NR 328 Exam 3 Pediatric Nursing Preparation exam with verified answers and
rationales 2026/2027 version
1. A nurse is caring for a child diagnosed with Wilms tumor. Which action
should the nurse avoid?
A. Monitoring vital signs
B. Palpating the abdomen frequently
C. Providing emotional support
D. Monitoring urine output
Correct Answer: B
Rationale: The abdomen should not be palpated in a child with Wilms tumor because pressure
may rupture the tumor and increase the risk of spreading cancer cells.
2. A child diagnosed with neuroblastoma most commonly has a tumor
originating from which area?
A. Liver
B. Adrenal gland
C. Lung tissue
D. Intestine
Correct Answer: B
Rationale: Neuroblastoma develops from immature nerve cells of the sympathetic nervous
system and commonly originates in the adrenal glands.
3. A child receiving chemotherapy is at increased risk for infection because of:
A. Increased platelet production
B. Decreased immune function
C. Increased red blood cell production
D. Increased calcium levels
Correct Answer: B
Rationale: Chemotherapy suppresses bone marrow function, reducing white blood cells needed
to fight infection.
,4. A nurse is caring for a pediatric patient with neutropenia. Which intervention
is the priority?
A. Encourage large groups of visitors
B. Monitor for signs of infection
C. Provide uncooked fruits and vegetables
D. Avoid checking temperature
Correct Answer: B
Rationale: Neutropenic children have reduced infection-fighting ability and require close
monitoring for infection.
5. A nurse suspects osteosarcoma in a child who reports persistent pain in the:
A. Long bones
B. Abdomen
C. Neck muscles
D. Intestinal area
Correct Answer: A
Rationale: Osteosarcoma is a malignant bone tumor commonly affecting the long bones,
especially near the knee.
6. A child recovering after an amputation reports feeling pain in the missing
limb. The nurse recognizes this as:
A. Phantom limb pain
B. Infection
C. Wound separation
D. Normal growth pain
Correct Answer: A
Rationale: Phantom limb pain occurs when the child experiences sensations or pain from a limb
that has been removed.
, 7. A child with growth hormone deficiency is expected to demonstrate:
A. Short stature
B. Excessive height
C. Rapid weight loss
D. Early puberty
Correct Answer: A
Rationale: Growth hormone deficiency causes slowed growth and short stature.
8. Growth hormone replacement therapy is usually administered by:
A. Oral medication
B. Subcutaneous injection
C. Intravenous infusion
D. Inhalation therapy
Correct Answer: B
Rationale: Growth hormone is commonly given as a subcutaneous injection.
9. A child with hypothyroidism may exhibit which finding?
A. Fatigue and cold intolerance
B. Increased energy
C. Weight loss
D. Rapid heartbeat
Correct Answer: A
Rationale: Low thyroid hormone levels decrease metabolism, causing fatigue, slowed growth,
and sensitivity to cold.
10. The nurse teaching parents of a child with hypothyroidism should emphasize:
A. Taking medication consistently
B. Stopping medication when symptoms improve
C. Avoiding follow-up appointments
D. Changing doses without instructions
rationales 2026/2027 version
1. A nurse is caring for a child diagnosed with Wilms tumor. Which action
should the nurse avoid?
A. Monitoring vital signs
B. Palpating the abdomen frequently
C. Providing emotional support
D. Monitoring urine output
Correct Answer: B
Rationale: The abdomen should not be palpated in a child with Wilms tumor because pressure
may rupture the tumor and increase the risk of spreading cancer cells.
2. A child diagnosed with neuroblastoma most commonly has a tumor
originating from which area?
A. Liver
B. Adrenal gland
C. Lung tissue
D. Intestine
Correct Answer: B
Rationale: Neuroblastoma develops from immature nerve cells of the sympathetic nervous
system and commonly originates in the adrenal glands.
3. A child receiving chemotherapy is at increased risk for infection because of:
A. Increased platelet production
B. Decreased immune function
C. Increased red blood cell production
D. Increased calcium levels
Correct Answer: B
Rationale: Chemotherapy suppresses bone marrow function, reducing white blood cells needed
to fight infection.
,4. A nurse is caring for a pediatric patient with neutropenia. Which intervention
is the priority?
A. Encourage large groups of visitors
B. Monitor for signs of infection
C. Provide uncooked fruits and vegetables
D. Avoid checking temperature
Correct Answer: B
Rationale: Neutropenic children have reduced infection-fighting ability and require close
monitoring for infection.
5. A nurse suspects osteosarcoma in a child who reports persistent pain in the:
A. Long bones
B. Abdomen
C. Neck muscles
D. Intestinal area
Correct Answer: A
Rationale: Osteosarcoma is a malignant bone tumor commonly affecting the long bones,
especially near the knee.
6. A child recovering after an amputation reports feeling pain in the missing
limb. The nurse recognizes this as:
A. Phantom limb pain
B. Infection
C. Wound separation
D. Normal growth pain
Correct Answer: A
Rationale: Phantom limb pain occurs when the child experiences sensations or pain from a limb
that has been removed.
, 7. A child with growth hormone deficiency is expected to demonstrate:
A. Short stature
B. Excessive height
C. Rapid weight loss
D. Early puberty
Correct Answer: A
Rationale: Growth hormone deficiency causes slowed growth and short stature.
8. Growth hormone replacement therapy is usually administered by:
A. Oral medication
B. Subcutaneous injection
C. Intravenous infusion
D. Inhalation therapy
Correct Answer: B
Rationale: Growth hormone is commonly given as a subcutaneous injection.
9. A child with hypothyroidism may exhibit which finding?
A. Fatigue and cold intolerance
B. Increased energy
C. Weight loss
D. Rapid heartbeat
Correct Answer: A
Rationale: Low thyroid hormone levels decrease metabolism, causing fatigue, slowed growth,
and sensitivity to cold.
10. The nurse teaching parents of a child with hypothyroidism should emphasize:
A. Taking medication consistently
B. Stopping medication when symptoms improve
C. Avoiding follow-up appointments
D. Changing doses without instructions
