Chamberlain -Illinois NR 328 COMPREHENSIVE TEST BANK
FINAL EXAM 2026 COMPLETE ACCURATE REAL EXAM
QUESTIONS WITH WELL ELABORATED ANSWERS AND
RATIONALES (100% CORRECT VERIFIED SOLUTIONS)
GUARANTEED PASS A+|BRAND NEW! 2026-2027
An important milestone in the infant's life is the development of
object permanence. This milestone is represented by which of these
statements?
a. The infant turns and looks for the mother when she walks out of his
view.
b. The infant smiles at the mother when she talks to him.
c. The infant cries when the mother hands him to a babysitter.
d. The infant repeatedly flexes and extends his arms and legs when the
mother picks him up.
Answer: A
Rationale: A major accomplishment is achieving the concept of object
permanence, or the realization that objects that leave the visual field
still exist. A typical example of the development of object permanence
is when infants are able to pursue objects they observe being hidden
under a pillow or behind a chair. This skill develops at approximately 9
to 10 months of age, which corresponds to the time of increased
locomotion skills.
,The type of play in which infants engage is called:
a. Onlooker
b. Parallel
c. Associative
d. Cooperative
Answer: A
Rationale: when the child watches others at play but does not engage
in it. The child may engage in forms of social interaction, such as
conversation about the play, without actually joining in the activity. This
type of activity is also more common in younger children
What are clinical manifestations of failure to thrive? (Select all that
apply)
a. Growth failure
b. Developmental delays
c. Avoidance of eye contact
d. Smiling
e. Fear of strangers
Answers: A, B, C
Rationale: Clinical manifestations of failure to thrive include growth
failure, developmental delays, malnutrition, apathy, withdrawn behavior,
feeding or eating disorders, and avoidance of eye contact. Smiling and
fear of strangers are not clinical manifestations of failure to thrive.
,What must the nurse teach the parents of the child with cystic fibrosis
about the use of pancreatic enzymes?
a. Extra enzymes must be taken with high-fat foods.
b. Enteric-coated beads may be chewed or crushed.
c. Mix the powder-form enzyme with the entire meal.
d. Fat-soluble forms of vitamins are added with the food.
Answer: A
Rationale: The child with cystic fibrosis is unable to digest the fat
content in foods. Therefore, the child must be encouraged to take extra
enzymes when high-fat foods are eaten. Enteric-coated beads must
not be chewed or crushed, because destroying the enteric coating can
lead to inactivation of the enzymes and excoriation of oral mucosa. The
beads prevent the neutralization of enzymes by gastric acids, thus
allowing activation to occur in the alkaline environment of the small
bowel. The powder form should be mixed with only a small amount of
food to be taken at the beginning of the meal, because it predigests
the food, making it unpalatable. Enzymes must be taken within 30
minutes of eating. Water-soluble forms of vitamins are given along with
the food and enzymes, because the uptake of fat-soluble forms of
vitamins is decreased.
, A nurse is teaching an adolescent about the appropriate use of his
asthma medications. Which of the following medications should the
nurse instruct the adolescent to use before he participates in
exercise?
a. Albuterol
b. Prednisone
c. Montelukast
d. Fluticasone/salmeterol
Answer: A
Rationale: Exercise is advantageous for children with asthma, and most
children can participate in activities at school and in sports with minimal
difficulty, provided their asthma is under control. Evaluate participation
on an individual basis. Appropriate prophylactic treatment with short-
acting β-adrenergic agents or cromolyn sodium before exercise usually
permits full participation in strenuous exertion.
A child with asthma is undergoing pulmonary function tests. What is
the purpose of the peak expiratory flow rate test?
a. Used to assess the severity of asthma.
b. Used to determine the cause of asthma
c. Used to identify the triggers of asthma
d. Used to confirm the diagnosis of asthma
Answer: A
Rationale: The peak expiratory flow rate (PEFR) test is a measure of the
maximal amount of air that can be forcefully exhaled in 1 minute. This
can provide an objective measure of pulmonary function when
compared with the child's baseline. The diagnosis of asthma is made on
the basis of clinical manifestations, history, and physical examination,
not pulmonary function tests such as the PEFR. The cause of asthma is
inflammation, bronchospasm, and obstruction, which are not identified
by the PEFR. Some of the triggers of asthma are identified with allergy
testing, not with the PEFR.
FINAL EXAM 2026 COMPLETE ACCURATE REAL EXAM
QUESTIONS WITH WELL ELABORATED ANSWERS AND
RATIONALES (100% CORRECT VERIFIED SOLUTIONS)
GUARANTEED PASS A+|BRAND NEW! 2026-2027
An important milestone in the infant's life is the development of
object permanence. This milestone is represented by which of these
statements?
a. The infant turns and looks for the mother when she walks out of his
view.
b. The infant smiles at the mother when she talks to him.
c. The infant cries when the mother hands him to a babysitter.
d. The infant repeatedly flexes and extends his arms and legs when the
mother picks him up.
Answer: A
Rationale: A major accomplishment is achieving the concept of object
permanence, or the realization that objects that leave the visual field
still exist. A typical example of the development of object permanence
is when infants are able to pursue objects they observe being hidden
under a pillow or behind a chair. This skill develops at approximately 9
to 10 months of age, which corresponds to the time of increased
locomotion skills.
,The type of play in which infants engage is called:
a. Onlooker
b. Parallel
c. Associative
d. Cooperative
Answer: A
Rationale: when the child watches others at play but does not engage
in it. The child may engage in forms of social interaction, such as
conversation about the play, without actually joining in the activity. This
type of activity is also more common in younger children
What are clinical manifestations of failure to thrive? (Select all that
apply)
a. Growth failure
b. Developmental delays
c. Avoidance of eye contact
d. Smiling
e. Fear of strangers
Answers: A, B, C
Rationale: Clinical manifestations of failure to thrive include growth
failure, developmental delays, malnutrition, apathy, withdrawn behavior,
feeding or eating disorders, and avoidance of eye contact. Smiling and
fear of strangers are not clinical manifestations of failure to thrive.
,What must the nurse teach the parents of the child with cystic fibrosis
about the use of pancreatic enzymes?
a. Extra enzymes must be taken with high-fat foods.
b. Enteric-coated beads may be chewed or crushed.
c. Mix the powder-form enzyme with the entire meal.
d. Fat-soluble forms of vitamins are added with the food.
Answer: A
Rationale: The child with cystic fibrosis is unable to digest the fat
content in foods. Therefore, the child must be encouraged to take extra
enzymes when high-fat foods are eaten. Enteric-coated beads must
not be chewed or crushed, because destroying the enteric coating can
lead to inactivation of the enzymes and excoriation of oral mucosa. The
beads prevent the neutralization of enzymes by gastric acids, thus
allowing activation to occur in the alkaline environment of the small
bowel. The powder form should be mixed with only a small amount of
food to be taken at the beginning of the meal, because it predigests
the food, making it unpalatable. Enzymes must be taken within 30
minutes of eating. Water-soluble forms of vitamins are given along with
the food and enzymes, because the uptake of fat-soluble forms of
vitamins is decreased.
, A nurse is teaching an adolescent about the appropriate use of his
asthma medications. Which of the following medications should the
nurse instruct the adolescent to use before he participates in
exercise?
a. Albuterol
b. Prednisone
c. Montelukast
d. Fluticasone/salmeterol
Answer: A
Rationale: Exercise is advantageous for children with asthma, and most
children can participate in activities at school and in sports with minimal
difficulty, provided their asthma is under control. Evaluate participation
on an individual basis. Appropriate prophylactic treatment with short-
acting β-adrenergic agents or cromolyn sodium before exercise usually
permits full participation in strenuous exertion.
A child with asthma is undergoing pulmonary function tests. What is
the purpose of the peak expiratory flow rate test?
a. Used to assess the severity of asthma.
b. Used to determine the cause of asthma
c. Used to identify the triggers of asthma
d. Used to confirm the diagnosis of asthma
Answer: A
Rationale: The peak expiratory flow rate (PEFR) test is a measure of the
maximal amount of air that can be forcefully exhaled in 1 minute. This
can provide an objective measure of pulmonary function when
compared with the child's baseline. The diagnosis of asthma is made on
the basis of clinical manifestations, history, and physical examination,
not pulmonary function tests such as the PEFR. The cause of asthma is
inflammation, bronchospasm, and obstruction, which are not identified
by the PEFR. Some of the triggers of asthma are identified with allergy
testing, not with the PEFR.
