1
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Nursing Care of Children: Principles
and Practice (James, Nelson & Ashwill)
- Test Bank
Edition Reference: 4th Edition
Chapter List:
UNIT I: INTRODUCTION TO CHILD HEALTH NURSING
1: Introduction to Nursing Care of Children
UNIT II: GROWTH AND DEVELOPMENT: THE CHILD AND THE FAMILY
2: Family-Centered Nursing Care
3: Communicating with Children and Families
4: Health Promotion for the Developing Child
5: Health Promotion for the Infant
6: Health Promotion During Early Childhood
7: Health Promotion for the School Age Child
8: Health Promotion for the Adolescent
UNIT III: SPECIAL CONSIDERATIONS IN CARING FOR CHILDREN
9: Physical Assessment of Children
10: Emergency Care of the Child
11: The Ill Child in the Hospital and Other Care Settings
12: The Child With a Chronic Condition or Terminal Illness
13: Principles and Procedures for Nursing Care of Children
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14: Medication Administration and Safety for Infants and Children
15: Pain Management for Children
UNIT IV: CARING FOR CHILDREN WITH HEALTH PROBLEMS
16: The Child with a Fluid and Electrolyte Alteration
17: The Child with an Infectious Disease
18: The Child with an Immunologic Alteration
19: The Child With a Gastrointestinal Alteration
20: The Child With a Genitourinary Alteration
21: This Child with a Respiratory Alteration
22: The Child With a Cardiovascular Alteration
23: The Child With a Hematologic Alteration
24: The Child with Cancer
25: The Child with Major Alterations in Tissue Integrity
26: The Child With a Musculoskeletal Alteration
27: The Child With an Endocrine or Metabolic Alteration
28: The Child with an Neurologic Alteration
29: Problems in Children and Families
30: The Child With a Developmental Disability
31: The Child with a Sensory Alteration
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1: Introduction to Nursing Care of Children
Question 1. A nurse is caring for a patient scenario related to Introduction to
Nursing Care of Children. Which action is the best immediate nursing response?
A. Delay intervention until the next team huddle
B. Use unit protocol and verify patient-specific risk factors
C. Ask unlicensed staff to decide the priority
D. Document first and assess later
✅ Correct Answer: B. Use unit protocol and verify patient-specific risk factors
Rationale: Applying Introduction to Nursing Care of Children requires timely use
of protocol plus patient-specific assessment to reduce harm and improve outcomes.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 1]
MSC: NCLEX Client Needs Category: [Safe and Effective Care Environment]
Question 2. During bedside handoff, a concern linked to Introduction to Nursing
Care of Children is identified. What should the nurse do first?
A. Clarify the concern with closed-loop communication
B. Wait for the provider round before speaking
C. Remove the concern from report to avoid alarm
D. Escalate directly to administration without assessment
✅ Correct Answer: A. Clarify the concern with closed-loop communication
Rationale: Closed-loop clarification prevents information loss and supports safe,
coordinated action.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 2]
MSC: NCLEX Client Needs Category: [Management of Care]
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Question 3. A newly admitted patient has a risk profile that may worsen outcomes
unless Introduction to Nursing Care of Children principles are used. Which
intervention is priority?
A. Implement standardized screening and reassess at defined intervals
B. Rely on memory instead of checklists
C. Postpone care plan updates until discharge
D. Use a one-size-fits-all intervention
✅ Correct Answer: A. Implement standardized screening and reassess at defined
intervals
Rationale: Standardized screening and scheduled reassessment identify
deterioration early and guide individualized care.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 3]
MSC: NCLEX Client Needs Category: [Safety and Infection Control]
Question 4. The charge nurse audits practice on a unit focus related to Introduction
to Nursing Care of Children. Which finding indicates best practice?
A. Variation in care despite identical indications
B. Use of evidence-based bundle elements with documentation
C. No discussion of near misses
D. Frequent workarounds around safety checks
✅ Correct Answer: B. Use of evidence-based bundle elements with documentation
Rationale: Consistent use of evidence-based bundle elements is linked to better
reliability and safer outcomes.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 4]
MSC: NCLEX Client Needs Category: [Health Promotion and Maintenance]
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Question 5. A nurse must choose between two tasks while applying Introduction to
Nursing Care of Children. Which task should be completed first?
A. Nonurgent teaching for a stable patient
B. Assessment of a patient with new high-risk symptoms
C. Routine stock check
D. Optional committee email
✅ Correct Answer: B. Assessment of a patient with new high-risk symptoms
Rationale: Prioritization under Introduction to Nursing Care of Children
emphasizes immediate assessment of high-risk changes before nonurgent activities.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 5]
MSC: NCLEX Client Needs Category: [Psychosocial Integrity]
Question 6. A patient/family asks why a specific safety step is needed under
Introduction to Nursing Care of Children. What is the best response?
A. "It is just unit habit."
B. "This step lowers preventable harm and helps us detect problems early."
C. "You do not need to know details."
D. "We only do it for legal reasons."
✅ Correct Answer: B. "This step lowers preventable harm and helps us detect
problems early."
Rationale: Clear patient-centered explanation improves engagement and adherence
while reinforcing safety purpose.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 6]
MSC: NCLEX Client Needs Category: [Physiological Integrity]
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Question 7. In a debrief about a near miss involving Introduction to Nursing Care
of Children, which nurse statement reflects systems thinking?
A. "The individual is solely to blame."
B. "Let us map process gaps and latent conditions that allowed the error."
C. "Near misses are not worth reviewing."
D. "Punishment is the only effective fix."
✅ Correct Answer: B. "Let us map process gaps and latent conditions that allowed
the error."
Rationale: Systems analysis targets process defects and latent risks, producing
sustainable improvement.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 7]
MSC: NCLEX Client Needs Category: [Reduction of Risk Potential]
Question 8. A nurse is precepting a novice on Introduction to Nursing Care of
Children. Which teaching point is most accurate?
A. Standardization limits clinical judgment
B. Standardization supports judgment by reducing avoidable variation
C. Documentation is optional when care is obvious
D. Escalation should wait until shift end
✅ Correct Answer: B. Standardization supports judgment by reducing avoidable
variation
Rationale: Reliable standards reduce variation and cognitive load so clinical
judgment can focus on patient-specific needs.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 8]
MSC: NCLEX Client Needs Category: [Pharmacological and Parenteral Therapies]
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Question 9. When applying Introduction to Nursing Care of Children in a high-
acuity setting, which indicator most strongly suggests risk escalation?
A. Stable trends over 24 hours
B. New abnormal vital-sign trend with delayed response
C. Completed admission checklist
D. Family satisfaction with meals
✅ Correct Answer: B. New abnormal vital-sign trend with delayed response
Rationale: Unaddressed abnormal trends indicate potential deterioration and
require urgent escalation.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 9]
MSC: NCLEX Client Needs Category: [Safe and Effective Care Environment]
Question 10. A quality dashboard for Introduction to Nursing Care of Children is
reviewed. Which metric is most actionable for frontline nursing improvement?
A. A broad annual mission statement
B. Unit-level process compliance linked to outcomes
C. Hospital parking utilization
D. Number of decorative posters
✅ Correct Answer: B. Unit-level process compliance linked to outcomes
Rationale: Frontline teams can act on process measures tied to outcomes to
improve reliability.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 10]
MSC: NCLEX Client Needs Category: [Management of Care]
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Nursing Care of Children: Principles
and Practice (James, Nelson & Ashwill)
- Test Bank
Edition Reference: 4th Edition
Chapter List:
UNIT I: INTRODUCTION TO CHILD HEALTH NURSING
1: Introduction to Nursing Care of Children
UNIT II: GROWTH AND DEVELOPMENT: THE CHILD AND THE FAMILY
2: Family-Centered Nursing Care
3: Communicating with Children and Families
4: Health Promotion for the Developing Child
5: Health Promotion for the Infant
6: Health Promotion During Early Childhood
7: Health Promotion for the School Age Child
8: Health Promotion for the Adolescent
UNIT III: SPECIAL CONSIDERATIONS IN CARING FOR CHILDREN
9: Physical Assessment of Children
10: Emergency Care of the Child
11: The Ill Child in the Hospital and Other Care Settings
12: The Child With a Chronic Condition or Terminal Illness
13: Principles and Procedures for Nursing Care of Children
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14: Medication Administration and Safety for Infants and Children
15: Pain Management for Children
UNIT IV: CARING FOR CHILDREN WITH HEALTH PROBLEMS
16: The Child with a Fluid and Electrolyte Alteration
17: The Child with an Infectious Disease
18: The Child with an Immunologic Alteration
19: The Child With a Gastrointestinal Alteration
20: The Child With a Genitourinary Alteration
21: This Child with a Respiratory Alteration
22: The Child With a Cardiovascular Alteration
23: The Child With a Hematologic Alteration
24: The Child with Cancer
25: The Child with Major Alterations in Tissue Integrity
26: The Child With a Musculoskeletal Alteration
27: The Child With an Endocrine or Metabolic Alteration
28: The Child with an Neurologic Alteration
29: Problems in Children and Families
30: The Child With a Developmental Disability
31: The Child with a Sensory Alteration
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1: Introduction to Nursing Care of Children
Question 1. A nurse is caring for a patient scenario related to Introduction to
Nursing Care of Children. Which action is the best immediate nursing response?
A. Delay intervention until the next team huddle
B. Use unit protocol and verify patient-specific risk factors
C. Ask unlicensed staff to decide the priority
D. Document first and assess later
✅ Correct Answer: B. Use unit protocol and verify patient-specific risk factors
Rationale: Applying Introduction to Nursing Care of Children requires timely use
of protocol plus patient-specific assessment to reduce harm and improve outcomes.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 1]
MSC: NCLEX Client Needs Category: [Safe and Effective Care Environment]
Question 2. During bedside handoff, a concern linked to Introduction to Nursing
Care of Children is identified. What should the nurse do first?
A. Clarify the concern with closed-loop communication
B. Wait for the provider round before speaking
C. Remove the concern from report to avoid alarm
D. Escalate directly to administration without assessment
✅ Correct Answer: A. Clarify the concern with closed-loop communication
Rationale: Closed-loop clarification prevents information loss and supports safe,
coordinated action.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 2]
MSC: NCLEX Client Needs Category: [Management of Care]
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Question 3. A newly admitted patient has a risk profile that may worsen outcomes
unless Introduction to Nursing Care of Children principles are used. Which
intervention is priority?
A. Implement standardized screening and reassess at defined intervals
B. Rely on memory instead of checklists
C. Postpone care plan updates until discharge
D. Use a one-size-fits-all intervention
✅ Correct Answer: A. Implement standardized screening and reassess at defined
intervals
Rationale: Standardized screening and scheduled reassessment identify
deterioration early and guide individualized care.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 3]
MSC: NCLEX Client Needs Category: [Safety and Infection Control]
Question 4. The charge nurse audits practice on a unit focus related to Introduction
to Nursing Care of Children. Which finding indicates best practice?
A. Variation in care despite identical indications
B. Use of evidence-based bundle elements with documentation
C. No discussion of near misses
D. Frequent workarounds around safety checks
✅ Correct Answer: B. Use of evidence-based bundle elements with documentation
Rationale: Consistent use of evidence-based bundle elements is linked to better
reliability and safer outcomes.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 4]
MSC: NCLEX Client Needs Category: [Health Promotion and Maintenance]
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Question 5. A nurse must choose between two tasks while applying Introduction to
Nursing Care of Children. Which task should be completed first?
A. Nonurgent teaching for a stable patient
B. Assessment of a patient with new high-risk symptoms
C. Routine stock check
D. Optional committee email
✅ Correct Answer: B. Assessment of a patient with new high-risk symptoms
Rationale: Prioritization under Introduction to Nursing Care of Children
emphasizes immediate assessment of high-risk changes before nonurgent activities.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 5]
MSC: NCLEX Client Needs Category: [Psychosocial Integrity]
Question 6. A patient/family asks why a specific safety step is needed under
Introduction to Nursing Care of Children. What is the best response?
A. "It is just unit habit."
B. "This step lowers preventable harm and helps us detect problems early."
C. "You do not need to know details."
D. "We only do it for legal reasons."
✅ Correct Answer: B. "This step lowers preventable harm and helps us detect
problems early."
Rationale: Clear patient-centered explanation improves engagement and adherence
while reinforcing safety purpose.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 6]
MSC: NCLEX Client Needs Category: [Physiological Integrity]
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Question 7. In a debrief about a near miss involving Introduction to Nursing Care
of Children, which nurse statement reflects systems thinking?
A. "The individual is solely to blame."
B. "Let us map process gaps and latent conditions that allowed the error."
C. "Near misses are not worth reviewing."
D. "Punishment is the only effective fix."
✅ Correct Answer: B. "Let us map process gaps and latent conditions that allowed
the error."
Rationale: Systems analysis targets process defects and latent risks, producing
sustainable improvement.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 7]
MSC: NCLEX Client Needs Category: [Reduction of Risk Potential]
Question 8. A nurse is precepting a novice on Introduction to Nursing Care of
Children. Which teaching point is most accurate?
A. Standardization limits clinical judgment
B. Standardization supports judgment by reducing avoidable variation
C. Documentation is optional when care is obvious
D. Escalation should wait until shift end
✅ Correct Answer: B. Standardization supports judgment by reducing avoidable
variation
Rationale: Reliable standards reduce variation and cognitive load so clinical
judgment can focus on patient-specific needs.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 8]
MSC: NCLEX Client Needs Category: [Pharmacological and Parenteral Therapies]
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Question 9. When applying Introduction to Nursing Care of Children in a high-
acuity setting, which indicator most strongly suggests risk escalation?
A. Stable trends over 24 hours
B. New abnormal vital-sign trend with delayed response
C. Completed admission checklist
D. Family satisfaction with meals
✅ Correct Answer: B. New abnormal vital-sign trend with delayed response
Rationale: Unaddressed abnormal trends indicate potential deterioration and
require urgent escalation.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 9]
MSC: NCLEX Client Needs Category: [Safe and Effective Care Environment]
Question 10. A quality dashboard for Introduction to Nursing Care of Children is
reviewed. Which metric is most actionable for frontline nursing improvement?
A. A broad annual mission statement
B. Unit-level process compliance linked to outcomes
C. Hospital parking utilization
D. Number of decorative posters
✅ Correct Answer: B. Unit-level process compliance linked to outcomes
Rationale: Frontline teams can act on process measures tied to outcomes to
improve reliability.
DIF: [Applying]
TOP: [Introduction to Nursing Care of Children/Core concept 10]
MSC: NCLEX Client Needs Category: [Management of Care]
