NURS 328 Pediatric Health Concepts Final Exam 2026 UPDA… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NURS 328 Pediatric Health Concepts Final Exam
2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NURS 328 Pediatric Health Concepts Final Exam 2026 UPDA… 2026 Update • Verified Answers
Questions & Verified Answers
1. A 6-month-old infant’s birth weight was 7 pounds. The nurse should expect the infant to
weigh approximately how much now?
A. 10 pounds
B. 28 pounds
C. 21 pounds
D. 14 pounds
Answer: D
Rationale: An infant’s birth weight typically doubles by 6 months of age and triples by 12 months. Exam
questions often test the ability to distinguish this concept from closely related distractors, making a clear
rationale essential for mastery. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes.
2. According to Erikson, which developmental task is primary for a 2-year-old child?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: Toddlers (1-3 years) are in the stage of Autonomy vs. Shame and Doubt, focusing on self-control
and independence. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
3. A child is admitted with suspected pyloric stenosis. Which clinical manifestation is most
characteristic of this condition?
A. Currant jelly-like stools
B. Steatorrhea
C. Projectile vomiting after feeding
D. Ribbon-like stools
Answer: C
Rationale: Pyloric stenosis is characterized by projectile, non-bilious vomiting due to the hypertrophied pyloric
muscle. This is an important clinical concept because selecting the correct answer (C) requires understanding
both the pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NURS 328 Pediatric Health Concepts Final Exam 2026 UPDA… 2026 Update • Verified Answers
4. A nurse is assessing a child with Tetralogy of Fallot who suddenly becomes cyanotic and
dyspneic. Which position should the nurse place the child in?
A. Prone
B. Semi-Fowler’s
C. Knee-chest
D. Supine
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, reducing the right-to-left shunt and
improving oxygenation during a ‘Tet spell’. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
5. What is the most appropriate action for a nurse when a child is having a tonic-clonic seizure?
A. Insert a padded tongue blade in the mouth
B. Place the child in a side-lying position
C. Restrain the child’s limbs to prevent injury
D. Administer oral glucose immediately
Answer: B
Rationale: Placing the child in a side-lying position maintains a patent airway and prevents aspiration during a
seizure. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
6. A child with cystic fibrosis is prescribed pancreatic enzymes. When should the nurse
administer these?
A. Once daily in the morning
B. Only when the child has fatty stools
C. Two hours after meals
D. Before or with every meal and snack
Answer: D
Rationale: Pancreatic enzymes must be taken with all meals and snacks to facilitate the digestion and
absorption of nutrients. Recognizing this principle allows the nurse to prioritize care, anticipate complications,
and provide accurate patient education. Exam questions often test the ability to distinguish this concept from
closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NURS 328 Pediatric Health Concepts Final Exam
2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NURS 328 Pediatric Health Concepts Final Exam 2026 UPDA… 2026 Update • Verified Answers
Questions & Verified Answers
1. A 6-month-old infant’s birth weight was 7 pounds. The nurse should expect the infant to
weigh approximately how much now?
A. 10 pounds
B. 28 pounds
C. 21 pounds
D. 14 pounds
Answer: D
Rationale: An infant’s birth weight typically doubles by 6 months of age and triples by 12 months. Exam
questions often test the ability to distinguish this concept from closely related distractors, making a clear
rationale essential for mastery. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes.
2. According to Erikson, which developmental task is primary for a 2-year-old child?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: Toddlers (1-3 years) are in the stage of Autonomy vs. Shame and Doubt, focusing on self-control
and independence. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
3. A child is admitted with suspected pyloric stenosis. Which clinical manifestation is most
characteristic of this condition?
A. Currant jelly-like stools
B. Steatorrhea
C. Projectile vomiting after feeding
D. Ribbon-like stools
Answer: C
Rationale: Pyloric stenosis is characterized by projectile, non-bilious vomiting due to the hypertrophied pyloric
muscle. This is an important clinical concept because selecting the correct answer (C) requires understanding
both the pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NURS 328 Pediatric Health Concepts Final Exam 2026 UPDA… 2026 Update • Verified Answers
4. A nurse is assessing a child with Tetralogy of Fallot who suddenly becomes cyanotic and
dyspneic. Which position should the nurse place the child in?
A. Prone
B. Semi-Fowler’s
C. Knee-chest
D. Supine
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, reducing the right-to-left shunt and
improving oxygenation during a ‘Tet spell’. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
5. What is the most appropriate action for a nurse when a child is having a tonic-clonic seizure?
A. Insert a padded tongue blade in the mouth
B. Place the child in a side-lying position
C. Restrain the child’s limbs to prevent injury
D. Administer oral glucose immediately
Answer: B
Rationale: Placing the child in a side-lying position maintains a patent airway and prevents aspiration during a
seizure. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
6. A child with cystic fibrosis is prescribed pancreatic enzymes. When should the nurse
administer these?
A. Once daily in the morning
B. Only when the child has fatty stools
C. Two hours after meals
D. Before or with every meal and snack
Answer: D
Rationale: Pancreatic enzymes must be taken with all meals and snacks to facilitate the digestion and
absorption of nutrients. Recognizing this principle allows the nurse to prioritize care, anticipate complications,
and provide accurate patient education. Exam questions often test the ability to distinguish this concept from
closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
