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NR 328 – PEDIATRIC NURSING
MIDTERM EXAMINATION 2026-27 VERSION
100 QUESTIONS | ANSWERS & RATIONALES
SECTION 1: Growth & Development Milestones
1. A nurse assesses a 6-month-old infant. Which milestone is
most appropriate?
A. Walks independently
B. Sits with support
C. Uses two-word sentences
D. Throws a ball
Answer: B
Rationale: At 6 months, infants typically sit with support.
Walking and language milestones occur later.
2. Which gross motor skill should a nurse expect in a 12-month-
old?
A. Rolls front to back
B. Crawls
C. Walks with assistance
D. Jumps
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Answer: C
Rationale: Most 12-month-olds walk while holding onto
furniture or with assistance.
3. A toddler demonstrates parallel play. The nurse recognizes
this as typical for what age?
A. 6 months
B. 18 months
C. 3 years
D. 6 years
Answer: B
Rationale: Parallel play is characteristic of toddlers aged 18
months to 2 years.
4. Which fine motor skill should a 2-year-old exhibit?
A. Pincer grasp
B. Scribbling
C. Writing letters
D. Buttoning clothes
Answer: B
Rationale: Toddlers commonly scribble; writing letters is a
school-age skill.
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5. Which milestone indicates normal cognitive development in a
preschooler?
A. Stranger anxiety
B. Object permanence
C. Magical thinking
D. Separation anxiety
Answer: C
Rationale: Preschoolers often display magical thinking due to
immature logic.
6. A nurse assesses a school-age child. Which behavior is
expected?
A. Egocentrism
B. Cooperative play
C. Parallel play
D. Separation anxiety
Answer: B
Rationale: School-age children engage in cooperative play and
group activities.
7. Which developmental task is central during adolescence?
A. Trust vs mistrust
B. Initiative vs guilt
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C. Identity vs role confusion
D. Industry vs inferiority
Answer: C
Rationale: Adolescents focus on forming personal identity.
8. A nurse anticipates which language skill in a 4-year-old?
A. Single-word sentences
B. 2–3 word phrases
C. Complete sentences
D. Reading fluently
Answer: C
Rationale: Preschoolers can speak in full sentences.
9. Which sign indicates readiness for toilet training?
A. Age 12 months
B. Stays dry for 2 hours
C. Can crawl
D. Uses bottle
Answer: B
Rationale: Bladder control and dry periods indicate readiness.
NR 328 – PEDIATRIC NURSING
MIDTERM EXAMINATION 2026-27 VERSION
100 QUESTIONS | ANSWERS & RATIONALES
SECTION 1: Growth & Development Milestones
1. A nurse assesses a 6-month-old infant. Which milestone is
most appropriate?
A. Walks independently
B. Sits with support
C. Uses two-word sentences
D. Throws a ball
Answer: B
Rationale: At 6 months, infants typically sit with support.
Walking and language milestones occur later.
2. Which gross motor skill should a nurse expect in a 12-month-
old?
A. Rolls front to back
B. Crawls
C. Walks with assistance
D. Jumps
,2
Answer: C
Rationale: Most 12-month-olds walk while holding onto
furniture or with assistance.
3. A toddler demonstrates parallel play. The nurse recognizes
this as typical for what age?
A. 6 months
B. 18 months
C. 3 years
D. 6 years
Answer: B
Rationale: Parallel play is characteristic of toddlers aged 18
months to 2 years.
4. Which fine motor skill should a 2-year-old exhibit?
A. Pincer grasp
B. Scribbling
C. Writing letters
D. Buttoning clothes
Answer: B
Rationale: Toddlers commonly scribble; writing letters is a
school-age skill.
,3
5. Which milestone indicates normal cognitive development in a
preschooler?
A. Stranger anxiety
B. Object permanence
C. Magical thinking
D. Separation anxiety
Answer: C
Rationale: Preschoolers often display magical thinking due to
immature logic.
6. A nurse assesses a school-age child. Which behavior is
expected?
A. Egocentrism
B. Cooperative play
C. Parallel play
D. Separation anxiety
Answer: B
Rationale: School-age children engage in cooperative play and
group activities.
7. Which developmental task is central during adolescence?
A. Trust vs mistrust
B. Initiative vs guilt
, 4
C. Identity vs role confusion
D. Industry vs inferiority
Answer: C
Rationale: Adolescents focus on forming personal identity.
8. A nurse anticipates which language skill in a 4-year-old?
A. Single-word sentences
B. 2–3 word phrases
C. Complete sentences
D. Reading fluently
Answer: C
Rationale: Preschoolers can speak in full sentences.
9. Which sign indicates readiness for toilet training?
A. Age 12 months
B. Stays dry for 2 hours
C. Can crawl
D. Uses bottle
Answer: B
Rationale: Bladder control and dry periods indicate readiness.
