,NUR 205 Midterm Exam Pediatric Nursing Questions And Answers
2026/2027 Jersey College
Q1. A child with a chronic condition is preparing to transition from
hospital care to home. Which nursing action best supports
continuity of care?
A) Teach only the child and exclude caregivers
B) Coordinate medications, equipment, follow-up care, warning signs, and
family teaching before discharge
C) Delay discharge education until the family reaches home
D) Assume outpatient providers will reconstruct the entire plan
Correct Answer: B) Coordinate medications, equipment, follow-up care,
warning signs, and family teaching before discharge
Rationale: Safe transitions require coordinated communication, caregiver
preparation, medication reconciliation, equipment planning, and clear follow-
up instructions.
Q2. A child uses a wheelchair and is admitted with pneumonia.
Which nursing approach best supports developmentally appropriate
care?
A) Direct all communication to the parent
B) Assume the child requires help with every activity
C) Focus only on the disability rather than the acute illness
D) Ask the child and family about usual abilities, routines, communication
preferences, and needed assistance
Correct Answer: D) Ask the child and family about usual abilities, routines,
communication preferences, and needed assistance
Rationale: Children with disabilities should be assessed according to their
individual baseline function rather than assumptions about limitations.
Q3. Which intervention best promotes normalization for a school-
age child with a chronic illness?
A) Support participation in school, friendships, hobbies, and age-appropriate
responsibilities whenever possible
B) Excuse the child permanently from all age-appropriate expectations
C) Limit peer contact to prevent emotional stress
D) Emphasize illness during every family interaction
, Correct Answer: A) Support participation in school, friendships, hobbies, and
age-appropriate responsibilities whenever possible
Rationale: Normalization helps children with chronic conditions participate
in ordinary developmental activities while necessary health needs are
incorporated into daily life.
Q4. A parent of a child with complex medical needs says, “I am
exhausted and haven't slept properly in weeks.” What is the nurse's
best response?
A) “Caregiver exhaustion is expected and does not affect care.”
B) “You should avoid asking others for help.”
C) Assess caregiver strain and discuss respite, community resources, and
available support systems
D) Advise the parent to place the child in long-term care immediately
Correct Answer: C) Assess caregiver strain and discuss respite, community
resources, and available support systems
Rationale: Caregiver burden can affect family health and the child's safety.
Assessment and connection with respite and community resources are
appropriate nursing interventions.
Q5. Which action is most appropriate when caring for a child whose
family speaks limited English?
A) Use a qualified medical interpreter for important clinical communication
B) Ask a young sibling to interpret consent information
C) Speak louder in English
D) Avoid discussing complex treatment decisions
Correct Answer: A) Use a qualified medical interpreter for important clinical
communication
Rationale: Qualified interpreters improve accuracy, confidentiality, informed
decision-making, and patient safety.
Q6. A child receiving home healthcare requires multiple medications
and specialized equipment. Which family statement indicates the
greatest need for additional discharge teaching?
A) “We wrote down the emergency phone numbers.”
B) “We practiced using the equipment before discharge.”
C) “We know which changes in our child's condition require help.”
2026/2027 Jersey College
Q1. A child with a chronic condition is preparing to transition from
hospital care to home. Which nursing action best supports
continuity of care?
A) Teach only the child and exclude caregivers
B) Coordinate medications, equipment, follow-up care, warning signs, and
family teaching before discharge
C) Delay discharge education until the family reaches home
D) Assume outpatient providers will reconstruct the entire plan
Correct Answer: B) Coordinate medications, equipment, follow-up care,
warning signs, and family teaching before discharge
Rationale: Safe transitions require coordinated communication, caregiver
preparation, medication reconciliation, equipment planning, and clear follow-
up instructions.
Q2. A child uses a wheelchair and is admitted with pneumonia.
Which nursing approach best supports developmentally appropriate
care?
A) Direct all communication to the parent
B) Assume the child requires help with every activity
C) Focus only on the disability rather than the acute illness
D) Ask the child and family about usual abilities, routines, communication
preferences, and needed assistance
Correct Answer: D) Ask the child and family about usual abilities, routines,
communication preferences, and needed assistance
Rationale: Children with disabilities should be assessed according to their
individual baseline function rather than assumptions about limitations.
Q3. Which intervention best promotes normalization for a school-
age child with a chronic illness?
A) Support participation in school, friendships, hobbies, and age-appropriate
responsibilities whenever possible
B) Excuse the child permanently from all age-appropriate expectations
C) Limit peer contact to prevent emotional stress
D) Emphasize illness during every family interaction
, Correct Answer: A) Support participation in school, friendships, hobbies, and
age-appropriate responsibilities whenever possible
Rationale: Normalization helps children with chronic conditions participate
in ordinary developmental activities while necessary health needs are
incorporated into daily life.
Q4. A parent of a child with complex medical needs says, “I am
exhausted and haven't slept properly in weeks.” What is the nurse's
best response?
A) “Caregiver exhaustion is expected and does not affect care.”
B) “You should avoid asking others for help.”
C) Assess caregiver strain and discuss respite, community resources, and
available support systems
D) Advise the parent to place the child in long-term care immediately
Correct Answer: C) Assess caregiver strain and discuss respite, community
resources, and available support systems
Rationale: Caregiver burden can affect family health and the child's safety.
Assessment and connection with respite and community resources are
appropriate nursing interventions.
Q5. Which action is most appropriate when caring for a child whose
family speaks limited English?
A) Use a qualified medical interpreter for important clinical communication
B) Ask a young sibling to interpret consent information
C) Speak louder in English
D) Avoid discussing complex treatment decisions
Correct Answer: A) Use a qualified medical interpreter for important clinical
communication
Rationale: Qualified interpreters improve accuracy, confidentiality, informed
decision-making, and patient safety.
Q6. A child receiving home healthcare requires multiple medications
and specialized equipment. Which family statement indicates the
greatest need for additional discharge teaching?
A) “We wrote down the emergency phone numbers.”
B) “We practiced using the equipment before discharge.”
C) “We know which changes in our child's condition require help.”
