NR 328 Peds Practice Exam
NR 328: Pediatric Nursing
QUESTIONS AND CORRECT ANSWERS
Growth & Development
1. A nurse is assessing a 6-month-old. Which finding requires follow-up?
A. Birth weight has doubled
B. Infant cannot sit unsupported
C. Absence of a Moro reflex
D. Infant babbles and imitates sounds
2. According to Erikson, the primary psychosocial task of toddlerhood (1-3 years) is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
3. A toddler exhibits parallel play. The nurse explains to the parent that this means the child:
A. Plays cooperatively with rules
B. Plays alone but near other children using similar toys
C. Watches others play without participating
D. Plays imaginary games with invisible friends
4. Which toy is most appropriate for a 9-month-old infant?
A. Small building blocks less than 1 inch
B. Soft stacking rings too large to swallow
C. Balloons for batting practice
D. Marbles in a shaker toy
5. A 2-year-old's language development is best evaluated by which finding?
A. Uses 2-3 word phrases and ~50% intelligible to strangers
B. Speaks in full grammatically correct sentences
C. Uses only single words
D. Has a vocabulary of 1,000+ words
6. The nurse expects which fine motor skill in a 12-month-old?
A. Neat pincer grasp to pick up small objects
B. Ability to copy a circle
C. Ability to use scissors
D. Ability to button a shirt
7. Object permanence, per Piaget, develops during which stage?
1
, NR 328 Peds Practice Exam
A. Sensorimotor (birth-2 years)
B. Preoperational (2-7 years)
C. Concrete operational (7-11 years)
D. Formal operational (11+ years)
8. A preschooler (3-6 years) is most likely to interpret illness or hospitalization as:
A. A natural biological process
B. Punishment for bad behavior (magical thinking)
C. An abstract concept they don't yet notice
D. Something explainable through logical cause and effect
9. The school-age child's (6-12 years) major developmental task, per Erikson, is:
A. Identity vs. role confusion
B. Industry vs. inferiority
C. Autonomy vs. shame and doubt
D. Generativity vs. stagnation
10. Which statement about adolescent development (Erikson: identity vs. role confusion) is most accurate?
A. Peer group influence decreases significantly
B. Body image and peer acceptance are central concerns
C. Abstract thinking is not yet present
D. Adolescents prefer parental involvement over privacy
11. An infant's anterior fontanel normally closes by what age?
A. 2-3 months
B. 6-8 months
C. 12-18 months
D. 3 years
12. A nurse is teaching a parent about introducing solid foods. Appropriate teaching includes:
A. Begin solids at 1 month of age
B. Introduce single-ingredient foods one at a time, waiting several days between new foods
C. Start with citrus fruits and cow's milk
D. Offer honey to sweeten cereal
13. Which is an expected finding for a 4-year-old's gross motor development?
A. Hops on one foot and skips somewhat
B. Walks up stairs one foot at a time only
C. Cannot yet pedal a tricycle
D. Unable to throw a ball overhand
14. The nurse recognizes separation anxiety is most intense in which age group?
A. Newborns (0-1 month)
B. Toddlers (6-30 months)
C. School-age (6-12 years)
D. Adolescents (12-18 years)
15. Which developmental milestone would be expected in a healthy 15-month-old?
A. Walks independently
B. Runs well without falling
C. Rides a tricycle
D. Ties own shoes
2
, NR 328 Peds Practice Exam
Health Promotion & Immunizations
16. A nurse is preparing to administer the MMR vaccine to a 12-month-old. Which is a contraindication?
A. Mild upper respiratory infection without fever
B. Severe allergic reaction to a previous dose of MMR or its components
C. Current antibiotic therapy for otitis media
D. Family history of seasonal allergies
17. Live attenuated vaccines (e.g., MMR, varicella) should generally be avoided in which population?
A. Healthy toddlers
B. Immunocompromised children
C. Adolescents
D. Children with a cold
18. A parent asks when the first dose of Hepatitis B vaccine should be given. The nurse responds:
A. At 6 months of age
B. At 2 months of age
C. Within 24 hours of birth
D. At 12 months of age
19. The nurse is teaching about lead poisoning prevention. Which population is at greatest risk?
A. Adolescents living in new construction
B. Toddlers living in homes built before 1978 with peeling paint
C. School-age children who eat a balanced diet
D. Infants who are exclusively breastfed
20. Which is an appropriate car seat safety teaching point for an infant?
A. Rear-facing until at least age 2 or per seat's weight/height limit
B. Forward-facing starting at 6 months
C. Booster seat only after age 1
D. Seat belt alone is sufficient after age 2
21. A nurse teaches a parent about anticipatory guidance for a 6-month-old. Priority safety teaching includes:
A. Water safety and drowning prevention as the infant becomes mobile
B. Teaching the child to use scissors safely
C. Discussing driving safety for adolescents
D. Reviewing internet safety rules
22. Which snack is most appropriate to reduce choking risk in a toddler?
A. Whole grapes
B. Popcorn
C. Sliced grapes cut into quarters
D. Hard candy
23. The nurse counsels parents that the recommended screen time for children under 18-24 months is:
A. Unlimited as long as educational
B. Discouraged except for video chatting
C. At least 2 hours daily
D. Only during meals
24. A school nurse is planning an obesity prevention program. Which is most effective for school-age children?
A. Restrictive dieting
B. Encouraging at least 60 minutes of physical activity daily and limiting sugary drinks
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, NR 328 Peds Practice Exam
C. Skipping breakfast to reduce caloric intake
D. Eliminating all fats from the diet
25. Which statement by a parent indicates a need for further teaching about immunization schedules?
A. "My child can get several vaccines at the same visit."
B. "If we miss a dose, we have to restart the whole series."
C. "Mild fever after vaccination can be treated with acetaminophen."
D. "I should bring the vaccine record to every well-child visit."
4
NR 328: Pediatric Nursing
QUESTIONS AND CORRECT ANSWERS
Growth & Development
1. A nurse is assessing a 6-month-old. Which finding requires follow-up?
A. Birth weight has doubled
B. Infant cannot sit unsupported
C. Absence of a Moro reflex
D. Infant babbles and imitates sounds
2. According to Erikson, the primary psychosocial task of toddlerhood (1-3 years) is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
3. A toddler exhibits parallel play. The nurse explains to the parent that this means the child:
A. Plays cooperatively with rules
B. Plays alone but near other children using similar toys
C. Watches others play without participating
D. Plays imaginary games with invisible friends
4. Which toy is most appropriate for a 9-month-old infant?
A. Small building blocks less than 1 inch
B. Soft stacking rings too large to swallow
C. Balloons for batting practice
D. Marbles in a shaker toy
5. A 2-year-old's language development is best evaluated by which finding?
A. Uses 2-3 word phrases and ~50% intelligible to strangers
B. Speaks in full grammatically correct sentences
C. Uses only single words
D. Has a vocabulary of 1,000+ words
6. The nurse expects which fine motor skill in a 12-month-old?
A. Neat pincer grasp to pick up small objects
B. Ability to copy a circle
C. Ability to use scissors
D. Ability to button a shirt
7. Object permanence, per Piaget, develops during which stage?
1
, NR 328 Peds Practice Exam
A. Sensorimotor (birth-2 years)
B. Preoperational (2-7 years)
C. Concrete operational (7-11 years)
D. Formal operational (11+ years)
8. A preschooler (3-6 years) is most likely to interpret illness or hospitalization as:
A. A natural biological process
B. Punishment for bad behavior (magical thinking)
C. An abstract concept they don't yet notice
D. Something explainable through logical cause and effect
9. The school-age child's (6-12 years) major developmental task, per Erikson, is:
A. Identity vs. role confusion
B. Industry vs. inferiority
C. Autonomy vs. shame and doubt
D. Generativity vs. stagnation
10. Which statement about adolescent development (Erikson: identity vs. role confusion) is most accurate?
A. Peer group influence decreases significantly
B. Body image and peer acceptance are central concerns
C. Abstract thinking is not yet present
D. Adolescents prefer parental involvement over privacy
11. An infant's anterior fontanel normally closes by what age?
A. 2-3 months
B. 6-8 months
C. 12-18 months
D. 3 years
12. A nurse is teaching a parent about introducing solid foods. Appropriate teaching includes:
A. Begin solids at 1 month of age
B. Introduce single-ingredient foods one at a time, waiting several days between new foods
C. Start with citrus fruits and cow's milk
D. Offer honey to sweeten cereal
13. Which is an expected finding for a 4-year-old's gross motor development?
A. Hops on one foot and skips somewhat
B. Walks up stairs one foot at a time only
C. Cannot yet pedal a tricycle
D. Unable to throw a ball overhand
14. The nurse recognizes separation anxiety is most intense in which age group?
A. Newborns (0-1 month)
B. Toddlers (6-30 months)
C. School-age (6-12 years)
D. Adolescents (12-18 years)
15. Which developmental milestone would be expected in a healthy 15-month-old?
A. Walks independently
B. Runs well without falling
C. Rides a tricycle
D. Ties own shoes
2
, NR 328 Peds Practice Exam
Health Promotion & Immunizations
16. A nurse is preparing to administer the MMR vaccine to a 12-month-old. Which is a contraindication?
A. Mild upper respiratory infection without fever
B. Severe allergic reaction to a previous dose of MMR or its components
C. Current antibiotic therapy for otitis media
D. Family history of seasonal allergies
17. Live attenuated vaccines (e.g., MMR, varicella) should generally be avoided in which population?
A. Healthy toddlers
B. Immunocompromised children
C. Adolescents
D. Children with a cold
18. A parent asks when the first dose of Hepatitis B vaccine should be given. The nurse responds:
A. At 6 months of age
B. At 2 months of age
C. Within 24 hours of birth
D. At 12 months of age
19. The nurse is teaching about lead poisoning prevention. Which population is at greatest risk?
A. Adolescents living in new construction
B. Toddlers living in homes built before 1978 with peeling paint
C. School-age children who eat a balanced diet
D. Infants who are exclusively breastfed
20. Which is an appropriate car seat safety teaching point for an infant?
A. Rear-facing until at least age 2 or per seat's weight/height limit
B. Forward-facing starting at 6 months
C. Booster seat only after age 1
D. Seat belt alone is sufficient after age 2
21. A nurse teaches a parent about anticipatory guidance for a 6-month-old. Priority safety teaching includes:
A. Water safety and drowning prevention as the infant becomes mobile
B. Teaching the child to use scissors safely
C. Discussing driving safety for adolescents
D. Reviewing internet safety rules
22. Which snack is most appropriate to reduce choking risk in a toddler?
A. Whole grapes
B. Popcorn
C. Sliced grapes cut into quarters
D. Hard candy
23. The nurse counsels parents that the recommended screen time for children under 18-24 months is:
A. Unlimited as long as educational
B. Discouraged except for video chatting
C. At least 2 hours daily
D. Only during meals
24. A school nurse is planning an obesity prevention program. Which is most effective for school-age children?
A. Restrictive dieting
B. Encouraging at least 60 minutes of physical activity daily and limiting sugary drinks
3
, NR 328 Peds Practice Exam
C. Skipping breakfast to reduce caloric intake
D. Eliminating all fats from the diet
25. Which statement by a parent indicates a need for further teaching about immunization schedules?
A. "My child can get several vaccines at the same visit."
B. "If we miss a dose, we have to restart the whole series."
C. "Mild fever after vaccination can be treated with acetaminophen."
D. "I should bring the vaccine record to every well-child visit."
4
