NR-328PEDIATRIC NURSING EXAM 3 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A
|LATEST EXAM UPDATE 2026/2027 CHAMBERLAIN UNIVERSITY..
*CORE DOMAINS*
*Pediatric Neurological Disorders*
*Pediatric Endocrine and Metabolic Function*
*Childhood Infectious and Communicable Diseases*
*Pediatric Immunologic and Altered Cellular States*
*Care of the Child with Genitourinary Dysfunction*
*Musculoskeletal and Joint Conditions*
*Pediatric Emergency and Trauma Management*
*Legal and Ethical Considerations in Pediatric Care*
*INTRODUCTION*
*This comprehensive assessment is designed to evaluate clinical proficiency and theoretical knowledge across essential pediatric nu
SECTION ONE: QUESTIONS 1–100
A 6-year-old child is admitted with suspected bacterial meningitis. Which of the following nursing interventions is the priority upon
admission?
A. Administering oral analgesics for headache
B. Initiating droplet precautions
C. Obtaining a urine specimen for culture
D. Assessing the child for Kernig sign
🟢 B. Initiating droplet precautions
🔴 RATIONALE: The priority is to prevent the spread of infection; bacterial meningitis requires droplet precautions until 24 hours after
antibiotic initiation.
,A child with Type 1 Diabetes Mellitus presents with a blood glucose level of 45 mg/dL. The child is conscious but lethargic. What is the
most appropriate initial nursing action?
A. Administer subcutaneous insulin
B. Provide 4 oz of orange juice
C. Administer intravenous dextrose 50%
D. Place the child in a side-lying position
🟢 B. Provide 4 oz of orange juice
🔴 RATIONALE: For a conscious child with hypoglycemia, the nurse should provide a simple carbohydrate source like orange juice to
rapidly increase blood glucose.
Which clinical finding in a child with nephrotic syndrome requires immediate notification of the healthcare provider?
A. Generalized edema
B. Dark, frothy urine
C. Respiratory distress
D. Blood pressure of 100/60 mmHg
🟢 C. Respiratory distress
🔴 RATIONALE: Severe edema can lead to pleural effusion or pulmonary congestion, making respiratory distress a life-threatening
complication requiring immediate intervention.
A nurse is caring for an adolescent with scoliosis who has just been fitted for a thoracic-lumbar-sacral orthosis (TLSO) brace. What is
the most important instruction to include?
A. Wear the brace only when sleeping
B. Apply lotion under the brace to prevent skin breakdown
C. Wear a cotton t-shirt under the brace
D. The brace should be worn for at least 12 hours a day
🟢 C. Wear a cotton t-shirt under the brace
🔴 RATIONALE: Wearing a clean cotton t-shirt under the brace prevents skin irritation and absorbs perspiration, reducing the risk of
skin breakdown.
A 4-year-old is hospitalized for a vaso-occlusive sickle cell crisis. Which intervention is the highest priority?
A. Encouraging quiet play
B. Administering prophylactic antibiotics
C. Providing intravenous hydration and pain management
D. Monitoring for signs of infection
🟢 C. Providing intravenous hydration and pain management
, 🔴 RATIONALE: Vaso-occlusive crises are extremely painful and are exacerbated by dehydration; aggressive fluids and analgesia are
the primary treatments.
An infant is diagnosed with biliary atresia. Which symptom is the nurse most likely to observe?
A. Dark, tarry stools
B. Jaundice and clay-colored stools
C. Hyperactivity
D. Increased weight gain
🟢 B. Jaundice and clay-colored stools
🔴 RATIONALE: Biliary atresia prevents bile from reaching the intestines, leading to bile-stained skin (jaundice) and lack of bile in the
stool (acholic/clay-colored stools).
Which action should the nurse take when caring for a child with suspected epiglottitis?
A. Obtain a throat culture immediately
B. Place the child in a supine position
C. Keep the child in a calm, upright position
D. Attempt to visualize the epiglottis
🟢 C. Keep the child in a calm, upright position
🔴 RATIONALE: Manipulating the throat (like a culture or visualization) can cause total airway obstruction. Keeping the child upright
helps maintain the airway.
A parent reports that their toddler is experiencing frequent "staring spells." Which diagnostic test is most appropriate to order?
A. Complete blood count
B. Electroencephalogram (EEG)
C. Magnetic resonance imaging (MRI)
D. Lumbar puncture
🟢 B. Electroencephalogram (EEG)
🔴 RATIONALE: Staring spells are indicative of absence seizures; an EEG is the definitive diagnostic tool to detect abnormal electrical
activity in the brain.
A child with cystic fibrosis is prescribed pancreatic enzymes. When should these be administered?
A. Every 4 hours around the clock
B. With every meal and snack
C. Once a day in the morning
D. Only if the child has loose stools
🟢 B. With every meal and snack
|LATEST EXAM UPDATE 2026/2027 CHAMBERLAIN UNIVERSITY..
*CORE DOMAINS*
*Pediatric Neurological Disorders*
*Pediatric Endocrine and Metabolic Function*
*Childhood Infectious and Communicable Diseases*
*Pediatric Immunologic and Altered Cellular States*
*Care of the Child with Genitourinary Dysfunction*
*Musculoskeletal and Joint Conditions*
*Pediatric Emergency and Trauma Management*
*Legal and Ethical Considerations in Pediatric Care*
*INTRODUCTION*
*This comprehensive assessment is designed to evaluate clinical proficiency and theoretical knowledge across essential pediatric nu
SECTION ONE: QUESTIONS 1–100
A 6-year-old child is admitted with suspected bacterial meningitis. Which of the following nursing interventions is the priority upon
admission?
A. Administering oral analgesics for headache
B. Initiating droplet precautions
C. Obtaining a urine specimen for culture
D. Assessing the child for Kernig sign
🟢 B. Initiating droplet precautions
🔴 RATIONALE: The priority is to prevent the spread of infection; bacterial meningitis requires droplet precautions until 24 hours after
antibiotic initiation.
,A child with Type 1 Diabetes Mellitus presents with a blood glucose level of 45 mg/dL. The child is conscious but lethargic. What is the
most appropriate initial nursing action?
A. Administer subcutaneous insulin
B. Provide 4 oz of orange juice
C. Administer intravenous dextrose 50%
D. Place the child in a side-lying position
🟢 B. Provide 4 oz of orange juice
🔴 RATIONALE: For a conscious child with hypoglycemia, the nurse should provide a simple carbohydrate source like orange juice to
rapidly increase blood glucose.
Which clinical finding in a child with nephrotic syndrome requires immediate notification of the healthcare provider?
A. Generalized edema
B. Dark, frothy urine
C. Respiratory distress
D. Blood pressure of 100/60 mmHg
🟢 C. Respiratory distress
🔴 RATIONALE: Severe edema can lead to pleural effusion or pulmonary congestion, making respiratory distress a life-threatening
complication requiring immediate intervention.
A nurse is caring for an adolescent with scoliosis who has just been fitted for a thoracic-lumbar-sacral orthosis (TLSO) brace. What is
the most important instruction to include?
A. Wear the brace only when sleeping
B. Apply lotion under the brace to prevent skin breakdown
C. Wear a cotton t-shirt under the brace
D. The brace should be worn for at least 12 hours a day
🟢 C. Wear a cotton t-shirt under the brace
🔴 RATIONALE: Wearing a clean cotton t-shirt under the brace prevents skin irritation and absorbs perspiration, reducing the risk of
skin breakdown.
A 4-year-old is hospitalized for a vaso-occlusive sickle cell crisis. Which intervention is the highest priority?
A. Encouraging quiet play
B. Administering prophylactic antibiotics
C. Providing intravenous hydration and pain management
D. Monitoring for signs of infection
🟢 C. Providing intravenous hydration and pain management
, 🔴 RATIONALE: Vaso-occlusive crises are extremely painful and are exacerbated by dehydration; aggressive fluids and analgesia are
the primary treatments.
An infant is diagnosed with biliary atresia. Which symptom is the nurse most likely to observe?
A. Dark, tarry stools
B. Jaundice and clay-colored stools
C. Hyperactivity
D. Increased weight gain
🟢 B. Jaundice and clay-colored stools
🔴 RATIONALE: Biliary atresia prevents bile from reaching the intestines, leading to bile-stained skin (jaundice) and lack of bile in the
stool (acholic/clay-colored stools).
Which action should the nurse take when caring for a child with suspected epiglottitis?
A. Obtain a throat culture immediately
B. Place the child in a supine position
C. Keep the child in a calm, upright position
D. Attempt to visualize the epiglottis
🟢 C. Keep the child in a calm, upright position
🔴 RATIONALE: Manipulating the throat (like a culture or visualization) can cause total airway obstruction. Keeping the child upright
helps maintain the airway.
A parent reports that their toddler is experiencing frequent "staring spells." Which diagnostic test is most appropriate to order?
A. Complete blood count
B. Electroencephalogram (EEG)
C. Magnetic resonance imaging (MRI)
D. Lumbar puncture
🟢 B. Electroencephalogram (EEG)
🔴 RATIONALE: Staring spells are indicative of absence seizures; an EEG is the definitive diagnostic tool to detect abnormal electrical
activity in the brain.
A child with cystic fibrosis is prescribed pancreatic enzymes. When should these be administered?
A. Every 4 hours around the clock
B. With every meal and snack
C. Once a day in the morning
D. Only if the child has loose stools
🟢 B. With every meal and snack
