NR 328
Pediatric Nursing Child Abuse and Neglect Comprehensive
Assessment
Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Chamberlain University
NR 328
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NR 328 Pediatric Nursing: Child Abuse and Neglect Comprehensive Assessment 2026/2027
UPDATED – Chamberlain College
1. A nurse is assessing a 4-month-old infant and notes several bruises on the torso. The
parent states the infant rolled off the couch. Which action is the nurse’s priority?
A. Document the size and color of the bruises.
B. Report the findings to the local child protective services agency.
C. Educate the parent on infant safety and fall prevention.
D. Perform a developmental assessment to see if the infant can roll.
Answer: B
Rationale: In an infant who is not yet mobile (‘those who don’t cruise, don’t bruise’),
bruises on the torso are highly suspicious of abuse. Mandatory reporting is the priority
whenever abuse is suspected, regardless of the parent’s explanation.
2. Which physical finding is most characteristic of a ‘stocking and glove’ immersion burn,
often associated with physical abuse?
A. Splatter marks on the edges of the burn area.
B. Variable depths of tissue damage within the burned area.
C. A sharp, clear line of demarcation between burned and healthy skin.
D. Asymmetrical patterns on the extremities.
, Answer: C
Rationale: Intentional immersion burns typically show a sharp demarcation line (tide
mark) without splash marks, indicating the limb was held forcibly in hot liquid.
3. A 3-year-old child is brought to the ED with a spiral fracture of the femur. The caregiver
reports the child fell while running. How should the nurse interpret this finding?
A. Spiral fractures are common in toddlers due to their gait.
B. Spiral fractures are caused by twisting forces and are high indicators of abuse.
C. The injury is consistent with the reported mechanism of falling.
D. The child likely has an underlying bone density disorder.
Answer: B
Rationale: A spiral fracture results from a forceful twisting motion, which is often
inconsistent with a simple fall from running. It is a major red flag for physical child abuse.
4. A nurse is interviewing a school-aged child who may have been sexually abused. Which
technique is most appropriate?
A. Allow the child to use dolls or drawings to explain what happened.
B. Ask direct ‘yes’ or ‘no’ questions to keep the child focused.
C. Suggest words to the child to help them describe anatomical parts.
D. Ensure the parent is in the room to provide emotional support.
Answer: A
Pediatric Nursing Child Abuse and Neglect Comprehensive
Assessment
Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Chamberlain University
NR 328
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NR 328 Pediatric Nursing: Child Abuse and Neglect Comprehensive Assessment 2026/2027
UPDATED – Chamberlain College
1. A nurse is assessing a 4-month-old infant and notes several bruises on the torso. The
parent states the infant rolled off the couch. Which action is the nurse’s priority?
A. Document the size and color of the bruises.
B. Report the findings to the local child protective services agency.
C. Educate the parent on infant safety and fall prevention.
D. Perform a developmental assessment to see if the infant can roll.
Answer: B
Rationale: In an infant who is not yet mobile (‘those who don’t cruise, don’t bruise’),
bruises on the torso are highly suspicious of abuse. Mandatory reporting is the priority
whenever abuse is suspected, regardless of the parent’s explanation.
2. Which physical finding is most characteristic of a ‘stocking and glove’ immersion burn,
often associated with physical abuse?
A. Splatter marks on the edges of the burn area.
B. Variable depths of tissue damage within the burned area.
C. A sharp, clear line of demarcation between burned and healthy skin.
D. Asymmetrical patterns on the extremities.
, Answer: C
Rationale: Intentional immersion burns typically show a sharp demarcation line (tide
mark) without splash marks, indicating the limb was held forcibly in hot liquid.
3. A 3-year-old child is brought to the ED with a spiral fracture of the femur. The caregiver
reports the child fell while running. How should the nurse interpret this finding?
A. Spiral fractures are common in toddlers due to their gait.
B. Spiral fractures are caused by twisting forces and are high indicators of abuse.
C. The injury is consistent with the reported mechanism of falling.
D. The child likely has an underlying bone density disorder.
Answer: B
Rationale: A spiral fracture results from a forceful twisting motion, which is often
inconsistent with a simple fall from running. It is a major red flag for physical child abuse.
4. A nurse is interviewing a school-aged child who may have been sexually abused. Which
technique is most appropriate?
A. Allow the child to use dolls or drawings to explain what happened.
B. Ask direct ‘yes’ or ‘no’ questions to keep the child focused.
C. Suggest words to the child to help them describe anatomical parts.
D. Ensure the parent is in the room to provide emotional support.
Answer: A
