1
NR 328 Exam Pediatric Nursing EXAM
NR 328 Exam 3 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
A 6-year-old squirms and giggles when the nurse begins to palpate the abdomen. Which
action should the nurse implement?
Postpone the abdominal palpation until the next examination.
Place the child's hand under the examiner's hand while palpating.
Touch the abdomen firmly as the child takes short, quick breaths.
, 2
NR 328 Exam Pediatric Nursing EXAM
Press the abdomen with the child bearing down and holding the breath.
Place the child's hand under the examiner's hand while palpating.
Rationale
Placing the child's hand on the abdomen with the examiner's hand on top of the child's hand
gives the child control and reduces the sensation of tickling. Abdominal palpation is an
integral part of the physical assessment and should not be postponed.
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the
night instead of going to pick up or sooth the infant. What information should the nurse
provide the mother?
Picking up the infant in the middle of the night fosters dependency on the mother.
A sense of trust is developed in an infant when others respond to the infant's cry.
An infant is learning to manipulate others when the infant is picked up unnecessarily.
A 2-month-old who does not sleep through the night should be evaluated further.
A sense of trust is developed in an infant when others respond to the infant's cry.
Rationale
According to Erikson, a crucial element in the developmental stage of the infant is "Trust
versus mistrust", which is nurtured when the mother or the primary caregiver is responsive
and consistent in responding to the infant's needs and cries.
The nurse plans to mix a medication with food to make it more palatable for a pediatric
client. Which food should the nurse choose?
Syrup.
Applesauce.
Orange juice.
Formula or milk.
Applesauce.
Rationale
, 3
NR 328 Exam Pediatric Nursing EXAM
In order to prevent the child from developing a negative association with an essential food,
a nonessential food such as applesauce is best for mixing with medications.
How should the nurse measure the length of a 14-month-old child?
Standing height.
Prone recumbent position.
Supine recumbent position.
Side-lying position.
Supine recumbent position.
Rationale
Children younger than 24 to 36 months of age should be measured for length in the supine
position from crown to heel, known as recumbent length.
The nurse is instructing an adolescent with bulimia and a low potassium level about the risk
for complications. Which medical problem should be the focus of the nurse's instruction to
this client?
Anemia.
Cardiac arrhythmias.
Gastrointestinal reflux.
Heightened neurologic reflexes.
Cardiac arrhythmias.
Rationale
An adolescent with bulimia who purges by frequent self-induced vomiting, using diuretics, or
abusing laxatives can experience potassium depletion, which increases the risk for cardiac
arrhythmias.
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the home setting.
The family wants to begin oral feeding of the child and asks the home health nurse to orally
feed the 4-year-old baby food. What steps should be taken? (Rank in priority order.)
Explore available options.
, 4
NR 328 Exam Pediatric Nursing EXAM
Contact the healthcare provider (HCP) and discuss suggested new options for further orders
and additional discussion.
Acknowledge the request.
Explain the risk of aspiration.
1. Acknowledge the request.
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further
orders and additional discussion.
Rationale
The request for oral feeding should be acknowledged, risk of aspiration should be discussed,
and then options should be explored. These options and suggested changes must be
presented to the HCP and new orders must be written before implementation. All education
and outcomes should be thoroughly documented.
The nurse is caring for a 9-year-old female child who asks, "What does it mean when a girl
says they started their period?" How should the nurse respond?
Ask the child whether she was sexually abused.
Ascertain what the child knows about changes that a female undergoes during puberty,
then simply and factually present the information in a way that the child will understand.
Inquire where the child heard this.
Involve the child in teaching about puberty with their peers.
Ascertain what the child knows about changes that a female undergoes during puberty,
then simply and factually present the information in a way that the child will understand.
Rationale
School-age children are curious about bodily changes. Education on puberty should be
presented in an honest, factual, age-appropriate manner.
A 7-month-old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's
growth and development, which intervention is most important for the nurse to implement?
Encourage the parents to participate in a planned program of play with the infant.
NR 328 Exam Pediatric Nursing EXAM
NR 328 Exam 3 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
A 6-year-old squirms and giggles when the nurse begins to palpate the abdomen. Which
action should the nurse implement?
Postpone the abdominal palpation until the next examination.
Place the child's hand under the examiner's hand while palpating.
Touch the abdomen firmly as the child takes short, quick breaths.
, 2
NR 328 Exam Pediatric Nursing EXAM
Press the abdomen with the child bearing down and holding the breath.
Place the child's hand under the examiner's hand while palpating.
Rationale
Placing the child's hand on the abdomen with the examiner's hand on top of the child's hand
gives the child control and reduces the sensation of tickling. Abdominal palpation is an
integral part of the physical assessment and should not be postponed.
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the
night instead of going to pick up or sooth the infant. What information should the nurse
provide the mother?
Picking up the infant in the middle of the night fosters dependency on the mother.
A sense of trust is developed in an infant when others respond to the infant's cry.
An infant is learning to manipulate others when the infant is picked up unnecessarily.
A 2-month-old who does not sleep through the night should be evaluated further.
A sense of trust is developed in an infant when others respond to the infant's cry.
Rationale
According to Erikson, a crucial element in the developmental stage of the infant is "Trust
versus mistrust", which is nurtured when the mother or the primary caregiver is responsive
and consistent in responding to the infant's needs and cries.
The nurse plans to mix a medication with food to make it more palatable for a pediatric
client. Which food should the nurse choose?
Syrup.
Applesauce.
Orange juice.
Formula or milk.
Applesauce.
Rationale
, 3
NR 328 Exam Pediatric Nursing EXAM
In order to prevent the child from developing a negative association with an essential food,
a nonessential food such as applesauce is best for mixing with medications.
How should the nurse measure the length of a 14-month-old child?
Standing height.
Prone recumbent position.
Supine recumbent position.
Side-lying position.
Supine recumbent position.
Rationale
Children younger than 24 to 36 months of age should be measured for length in the supine
position from crown to heel, known as recumbent length.
The nurse is instructing an adolescent with bulimia and a low potassium level about the risk
for complications. Which medical problem should be the focus of the nurse's instruction to
this client?
Anemia.
Cardiac arrhythmias.
Gastrointestinal reflux.
Heightened neurologic reflexes.
Cardiac arrhythmias.
Rationale
An adolescent with bulimia who purges by frequent self-induced vomiting, using diuretics, or
abusing laxatives can experience potassium depletion, which increases the risk for cardiac
arrhythmias.
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the home setting.
The family wants to begin oral feeding of the child and asks the home health nurse to orally
feed the 4-year-old baby food. What steps should be taken? (Rank in priority order.)
Explore available options.
, 4
NR 328 Exam Pediatric Nursing EXAM
Contact the healthcare provider (HCP) and discuss suggested new options for further orders
and additional discussion.
Acknowledge the request.
Explain the risk of aspiration.
1. Acknowledge the request.
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further
orders and additional discussion.
Rationale
The request for oral feeding should be acknowledged, risk of aspiration should be discussed,
and then options should be explored. These options and suggested changes must be
presented to the HCP and new orders must be written before implementation. All education
and outcomes should be thoroughly documented.
The nurse is caring for a 9-year-old female child who asks, "What does it mean when a girl
says they started their period?" How should the nurse respond?
Ask the child whether she was sexually abused.
Ascertain what the child knows about changes that a female undergoes during puberty,
then simply and factually present the information in a way that the child will understand.
Inquire where the child heard this.
Involve the child in teaching about puberty with their peers.
Ascertain what the child knows about changes that a female undergoes during puberty,
then simply and factually present the information in a way that the child will understand.
Rationale
School-age children are curious about bodily changes. Education on puberty should be
presented in an honest, factual, age-appropriate manner.
A 7-month-old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's
growth and development, which intervention is most important for the nurse to implement?
Encourage the parents to participate in a planned program of play with the infant.
