NR 328 Pediatric Nursing Exams – Exam 1,
Exam 2 & Final (2025–2026) | 60 Verified
Questions with Answers & Rationales
Exam 1: NR 328 Pediatric Nursing (20 Questions)
Focus: Perspectives of pediatric nursing, health promotion, growth and development, and
common acute conditions (e.g., pertussis, impetigo, tinea).
Question 1: What is the best indicator of fluid status in a pediatric patient?
A) Blood pressure
B) Daily weight
C) Heart rate
D) Urine output
Answer: B) Daily weight
Rationale: Daily weight is the most accurate measure of fluid status in children, reflecting
changes in hydration ().
Question 2: True/False: Vaccines are a key strategy for pediatric health promotion.
Answer: True
Rationale: Vaccines prevent infectious diseases, a major health promotion strategy in pediatrics
().
Question 3: Fill-in-the-Blank: ___________ is a highly contagious superficial skin infection
often caused by staph.
Answer: Impetigo
Rationale: Impetigo, caused by staphylococcus, presents with a honey-colored crust and is
treated with topical antibiotics ().
Question 4: Which finding should a nurse expect in a child with pertussis?
A) Swollen salivary glands
B) Cough with a whooping sound
C) Red rash on extremities
D) Projectile vomiting
Answer: B) Cough with a whooping sound
Rationale: Pertussis (whooping cough) is characterized by a distinctive whooping cough, runny
nose, and mild fever ().
Question 5: True/False: Dental caries are the most common chronic disease of childhood.
Answer: True
, Rationale: Dental caries are the most prevalent chronic condition in children, influenced by poor
nutrition and hygiene ().
Question 6: What is the standard IV fluid bolus dose for a pediatric patient?
A) 10 mL/kg
B) 20 mL/kg
C) 30 mL/kg
D) 40 mL/kg
Answer: B) 20 mL/kg
Rationale: A 20 mL/kg bolus is standard for pediatric fluid resuscitation in dehydration or shock
().
Question 7: Fill-in-the-Blank: ___________ is a fungal infection of the scalp treated with oral
antifungals.
Answer: Tinea capitis
Rationale: Tinea capitis, a scalp fungal infection, requires oral antifungals like griseofulvin and
can cause balding ().
Question 8: True/False: Poison ivy causes an itchy rash within 72 hours of exposure.
Answer: True
Rationale: Poison ivy triggers a delayed hypersensitivity rash within 72 hours, treated with
calamine lotion or hydrocortisone ().
Question 9: Which nursing intervention is appropriate for impetigo?
A) Apply topical mupirocin
B) Administer oral antibiotics
C) Use antifungal cream
D) Restrict fluid intake
Answer: A) Apply topical mupirocin
Rationale: Topical mupirocin treats impetigo; the child is non-contagious 24 hours after starting
treatment ().
Question 10: Fill-in-the-Blank: The single most common chronic disease in children is
___________ caries.
Answer: Dental
Rationale: Dental caries are prevalent due to poor oral hygiene and diet, requiring education and
prevention ().
Question 11: What is a key health promotion strategy to prevent childhood obesity?
A) Increase screen time
B) Promote regular exercise
C) Restrict vaccinations
D) Limit dental care
Answer: B) Promote regular exercise
Rationale: Exercise reduces obesity risk, a major health issue in children ().
Exam 2 & Final (2025–2026) | 60 Verified
Questions with Answers & Rationales
Exam 1: NR 328 Pediatric Nursing (20 Questions)
Focus: Perspectives of pediatric nursing, health promotion, growth and development, and
common acute conditions (e.g., pertussis, impetigo, tinea).
Question 1: What is the best indicator of fluid status in a pediatric patient?
A) Blood pressure
B) Daily weight
C) Heart rate
D) Urine output
Answer: B) Daily weight
Rationale: Daily weight is the most accurate measure of fluid status in children, reflecting
changes in hydration ().
Question 2: True/False: Vaccines are a key strategy for pediatric health promotion.
Answer: True
Rationale: Vaccines prevent infectious diseases, a major health promotion strategy in pediatrics
().
Question 3: Fill-in-the-Blank: ___________ is a highly contagious superficial skin infection
often caused by staph.
Answer: Impetigo
Rationale: Impetigo, caused by staphylococcus, presents with a honey-colored crust and is
treated with topical antibiotics ().
Question 4: Which finding should a nurse expect in a child with pertussis?
A) Swollen salivary glands
B) Cough with a whooping sound
C) Red rash on extremities
D) Projectile vomiting
Answer: B) Cough with a whooping sound
Rationale: Pertussis (whooping cough) is characterized by a distinctive whooping cough, runny
nose, and mild fever ().
Question 5: True/False: Dental caries are the most common chronic disease of childhood.
Answer: True
, Rationale: Dental caries are the most prevalent chronic condition in children, influenced by poor
nutrition and hygiene ().
Question 6: What is the standard IV fluid bolus dose for a pediatric patient?
A) 10 mL/kg
B) 20 mL/kg
C) 30 mL/kg
D) 40 mL/kg
Answer: B) 20 mL/kg
Rationale: A 20 mL/kg bolus is standard for pediatric fluid resuscitation in dehydration or shock
().
Question 7: Fill-in-the-Blank: ___________ is a fungal infection of the scalp treated with oral
antifungals.
Answer: Tinea capitis
Rationale: Tinea capitis, a scalp fungal infection, requires oral antifungals like griseofulvin and
can cause balding ().
Question 8: True/False: Poison ivy causes an itchy rash within 72 hours of exposure.
Answer: True
Rationale: Poison ivy triggers a delayed hypersensitivity rash within 72 hours, treated with
calamine lotion or hydrocortisone ().
Question 9: Which nursing intervention is appropriate for impetigo?
A) Apply topical mupirocin
B) Administer oral antibiotics
C) Use antifungal cream
D) Restrict fluid intake
Answer: A) Apply topical mupirocin
Rationale: Topical mupirocin treats impetigo; the child is non-contagious 24 hours after starting
treatment ().
Question 10: Fill-in-the-Blank: The single most common chronic disease in children is
___________ caries.
Answer: Dental
Rationale: Dental caries are prevalent due to poor oral hygiene and diet, requiring education and
prevention ().
Question 11: What is a key health promotion strategy to prevent childhood obesity?
A) Increase screen time
B) Promote regular exercise
C) Restrict vaccinations
D) Limit dental care
Answer: B) Promote regular exercise
Rationale: Exercise reduces obesity risk, a major health issue in children ().
