NR 328 Pediatric Nursing ACTUAL EXAM
2026/2027: 100% Verified Questions &
Correct Answers
Question 1:
A 6-month-old infant is brought to the clinic for a well-child visit. Which milestone is expected
for this age?
A. Says “mama” specifically
B. Sits with support and transfers toys hand-to-hand
C. Walks with one hand held
D. Uses a pincer grasp
Correct Answer: B
Rationale: Per AAP Bright Futures 2026, 6-month milestones include sitting with support and
purposeful bilateral hand use; “mama” specifically and pincer grasp emerge closer to 9–10
months.
Question 2:
A 4-year-old is admitted with asthma exacerbation. Which communication technique is most
appropriate?
A. Ask open-ended questions with medical terms
B. Use simple language and allow manipulation of equipment
C. Interview only the parent
D. Explain procedures while performing them
Correct Answer: B
,Rationale: Preschoolers are egocentric and learn through play; allowing them to touch
equipment reduces fear and supports therapeutic communication per Hockenberry & Wilson
(2025).
Question 3:
A child weighs 22 lb. The order is acetaminophen 15 mg/kg PO q6h prn. How many mg per
dose?
A. 30 mg
B. 150 mg
C. 220 mg
D. 330 mg
Correct Answer: B
Rationale: 22 lb ÷ 2.2 = 10 kg; 15 mg × 10 kg = 150 mg.
Question 4:
A 2-day-old newborn is jittery, irritable, and has a high-pitched cry. Which electrolyte
imbalance is most likely?
A. Hyperkalemia
B. Hypoglycemia
C. Hypernatremia
D. Hypocalcemia
Correct Answer: B
Rationale: Neonates have limited glycogen stores; irritability, jitteriness, and high-pitched cry
are classic signs of hypoglycemia (< 45 mg/dL in newborns per AAP 2026).
Question 5:
Which immunization is routinely recommended at 12–15 months?
, A. Hepatitis B booster
B. MMR (measles, mumps, rubella)
C. Tdap
D. HPV
Correct Answer: B
Rationale: MMR first dose is given at 12–15 months per CDC 2026 immunization schedule.
Question 6:
A 14-year-old with Type 1 diabetes wants to administer his own insulin. Which response
supports adolescent autonomy?
A. “Only nurses can give insulin in the hospital.”
B. “Let’s review your technique and supervise your self-administration.”
C. “Your parents must check the dose first.”
D. “You’re too young to give your own insulin.”
Correct Answer: B
Rationale: Adolescents seek independence; validating competence while providing
supervision supports developmental needs and safety.
Question 7:
A 9-month-old is hospitalized with RSV bronchiolitis. Which finding indicates increasing
respiratory distress?
A. Respiratory rate 36/min
B. Nasal flaring and grunting
C. Oxygen saturation 97%
D. Periodic breathing
Correct Answer: B
2026/2027: 100% Verified Questions &
Correct Answers
Question 1:
A 6-month-old infant is brought to the clinic for a well-child visit. Which milestone is expected
for this age?
A. Says “mama” specifically
B. Sits with support and transfers toys hand-to-hand
C. Walks with one hand held
D. Uses a pincer grasp
Correct Answer: B
Rationale: Per AAP Bright Futures 2026, 6-month milestones include sitting with support and
purposeful bilateral hand use; “mama” specifically and pincer grasp emerge closer to 9–10
months.
Question 2:
A 4-year-old is admitted with asthma exacerbation. Which communication technique is most
appropriate?
A. Ask open-ended questions with medical terms
B. Use simple language and allow manipulation of equipment
C. Interview only the parent
D. Explain procedures while performing them
Correct Answer: B
,Rationale: Preschoolers are egocentric and learn through play; allowing them to touch
equipment reduces fear and supports therapeutic communication per Hockenberry & Wilson
(2025).
Question 3:
A child weighs 22 lb. The order is acetaminophen 15 mg/kg PO q6h prn. How many mg per
dose?
A. 30 mg
B. 150 mg
C. 220 mg
D. 330 mg
Correct Answer: B
Rationale: 22 lb ÷ 2.2 = 10 kg; 15 mg × 10 kg = 150 mg.
Question 4:
A 2-day-old newborn is jittery, irritable, and has a high-pitched cry. Which electrolyte
imbalance is most likely?
A. Hyperkalemia
B. Hypoglycemia
C. Hypernatremia
D. Hypocalcemia
Correct Answer: B
Rationale: Neonates have limited glycogen stores; irritability, jitteriness, and high-pitched cry
are classic signs of hypoglycemia (< 45 mg/dL in newborns per AAP 2026).
Question 5:
Which immunization is routinely recommended at 12–15 months?
, A. Hepatitis B booster
B. MMR (measles, mumps, rubella)
C. Tdap
D. HPV
Correct Answer: B
Rationale: MMR first dose is given at 12–15 months per CDC 2026 immunization schedule.
Question 6:
A 14-year-old with Type 1 diabetes wants to administer his own insulin. Which response
supports adolescent autonomy?
A. “Only nurses can give insulin in the hospital.”
B. “Let’s review your technique and supervise your self-administration.”
C. “Your parents must check the dose first.”
D. “You’re too young to give your own insulin.”
Correct Answer: B
Rationale: Adolescents seek independence; validating competence while providing
supervision supports developmental needs and safety.
Question 7:
A 9-month-old is hospitalized with RSV bronchiolitis. Which finding indicates increasing
respiratory distress?
A. Respiratory rate 36/min
B. Nasal flaring and grunting
C. Oxygen saturation 97%
D. Periodic breathing
Correct Answer: B
