,NR-328 Verified Final Exam — Pediatric
Nursing | Chamberlain College of Nursing | Q
& A | 2026/2027 Edition
1. The mother of a 2-month-old infant asks the nurse when her baby will receive the first dose
of the MMR vaccine. Which response by the nurse is correct?
A) "Your baby will receive the MMR vaccine at 4 months of age"
B) "The MMR vaccine is first given at 12-15 months of age"
C) "The MMR vaccine is given at birth"
D) "Your baby will receive the MMR vaccine at 6 months of age"
Correct Answer: "The MMR vaccine is first given at 12-15 months of age"
Rationale: The MMR vaccine is first administered at 12-15 months of age, with a second dose at
4-6 years. It is not given at birth, 4 months, or 6 months. Maternal antibodies may interfere with
the vaccine's effectiveness if given earlier .
2. A nurse is assessing a 4-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to demonstrate?
A) Sitting independently without support
B) Grasping a rattle briefly
C) Crawling on hands and knees
D) Transferring objects from hand to hand
,Correct Answer: Grasping a rattle briefly
Rationale: At 4 months, infants typically can grasp objects briefly, hold a rattle, and bring objects
to their mouth. Sitting independently occurs around 6-8 months. Crawling occurs at 8-10
months. Transferring objects occurs around 6-7 months .
3. Which sleep position is recommended to reduce the risk of sudden infant death syndrome
(SIDS)?
A) Prone (stomach)
B) Supine (back)
C) Side-lying
D) Any position is equally safe
Correct Answer: Supine (back)
Rationale: Supine (back) sleeping position is recommended by the American Academy of
Pediatrics to reduce the risk of SIDS. Prone and side-lying positions are not recommended .
4. A nurse is providing anticipatory guidance to the parents of a 6-month-old infant. Which topic
is most important for the nurse to discuss?
A) Toilet training readiness
B) Introduction of solid foods
C) Preschool readiness
D) Dental hygiene
, Correct Answer: Introduction of solid foods
Rationale: At 6 months of age, infants are typically ready for the introduction of solid foods
while continuing to receive breast milk or formula. This is a key developmental milestone and a
topic of anticipatory guidance .
5. The nurse is assessing a 4-year-old child's developmental milestones. Which activity would
the nurse expect the child to perform?
A) Ride a two-wheeled bicycle
B) Tie shoelaces
C) Draw a circle
D) Skip on one foot
Correct Answer: Draw a circle
Rationale: A 4-year-old child is typically able to draw a circle and a person with 2-4 body parts.
Riding a two-wheeled bicycle is a skill of a 6-7 year old .
6. A 6-month-old infant is in which of Erikson's stages of psychosocial development?
A) Autonomy vs. Shame and Doubt
B) Trust vs. Mistrust
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Trust vs. Mistrust
Nursing | Chamberlain College of Nursing | Q
& A | 2026/2027 Edition
1. The mother of a 2-month-old infant asks the nurse when her baby will receive the first dose
of the MMR vaccine. Which response by the nurse is correct?
A) "Your baby will receive the MMR vaccine at 4 months of age"
B) "The MMR vaccine is first given at 12-15 months of age"
C) "The MMR vaccine is given at birth"
D) "Your baby will receive the MMR vaccine at 6 months of age"
Correct Answer: "The MMR vaccine is first given at 12-15 months of age"
Rationale: The MMR vaccine is first administered at 12-15 months of age, with a second dose at
4-6 years. It is not given at birth, 4 months, or 6 months. Maternal antibodies may interfere with
the vaccine's effectiveness if given earlier .
2. A nurse is assessing a 4-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to demonstrate?
A) Sitting independently without support
B) Grasping a rattle briefly
C) Crawling on hands and knees
D) Transferring objects from hand to hand
,Correct Answer: Grasping a rattle briefly
Rationale: At 4 months, infants typically can grasp objects briefly, hold a rattle, and bring objects
to their mouth. Sitting independently occurs around 6-8 months. Crawling occurs at 8-10
months. Transferring objects occurs around 6-7 months .
3. Which sleep position is recommended to reduce the risk of sudden infant death syndrome
(SIDS)?
A) Prone (stomach)
B) Supine (back)
C) Side-lying
D) Any position is equally safe
Correct Answer: Supine (back)
Rationale: Supine (back) sleeping position is recommended by the American Academy of
Pediatrics to reduce the risk of SIDS. Prone and side-lying positions are not recommended .
4. A nurse is providing anticipatory guidance to the parents of a 6-month-old infant. Which topic
is most important for the nurse to discuss?
A) Toilet training readiness
B) Introduction of solid foods
C) Preschool readiness
D) Dental hygiene
, Correct Answer: Introduction of solid foods
Rationale: At 6 months of age, infants are typically ready for the introduction of solid foods
while continuing to receive breast milk or formula. This is a key developmental milestone and a
topic of anticipatory guidance .
5. The nurse is assessing a 4-year-old child's developmental milestones. Which activity would
the nurse expect the child to perform?
A) Ride a two-wheeled bicycle
B) Tie shoelaces
C) Draw a circle
D) Skip on one foot
Correct Answer: Draw a circle
Rationale: A 4-year-old child is typically able to draw a circle and a person with 2-4 body parts.
Riding a two-wheeled bicycle is a skill of a 6-7 year old .
6. A 6-month-old infant is in which of Erikson's stages of psychosocial development?
A) Autonomy vs. Shame and Doubt
B) Trust vs. Mistrust
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Trust vs. Mistrust
