EXAMINATION 1
2026/2027 Academic Cycle
60 Questions and Correct Detailed Answers
Core Domains:
Growth & Development | Pediatric Health Assessment | Family-Centered Care
Pediatric Medication Safety | Immunization Principles | Common Childhood Illnesses
Pediatric Nutrition | Safety & Injury Prevention | Communication | Ethical Considerations
Nursing Program–Aligned Format
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, NR 328 Pediatric Nursing Exam 1
Introduction
This NR 328 Pediatric Nursing Exam 1 format for the 2026/2027 academic cycle reflects the
foundational pediatric nursing assessment used in many nursing programs. The exam evaluates
understanding of child growth and development, pediatric assessment techniques, safe medication
administration for children, recognition of common pediatric conditions, and implementation of
family-centered nursing care. This document contains 60 multiple-choice questions covering all major
domains of pediatric nursing, with correct answers highlighted in
green bold text, followed by detailed rationales explaining pediatric nursing priorities, child safety
considerations, and evidence-based clinical decision-making.
Exam Structure
• 60 multiple-choice questions
• Single-best-answer format
• Scenario-based pediatric nursing and clinical reasoning items
• Comprehensive coverage of pediatric nursing fundamentals
Examination Questions
Section 1: Growth & Development in Children (Questions 1-12)
1. According to Piaget, the sensorimotor stage of cognitive development occurs during:
A) Birth to 2 years
B) 2-7 years
C) 7-11 years
D) 11+ years
Rationale: The sensorimotor stage (birth to 2 years) is characterized by learning through
sensory experiences and motor activities. Object permanence develops during this stage,
typically by 8-12 months.
2. According to Erikson, the developmental crisis of the toddler (1-3 years) is:
A) Trust vs. mistrust
B) Autonomy vs. shame and doubt
C) Initiative vs. guilt
D) Industry vs. inferiority
Rationale: Toddlers develop autonomy as they learn to control their bodies and environment.
Inappropriate criticism or overcontrol can lead to shame and doubt. Supporting independence
within safe limits promotes healthy development.
3. A 4-year-old child tells the nurse that the hospital bed is 'sleeping' because it adjusts positions. This
is an example of:
A) Magical thinking
B) Animism
C) Centration
D) Egocentrism
Rationale: Animism is attributing lifelike qualities to inanimate objects, common in
preoperational thought (ages 2-7). The child believes the bed is alive and sleeping. This is normal
cognitive development for this age.
4. The anterior fontanel typically closes by:
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