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NR 328 PEDIATRIC NURSING MIDTERM EXAM WITH
REAL EXAM QS & AS
100 QUESTIONS | ANSWERS & RATIONALES
1. A nurse assesses a 9-month-old infant. Which finding
indicates normal development?
A. Walks independently
B. Pulls to stand
C. Uses two-word phrases
D. Throws a ball
Answer: B
Rationale: Infants around 9 months commonly pull themselves
to a standing position.
2. Which approach is most effective when performing a physical
assessment on a preschool child?
A. Perform painful procedures first
B. Use medical terminology
C. Allow the child to handle equipment
D. Separate the child from parents
Answer: C
Rationale: Allowing children to explore equipment reduces fear
and promotes cooperation.
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3. Which developmental behavior is expected in a toddler?
A. Cooperative play
B. Parallel play
C. Abstract reasoning
D. Moral judgment
Answer: B
Rationale: Toddlers typically engage in parallel play, playing
alongside others without interaction.
4. Which assessment finding suggests dehydration in an infant?
A. Moist mucous membranes
B. Sunken fontanel
C. Increased urine output
D. Weight gain
Answer: B
Rationale: A sunken fontanel is a classic sign of dehydration.
5. The nurse should use which pain assessment tool for a 2-
year-old child?
A. Numeric rating scale
B. Visual analog scale
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C. FLACC scale
D. Glasgow Coma Scale
Answer: C
Rationale: The FLACC scale is appropriate for children unable to
self-report pain.
6. Which milestone should a nurse expect in a 4-year-old child?
A. Scribbling
B. Using complete sentences
C. Babbling
D. Pincer grasp
Answer: B
Rationale: Preschool children speak in complete,
understandable sentences.
7. Which vital sign shows the greatest variation with age in
children?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Temperature
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Answer: C
Rationale: Respiratory rate changes significantly from infancy
through adolescence.
8. A nurse caring for a child with bronchiolitis anticipates which
causative agent?
A. Influenza virus
B. Respiratory syncytial virus
C. Streptococcus pneumoniae
D. Adenovirus
Answer: B
Rationale: RSV is the most common cause of bronchiolitis in
infants.
9. Which behavior best indicates readiness for toilet training?
A. Age 12 months
B. Ability to stay dry for 2 hours
C. Crawling independently
D. Drinking from a cup
Answer: B
Rationale: Physiologic bladder control is required before toilet
training can begin.
NR 328 PEDIATRIC NURSING MIDTERM EXAM WITH
REAL EXAM QS & AS
100 QUESTIONS | ANSWERS & RATIONALES
1. A nurse assesses a 9-month-old infant. Which finding
indicates normal development?
A. Walks independently
B. Pulls to stand
C. Uses two-word phrases
D. Throws a ball
Answer: B
Rationale: Infants around 9 months commonly pull themselves
to a standing position.
2. Which approach is most effective when performing a physical
assessment on a preschool child?
A. Perform painful procedures first
B. Use medical terminology
C. Allow the child to handle equipment
D. Separate the child from parents
Answer: C
Rationale: Allowing children to explore equipment reduces fear
and promotes cooperation.
,2
3. Which developmental behavior is expected in a toddler?
A. Cooperative play
B. Parallel play
C. Abstract reasoning
D. Moral judgment
Answer: B
Rationale: Toddlers typically engage in parallel play, playing
alongside others without interaction.
4. Which assessment finding suggests dehydration in an infant?
A. Moist mucous membranes
B. Sunken fontanel
C. Increased urine output
D. Weight gain
Answer: B
Rationale: A sunken fontanel is a classic sign of dehydration.
5. The nurse should use which pain assessment tool for a 2-
year-old child?
A. Numeric rating scale
B. Visual analog scale
,3
C. FLACC scale
D. Glasgow Coma Scale
Answer: C
Rationale: The FLACC scale is appropriate for children unable to
self-report pain.
6. Which milestone should a nurse expect in a 4-year-old child?
A. Scribbling
B. Using complete sentences
C. Babbling
D. Pincer grasp
Answer: B
Rationale: Preschool children speak in complete,
understandable sentences.
7. Which vital sign shows the greatest variation with age in
children?
A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Temperature
, 4
Answer: C
Rationale: Respiratory rate changes significantly from infancy
through adolescence.
8. A nurse caring for a child with bronchiolitis anticipates which
causative agent?
A. Influenza virus
B. Respiratory syncytial virus
C. Streptococcus pneumoniae
D. Adenovirus
Answer: B
Rationale: RSV is the most common cause of bronchiolitis in
infants.
9. Which behavior best indicates readiness for toilet training?
A. Age 12 months
B. Ability to stay dry for 2 hours
C. Crawling independently
D. Drinking from a cup
Answer: B
Rationale: Physiologic bladder control is required before toilet
training can begin.
