8th Edition — Test Bank & Exam Preparation Guide
Authors: Kay Cowen, Laura Wisely, Robin Dawson, Jane W. Ball, Ruth C. Bindler
ISBN: 9780137421428
Publisher: Pearson
Table of Contents
Exam Overview & Instructions (Page 2)
Section A: Foundations of Pediatric Nursing (Page 3)
Questions 1–50
Chapters 1–4: Nurse's Role, Culture & Family, Genetics, Growth & Development
Section B: Nutrition, Assessment & Health Promotion (Page 7)
Questions 51–100
Chapters 5–10: Nutrition, Pediatric Assessment, Health Promotion (Infant through
Adolescent)
Section C: Community, Chronic Conditions & Hospitalization (Page 12)
Questions 101–150
Chapters 11–15: Community Care, Chronic Conditions, Hospitalization, Pain, EndofLife
,Section D: Alterations in Function (Page 17)
Questions 151–300
Chapters 16–31: Environmental Influences, Immunizations, Fluid/Electrolyte, ENT,
Respiratory, Cardiovascular, Immune, Hematologic, Cancer, GI, GU, Endocrine,
Neurologic, Mental Health, Musculoskeletal, Skin
Complete Answer Key & Explanations (Page 25)
Exam Overview
Format: 300 multiplechoice questions (A, B, C, D). One correct answer per question.
Duration: Suggested 3.5 hours (approx. 45 seconds per question).
Marking: No negative marking. Each question carries 1 mark.
Cognitive Levels Tested:
Recall (25%): Factual definitions and key concepts.
Comprehension (35%): Understanding principles and rationales.
Application (30%): Applying knowledge to clinical scenarios.
Analysis (10%): Prioritizing and evaluating complex patient situations.
Client Need Categories (NCLEXstyle):
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
,Section A: Foundations of Pediatric Nursing (Q1–50)
Chapter 1: Nurse's Role in Care of the Child
1. Which nursing role is NOT directly involved when providing a familycentered approach to
the pediatric population?
A) Advocacy
B) Case management
C) Patient education
D) Researcher
2. The nurse is caring for a hospitalized child. Which action best demonstrates the role of
advocate?
A) Administering prescribed medications
B) Ensuring the child's voice is heard in care decisions
C) Documenting vital signs
D) Changing wound dressings
3. A nurse is explaining the concept of "medical home" to a parent. Which statement by the
parent indicates understanding?
A) "It means my child will always be seen in the hospital."
B) "It is a central source of care that coordinates all my child's health needs."
C) "It is only for children with chronic illnesses."
D) "It means my child will never see a specialist."
, 4. The pediatric nurse is functioning in the role of case manager. Which activity is most
consistent with this role?
A) Performing a physical assessment
B) Coordinating care among multiple specialists and community resources
C) Administering immunizations
D) Teaching a child how to use an inhaler
5. Which factor has the greatest influence on the health status of children in the United
States?
A) Genetic predisposition
B) Access to health care
C) Social determinants of health (poverty, education, environment)
D) Availability of pediatric specialists
6. The nurse is providing care to a child from a different cultural background. Which action
demonstrates cultural humility?
A) Assuming the family's beliefs are the same as the nurse's
B) Asking the family about their health beliefs and practices
C) Ignoring cultural differences to provide "equal" care
D) Telling the family their practices are incorrect
7. A nurse is preparing to discharge a child with a complex medical condition. Which
referral is most important?
A) Physical therapy
B) Home health care coordination
C) Speech therapy