NR-328 Pediatric Nursing Final Exam Final
Exam Question Bank 150 Multiple Choice
Questions with Answers and Detailed
Rationales
Here is a NR-328 Pediatric Nursing Final Exam
Question Bank containing 150 multiple-choice
questions with answers and detailed rationales. The
questions cover growth and development, common
pediatric illnesses, medication administration, family-
centered care, and high-risk conditions.
Section 1: Growth and Development (Questions 1–25)
1. A 4-month-old infant is brought to the clinic for a well-
child visit. Which milestone should the nurse expect to
observe?
A. Sitting without support
B. Bearing weight on legs when held standing
C. Rolling from back to front
D. Pincer grasp
,Answer: C
Rationale: Rolling over typically occurs between 4–6
months. Sitting without support occurs around 6–8 months.
Bearing weight on legs occurs around 4–5 months but is less
consistent; rolling is a key milestone at 4 months. Pincer
grasp develops at 9–10 months.
2. The mother of a 9-month-old asks why the baby cries
when strangers approach. What is the nurse’s best
response?
A. “This indicates a developmental delay.”
B. “Your baby has stranger anxiety, which is normal at this
age.”
C. “You should avoid leaving the baby with others for now.”
D. “This behavior suggests an attachment disorder.”
Answer: B
Rationale: Stranger anxiety is a normal developmental
milestone beginning around 6–8 months and peaking at 9–
12 months. It reflects healthy attachment to primary
caregivers.
, 3. Which statement by the mother of an 18-month-old
indicates correct understanding of toddler temper
tantrums?
A. “I will spank my child to stop the tantrum.”
B. “Tantrums are a sign of poor parenting.”
C. “I can offer limited choices to prevent frustration.”
D. “Ignoring tantrums only makes them worse.”
Answer: C
Rationale: Offering simple choices gives toddlers a sense of
control, reducing frustration that leads to tantrums.
Spanking is ineffective and harmful; tantrums are
developmentally normal.
4. The nurse is assessing a 2-year-old. Which behavior is
consistent with normal development?
A. Parallel play
B. Cooperative play
C. Stranger anxiety
D. Abstract reasoning
Answer: A
Rationale: Parallel play is typical for toddlers (2–3 years).
Cooperative play starts around 3–4 years. Stranger anxiety
Exam Question Bank 150 Multiple Choice
Questions with Answers and Detailed
Rationales
Here is a NR-328 Pediatric Nursing Final Exam
Question Bank containing 150 multiple-choice
questions with answers and detailed rationales. The
questions cover growth and development, common
pediatric illnesses, medication administration, family-
centered care, and high-risk conditions.
Section 1: Growth and Development (Questions 1–25)
1. A 4-month-old infant is brought to the clinic for a well-
child visit. Which milestone should the nurse expect to
observe?
A. Sitting without support
B. Bearing weight on legs when held standing
C. Rolling from back to front
D. Pincer grasp
,Answer: C
Rationale: Rolling over typically occurs between 4–6
months. Sitting without support occurs around 6–8 months.
Bearing weight on legs occurs around 4–5 months but is less
consistent; rolling is a key milestone at 4 months. Pincer
grasp develops at 9–10 months.
2. The mother of a 9-month-old asks why the baby cries
when strangers approach. What is the nurse’s best
response?
A. “This indicates a developmental delay.”
B. “Your baby has stranger anxiety, which is normal at this
age.”
C. “You should avoid leaving the baby with others for now.”
D. “This behavior suggests an attachment disorder.”
Answer: B
Rationale: Stranger anxiety is a normal developmental
milestone beginning around 6–8 months and peaking at 9–
12 months. It reflects healthy attachment to primary
caregivers.
, 3. Which statement by the mother of an 18-month-old
indicates correct understanding of toddler temper
tantrums?
A. “I will spank my child to stop the tantrum.”
B. “Tantrums are a sign of poor parenting.”
C. “I can offer limited choices to prevent frustration.”
D. “Ignoring tantrums only makes them worse.”
Answer: C
Rationale: Offering simple choices gives toddlers a sense of
control, reducing frustration that leads to tantrums.
Spanking is ineffective and harmful; tantrums are
developmentally normal.
4. The nurse is assessing a 2-year-old. Which behavior is
consistent with normal development?
A. Parallel play
B. Cooperative play
C. Stranger anxiety
D. Abstract reasoning
Answer: A
Rationale: Parallel play is typical for toddlers (2–3 years).
Cooperative play starts around 3–4 years. Stranger anxiety
