NR 328 EXAM 1 -PEDIATRIC NURSING |ACTUAL
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Which topics should the nurse discuss with the parents of a young child to promote health
in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
CORRECT ANSWER
Answer: B
Rationale: Immunizations have made a major impact in the prevention of disease in
children. The nurse should review individual immunization records at every clinic visit,
avoid missing opportunities to vaccinate, and encourage parents to keep immunizations
current. Dental caries is the single most common chronic disease of childhood and may
begin before the first birthday. Human milk or iron fortified formula for should be given
for the first year of life to prevent Iron Deficiency anemia. Children younger than 1 year
of age have the highest rate of death from motor vehicle accidents, primarily from a
failure to properly use car restraints.
Question 2
What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
CORRECT ANSWER
1
@THE STUDY VAULT
,Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children older than the
age of 1 year. b. Burns cause fewer deaths than motor vehicle accidents in children older
than the age of 1 year. c. Motor vehicle accidents are the leading cause of death in
children older than the age of 1 year. d. Cancer causes fewer deaths than motor vehicle
accidents in children older than the age of 1 year.
Question 3
The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in the
hospital room at bedtime. What concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
CORRECT ANSWER
Answer(s): A
Rationale: A. Atraumatic care is the provision of therapeutic care in settings, by
personnel, and through the use of interventions that eliminate or minimize the
psychological and physical distress experienced by children and their families in the
health care system. In this case, it is making sure that the toddler has a teddy bear and
that a night light is on to prevent a dark environment. B. Nonmaleficence is the
obligation to minimize or prevent harm; there is no situation present that would require
this. C. Justice is the concept of fairness and is not applicable to this situation. D.
Advocacy involves ensuring that families are aware of all available health services,
adequately informed of treatments and procedures, involved in the child's care, and
encouraged to change or support existing health care practices.
Question 4
True or False: Open ended questions are most likely to encourage parents to talk about
their feelings r/t their child's illness.
2
@THE STUDY VAULT
,CORRECT ANSWER
True
Question 5
When the nurse interviews an adolescent, what is important to help establish a
relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.
CORRECT ANSWER
Answer: D.
Rationale: Display a genuine interest in the adolescent.Adolescents accept anyone who
shows a genuine interest in them. Although peers are important to this age-group, the
focus of the interview should be on the adolescent. The nurse should clarify which
information will be shared with other members of the health care team and any limits to
confidentiality. The nurse should maintain a professional relationship with adolescents.
To avoid misinterpretation of words and phrases that the adolescent may use, the nurse
should clarify terms frequently.
Question 6
What approach is the most appropriate when performing a physical assessment on a
toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.
CORRECT ANSWER
3
@THE STUDY VAULT
, Answer: C.
Rationale: Parents can remove clothing, and the child can remain on the parent's lap. The
nurse should use minimum physical contact initially to gain the cooperation of the child.
The nurse should introduce the equipment slowly. The child can inspect the equipment,
but demonstrations are usually too complex for this age-group. Traumatic procedures
should always be performed last. These will most likely upset the child and inhibit
cooperation. The head-to-toe assessment can be done in older children but usually must
be adapted in younger children.
Question 7
What is the most consistent and commonly used indicator of pain in infants?
a. Thrashing of arms and legs.
b. Increased heart rate.
c. Increased respirations.
d. Facial expression of discomfort.
CORRECT ANSWER
Answer: D.
Rationale: Facial expression of discomfort. Facial expression has consistently been
validated as an indicator of pain in infants. Behavioral pain measures are most reliable
for sharp procedural pain in infants. Increased heart rate and respirations are indicative
of a generalized and complex response to stress. They are not specific for pain in infants.
Thrashing of arms and legs is a reliable indicator in young children, not infants.
Question 8
True or False: At age 1 month is the normal age for binocularity-ability to fixate on one
visual field with both eyes simultaneously.
CORRECT ANSWER
Answer: False.
4
@THE STUDY VAULT
QUESTIONS AND VERIFIED ANSWERS|BRAND NEW
2026-2027 UPDATE|GRADED A+
Question 1
Which topics should the nurse discuss with the parents of a young child to promote health
in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
CORRECT ANSWER
Answer: B
Rationale: Immunizations have made a major impact in the prevention of disease in
children. The nurse should review individual immunization records at every clinic visit,
avoid missing opportunities to vaccinate, and encourage parents to keep immunizations
current. Dental caries is the single most common chronic disease of childhood and may
begin before the first birthday. Human milk or iron fortified formula for should be given
for the first year of life to prevent Iron Deficiency anemia. Children younger than 1 year
of age have the highest rate of death from motor vehicle accidents, primarily from a
failure to properly use car restraints.
Question 2
What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
CORRECT ANSWER
1
@THE STUDY VAULT
,Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children older than the
age of 1 year. b. Burns cause fewer deaths than motor vehicle accidents in children older
than the age of 1 year. c. Motor vehicle accidents are the leading cause of death in
children older than the age of 1 year. d. Cancer causes fewer deaths than motor vehicle
accidents in children older than the age of 1 year.
Question 3
The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in the
hospital room at bedtime. What concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
CORRECT ANSWER
Answer(s): A
Rationale: A. Atraumatic care is the provision of therapeutic care in settings, by
personnel, and through the use of interventions that eliminate or minimize the
psychological and physical distress experienced by children and their families in the
health care system. In this case, it is making sure that the toddler has a teddy bear and
that a night light is on to prevent a dark environment. B. Nonmaleficence is the
obligation to minimize or prevent harm; there is no situation present that would require
this. C. Justice is the concept of fairness and is not applicable to this situation. D.
Advocacy involves ensuring that families are aware of all available health services,
adequately informed of treatments and procedures, involved in the child's care, and
encouraged to change or support existing health care practices.
Question 4
True or False: Open ended questions are most likely to encourage parents to talk about
their feelings r/t their child's illness.
2
@THE STUDY VAULT
,CORRECT ANSWER
True
Question 5
When the nurse interviews an adolescent, what is important to help establish a
relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.
CORRECT ANSWER
Answer: D.
Rationale: Display a genuine interest in the adolescent.Adolescents accept anyone who
shows a genuine interest in them. Although peers are important to this age-group, the
focus of the interview should be on the adolescent. The nurse should clarify which
information will be shared with other members of the health care team and any limits to
confidentiality. The nurse should maintain a professional relationship with adolescents.
To avoid misinterpretation of words and phrases that the adolescent may use, the nurse
should clarify terms frequently.
Question 6
What approach is the most appropriate when performing a physical assessment on a
toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.
CORRECT ANSWER
3
@THE STUDY VAULT
, Answer: C.
Rationale: Parents can remove clothing, and the child can remain on the parent's lap. The
nurse should use minimum physical contact initially to gain the cooperation of the child.
The nurse should introduce the equipment slowly. The child can inspect the equipment,
but demonstrations are usually too complex for this age-group. Traumatic procedures
should always be performed last. These will most likely upset the child and inhibit
cooperation. The head-to-toe assessment can be done in older children but usually must
be adapted in younger children.
Question 7
What is the most consistent and commonly used indicator of pain in infants?
a. Thrashing of arms and legs.
b. Increased heart rate.
c. Increased respirations.
d. Facial expression of discomfort.
CORRECT ANSWER
Answer: D.
Rationale: Facial expression of discomfort. Facial expression has consistently been
validated as an indicator of pain in infants. Behavioral pain measures are most reliable
for sharp procedural pain in infants. Increased heart rate and respirations are indicative
of a generalized and complex response to stress. They are not specific for pain in infants.
Thrashing of arms and legs is a reliable indicator in young children, not infants.
Question 8
True or False: At age 1 month is the normal age for binocularity-ability to fixate on one
visual field with both eyes simultaneously.
CORRECT ANSWER
Answer: False.
4
@THE STUDY VAULT
