NR328/NR 328 Exam 1 V3 | Pediatric Nursing Q&A
with Rationale | Chamberlain University
1. A nurse is assessing a 4-year-old child’s growth. According to Erikson, which developmental
stage is this child expected to be in?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Correct Answer: D
Explanation: The preschool-age child, ranging from 3 to 6 years, is in the stage of Initiative
vs. Guilt. During this period, children begin to assert power and control over their
environment through play and social interaction. If this tendency is stifled by criticism or
control, children develop a sense of guilt regarding their desires.
2. A nurse is teaching parents of a 6-month-old infant about the introduction of solid foods.
Which of the following instructions should the nurse include?
A. Introduce fruit juice before solid foods.
B. Wait until 12 months to start any solid foods.
C. Introduce multiple new foods at once to increase variety.
D. Start with iron-fortified rice cereal.
,Correct Answer: D
Explanation: Iron-fortified rice cereal is typically the first solid food introduced because of
its low allergenic potential and the infant’s need for iron. New foods should be introduced
one at a time over a 4 to 7-day period to identify potential allergies. This systematic
approach ensures that any adverse reactions can be accurately attributed to a specific food
item.
3. A nurse is assessing a 12-month-old infant during a well-child visit. Which weight finding
should the nurse expect if the birth weight was 7 lbs?
A. 21 lbs
B. 14 lbs
C. 28 lbs
D. 35 lbs
Correct Answer: A
Explanation: An infant’s birth weight typically doubles by 6 months and triples by 12
months of age. Since the birth weight was 7 lbs, the expected weight at one year is
approximately 21 lbs. Monitoring these growth milestones is a critical component of
pediatric health surveillance to ensure proper nutrition and development.
4. When assessing a 2-year-old child’s physical growth, which of the following techniques
should the nurse use first?
A. Auscultate the heart and lungs
, B. Check the ears for infection
C. Examine the throat with a tongue blade
D. Palpate the abdomen
Correct Answer: A
Explanation: In pediatric assessments, the nurse should perform the least invasive and
most quiet procedures first to gain the child’s trust and ensure accuracy. Auscultating the
heart and lungs while the child is quiet provides better diagnostic data than when the child
is crying. Traumatic or intrusive procedures, such as ear or throat exams, are always saved
for the end of the assessment.
5. A nurse is evaluating the gross motor skills of an 18-month-old toddler. Which of the
following findings should the nurse expect?
A. Skips on alternate feet
B. Stands on one foot for 10 seconds
C. Throws a ball overhand
D. Rides a tricycle
Correct Answer: C
Explanation: By 18 months, toddlers typically throw a ball overhand and can walk up
stairs with help. Riding a tricycle is a milestone for a 3-year-old, while skipping is usually
with Rationale | Chamberlain University
1. A nurse is assessing a 4-year-old child’s growth. According to Erikson, which developmental
stage is this child expected to be in?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Correct Answer: D
Explanation: The preschool-age child, ranging from 3 to 6 years, is in the stage of Initiative
vs. Guilt. During this period, children begin to assert power and control over their
environment through play and social interaction. If this tendency is stifled by criticism or
control, children develop a sense of guilt regarding their desires.
2. A nurse is teaching parents of a 6-month-old infant about the introduction of solid foods.
Which of the following instructions should the nurse include?
A. Introduce fruit juice before solid foods.
B. Wait until 12 months to start any solid foods.
C. Introduce multiple new foods at once to increase variety.
D. Start with iron-fortified rice cereal.
,Correct Answer: D
Explanation: Iron-fortified rice cereal is typically the first solid food introduced because of
its low allergenic potential and the infant’s need for iron. New foods should be introduced
one at a time over a 4 to 7-day period to identify potential allergies. This systematic
approach ensures that any adverse reactions can be accurately attributed to a specific food
item.
3. A nurse is assessing a 12-month-old infant during a well-child visit. Which weight finding
should the nurse expect if the birth weight was 7 lbs?
A. 21 lbs
B. 14 lbs
C. 28 lbs
D. 35 lbs
Correct Answer: A
Explanation: An infant’s birth weight typically doubles by 6 months and triples by 12
months of age. Since the birth weight was 7 lbs, the expected weight at one year is
approximately 21 lbs. Monitoring these growth milestones is a critical component of
pediatric health surveillance to ensure proper nutrition and development.
4. When assessing a 2-year-old child’s physical growth, which of the following techniques
should the nurse use first?
A. Auscultate the heart and lungs
, B. Check the ears for infection
C. Examine the throat with a tongue blade
D. Palpate the abdomen
Correct Answer: A
Explanation: In pediatric assessments, the nurse should perform the least invasive and
most quiet procedures first to gain the child’s trust and ensure accuracy. Auscultating the
heart and lungs while the child is quiet provides better diagnostic data than when the child
is crying. Traumatic or intrusive procedures, such as ear or throat exams, are always saved
for the end of the assessment.
5. A nurse is evaluating the gross motor skills of an 18-month-old toddler. Which of the
following findings should the nurse expect?
A. Skips on alternate feet
B. Stands on one foot for 10 seconds
C. Throws a ball overhand
D. Rides a tricycle
Correct Answer: C
Explanation: By 18 months, toddlers typically throw a ball overhand and can walk up
stairs with help. Riding a tricycle is a milestone for a 3-year-old, while skipping is usually
