Chamberlain University | NR 328 Pediatric Nursing
NR 328 Pediatric Nursing Examination 2 -
2026/2027 | Verified Questions
Chamberlain University | Pediatric Nursing | Professional Nursing Candidates
100 Verified Questions | 5 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain University | NR 328 Pediatric Nursing
Examination 2 Actual Exam | Academic Year 2026/2027
NR 328 Pediatric Nursing Examination 2 - 2026/2027 | Verified Questions
,INTRODUCTION
This document presents 100 original verified questions that comprehensively address the full NR 328
Pediatric Nursing Examination 2. The questions span all five core domains: Pediatric Assessment &
Growth/Development; Respiratory & Cardiovascular Pediatric Disorders; Gastrointestinal, Genitourinary
& Endocrine Pediatric Disorders; Neurologic, Musculoskeletal & Integumentary Pediatric Disorders; and
Pediatric Medication Administration, Safety & Family-Centered Care. Content is original and designed to
reinforce the official NR 328 Examination 2 course objectives for actual exam readiness and pediatric
nursing proficiency, aligned to the 2026/2027 academic year. Each item emphasizes clinical reasoning,
developmental assessment accuracy, and family-centered care principles drawn from foundational
pediatric nursing methodology including Chamberlain NR 328 Course Objectives, the NCSBN Clinical
Judgment Measurement Model, Wong's Essentials of Pediatric Nursing, and HESI Pediatric Nursing
Blueprint.
ACTUAL QUESTIONS
Domain 1: Pediatric Assessment & Growth/Development
Question 1. Which finding is consistent with a toddler who is meeting expected
developmental milestones?
A. Speaks in full complex sentences of 8–10 words
B. Walks independently and uses two-word phrases
C. Ties shoelaces without assistance
D. Demonstrates abstract reasoning about future events
Correct Answer: D
Rationale: By approximately 24 months, most toddlers walk independently and begin combining words
into two-word phrases. Complex sentences, independent shoe-tying, and abstract reasoning appear at
later developmental stages. Accurate milestone assessment guides anticipatory guidance and early
identification of delays.
Question 2. A 6-month-old infant's weight is plotted at the 4th percentile for age. Which
interpretation is most appropriate?
A. The infant is within normal growth parameters
B. The finding may indicate failure to thrive and warrants further evaluation
C. Percentile ranking alone confirms a diagnosis of malnutrition
D. Weight percentile is irrelevant after the newborn period
Correct Answer: C
Rationale: Weight below the 3rd–5th percentile for age is a key indicator that may represent failure to
thrive and requires comprehensive evaluation of feeding, medical, and psychosocial factors. Serial
measurements and growth-velocity trends are essential for accurate interpretation.
Question 3. Which approach is most developmentally appropriate when assessing a
preschool-aged child?
A. Perform the most invasive procedures first to complete the examination quickly
B. Allow the child to handle safe equipment and use play to demonstrate procedures
C. Exclude the parent from the room to reduce distraction
D. Rely exclusively on closed-ended questions directed only to the parent
Correct Answer: D
Rationale: Preschool children benefit from play, demonstration, and the opportunity to touch safe
equipment, which reduces fear and increases cooperation. Invasive procedures are deferred until later
in the examination, and parental presence supports the child's sense of security.
NR 328 Pediatric Nursing Examination 2 - 2026/2027 | Verified Questions
, Question 4. According to expected fine-motor development, at what approximate age does
a child typically begin to use a pincer grasp?
A. 3 months
B. 6 months
C. 9 months
D. 15 months
Correct Answer: A
Rationale: The neat pincer grasp (thumb and index finger opposition) typically emerges around 9
months of age. Earlier ages show raking or crude grasp patterns, while later ages refine tool use.
Tracking fine-motor milestones is a core component of pediatric developmental assessment.
Question 5. Which vital-sign parameter is expected to be higher in a healthy infant than in
an adult?
A. Blood pressure
B. Heart rate and respiratory rate
C. Body temperature only
D. Oxygen saturation
Correct Answer: D
Rationale: Infants normally have higher resting heart rates and respiratory rates than older children
and adults because of higher metabolic demands and immature physiologic control. Blood pressure is
typically lower, while oxygen saturation remains comparable when measured accurately.
Question 6. A school-age child is preparing for a painful procedure. Which communication
strategy is most effective?
A. Tell the child the procedure will not hurt to reduce anxiety
B. Provide honest, age-appropriate information about what the child will feel and see
C. Avoid discussing the procedure until it begins
D. Use only medical terminology to maintain professionalism
Correct Answer: A
Rationale: Honest, concrete, age-appropriate preparation builds trust and reduces anticipatory
anxiety. False reassurance that a painful procedure will not hurt damages the nurse–child relationship
and is inconsistent with pediatric nursing standards.
Question 7. Which anthropometric measurement is most useful for assessing long-term
nutritional status in children?
A. Daily weight fluctuation
B. Height (length) for age and weight for height
C. Single mid-arm circumference reading
D. Head circumference after age 5 years
Correct Answer: D
Rationale: Height (or length) for age reflects chronic nutritional status, while weight for height reflects
acute status. Together these indices provide a more complete picture than isolated weight
measurements and guide nutritional assessment in pediatric care.
Question 8. When measuring head circumference in an infant, which technique is correct?
A. Measure once around the forehead only
B. Place the tape above the eyebrows and ears and around the occipital prominence, repeating for
accuracy
C. Measure only when the infant is crying
D. Use a cloth tape that stretches with each measurement
NR 328 Pediatric Nursing Examination 2 - 2026/2027 | Verified Questions
NR 328 Pediatric Nursing Examination 2 -
2026/2027 | Verified Questions
Chamberlain University | Pediatric Nursing | Professional Nursing Candidates
100 Verified Questions | 5 Core Domains | Academic Year 2026/2027
Prepared by
Chamberlain University | NR 328 Pediatric Nursing
Examination 2 Actual Exam | Academic Year 2026/2027
NR 328 Pediatric Nursing Examination 2 - 2026/2027 | Verified Questions
,INTRODUCTION
This document presents 100 original verified questions that comprehensively address the full NR 328
Pediatric Nursing Examination 2. The questions span all five core domains: Pediatric Assessment &
Growth/Development; Respiratory & Cardiovascular Pediatric Disorders; Gastrointestinal, Genitourinary
& Endocrine Pediatric Disorders; Neurologic, Musculoskeletal & Integumentary Pediatric Disorders; and
Pediatric Medication Administration, Safety & Family-Centered Care. Content is original and designed to
reinforce the official NR 328 Examination 2 course objectives for actual exam readiness and pediatric
nursing proficiency, aligned to the 2026/2027 academic year. Each item emphasizes clinical reasoning,
developmental assessment accuracy, and family-centered care principles drawn from foundational
pediatric nursing methodology including Chamberlain NR 328 Course Objectives, the NCSBN Clinical
Judgment Measurement Model, Wong's Essentials of Pediatric Nursing, and HESI Pediatric Nursing
Blueprint.
ACTUAL QUESTIONS
Domain 1: Pediatric Assessment & Growth/Development
Question 1. Which finding is consistent with a toddler who is meeting expected
developmental milestones?
A. Speaks in full complex sentences of 8–10 words
B. Walks independently and uses two-word phrases
C. Ties shoelaces without assistance
D. Demonstrates abstract reasoning about future events
Correct Answer: D
Rationale: By approximately 24 months, most toddlers walk independently and begin combining words
into two-word phrases. Complex sentences, independent shoe-tying, and abstract reasoning appear at
later developmental stages. Accurate milestone assessment guides anticipatory guidance and early
identification of delays.
Question 2. A 6-month-old infant's weight is plotted at the 4th percentile for age. Which
interpretation is most appropriate?
A. The infant is within normal growth parameters
B. The finding may indicate failure to thrive and warrants further evaluation
C. Percentile ranking alone confirms a diagnosis of malnutrition
D. Weight percentile is irrelevant after the newborn period
Correct Answer: C
Rationale: Weight below the 3rd–5th percentile for age is a key indicator that may represent failure to
thrive and requires comprehensive evaluation of feeding, medical, and psychosocial factors. Serial
measurements and growth-velocity trends are essential for accurate interpretation.
Question 3. Which approach is most developmentally appropriate when assessing a
preschool-aged child?
A. Perform the most invasive procedures first to complete the examination quickly
B. Allow the child to handle safe equipment and use play to demonstrate procedures
C. Exclude the parent from the room to reduce distraction
D. Rely exclusively on closed-ended questions directed only to the parent
Correct Answer: D
Rationale: Preschool children benefit from play, demonstration, and the opportunity to touch safe
equipment, which reduces fear and increases cooperation. Invasive procedures are deferred until later
in the examination, and parental presence supports the child's sense of security.
NR 328 Pediatric Nursing Examination 2 - 2026/2027 | Verified Questions
, Question 4. According to expected fine-motor development, at what approximate age does
a child typically begin to use a pincer grasp?
A. 3 months
B. 6 months
C. 9 months
D. 15 months
Correct Answer: A
Rationale: The neat pincer grasp (thumb and index finger opposition) typically emerges around 9
months of age. Earlier ages show raking or crude grasp patterns, while later ages refine tool use.
Tracking fine-motor milestones is a core component of pediatric developmental assessment.
Question 5. Which vital-sign parameter is expected to be higher in a healthy infant than in
an adult?
A. Blood pressure
B. Heart rate and respiratory rate
C. Body temperature only
D. Oxygen saturation
Correct Answer: D
Rationale: Infants normally have higher resting heart rates and respiratory rates than older children
and adults because of higher metabolic demands and immature physiologic control. Blood pressure is
typically lower, while oxygen saturation remains comparable when measured accurately.
Question 6. A school-age child is preparing for a painful procedure. Which communication
strategy is most effective?
A. Tell the child the procedure will not hurt to reduce anxiety
B. Provide honest, age-appropriate information about what the child will feel and see
C. Avoid discussing the procedure until it begins
D. Use only medical terminology to maintain professionalism
Correct Answer: A
Rationale: Honest, concrete, age-appropriate preparation builds trust and reduces anticipatory
anxiety. False reassurance that a painful procedure will not hurt damages the nurse–child relationship
and is inconsistent with pediatric nursing standards.
Question 7. Which anthropometric measurement is most useful for assessing long-term
nutritional status in children?
A. Daily weight fluctuation
B. Height (length) for age and weight for height
C. Single mid-arm circumference reading
D. Head circumference after age 5 years
Correct Answer: D
Rationale: Height (or length) for age reflects chronic nutritional status, while weight for height reflects
acute status. Together these indices provide a more complete picture than isolated weight
measurements and guide nutritional assessment in pediatric care.
Question 8. When measuring head circumference in an infant, which technique is correct?
A. Measure once around the forehead only
B. Place the tape above the eyebrows and ears and around the occipital prominence, repeating for
accuracy
C. Measure only when the infant is crying
D. Use a cloth tape that stretches with each measurement
NR 328 Pediatric Nursing Examination 2 - 2026/2027 | Verified Questions
