Chamberlain
Pediatric Nursing
Exam 2026
Practice Questions
Format: NCLEX-style multiple choice with rationales | Focus: NR-328 Pediatric Nursing
(Family-Centered Care of Children)
Section 1: Growth & Development
Question 1
A nurse is assessing a 3-month-old infant. Which reflex should still be present at this
age?
A) Moro reflex
B) Stepping reflex
C) Rooting reflex
D) All of the above
Rationale: The Moro, stepping, and rooting reflexes are primitive reflexes present at
birth. At 3 months, these reflexes may still be present, though some are fading. The
Moro reflex typically disappears by 4–6 months, the stepping reflex by about 2 months,
and the rooting reflex by about 3–4 months .
Question 2
,A nurse is assessing a 9-month-old infant. Which finding indicates a need for further
evaluation?
A) Able to sit without support
B) Positive Babinski reflex
C) Positive Moro reflex
D) Inability to roll from back to stomach
Rationale: The Moro reflex typically disappears by 4–6 months of age. Persistence of the
Moro reflex at 9 months indicates neurologic abnormality and requires further
evaluation .
Question 3
A nurse is assessing a 2-month-old infant. Which gross motor milestone should the
nurse expect?
A) Lifts head when prone
B) Rolls from back to abdomen
C) Sits without support
D) Crawls
Rationale: At 2 months, an infant should be able to lift the head when prone. Rolling
over typically occurs at 4–6 months, sitting without support at 8 months, and crawling at
9–10 months .
Question 4
A nurse is providing anticipatory guidance to the parents of a 6-month-old infant.
Which statement indicates the parents understand infant safety?
A) "We will place the infant on their stomach to sleep."
B) "We will introduce honey to help with teething."
C) "We will keep small objects out of reach."
D) "We will use a front-facing car seat."
Rationale: At 6 months, infants begin to grasp objects and bring them to their mouths,
increasing the risk of choking and aspiration. Keeping small objects out of reach is an
important safety measure. Stomach sleeping increases SIDS risk, honey should be
avoided before 12 months, and car seats should remain rear-facing until at least age 2 .
,Question 5
A nurse is assessing a 3-year-old child admitted to the hospital. Which action is most
appropriate?
A) Allow the child to make simple choices
B) Provide long explanations of procedures
C) Limit parental visits
D) Expect independent self-care
Rationale: Offering limited choices supports autonomy and reduces anxiety in
preschoolers. Long explanations are inappropriate for this developmental stage,
parental visits should be encouraged, and preschoolers are not capable of independent
self-care .
Section 2: Infant Nutrition & Feeding
Question 6
A nurse is providing teaching to a parent about infant nutrition. The nurse should advise
against introducing which food before 12 months of age?
A) Iron-fortified cereal
B) Pureed fruits
C) Honey
D) Pureed vegetables
Rationale: Honey should be avoided in the first year of life due to the risk of infant
botulism. The infant's digestive system is not mature enough to handle the spores that
may be present in honey. Iron-fortified cereal, pureed fruits, and pureed vegetables are
appropriate foods after 4–6 months .
Question 7
A nurse is providing teaching to a parent about infant feeding. The parent asks when
cow's milk can be introduced. The nurse's best response is:
A) "Cow's milk can be introduced at 6 months."
B) "Cow's milk should be avoided until 12 months."
, C) "Cow's milk can be introduced at 9 months."
D) "Cow's milk can be introduced at 4 months."
Rationale: Cow's milk should not be introduced before 12 months of age because it is
difficult for infants to digest and may cause iron deficiency anemia. Breast milk or iron-
fortified formula should be the primary source of nutrition for the first 12 months .
Question 8
A nurse is teaching parents how to feed their infant using a newly placed gastrostomy
tube (G-tube). What is essential information for the parents to receive?
A) Position the infant supine during and after the feeding
B) Position the infant on the right side during and after the feeding
C) Feed the infant rapidly to prevent clogging
D) Flush the tube with air after feeding
Rationale: Positioning the infant on the right side during and after G-tube feedings
promotes gastric emptying and reduces the risk of aspiration .
Section 3: Respiratory Disorders
Question 9
A nurse is assessing a child with respiratory distress. Which finding requires immediate
action?
A) Oxygen saturation of 88%
B) Mild cough
C) Clear nasal drainage
D) Slight decrease in appetite
Rationale: Low oxygen saturation indicates impaired oxygenation and requires
immediate respiratory intervention .
Question 10
Pediatric Nursing
Exam 2026
Practice Questions
Format: NCLEX-style multiple choice with rationales | Focus: NR-328 Pediatric Nursing
(Family-Centered Care of Children)
Section 1: Growth & Development
Question 1
A nurse is assessing a 3-month-old infant. Which reflex should still be present at this
age?
A) Moro reflex
B) Stepping reflex
C) Rooting reflex
D) All of the above
Rationale: The Moro, stepping, and rooting reflexes are primitive reflexes present at
birth. At 3 months, these reflexes may still be present, though some are fading. The
Moro reflex typically disappears by 4–6 months, the stepping reflex by about 2 months,
and the rooting reflex by about 3–4 months .
Question 2
,A nurse is assessing a 9-month-old infant. Which finding indicates a need for further
evaluation?
A) Able to sit without support
B) Positive Babinski reflex
C) Positive Moro reflex
D) Inability to roll from back to stomach
Rationale: The Moro reflex typically disappears by 4–6 months of age. Persistence of the
Moro reflex at 9 months indicates neurologic abnormality and requires further
evaluation .
Question 3
A nurse is assessing a 2-month-old infant. Which gross motor milestone should the
nurse expect?
A) Lifts head when prone
B) Rolls from back to abdomen
C) Sits without support
D) Crawls
Rationale: At 2 months, an infant should be able to lift the head when prone. Rolling
over typically occurs at 4–6 months, sitting without support at 8 months, and crawling at
9–10 months .
Question 4
A nurse is providing anticipatory guidance to the parents of a 6-month-old infant.
Which statement indicates the parents understand infant safety?
A) "We will place the infant on their stomach to sleep."
B) "We will introduce honey to help with teething."
C) "We will keep small objects out of reach."
D) "We will use a front-facing car seat."
Rationale: At 6 months, infants begin to grasp objects and bring them to their mouths,
increasing the risk of choking and aspiration. Keeping small objects out of reach is an
important safety measure. Stomach sleeping increases SIDS risk, honey should be
avoided before 12 months, and car seats should remain rear-facing until at least age 2 .
,Question 5
A nurse is assessing a 3-year-old child admitted to the hospital. Which action is most
appropriate?
A) Allow the child to make simple choices
B) Provide long explanations of procedures
C) Limit parental visits
D) Expect independent self-care
Rationale: Offering limited choices supports autonomy and reduces anxiety in
preschoolers. Long explanations are inappropriate for this developmental stage,
parental visits should be encouraged, and preschoolers are not capable of independent
self-care .
Section 2: Infant Nutrition & Feeding
Question 6
A nurse is providing teaching to a parent about infant nutrition. The nurse should advise
against introducing which food before 12 months of age?
A) Iron-fortified cereal
B) Pureed fruits
C) Honey
D) Pureed vegetables
Rationale: Honey should be avoided in the first year of life due to the risk of infant
botulism. The infant's digestive system is not mature enough to handle the spores that
may be present in honey. Iron-fortified cereal, pureed fruits, and pureed vegetables are
appropriate foods after 4–6 months .
Question 7
A nurse is providing teaching to a parent about infant feeding. The parent asks when
cow's milk can be introduced. The nurse's best response is:
A) "Cow's milk can be introduced at 6 months."
B) "Cow's milk should be avoided until 12 months."
, C) "Cow's milk can be introduced at 9 months."
D) "Cow's milk can be introduced at 4 months."
Rationale: Cow's milk should not be introduced before 12 months of age because it is
difficult for infants to digest and may cause iron deficiency anemia. Breast milk or iron-
fortified formula should be the primary source of nutrition for the first 12 months .
Question 8
A nurse is teaching parents how to feed their infant using a newly placed gastrostomy
tube (G-tube). What is essential information for the parents to receive?
A) Position the infant supine during and after the feeding
B) Position the infant on the right side during and after the feeding
C) Feed the infant rapidly to prevent clogging
D) Flush the tube with air after feeding
Rationale: Positioning the infant on the right side during and after G-tube feedings
promotes gastric emptying and reduces the risk of aspiration .
Section 3: Respiratory Disorders
Question 9
A nurse is assessing a child with respiratory distress. Which finding requires immediate
action?
A) Oxygen saturation of 88%
B) Mild cough
C) Clear nasal drainage
D) Slight decrease in appetite
Rationale: Low oxygen saturation indicates impaired oxygenation and requires
immediate respiratory intervention .
Question 10
