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NR 328 PEDIATRIC NURSING EXAM SUCCESS:
400+ COMPLETE PRACTICE QUESTIONS &
ANSWERS WITH DETAILED RATIONALES | A+
SOLUTIONS GUARANTEED | UPDATED FOR
2026-2027 ACADEMIC YEAR | ALIGNED WITH
LATEST NCLEX-RN & CURRICULUM
GUIDELINES | 100% VERIFIED | GRADED A+
# SECTION A: FOUNDATIONS OF PEDIATRIC NURSING & FAMILY-CENTERED CARE
## Question 1
A nurse is caring for a 7-year-old child who is hospitalized for an acute asthma exacerbation. The
child's parents are divorced and share joint legal custody. The mother brings the child to the
hospital, but the father arrives later and requests to see the child's medical records. Which action
by the nurse is most appropriate?
A. Allow the father to view the records since he has joint legal custody
B. Deny the father access until the mother provides written consent
C. Require the father to obtain a court order before accessing the records
D. Provide the father with a summary of the child's condition but not the full record
**Correct Answer: A**
**Rationale:** When parents share joint legal custody, both parents have equal rights to access
their child's medical records unless there is a court order restricting one parent's access. The
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nurse should verify the custody arrangement and allow the father access to the records. Family-
centered care emphasizes collaboration with all family members involved in the child's care.
**Distractor Analysis:**
- **B:** Incorrect. Requiring maternal consent for paternal access is not legally required when
joint legal custody exists and may violate the father's parental rights.
- **C:** Incorrect. A court order is not necessary unless there are specific legal restrictions
documented in the custody agreement.
- **D:** Incorrect. Providing only a summary while withholding the full record is not
appropriate when the father has equal legal rights to access.
---
## Question 2
A nurse is admitting a 4-year-old child to the pediatric unit. Which action best demonstrates the
implementation of atraumatic care principles?
A. Performing all procedures in the treatment room away from the child's bed
B. Allowing the child to remain in their hospital gown throughout the admission
C. Encouraging the parents to stay with the child during the admission process
D. Completing the admission assessment quickly without interrupting the child's play
**Correct Answer: C**
**Rationale:** Atraumatic care is therapeutic care that minimizes or prevents physical and
psychological distress for children and their families. Key principles include preventing or
minimizing the child's separation from the family, promoting a sense of control, and preventing
or minimizing bodily injury and pain. Allowing parents to stay with the child during admission
reduces anxiety and supports family-centered care.
,Page 3 of 329
**Distractor Analysis:**
- **A:** Incorrect. Performing procedures in a treatment room separates the child from parents
and the familiar environment, which increases anxiety and contradicts atraumatic care principles.
- **B:** Incorrect. Allowing the child to remain in a hospital gown without providing
opportunities for familiar clothing does not promote a sense of control or normalcy.
- **D:** Incorrect. Rushing through the assessment may increase the child's anxiety and does
not allow for therapeutic communication or building trust.
---
## Question 3
The nurse is teaching a group of parents about developmental milestones. Which statement by a
parent indicates a correct understanding of infant development?
A. "My 4-month-old should be able to sit without support."
B. "My 6-month-old should be able to roll from back to front."
C. "My 8-month-old should be able to walk with assistance."
D. "My 10-month-old should be able to feed himself with a spoon."
**Correct Answer: B**
**Rationale:** At 6 months of age, infants typically can roll from back to front. Rolling over is a
gross motor milestone achieved around 4-5 months. Sitting without support typically occurs
around 8 months, walking with assistance around 12 months, and self-feeding with a spoon
develops around 15-18 months.
**Distractor Analysis:**
- **A:** Incorrect. Sitting without support is an 8-month milestone, not 4 months. At 4 months,
infants can hold their head up and may sit with support.
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- **C:** Incorrect. Walking with assistance typically occurs around 12 months of age, not 8
months.
- **D:** Incorrect. Self-feeding with a spoon is a fine motor skill that develops around 15-18
months, not 10 months.
---
## Question 4
A nurse is assessing a 3-year-old child during a well-child visit. According to Erikson's theory of
psychosocial development, which behavior would the nurse expect this child to exhibit?
A. Demonstrating independence by choosing their own clothes
B. Expressing guilt when unable to complete a task
C. Showing initiative by starting a game with other children
D. Displaying mistrust when separated from parents
**Correct Answer: A**
**Rationale:** According to Erikson, the toddler stage (1-3 years) is characterized by the
conflict of Autonomy vs. Shame and Doubt. Children at this stage seek to assert their
independence and autonomy, such as by choosing their own clothes or making simple decisions.
The preschool stage (3-6 years) involves Initiative vs. Guilt.
**Distractor Analysis:**
- **B:** Incorrect. Expressing guilt when unable to complete a task is characteristic of the
Initiative vs. Guilt stage (preschool age, 3-6 years), not the toddler stage.
- **C:** Incorrect. Showing initiative by starting a game with other children is characteristic of
the Initiative vs. Guilt stage (preschool age).
- **D:** Incorrect. Displaying mistrust when separated from parents is characteristic of the Trust
vs. Mistrust stage (infancy, 0-1 year).
NR 328 PEDIATRIC NURSING EXAM SUCCESS:
400+ COMPLETE PRACTICE QUESTIONS &
ANSWERS WITH DETAILED RATIONALES | A+
SOLUTIONS GUARANTEED | UPDATED FOR
2026-2027 ACADEMIC YEAR | ALIGNED WITH
LATEST NCLEX-RN & CURRICULUM
GUIDELINES | 100% VERIFIED | GRADED A+
# SECTION A: FOUNDATIONS OF PEDIATRIC NURSING & FAMILY-CENTERED CARE
## Question 1
A nurse is caring for a 7-year-old child who is hospitalized for an acute asthma exacerbation. The
child's parents are divorced and share joint legal custody. The mother brings the child to the
hospital, but the father arrives later and requests to see the child's medical records. Which action
by the nurse is most appropriate?
A. Allow the father to view the records since he has joint legal custody
B. Deny the father access until the mother provides written consent
C. Require the father to obtain a court order before accessing the records
D. Provide the father with a summary of the child's condition but not the full record
**Correct Answer: A**
**Rationale:** When parents share joint legal custody, both parents have equal rights to access
their child's medical records unless there is a court order restricting one parent's access. The
,Page 2 of 329
nurse should verify the custody arrangement and allow the father access to the records. Family-
centered care emphasizes collaboration with all family members involved in the child's care.
**Distractor Analysis:**
- **B:** Incorrect. Requiring maternal consent for paternal access is not legally required when
joint legal custody exists and may violate the father's parental rights.
- **C:** Incorrect. A court order is not necessary unless there are specific legal restrictions
documented in the custody agreement.
- **D:** Incorrect. Providing only a summary while withholding the full record is not
appropriate when the father has equal legal rights to access.
---
## Question 2
A nurse is admitting a 4-year-old child to the pediatric unit. Which action best demonstrates the
implementation of atraumatic care principles?
A. Performing all procedures in the treatment room away from the child's bed
B. Allowing the child to remain in their hospital gown throughout the admission
C. Encouraging the parents to stay with the child during the admission process
D. Completing the admission assessment quickly without interrupting the child's play
**Correct Answer: C**
**Rationale:** Atraumatic care is therapeutic care that minimizes or prevents physical and
psychological distress for children and their families. Key principles include preventing or
minimizing the child's separation from the family, promoting a sense of control, and preventing
or minimizing bodily injury and pain. Allowing parents to stay with the child during admission
reduces anxiety and supports family-centered care.
,Page 3 of 329
**Distractor Analysis:**
- **A:** Incorrect. Performing procedures in a treatment room separates the child from parents
and the familiar environment, which increases anxiety and contradicts atraumatic care principles.
- **B:** Incorrect. Allowing the child to remain in a hospital gown without providing
opportunities for familiar clothing does not promote a sense of control or normalcy.
- **D:** Incorrect. Rushing through the assessment may increase the child's anxiety and does
not allow for therapeutic communication or building trust.
---
## Question 3
The nurse is teaching a group of parents about developmental milestones. Which statement by a
parent indicates a correct understanding of infant development?
A. "My 4-month-old should be able to sit without support."
B. "My 6-month-old should be able to roll from back to front."
C. "My 8-month-old should be able to walk with assistance."
D. "My 10-month-old should be able to feed himself with a spoon."
**Correct Answer: B**
**Rationale:** At 6 months of age, infants typically can roll from back to front. Rolling over is a
gross motor milestone achieved around 4-5 months. Sitting without support typically occurs
around 8 months, walking with assistance around 12 months, and self-feeding with a spoon
develops around 15-18 months.
**Distractor Analysis:**
- **A:** Incorrect. Sitting without support is an 8-month milestone, not 4 months. At 4 months,
infants can hold their head up and may sit with support.
, Page 4 of 329
- **C:** Incorrect. Walking with assistance typically occurs around 12 months of age, not 8
months.
- **D:** Incorrect. Self-feeding with a spoon is a fine motor skill that develops around 15-18
months, not 10 months.
---
## Question 4
A nurse is assessing a 3-year-old child during a well-child visit. According to Erikson's theory of
psychosocial development, which behavior would the nurse expect this child to exhibit?
A. Demonstrating independence by choosing their own clothes
B. Expressing guilt when unable to complete a task
C. Showing initiative by starting a game with other children
D. Displaying mistrust when separated from parents
**Correct Answer: A**
**Rationale:** According to Erikson, the toddler stage (1-3 years) is characterized by the
conflict of Autonomy vs. Shame and Doubt. Children at this stage seek to assert their
independence and autonomy, such as by choosing their own clothes or making simple decisions.
The preschool stage (3-6 years) involves Initiative vs. Guilt.
**Distractor Analysis:**
- **B:** Incorrect. Expressing guilt when unable to complete a task is characteristic of the
Initiative vs. Guilt stage (preschool age, 3-6 years), not the toddler stage.
- **C:** Incorrect. Showing initiative by starting a game with other children is characteristic of
the Initiative vs. Guilt stage (preschool age).
- **D:** Incorrect. Displaying mistrust when separated from parents is characteristic of the Trust
vs. Mistrust stage (infancy, 0-1 year).
