptoms will make it
difficult to determine the chief complaint. The adolescent should be prompted to tell
which symptom caused him to seek help at this time. The chief complaint is usually
written in the words that the parent or adolescent uses to describe the reason for
seeking help. The parent and adolescent may be interviewed separately, but the
nurse should determine the reason the adolescent is seeking attention at this time.
Where in the health history should the nurse describe all details related to the
chief complaint?
a. Past history
b. Chief complaint
c. Present illness
d. Review of systems
C
The history of the present illness is a narrative of the chief complaint from its earliest
onset through its progression to the present. The focus of the present illness is on all
factors relevant to the main problem, even if they have disappeared or changed
during the onset, interval, and present. Past history refers to information that relates
to previous aspects of the childs health, not to the current problem. The chief
complaint is the specific reason for the childs visit to the clinic, office, or hospital. It
does not contain the narrative portion describing the onset and progression. The
review of systems is a specific review of each body system.
The nurse is interviewing the mother of an infant. She reports, I had a difficult
delivery, and my baby was born prematurely. This information should be
recorded under which of the following headings?
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a. Past history
b. Present illness
c. Chief complaint
d. Review of systems
A
The past history refers to information that relates to previous aspects of the childs
health, not to the current problem. The mothers difficult delivery and prematurity are
important parts of the past history of an infant. The history of the present illness is a
narrative of the chief complaint from its earliest onset through its progression to the
present. Unless the chief complaint is directly related to the prematurity, this
information is not included in the history of present illness. The chief complaint is the
specific reason for the childs visit to the clinic, office, or hospital. It would not include
the birth information. The review of systems is a specific review of each body
system. It does not include the premature birth. Sequelae such as pulmonary
dysfunction would be included.
Which is most important to document about immunizations in the childs health
history?
a. Dosage of immunizations received
b. Occurrence of any reaction after an immunization
c. The exact date the immunizations were received
d. Practitioner who administered the immunizations
B
The occurrence of any reaction after an immunization was given is the most
important to document in a history because of possible future reactions, especially
allergic reactions. Exact dosage of the immunization received may not be recorded
on the immunization record. Exact dates are important to obtain but not as important
as a history of reaction to an immunization. The practitioner who administered the
immunization does not need to be recorded in the health history. A potentially severe
physiologic response is the most threatening and most important information to
document for safety reasons.
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When interviewing the mother of a 3-year-old child, the nurse asks about
developmental milestones such as the age of walking without assistance. This
should be considered:
a. unnecessary information because child is age 3 years.
b. an important part of the family history.
c. an important part of the childs past history.
d. an important part of the childs review of systems.
C
Information about the attainment of developmental milestones is important to obtain.
It provides data about the childs growth and development that should be included in
the past history. Developmental milestones provide important information about the
childs physical, social, and neurologic health and should be included in the history
for a 3-year-old child. If pertinent, attainment of milestones by siblings would be
included in the family history. The review of systems does not include the
developmental milestones.
The nurse is taking a sexual history on an adolescent girl. Which is the best
way to determine whether she is sexually active?
a. Ask her, are you sexually active?
b. Ask her, Are you having sex with anyone?
c. Ask her, are you having sex with a boyfriend?
d. Ask both the girl and her parent whether she is sexually active.
B
Asking the adolescent girl whether she is having sex with anyone is a direct question
that is well understood. The phrase sexually active is broadly defined and may not
provide specific information to the nurse to provide necessary care. The word
anyone is preferred to using gender-specific terms such as boyfriend or girlfriend.
Because homosexual experimentation may occur, it is preferable to use gender-
neutral terms. Questioning about sexual activity should occur when the adolescent is
alone.
PEDIATRICS: EXAM #1 (WONG’S ESSENTIALS 10TH
EDITION EXAM 2026 QUESTIONS NEWEST 2026 EXAM
QUESTIONS LATEST VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
)
CH 1: Perspectives of pediatric nursing
The nurse must assess 10-month-old infant. The infant is sitting on the fathers
lap and appears to be afraid of the nurse and of what might happen next.
Which initial action by the nurse would be most appropriate?
a. Initiate a game of peek-a-boo.
b. Ask father to place the infant on the examination table.
c. Undress the infant while he is still sitting on his father's lap.
d. Talks softly to the infant while taking him from his father.
A
Peek-a-boo is an excellent means of initiating communication with infants while
maintaining a safe, nonthreatening distance. The child will most likely become upset
if separated from his father. As much of the assessment as possible should be done
on the fathers lap. The nurse should have the father undress the child as needed for
the examination.
The nurse is taking a health history on an adolescent. Which best describes
how the chief complaint should be determined?
a. Ask for detailed listing of symptoms.
, Page 2 of 93
b. Ask adolescent, Why did you come here today?
c. Use what adolescent says to determine, in correct medical terminology,
what the problem is.
d. Interview parent away from adolescent to determine chief complaint.
B
The chief complaint is the specific reason for the childs visit to the clinic, office, or
hospital. Because the adolescent is the focus of the history, this is an appropriate
way to determine the chief complaint. A detailed listing of symptoms will make it
difficult to determine the chief complaint. The adolescent should be prompted to tell
which symptom caused him to seek help at this time. The chief complaint is usually
written in the words that the parent or adolescent uses to describe the reason for
seeking help. The parent and adolescent may be interviewed separately, but the
nurse should determine the reason the adolescent is seeking attention at this time.
Where in the health history should the nurse describe all details related to the
chief complaint?
a. Past history
b. Chief complaint
c. Present illness
d. Review of systems
C
The history of the present illness is a narrative of the chief complaint from its earliest
onset through its progression to the present. The focus of the present illness is on all
factors relevant to the main problem, even if they have disappeared or changed
during the onset, interval, and present. Past history refers to information that relates
to previous aspects of the childs health, not to the current problem. The chief
complaint is the specific reason for the childs visit to the clinic, office, or hospital. It
does not contain the narrative portion describing the onset and progression. The
review of systems is a specific review of each body system.
The nurse is interviewing the mother of an infant. She reports, I had a difficult
delivery, and my baby was born prematurely. This information should be
recorded under which of the following headings?
, Page 3 of 93
a. Past history
b. Present illness
c. Chief complaint
d. Review of systems
A
The past history refers to information that relates to previous aspects of the childs
health, not to the current problem. The mothers difficult delivery and prematurity are
important parts of the past history of an infant. The history of the present illness is a
narrative of the chief complaint from its earliest onset through its progression to the
present. Unless the chief complaint is directly related to the prematurity, this
information is not included in the history of present illness. The chief complaint is the
specific reason for the childs visit to the clinic, office, or hospital. It would not include
the birth information. The review of systems is a specific review of each body
system. It does not include the premature birth. Sequelae such as pulmonary
dysfunction would be included.
Which is most important to document about immunizations in the childs health
history?
a. Dosage of immunizations received
b. Occurrence of any reaction after an immunization
c. The exact date the immunizations were received
d. Practitioner who administered the immunizations
B
The occurrence of any reaction after an immunization was given is the most
important to document in a history because of possible future reactions, especially
allergic reactions. Exact dosage of the immunization received may not be recorded
on the immunization record. Exact dates are important to obtain but not as important
as a history of reaction to an immunization. The practitioner who administered the
immunization does not need to be recorded in the health history. A potentially severe
physiologic response is the most threatening and most important information to
document for safety reasons.
, Page 4 of 93
When interviewing the mother of a 3-year-old child, the nurse asks about
developmental milestones such as the age of walking without assistance. This
should be considered:
a. unnecessary information because child is age 3 years.
b. an important part of the family history.
c. an important part of the childs past history.
d. an important part of the childs review of systems.
C
Information about the attainment of developmental milestones is important to obtain.
It provides data about the childs growth and development that should be included in
the past history. Developmental milestones provide important information about the
childs physical, social, and neurologic health and should be included in the history
for a 3-year-old child. If pertinent, attainment of milestones by siblings would be
included in the family history. The review of systems does not include the
developmental milestones.
The nurse is taking a sexual history on an adolescent girl. Which is the best
way to determine whether she is sexually active?
a. Ask her, are you sexually active?
b. Ask her, Are you having sex with anyone?
c. Ask her, are you having sex with a boyfriend?
d. Ask both the girl and her parent whether she is sexually active.
B
Asking the adolescent girl whether she is having sex with anyone is a direct question
that is well understood. The phrase sexually active is broadly defined and may not
provide specific information to the nurse to provide necessary care. The word
anyone is preferred to using gender-specific terms such as boyfriend or girlfriend.
Because homosexual experimentation may occur, it is preferable to use gender-
neutral terms. Questioning about sexual activity should occur when the adolescent is
alone.
