lOMoAR cPSD| 18211884
CHAMBERLAIN NR 328 ACTUAL
FINAL EXAM 2025-2026 COMPLETE
1OO QUESTIONS AND ANSWER
ORIGINAL
1. A nurse is caring for an adolescent client who has pelvic inflammatory disease secondary
to a sexually transmitted disease (STD) and will need intravenous antibiotic therapy. The
child tells the nurse, “My parents think I am a virgin. I don’t think I can tell them I have
an STD.” The appropriate response by the nurse is which of the following?
• “If you want me to, I can tell your parents for you.”
• “Your parents will have to know why you are being admitted.”
• “Give your parents a chance, they’ll understand.”
• “You seem frightened to tell your parents.”
2. A nurse is preparing to administer oral medication to a 3 month old infant. Which of the
following actions should the nurse take to ensure successful administration?
• Place infant supine in crib
• Position syringe to the side of the tongue
• Measure elixir using a medicine cup
• Mix medication with formula
3. A nurse is completing a history and physical on a 3 year old child who is admitted for a
surgical repair of Tetralogy of Fallot (TOF). Which of the following manifestations of the
condition should the nurse expect? (Select all that apply)
• Decreased PO
• Obesity
• Cyanosis
• Systolic Murmur
• Energetic
,4. A nurse is caring for a 2 year old child who is hospitalized and throws a tantrum when his
parent leaves. Which of the following toys should the nurse provide to alleviate the
child’s stress?
• Picture book about hospitals
• Stuffed animals
• Set of building blocks
• Toy hammer and pounding board
5. A nurse is planning care for a 6 year old child who has bacterial meningitis. Which of the
following nursing interventions is unnecessary in the client’s plan of care?
• Implement seizure precautions
• Admit the client to a private room
• Measure head circumference every shift
• Place the client in a semi-Fowler’s position
6. A nurse is caring for a hospitalized 4 year old child who is on airborne precautions.
Which of the following activities is appropriate for the nurse to implement this child?
• Putting a puzzle together
• Watching a video game in the playroom
• Constructing a model airplane
• Pulling a wagon with toys in the hallway
7. A nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia
of the hip (DDH). Which of the following strategies should the nurse implement to
promote the infant’s growth and development?
• Change the infant’s diaper as soon as soiling occurs
• Tie colorful latex balloons to the side of the crib
• Provide a small electronic toy
• Allow the infant to stand in the crib
8. A nurse is discussing the effects of chemical agents on infants. Which of the following
identifies the rationale for an infant’s increased absorption through the skin?
• Infants have a larger body surface area relative to weight
• Infants have an immature nervous system
• Infants have a slower metabolic rate than adults
• Infants are obligatory nose breathers
9. A nurse is caring for a 7 year old child who has an upper respiratory infection and type 1
diabetes mellitus. Which of the following statements by the mother indicates a need for
further instructions?
• “I will encourage her to drink half a cup of water or sugar free fluids every 30
minutes.”
• “I will continue to check her blood sugar two times every day.”
• “I will notify the doctor if her temperature is not controlled with acetaminophen.”
10. “I will report a change in her breathing or any sign of confusion.”
, lOMoAR cPSD| 18211884
NR 328 PEDIATRICS
11. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding
episode. Which of the following statements by the parent indicates a need for further
teaching?
• “I will have my child rest.”
• “I will compress the site.”
• “I will apply heat.”
• “I will elevate the affected part.”
12. A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse recognize
as the most reliable indicator of fluid loss?
• Body weight
• Skin integrity
• Blood pressure
• Respiratory rate
13. Which of the following children should the nurse identify as a potential action of abuse?
• A child who has frequent visitors
• A child who uses the call light frequently
• A child who has a BMI indicating obesity
• A child whose parents answer questions for the child
14. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription
for pancreatic enzymes three times per day. Which of the following statements indicates
that the mother understands the teaching?
• “My child will take the enzymes to improve her metabolism.”
• “My child will take the enzymes 2 hours before meals.”
• “My child will take the enzymes following meals.”
• “My child will take the enzymes to help digest the fat in foods.”
15. A nurse is assessing a 3 month old. Which of the following findings should he report to
the provider?
• Unable to pick up an object with his fingers
• Unable to sit without support
CHAMBERLAIN NR 328 ACTUAL
FINAL EXAM 2025-2026 COMPLETE
1OO QUESTIONS AND ANSWER
ORIGINAL
1. A nurse is caring for an adolescent client who has pelvic inflammatory disease secondary
to a sexually transmitted disease (STD) and will need intravenous antibiotic therapy. The
child tells the nurse, “My parents think I am a virgin. I don’t think I can tell them I have
an STD.” The appropriate response by the nurse is which of the following?
• “If you want me to, I can tell your parents for you.”
• “Your parents will have to know why you are being admitted.”
• “Give your parents a chance, they’ll understand.”
• “You seem frightened to tell your parents.”
2. A nurse is preparing to administer oral medication to a 3 month old infant. Which of the
following actions should the nurse take to ensure successful administration?
• Place infant supine in crib
• Position syringe to the side of the tongue
• Measure elixir using a medicine cup
• Mix medication with formula
3. A nurse is completing a history and physical on a 3 year old child who is admitted for a
surgical repair of Tetralogy of Fallot (TOF). Which of the following manifestations of the
condition should the nurse expect? (Select all that apply)
• Decreased PO
• Obesity
• Cyanosis
• Systolic Murmur
• Energetic
,4. A nurse is caring for a 2 year old child who is hospitalized and throws a tantrum when his
parent leaves. Which of the following toys should the nurse provide to alleviate the
child’s stress?
• Picture book about hospitals
• Stuffed animals
• Set of building blocks
• Toy hammer and pounding board
5. A nurse is planning care for a 6 year old child who has bacterial meningitis. Which of the
following nursing interventions is unnecessary in the client’s plan of care?
• Implement seizure precautions
• Admit the client to a private room
• Measure head circumference every shift
• Place the client in a semi-Fowler’s position
6. A nurse is caring for a hospitalized 4 year old child who is on airborne precautions.
Which of the following activities is appropriate for the nurse to implement this child?
• Putting a puzzle together
• Watching a video game in the playroom
• Constructing a model airplane
• Pulling a wagon with toys in the hallway
7. A nurse is caring for a 10 month old infant who is in a cast for developmental dysplasia
of the hip (DDH). Which of the following strategies should the nurse implement to
promote the infant’s growth and development?
• Change the infant’s diaper as soon as soiling occurs
• Tie colorful latex balloons to the side of the crib
• Provide a small electronic toy
• Allow the infant to stand in the crib
8. A nurse is discussing the effects of chemical agents on infants. Which of the following
identifies the rationale for an infant’s increased absorption through the skin?
• Infants have a larger body surface area relative to weight
• Infants have an immature nervous system
• Infants have a slower metabolic rate than adults
• Infants are obligatory nose breathers
9. A nurse is caring for a 7 year old child who has an upper respiratory infection and type 1
diabetes mellitus. Which of the following statements by the mother indicates a need for
further instructions?
• “I will encourage her to drink half a cup of water or sugar free fluids every 30
minutes.”
• “I will continue to check her blood sugar two times every day.”
• “I will notify the doctor if her temperature is not controlled with acetaminophen.”
10. “I will report a change in her breathing or any sign of confusion.”
, lOMoAR cPSD| 18211884
NR 328 PEDIATRICS
11. A nurse is teaching a parent of a child with hemophilia how to control a minor bleeding
episode. Which of the following statements by the parent indicates a need for further
teaching?
• “I will have my child rest.”
• “I will compress the site.”
• “I will apply heat.”
• “I will elevate the affected part.”
12. A nurse in an emergency department is caring for an infant who has a 2-day history of
vomiting and an elevated temperature. Which of the following should the nurse recognize
as the most reliable indicator of fluid loss?
• Body weight
• Skin integrity
• Blood pressure
• Respiratory rate
13. Which of the following children should the nurse identify as a potential action of abuse?
• A child who has frequent visitors
• A child who uses the call light frequently
• A child who has a BMI indicating obesity
• A child whose parents answer questions for the child
14. A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription
for pancreatic enzymes three times per day. Which of the following statements indicates
that the mother understands the teaching?
• “My child will take the enzymes to improve her metabolism.”
• “My child will take the enzymes 2 hours before meals.”
• “My child will take the enzymes following meals.”
• “My child will take the enzymes to help digest the fat in foods.”
15. A nurse is assessing a 3 month old. Which of the following findings should he report to
the provider?
• Unable to pick up an object with his fingers
• Unable to sit without support
