NURS 328 – MIDTERM & FINAL EXAM TEST BANK| ACTUAL
QUESTIONS AND ANSWERS | 2026 UPDATE
WITH COMPLETE SOLUTIONS |PEDIATRIC NURSING |
GRADED A+
NURS 328 (NR 328) MIDTERM EXAM
SECTION 1: FAMILY-CENTERED CARE & PEDIATRIC PRINCIPLES (Q1-30)
Q1. The nurse is caring for a hospitalized child. Which action best
demonstrates family-centered care?
A) Making all decisions without consulting parents
B) Including parents in care decisions and respecting their input
C) Limiting parental visitation to designated hours
D) Focusing care exclusively on the child's physical needs
Answer: B) Including parents in care decisions and respecting their input
Rationale: Family-centered care recognizes the family as the constant in the
child's life and involves them as partners in care decisions.
Q2. What is the core concept of pediatric nursing?
A) Disease-focused care
B) Family-centered care
C) Physician-directed care
D) Technology-focused care
Answer: B) Family-centered care
Rationale: Family-centered care is the core concept of pediatric nursing
because nursing should revolve around the family, not just the child.
Q3. The nurse is caring for a child whose parents are divorced. Which action
demonstrates respect for the family structure?
A) Asking only the custodial parent about the child's care
B) Including both parents in care discussions if they agree
C) Ignoring the non-custodial parent's involvement
D) Making decisions based only on the child's preferences
Answer: B) Including both parents in care discussions if they agree
1
,Rationale: Family-centered care respects diverse family structures.
Q4. A nurse is teaching parents about family-centered care. Which statement
by a parent indicates a need for further teaching?
A) "My child's healthcare team should include me in all decisions."
B) "I should be allowed to stay with my child during hospitalization."
C) "The doctor knows best, so I should not question any decisions."
D) "My input as a parent is valuable to my child's care."
Answer: C) "The doctor knows best, so I should not question any decisions."
Rationale: Family-centered care encourages parents to be active participants
and ask questions.
Q5. The nurse is planning care for a child with a chronic illness. Which
approach best reflects family-centered care?
A) Creating a care plan independently and informing the family
B) Collaborating with the family to develop a care plan
C) Asking the physician to create the care plan
D) Following the hospital's standard care plan
Answer: B) Collaborating with the family to develop a care plan
Rationale: Family-centered care involves collaboration with families to
develop individualized care plans.
Q6. The nurse is caring for a child from a cultural minority background.
Which action demonstrates cultural competence?
A) Applying the nurse's cultural beliefs to the family's situation
B) Asking the family about their cultural beliefs and preferences
C) Ignoring cultural differences
D) Assuming the family shares the nurse's values
Answer: B) Asking the family about their cultural beliefs and preferences
Rationale: Cultural competence requires understanding and respecting the
family's cultural beliefs and practices.
Q7. A parent expresses concern about not being able to stay with their
2
,hospitalized child overnight. What is the nurse's best response?
A) "Policy requires parents to leave by 8 PM."
B) "I understand your concern. Let me check if we can make accommodations
for you to stay."
C) "You need to go home and rest."
D) "Your child will be fine without you here."
Answer: B) "I understand your concern. Let me check if we can make
accommodations for you to stay."
Rationale: Family-centered care supports parental presence whenever possible.
Q8. Which of the following is a key principle of family-centered care?
A) Families should be passive recipients of care
B) Families are the experts on their child
C) Healthcare providers should make all decisions
D) Families should not be involved in care planning
Answer: B) Families are the experts on their child
Rationale: Family-centered care recognizes that families have unique
knowledge about their child's needs and preferences.
Q9. The nurse is preparing a child for a painful procedure. Which approach
is consistent with family-centered care?
A) Asking parents to leave to reduce their anxiety
B) Offering parents choices about how they can support their child
C) Proceeding without explaining the procedure
D) Performing the procedure quickly without preparation
Answer: B) Offering parents choices about how they can support their child
Rationale: Family-centered care empowers families by offering choices in
how they participate in their child's care.
Q10. A nurse is providing care to a child whose family is experiencing
financial hardship. Which action demonstrates sensitivity?
A) Avoiding discussion of financial issues
B) Referring the family to social work for resources
3
, C) Making assumptions about the family's ability to afford care
D) Judging the family for their financial situation
Answer: B) Referring the family to social work for resources
Rationale: Referring families to appropriate resources demonstrates
compassion and support for their unique challenges.
Q11. The nurse is providing education to a family about caring for their
child with a new diagnosis. Which statement best reflects family-centered
teaching?
A) "I will tell you everything you need to know."
B) "Let's discuss what you already know about your child's condition and
what you would like to learn."
C) "Read this pamphlet and ask me if you have questions."
D) "You don't need to worry; we will take care of everything."
Answer: B) "Let's discuss what you already know about your child's condition
and what you would like to learn."
Rationale: Family-centered teaching assesses the family's baseline knowledge
and tailors education to their needs.
Q12. The nurse is caring for a child with a chronic illness. Which is a
common psychosocial impact on the child?
A) Increased independence and autonomy
B) Social isolation and decreased self-esteem
C) Improved peer relationships
D) Enhanced academic performance
Answer: B) Social isolation and decreased self-esteem
Rationale: Children with chronic illness often experience social isolation
and decreased self-esteem.
Q13. The nurse is caring for a child with a life-limiting condition. Which
approach should the nurse use?
A) Avoiding discussions about the condition
B) Providing honest, compassionate communication and supporting the family
4
QUESTIONS AND ANSWERS | 2026 UPDATE
WITH COMPLETE SOLUTIONS |PEDIATRIC NURSING |
GRADED A+
NURS 328 (NR 328) MIDTERM EXAM
SECTION 1: FAMILY-CENTERED CARE & PEDIATRIC PRINCIPLES (Q1-30)
Q1. The nurse is caring for a hospitalized child. Which action best
demonstrates family-centered care?
A) Making all decisions without consulting parents
B) Including parents in care decisions and respecting their input
C) Limiting parental visitation to designated hours
D) Focusing care exclusively on the child's physical needs
Answer: B) Including parents in care decisions and respecting their input
Rationale: Family-centered care recognizes the family as the constant in the
child's life and involves them as partners in care decisions.
Q2. What is the core concept of pediatric nursing?
A) Disease-focused care
B) Family-centered care
C) Physician-directed care
D) Technology-focused care
Answer: B) Family-centered care
Rationale: Family-centered care is the core concept of pediatric nursing
because nursing should revolve around the family, not just the child.
Q3. The nurse is caring for a child whose parents are divorced. Which action
demonstrates respect for the family structure?
A) Asking only the custodial parent about the child's care
B) Including both parents in care discussions if they agree
C) Ignoring the non-custodial parent's involvement
D) Making decisions based only on the child's preferences
Answer: B) Including both parents in care discussions if they agree
1
,Rationale: Family-centered care respects diverse family structures.
Q4. A nurse is teaching parents about family-centered care. Which statement
by a parent indicates a need for further teaching?
A) "My child's healthcare team should include me in all decisions."
B) "I should be allowed to stay with my child during hospitalization."
C) "The doctor knows best, so I should not question any decisions."
D) "My input as a parent is valuable to my child's care."
Answer: C) "The doctor knows best, so I should not question any decisions."
Rationale: Family-centered care encourages parents to be active participants
and ask questions.
Q5. The nurse is planning care for a child with a chronic illness. Which
approach best reflects family-centered care?
A) Creating a care plan independently and informing the family
B) Collaborating with the family to develop a care plan
C) Asking the physician to create the care plan
D) Following the hospital's standard care plan
Answer: B) Collaborating with the family to develop a care plan
Rationale: Family-centered care involves collaboration with families to
develop individualized care plans.
Q6. The nurse is caring for a child from a cultural minority background.
Which action demonstrates cultural competence?
A) Applying the nurse's cultural beliefs to the family's situation
B) Asking the family about their cultural beliefs and preferences
C) Ignoring cultural differences
D) Assuming the family shares the nurse's values
Answer: B) Asking the family about their cultural beliefs and preferences
Rationale: Cultural competence requires understanding and respecting the
family's cultural beliefs and practices.
Q7. A parent expresses concern about not being able to stay with their
2
,hospitalized child overnight. What is the nurse's best response?
A) "Policy requires parents to leave by 8 PM."
B) "I understand your concern. Let me check if we can make accommodations
for you to stay."
C) "You need to go home and rest."
D) "Your child will be fine without you here."
Answer: B) "I understand your concern. Let me check if we can make
accommodations for you to stay."
Rationale: Family-centered care supports parental presence whenever possible.
Q8. Which of the following is a key principle of family-centered care?
A) Families should be passive recipients of care
B) Families are the experts on their child
C) Healthcare providers should make all decisions
D) Families should not be involved in care planning
Answer: B) Families are the experts on their child
Rationale: Family-centered care recognizes that families have unique
knowledge about their child's needs and preferences.
Q9. The nurse is preparing a child for a painful procedure. Which approach
is consistent with family-centered care?
A) Asking parents to leave to reduce their anxiety
B) Offering parents choices about how they can support their child
C) Proceeding without explaining the procedure
D) Performing the procedure quickly without preparation
Answer: B) Offering parents choices about how they can support their child
Rationale: Family-centered care empowers families by offering choices in
how they participate in their child's care.
Q10. A nurse is providing care to a child whose family is experiencing
financial hardship. Which action demonstrates sensitivity?
A) Avoiding discussion of financial issues
B) Referring the family to social work for resources
3
, C) Making assumptions about the family's ability to afford care
D) Judging the family for their financial situation
Answer: B) Referring the family to social work for resources
Rationale: Referring families to appropriate resources demonstrates
compassion and support for their unique challenges.
Q11. The nurse is providing education to a family about caring for their
child with a new diagnosis. Which statement best reflects family-centered
teaching?
A) "I will tell you everything you need to know."
B) "Let's discuss what you already know about your child's condition and
what you would like to learn."
C) "Read this pamphlet and ask me if you have questions."
D) "You don't need to worry; we will take care of everything."
Answer: B) "Let's discuss what you already know about your child's condition
and what you would like to learn."
Rationale: Family-centered teaching assesses the family's baseline knowledge
and tailors education to their needs.
Q12. The nurse is caring for a child with a chronic illness. Which is a
common psychosocial impact on the child?
A) Increased independence and autonomy
B) Social isolation and decreased self-esteem
C) Improved peer relationships
D) Enhanced academic performance
Answer: B) Social isolation and decreased self-esteem
Rationale: Children with chronic illness often experience social isolation
and decreased self-esteem.
Q13. The nurse is caring for a child with a life-limiting condition. Which
approach should the nurse use?
A) Avoiding discussions about the condition
B) Providing honest, compassionate communication and supporting the family
4
