NURS 328 Exam 1 – Pediatric Health Concepts – (2026) Ac… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NURS 328 Exam 1 – Pediatric Health Concepts –
(2026) Actual Questions & Answers UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NURS 328 Exam 1 – Pediatric Health Concepts – (2026) Ac… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Erikson, what is the primary developmental task for an infant from birth to 1
year?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Trust vs. Mistrust
D. Initiative vs. Guilt
Answer: C
Rationale: Infants learn to trust their caregivers when their basic needs, such as feeding and comfort, are met
consistently. Exam questions often test the ability to distinguish this concept from closely related distractors,
making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes.
2. By what age should a nurse expect an infant’s birth weight to have doubled?
A. 4 months
B. 9 months
C. 6 months
D. 12 months
Answer: C
Rationale: A general rule of thumb for infant growth is that the birth weight doubles by age 5 to 6 months and
triples by 12 months. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports
safe, evidence-based practice and improves patient outcomes.
3. When assessing a toddler, in which order should the nurse perform the physical
examination?
A. Head to toe, like an adult
B. Perform invasive procedures first while they are quiet
C. Least invasive to most invasive
D. Deep palpation, auscultation, then inspection
Answer: C
Rationale: To maintain cooperation, the nurse should perform non-threatening assessments (inspection,
auscultation) before invasive ones (ears, throat). Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NURS 328 Exam 1 – Pediatric Health Concepts – (2026) Ac… 2026 Update • Verified Answers
4. A 9-month-old infant is observed looking for a toy that was hidden under a blanket. This
demonstrates which Piagetian concept?
A. Conservation
B. Object Permanence
C. Egocentrism
D. Animism
Answer: B
Rationale: Object permanence is the understanding that objects continue to exist even when they cannot be
seen, typically developing around 9 months. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. What type of play is most characteristic of toddlers?
A. Parallel play
B. Solitary play
C. Associative play
D. Cooperative play
Answer: A
Rationale: Toddlers engage in parallel play, where they play alongside other children with similar toys but do
not interact directly. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
6. Which pain assessment tool is most appropriate for a 2-month-old infant?
A. FLACC Scale
B. Visual Analog Scale
C. FACES Scale
D. Numeric Rating Scale
Answer: A
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and children who
cannot verbally report pain. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (A)
requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NURS 328 Exam 1 – Pediatric Health Concepts –
(2026) Actual Questions & Answers UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NURS 328 Exam 1 – Pediatric Health Concepts – (2026) Ac… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Erikson, what is the primary developmental task for an infant from birth to 1
year?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Trust vs. Mistrust
D. Initiative vs. Guilt
Answer: C
Rationale: Infants learn to trust their caregivers when their basic needs, such as feeding and comfort, are met
consistently. Exam questions often test the ability to distinguish this concept from closely related distractors,
making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes.
2. By what age should a nurse expect an infant’s birth weight to have doubled?
A. 4 months
B. 9 months
C. 6 months
D. 12 months
Answer: C
Rationale: A general rule of thumb for infant growth is that the birth weight doubles by age 5 to 6 months and
triples by 12 months. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports
safe, evidence-based practice and improves patient outcomes.
3. When assessing a toddler, in which order should the nurse perform the physical
examination?
A. Head to toe, like an adult
B. Perform invasive procedures first while they are quiet
C. Least invasive to most invasive
D. Deep palpation, auscultation, then inspection
Answer: C
Rationale: To maintain cooperation, the nurse should perform non-threatening assessments (inspection,
auscultation) before invasive ones (ears, throat). Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (C) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NURS 328 Exam 1 – Pediatric Health Concepts – (2026) Ac… 2026 Update • Verified Answers
4. A 9-month-old infant is observed looking for a toy that was hidden under a blanket. This
demonstrates which Piagetian concept?
A. Conservation
B. Object Permanence
C. Egocentrism
D. Animism
Answer: B
Rationale: Object permanence is the understanding that objects continue to exist even when they cannot be
seen, typically developing around 9 months. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. What type of play is most characteristic of toddlers?
A. Parallel play
B. Solitary play
C. Associative play
D. Cooperative play
Answer: A
Rationale: Toddlers engage in parallel play, where they play alongside other children with similar toys but do
not interact directly. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and
provide accurate patient education. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery.
6. Which pain assessment tool is most appropriate for a 2-month-old infant?
A. FLACC Scale
B. Visual Analog Scale
C. FACES Scale
D. Numeric Rating Scale
Answer: A
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and children who
cannot verbally report pain. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (A)
requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
