NR 328 FINAL EXAM -PEDIATRIC NURSING
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The nurse is teaching the parents of a preschooler information about urinary tract
infection and means of reducing their recurrence. Which statement by the parents
indicates the need for additional teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a little large."
C. "Soaking in a bubble bath will reduce the meatal irritation."
D. "If I notice her starting to wet the bed again, I will need to have her checked for another
urinary tract infection."
CORRECT ANSWER
C. "Soaking in a bubble bath will reduce the meatal irritation."
Question 2
A urinalysis is ordered for a child with a throat culture positive for group A beta-hemolytic
streptococcus. The mother asks why this test is being ordered. The nurse explains:
A. The urinalysis will indicate whether an HIV infection is also present.
B. Urinary tract infections are common with streptococcal infections and need to receive
prompt treatment.
C. Pyelonephritis is a potential complication of antibiotic therapy.
D. Group A beta hemolytic streptococcus infections can be followed by the complication of
acute glomerulonephritis.
1
@THE STUDY VAULT
,CORRECT ANSWER
D. Group A beta hemolytic streptococcus infections can be followed by the complication
of acute glomerulonephritis.
Question 3
The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake
and output measurement. The nurse will most accurately measure the urine by:
A. Estimating output as small, moderate, or large and recording on the child's chart
B. Weighing each diaper and recording the amount of urine output as the weight of the
diaper
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
D. Determine urine output by the number of diapers changes in each 24-hour period
CORRECT ANSWER
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
Question 4
Define the following congenital heart defect:
Failure of normal separation and division of the embryonic trunk into the pulmonary artery
and aorta
CORRECT ANSWER
Truncus Arteriosus
Question 5
2
@THE STUDY VAULT
,Define the following congenital heart defect:
Under development of the left side of the heart, consisting of small left ventricle, mitral
atresia, and atretic aortic arch; the infant presents with symptoms of shock and will require
heart transplantation or the Norwood surgery
CORRECT ANSWER
Hypoplastic Left Heart Syndrome
Question 6
Define the following congenital heart defect:
Defect with 4 abnormalities: ventricular septal defect, pulmonic stenosis, overriding aorta,
and right ventricular hypertrophy
CORRECT ANSWER
Tetrology of Fallot
Question 7
Define the following congenital heart defect:
Incomplete fusion of the endocardial cushions, creating a large central AV valve, ASD, VSD,
and allows blood to flow between all four chambers
CORRECT ANSWER
Atrioventricular Canal
Question 8
3
@THE STUDY VAULT
, Define the following congenital heart defect:
Has a characteristic machinery-like murmur and is a continuation of a fetal shunt between
pulmonary artery and aorta
CORRECT ANSWER
Patent Ductus Arteriosus
Question 9
Define the following congenital heart defect:
Abnormal opening of the atria, allowing blood from the higher pressure left atrium to the
lower pressure right atrium
CORRECT ANSWER
Atrial Septal Defect
Question 10
Define the following congenital heart defect:
Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart
surgery
CORRECT ANSWER
Ventricular Septal Defect
Question 11
Define the following congenital heart defect:
4
@THE STUDY VAULT
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
The nurse is teaching the parents of a preschooler information about urinary tract
infection and means of reducing their recurrence. Which statement by the parents
indicates the need for additional teaching?
A. "I should get her to drink a lot of water and juices."
B. "I will buy her underwear a little large."
C. "Soaking in a bubble bath will reduce the meatal irritation."
D. "If I notice her starting to wet the bed again, I will need to have her checked for another
urinary tract infection."
CORRECT ANSWER
C. "Soaking in a bubble bath will reduce the meatal irritation."
Question 2
A urinalysis is ordered for a child with a throat culture positive for group A beta-hemolytic
streptococcus. The mother asks why this test is being ordered. The nurse explains:
A. The urinalysis will indicate whether an HIV infection is also present.
B. Urinary tract infections are common with streptococcal infections and need to receive
prompt treatment.
C. Pyelonephritis is a potential complication of antibiotic therapy.
D. Group A beta hemolytic streptococcus infections can be followed by the complication of
acute glomerulonephritis.
1
@THE STUDY VAULT
,CORRECT ANSWER
D. Group A beta hemolytic streptococcus infections can be followed by the complication
of acute glomerulonephritis.
Question 3
The nurse is caring for a toddler who is not toilet trained. The doctor has ordered intake
and output measurement. The nurse will most accurately measure the urine by:
A. Estimating output as small, moderate, or large and recording on the child's chart
B. Weighing each diaper and recording the amount of urine output as the weight of the
diaper
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
D. Determine urine output by the number of diapers changes in each 24-hour period
CORRECT ANSWER
C. Subtract the weight of the dry diaper from a wet diaper and record this amount
Question 4
Define the following congenital heart defect:
Failure of normal separation and division of the embryonic trunk into the pulmonary artery
and aorta
CORRECT ANSWER
Truncus Arteriosus
Question 5
2
@THE STUDY VAULT
,Define the following congenital heart defect:
Under development of the left side of the heart, consisting of small left ventricle, mitral
atresia, and atretic aortic arch; the infant presents with symptoms of shock and will require
heart transplantation or the Norwood surgery
CORRECT ANSWER
Hypoplastic Left Heart Syndrome
Question 6
Define the following congenital heart defect:
Defect with 4 abnormalities: ventricular septal defect, pulmonic stenosis, overriding aorta,
and right ventricular hypertrophy
CORRECT ANSWER
Tetrology of Fallot
Question 7
Define the following congenital heart defect:
Incomplete fusion of the endocardial cushions, creating a large central AV valve, ASD, VSD,
and allows blood to flow between all four chambers
CORRECT ANSWER
Atrioventricular Canal
Question 8
3
@THE STUDY VAULT
, Define the following congenital heart defect:
Has a characteristic machinery-like murmur and is a continuation of a fetal shunt between
pulmonary artery and aorta
CORRECT ANSWER
Patent Ductus Arteriosus
Question 9
Define the following congenital heart defect:
Abnormal opening of the atria, allowing blood from the higher pressure left atrium to the
lower pressure right atrium
CORRECT ANSWER
Atrial Septal Defect
Question 10
Define the following congenital heart defect:
Defect in the ventricles repaired with a suture or a Dacron patch requiring open heart
surgery
CORRECT ANSWER
Ventricular Septal Defect
Question 11
Define the following congenital heart defect:
4
@THE STUDY VAULT