EXAM 2) |PEDIATRIC NURSING 2026 | ACCURATE REAL EXAM
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NURS 328 (NR 328) EXAM 1: PEDIATRIC FOUNDATIONS, GROWTH &
DEVELOPMENT
SECTION 1: FAMILY-CENTERED CARE & PEDIATRIC NURSING PRINCIPLES (Q1-30)
Q1. A nurse is caring for a hospitalized child. Which action best
demonstrates family-centered care?
A) Making all decisions about the child's care without consulting the parents
B) Including the parents in care decisions and respecting their input
C) Limiting parental visitation to designated hours only
D) Focusing care exclusively on the child's physical needs
Answer: B) Including the 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. The family is
viewed as an integral part of the healthcare team.
Q2. A nurse is providing discharge teaching to the parents of a child who
was hospitalized. Which statement by the parents indicates understanding of
family-centered care?
A) "We will follow the healthcare provider's instructions without asking
questions."
B) "We will help with our child's care and ask questions if we don't
understand."
C) "We will wait for the nurse to tell us what to do."
D) "We will let the doctors make all the decisions."
Answer: B) "We will help with our child's care and ask questions if we don't
understand."
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,Rationale: Family-centered care encourages active family participation in
care decisions and promotes open communication. The family is a partner in
care.
Q3. 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. The
family is the constant in the child's life.
Q4. The nurse is caring for a child whose parents are divorced. Which
nursing 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 the parents 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 the parents agree
Rationale: Family-centered care respects diverse family structures. The nurse
should assess each family's unique situation and include all involved family
members when appropriate.
Q5. The nurse is providing care to a hospitalized toddler. Which
intervention best supports the family-centered care model?
A) Encouraging parents to leave during painful procedures
B) Allowing parents to stay with the child during procedures
C) Restricting parental visits to mealtimes
D) Requiring parents to wait in the waiting room
Answer: B) Allowing parents to stay with the child during procedures
Rationale: Family-centered care supports parental presence during procedures
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,to provide comfort and reduce anxiety for both the child and parents.
Q6. A nurse is teaching a group of 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. Parents should not feel that they cannot question
healthcare decisions.
Q7. 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 that meets their needs
C) Asking the physician to create the care plan
D) Following the hospital's standard care plan for all patients
Answer: B) Collaborating with the family to develop a care plan that meets
their needs
Rationale: Family-centered care involves collaboration between healthcare
providers and families to develop individualized care plans.
Q8. The nurse is caring for a child from a cultural minority background.
Which action demonstrates cultural competence in family-centered care?
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.
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, Q9. A parent expresses concern about not being able to stay with their
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
and encourages open communication about concerns.
Q10. 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 specific needs.
Q11. 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
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