NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
NR 328 Exam 1 Nursing Exam Questions and Answers
(verified answers), 2026 Exams of Nursing
Which topics should the nurse discuss with the parents of a young child to promote health in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
Rationale: Immunizations have made a major impact in the prevention of disease in children. The
nurse should review individual immunization records at every clinic visit, avoid missing opportunities
to vaccinate, and encourage parents to keep immunizations current. Dental caries is the single most
common chronic disease of childhood and may begin before the first birthday. Human milk or iron
fortified formula for should be given for the first year of life to prevent Iron Deficiency anemia.
Children younger than 1 year of age have the highest rate of death from motor vehicle accidents,
primarily from a failure to properly use car restraints.
What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
Rationale: a. Drowning is the second leading cause of death in children older than the age of 1 year. b.
3/17/2026
Burns cause fewer deaths than motor vehicle accidents in children older than the age of 1 year. c.
Motor vehicle accidents are the leading cause of death in children older than the age of 1 year. d.
Cancer causes fewer deaths than motor vehicle accidents in children older than the age of 1 year.
1
, NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in the hospital room at
bedtime. What concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
Rationale: A. Atraumatic care is the provision of therapeutic care in settings, by personnel, and
through the use of interventions that eliminate or minimize the psychological and physical distress
experienced by children and their families in the health care system. In this case, it is making sure that
the toddler has a teddy bear and that a night light is on to prevent a dark environment. B.
Nonmaleficence is the obligation to minimize or prevent harm; there is no situation present that
would require this. C. Justice is the concept of fairness and is not applicable to this situation. D.
Advocacy involves ensuring that families are aware of all available health services, adequately
informed of treatments and procedures, involved in the child’s care, and encouraged to change or
support existing health care practices.
True or False: Open ended questions are most likely to encourage parents to talk about their feelings r/t
their child's illness.
True
3/17/2026
When the nurse interviews an adolescent, what is important to help establish a relationship?
2
, NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.
Rationale: Display a genuine interest in the adolescent.Adolescents accept anyone who shows a
genuine interest in them. Although peers are important to this age-group, the focus of the interview
should be on the adolescent. The nurse should clarify which information will be shared with other
members of the health care team and any limits to confidentiality. The nurse should maintain a
professional relationship with adolescents. To avoid misinterpretation of words and phrases that the
adolescent may use, the nurse should clarify terms frequently.
What approach is the most appropriate when performing a physical assessment on a toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.
Rationale: Parents can remove clothing, and the child can remain on the parent’s lap. The nurse
should use minimum physical contact initially to gain the cooperation of the child. The nurse should
introduce the equipment slowly. The child can inspect the equipment, but demonstrations are usually
too complex for this age-group. Traumatic procedures should always be performed last. These will
most likely upset the child and inhibit cooperation. The head-to-toe assessment can be done in older
children but usually must be adapted in younger children.
3/17/2026
3
, NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
What is the most consistent and commonly used indicator of pain in infants?
a. Thrashing of arms and legs.
b. Increased heart rate.
c. Increased respirations.
d. Facial expression of discomfort.
Rationale: Facial expression of discomfort. Facial expression has consistently been validated as an
indicator of pain in infants. Behavioral pain measures are most reliable for sharp procedural pain in
infants. Increased heart rate and respirations are indicative of a generalized and complex response to
stress. They are not specific for pain in infants. Thrashing of arms and legs is a reliable indicator in
young children, not infants.
True or False: At age 1 month is the normal age for binocularity-ability to fixate on one visual field with
both eyes simultaneously.
Answer: False.
Rationale: Binocularity is usually achieved by age 3 to 4 months. One month is too young for
binocularity. If binocularity is not achieved by 6 to 12 months, the child must be observed for
strabismus.
What self-report pain rating scales can be used in children as young as 3 years of age?
a. FACES Pain Rating Scale
3/17/2026
b. Visual Analog Scale
c. Word-Graphic Rating Scale
4
03/17/2026
(VERIFIED ANSWERS)
NR 328 Exam 1 Nursing Exam Questions and Answers
(verified answers), 2026 Exams of Nursing
Which topics should the nurse discuss with the parents of a young child to promote health in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
Rationale: Immunizations have made a major impact in the prevention of disease in children. The
nurse should review individual immunization records at every clinic visit, avoid missing opportunities
to vaccinate, and encourage parents to keep immunizations current. Dental caries is the single most
common chronic disease of childhood and may begin before the first birthday. Human milk or iron
fortified formula for should be given for the first year of life to prevent Iron Deficiency anemia.
Children younger than 1 year of age have the highest rate of death from motor vehicle accidents,
primarily from a failure to properly use car restraints.
What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
Rationale: a. Drowning is the second leading cause of death in children older than the age of 1 year. b.
3/17/2026
Burns cause fewer deaths than motor vehicle accidents in children older than the age of 1 year. c.
Motor vehicle accidents are the leading cause of death in children older than the age of 1 year. d.
Cancer causes fewer deaths than motor vehicle accidents in children older than the age of 1 year.
1
, NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in the hospital room at
bedtime. What concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
Rationale: A. Atraumatic care is the provision of therapeutic care in settings, by personnel, and
through the use of interventions that eliminate or minimize the psychological and physical distress
experienced by children and their families in the health care system. In this case, it is making sure that
the toddler has a teddy bear and that a night light is on to prevent a dark environment. B.
Nonmaleficence is the obligation to minimize or prevent harm; there is no situation present that
would require this. C. Justice is the concept of fairness and is not applicable to this situation. D.
Advocacy involves ensuring that families are aware of all available health services, adequately
informed of treatments and procedures, involved in the child’s care, and encouraged to change or
support existing health care practices.
True or False: Open ended questions are most likely to encourage parents to talk about their feelings r/t
their child's illness.
True
3/17/2026
When the nurse interviews an adolescent, what is important to help establish a relationship?
2
, NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.
Rationale: Display a genuine interest in the adolescent.Adolescents accept anyone who shows a
genuine interest in them. Although peers are important to this age-group, the focus of the interview
should be on the adolescent. The nurse should clarify which information will be shared with other
members of the health care team and any limits to confidentiality. The nurse should maintain a
professional relationship with adolescents. To avoid misinterpretation of words and phrases that the
adolescent may use, the nurse should clarify terms frequently.
What approach is the most appropriate when performing a physical assessment on a toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.
Rationale: Parents can remove clothing, and the child can remain on the parent’s lap. The nurse
should use minimum physical contact initially to gain the cooperation of the child. The nurse should
introduce the equipment slowly. The child can inspect the equipment, but demonstrations are usually
too complex for this age-group. Traumatic procedures should always be performed last. These will
most likely upset the child and inhibit cooperation. The head-to-toe assessment can be done in older
children but usually must be adapted in younger children.
3/17/2026
3
, NR 328 EXAM 1 NURSING EXAM QUESTIONS AND ANSWERS
03/17/2026
(VERIFIED ANSWERS)
What is the most consistent and commonly used indicator of pain in infants?
a. Thrashing of arms and legs.
b. Increased heart rate.
c. Increased respirations.
d. Facial expression of discomfort.
Rationale: Facial expression of discomfort. Facial expression has consistently been validated as an
indicator of pain in infants. Behavioral pain measures are most reliable for sharp procedural pain in
infants. Increased heart rate and respirations are indicative of a generalized and complex response to
stress. They are not specific for pain in infants. Thrashing of arms and legs is a reliable indicator in
young children, not infants.
True or False: At age 1 month is the normal age for binocularity-ability to fixate on one visual field with
both eyes simultaneously.
Answer: False.
Rationale: Binocularity is usually achieved by age 3 to 4 months. One month is too young for
binocularity. If binocularity is not achieved by 6 to 12 months, the child must be observed for
strabismus.
What self-report pain rating scales can be used in children as young as 3 years of age?
a. FACES Pain Rating Scale
3/17/2026
b. Visual Analog Scale
c. Word-Graphic Rating Scale
4
