,NR 328 Pediatric Nursing Exam 1 chamberlain
collage of nursing 2026/2027 High-Yield Q&A +
MCQs + Rationales
1. The mother of a 2-month-old infant asks the nurse when her baby will receive the first dose
of the MMR vaccine. Which response by the nurse is correct?
A. "Your baby will receive the MMR vaccine at 4 months of age."
B. "The MMR vaccine is first given at 12–15 months of age."
C. "The MMR vaccine is given at birth."
D. "Your baby will receive the MMR vaccine at 6 months of age."
Correct Answer: B
Rationale: The MMR vaccine is a live vaccine and is first administered at 12–15 months of age.
Maternal antibodies may interfere with the immune response if given earlier.
2. A nurse is teaching a new parent about safe sleep practices for their infant. Which instruction
should the nurse include?
A. Place the infant on the stomach for sleep.
B. Place the infant on the back for sleep.
C. Place the infant on the side for sleep.
D. Place soft bedding in the crib for comfort.
Correct Answer: B
,Rationale: Supine (back) sleeping position is recommended by the American Academy of
Pediatrics to reduce the risk of sudden infant death syndrome (SIDS). Prone and side-lying
positions increase SIDS risk.
3. A nurse is assessing a 6-month-old infant. Which developmental milestone should the nurse
expect?
A. Rolling from back to stomach
B. Sitting without support
C. Walking independently
D. Speaking in two-word sentences
Correct Answer: A
Rationale: At 6 months, an infant should be able to roll from back to stomach. Sitting without
support typically occurs at 8 months.
4. A nurse is assessing a 2-year-old toddler. Which behavior indicates the toddler is in Erikson's
stage of autonomy versus shame and doubt?
A. The toddler insists on doing things independently.
B. The toddler prefers to play alone.
C. The toddler is afraid of strangers.
D. The toddler follows strict routines.
Correct Answer: A
Rationale: Erikson's stage of autonomy versus shame and doubt (18 months–3 years) is
characterized by the toddler's desire for independence and control.
, 5. A nurse is assessing a 4-year-old preschooler. Which type of play is most characteristic of this
age?
A. Solitary play
B. Parallel play
C. Associative play
D. Cooperative play
Correct Answer: C
Rationale: Preschoolers engage in associative play, where they play with other children but
without strict organization or rules.
6. A nurse is teaching parents about toilet training. Which readiness sign should the nurse
include?
A. The child is 12 months old.
B. The child can communicate the need to go.
C. The child is able to walk.
D. The child drinks from a cup.
Correct Answer: B
Rationale: Toilet training readiness includes the ability to communicate the need to urinate or
defecate, the ability to stay dry for at least 2 hours, and the willingness to cooperate.
7. A nurse is assessing a 9-month-old infant. Which fine motor skill should the nurse expect?
A. Transferring objects from hand to hand
collage of nursing 2026/2027 High-Yield Q&A +
MCQs + Rationales
1. The mother of a 2-month-old infant asks the nurse when her baby will receive the first dose
of the MMR vaccine. Which response by the nurse is correct?
A. "Your baby will receive the MMR vaccine at 4 months of age."
B. "The MMR vaccine is first given at 12–15 months of age."
C. "The MMR vaccine is given at birth."
D. "Your baby will receive the MMR vaccine at 6 months of age."
Correct Answer: B
Rationale: The MMR vaccine is a live vaccine and is first administered at 12–15 months of age.
Maternal antibodies may interfere with the immune response if given earlier.
2. A nurse is teaching a new parent about safe sleep practices for their infant. Which instruction
should the nurse include?
A. Place the infant on the stomach for sleep.
B. Place the infant on the back for sleep.
C. Place the infant on the side for sleep.
D. Place soft bedding in the crib for comfort.
Correct Answer: B
,Rationale: Supine (back) sleeping position is recommended by the American Academy of
Pediatrics to reduce the risk of sudden infant death syndrome (SIDS). Prone and side-lying
positions increase SIDS risk.
3. A nurse is assessing a 6-month-old infant. Which developmental milestone should the nurse
expect?
A. Rolling from back to stomach
B. Sitting without support
C. Walking independently
D. Speaking in two-word sentences
Correct Answer: A
Rationale: At 6 months, an infant should be able to roll from back to stomach. Sitting without
support typically occurs at 8 months.
4. A nurse is assessing a 2-year-old toddler. Which behavior indicates the toddler is in Erikson's
stage of autonomy versus shame and doubt?
A. The toddler insists on doing things independently.
B. The toddler prefers to play alone.
C. The toddler is afraid of strangers.
D. The toddler follows strict routines.
Correct Answer: A
Rationale: Erikson's stage of autonomy versus shame and doubt (18 months–3 years) is
characterized by the toddler's desire for independence and control.
, 5. A nurse is assessing a 4-year-old preschooler. Which type of play is most characteristic of this
age?
A. Solitary play
B. Parallel play
C. Associative play
D. Cooperative play
Correct Answer: C
Rationale: Preschoolers engage in associative play, where they play with other children but
without strict organization or rules.
6. A nurse is teaching parents about toilet training. Which readiness sign should the nurse
include?
A. The child is 12 months old.
B. The child can communicate the need to go.
C. The child is able to walk.
D. The child drinks from a cup.
Correct Answer: B
Rationale: Toilet training readiness includes the ability to communicate the need to urinate or
defecate, the ability to stay dry for at least 2 hours, and the willingness to cooperate.
7. A nurse is assessing a 9-month-old infant. Which fine motor skill should the nurse expect?
A. Transferring objects from hand to hand
