1 | Page
NURS 328 Exam #1 Questions and
Answers Latest 2026
What is the current focus in pediatric care?
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion Ans: b. Health promotion and
disease prevention
An experienced pediatric nurse will understand which
one of following techniques as the best one to deal with
the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent. Ans: c. Provide limited
choices for the child.
One of the primary reasons for monitoring the toddler's
activities and intervening to prevent accidental injury is
that:
© 2025 All rights reserved
, 2 | Page
A. Toddlers have oppositional defiant behavior and
negativism
B. Toddlers do not understand the concept of "cause and
effect," so explaining that certain actions will result in
serious injury is useless
C. Toddlers will often listen to reasoning about why an
activity should be avoided
D. Toddlers enjoy making their parents worry about their
safety and like to see the parents' reactions to the
behavior Ans: B. Toddlers do not understand the concept
of "cause and effect," so explaining that certain actions
will result in serious injury is useless
One indication that the toddler is ready to begin toilet
training is:
A. Child recognizes urge to void and is able to
communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and
undresssing self
D. Child asks parent to have wet or soiled diaper changed
Ans: A. Child recognizes urge to void and is able to
communicate this sensation to the parent
A common cause of accidental death in children ages 1 to
19 years involves motor vehicle crashes. Evidence from
© 2025 All rights reserved
, 3 | Page
test crashes indicates that the safest action to prevent
accidental deaths in toddlers includes:
A. Placing the child in a rear-facing weight-appropriate
car restraint seat until the child has outgrown the car
seat manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-
shoulder seat restraint to avoid emotional outbursts
C. Allowing the child to ride in a forward-facing booster
restraint seat after 12 months of age
D. Placing the child in the regular seat using the lap-
shoulder belt as long as the child weighs at least 45
pounds Ans: A. Placing the child in a rear-facing weight-
appropriate car restraint seat until the child has
outgrown the car seat manufacturer's height and weight
recommendations
A mother brings her 3-year-old daughter to the well-child
clinic and expresses concern that the child's behavior is
worrisome and possibly requires therapy or medication
at minimum. The mother further explains that the child
constantly responds to the mother's simple requests with
a "no" answer even though the activity has been a favorite
in the recent past. Furthermore, the child has had an
increase in the number of temper tantrums at bedtime
and refuses to go to bed. The mother is afraid her
daughter will hurt herself during a temper tantrum
because she holds her breath until the mother picks her
up and gives in to her request. The nurse's best response
to the mother is that:
© 2025 All rights reserved
, 4 | Page
A. The child probably would benefit from some
counseling with a trained therapist.
B. The mother and father should evaluate their
childrearing practices.
C. The child's behavior is normal for a toddler and may
represent frustration with contr Ans: C. The child's
behavior is normal for a toddler and may represent
frustration with control of her emotions; further
exploration of events surrounding temper tantrums and
possible interventions should be explored.
Toddlers are often known to be finicky eaters and may
exhibit abnormal eating patterns that may concern
parents. Which of the following actions for feeding
toddlers should be suggested so adequate amounts of
nutrients for growth and development are consumed?
Select all that apply.
A. Avoid placing large food portions on the toddler's
plate
B. Allow the child to graze on nutritious (not "junk" food)
snacks during the day
C. Insist that the child sit at the table until all persons
have completed their meals
D. Allow the child to make certain food choices (within
reasonable limits)—for example, "Would you like a half
peanut butter or ham sandwich?"
© 2025 All rights reserved
NURS 328 Exam #1 Questions and
Answers Latest 2026
What is the current focus in pediatric care?
a. Disease management
b. Health promotion and disease prevention
c. Anticipatory guidance and disease prevention
d. Health promotion Ans: b. Health promotion and
disease prevention
An experienced pediatric nurse will understand which
one of following techniques as the best one to deal with
the negativism of the toddler?
a. Quietly and calmly ask the child to comply.
b. Provide no choices for the child.
c. Provide limited choices for the child.
d. Remain serious and intent. Ans: c. Provide limited
choices for the child.
One of the primary reasons for monitoring the toddler's
activities and intervening to prevent accidental injury is
that:
© 2025 All rights reserved
, 2 | Page
A. Toddlers have oppositional defiant behavior and
negativism
B. Toddlers do not understand the concept of "cause and
effect," so explaining that certain actions will result in
serious injury is useless
C. Toddlers will often listen to reasoning about why an
activity should be avoided
D. Toddlers enjoy making their parents worry about their
safety and like to see the parents' reactions to the
behavior Ans: B. Toddlers do not understand the concept
of "cause and effect," so explaining that certain actions
will result in serious injury is useless
One indication that the toddler is ready to begin toilet
training is:
A. Child recognizes urge to void and is able to
communicate this sensation to the parent
B. Child is able to stay dry all night
C. Child demonstrates mastery of dressing and
undresssing self
D. Child asks parent to have wet or soiled diaper changed
Ans: A. Child recognizes urge to void and is able to
communicate this sensation to the parent
A common cause of accidental death in children ages 1 to
19 years involves motor vehicle crashes. Evidence from
© 2025 All rights reserved
, 3 | Page
test crashes indicates that the safest action to prevent
accidental deaths in toddlers includes:
A. Placing the child in a rear-facing weight-appropriate
car restraint seat until the child has outgrown the car
seat manufacturer's height and weight recommendations
B. Allowing the child to ride in the front seat with a lap-
shoulder seat restraint to avoid emotional outbursts
C. Allowing the child to ride in a forward-facing booster
restraint seat after 12 months of age
D. Placing the child in the regular seat using the lap-
shoulder belt as long as the child weighs at least 45
pounds Ans: A. Placing the child in a rear-facing weight-
appropriate car restraint seat until the child has
outgrown the car seat manufacturer's height and weight
recommendations
A mother brings her 3-year-old daughter to the well-child
clinic and expresses concern that the child's behavior is
worrisome and possibly requires therapy or medication
at minimum. The mother further explains that the child
constantly responds to the mother's simple requests with
a "no" answer even though the activity has been a favorite
in the recent past. Furthermore, the child has had an
increase in the number of temper tantrums at bedtime
and refuses to go to bed. The mother is afraid her
daughter will hurt herself during a temper tantrum
because she holds her breath until the mother picks her
up and gives in to her request. The nurse's best response
to the mother is that:
© 2025 All rights reserved
, 4 | Page
A. The child probably would benefit from some
counseling with a trained therapist.
B. The mother and father should evaluate their
childrearing practices.
C. The child's behavior is normal for a toddler and may
represent frustration with contr Ans: C. The child's
behavior is normal for a toddler and may represent
frustration with control of her emotions; further
exploration of events surrounding temper tantrums and
possible interventions should be explored.
Toddlers are often known to be finicky eaters and may
exhibit abnormal eating patterns that may concern
parents. Which of the following actions for feeding
toddlers should be suggested so adequate amounts of
nutrients for growth and development are consumed?
Select all that apply.
A. Avoid placing large food portions on the toddler's
plate
B. Allow the child to graze on nutritious (not "junk" food)
snacks during the day
C. Insist that the child sit at the table until all persons
have completed their meals
D. Allow the child to make certain food choices (within
reasonable limits)—for example, "Would you like a half
peanut butter or ham sandwich?"
© 2025 All rights reserved
