NR 328 Exam 1:NR 328 Peds Test 1 Study Guide:Exam 2:NR 328 Final Exam Peds Study
Guide:NR 328 Exam 2 Practice Questions & Answers: NR 328 : NR 328 CMS Exam
How are pulses checked on patients <2 years of age? - ANSWER:An apical pulse should be ascultated for
a full minute.
What is the normal HR range for a newborn? - ANSWER:80-180 (depending on activity) (ATI CH.2, PG 7)
What is the normal HR range for a 1 week to 3 month old? - ANSWER:120-180 (ATI CH.2, PG 7)
What is the normal HR range for a 3 month to 2 year old? - ANSWER:70-150 (ATI CH.2, PG 7)
What is the normal HR range for a 2 - 10 year old? - ANSWER:60-110 (ATI CH.2, PG 7)
What is the normal HR range for a 10 year old - adult? - ANSWER:50 to 90 (ATI CH.2, PG 7)
Whats important to remember regarding newborn respirations when measuring? - ANSWER:The
breathing is irregular, and small very short apnic periods may be seen.
Are new borns more mouth or nose breathers at <6 weeks. - ANSWER:They're nose breathers until 6
weeks old usually.
Whats a normal respiration rate for a newborn to 1 year? - ANSWER:30 - 60 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 1-2 year old? - ANSWER:25-30 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 2 to 6 year old? - ANSWER:21-25 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 6 to 12 year old? - ANSWER:19-21 (ATI CH.2, PG 7)
Whats a normal respiration rate for 12 years and older? - ANSWER:16-19 (ATI CH.2, PG 7)
Erect head posture is expected in peds patients greater than how may months of age? - ANSWER:4
months of age (ATI CH.2, PG 8)
Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? - ANSWER:It may
indicate that the child is spending too much time in the same position. (ATI CH.2, PG 8)
When assessing lymph nodes in an asymptomatic child, you are able to palpate a small nontender and
mobile mass. Is this a normal finding for a child or is this something that the HCP should be notified of? -
ANSWER:This is a normal finding, unless the patient complains of pain or is showing symptoms of illness.
(ATI CH.2, PG 8)
At what age should the posterior fontanelle close? - ANSWER:Between 6-8 weeks.(ATI CH.2, PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
At what age should the anterior fontanelle close? - ANSWER:Between 12 to 18 months of age (ATI CH.2,
PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
,What is the expected temperature for a 3 to 6 month old? - ANSWER:37.5
What is the expected temperature for a 1 to 3 year old? - ANSWER:37.7
What is the expected temperature for a 3 to 5 year old? - ANSWER:37.2
What is the expected temperature for a 5 to 7 year old? - ANSWER:37.0
What is the expected temperature for a 7 to 9 year old? - ANSWER:36.7
What are some important developmental milestones for a 1 month old? - ANSWER:-Cries in a special
way when hungry and responds to voices. Adults who spend time around the infant are often able to
relate the cry to the specific need of the intant (hunger, pain, tired, etc.)
-Can raise head and chest when lying on stomach
What are some important developmental milestones for a 2 month old? - ANSWER:-Makes sounds like -
ah, eh, ugh, and can smile
-Holds head steady when sitting.
-Reacts to the sight of a breast or bottle
What are some important developmental milestones for a 3 month old? - ANSWER:-Crawling
movements begin to be attempted
-They are able to keep one hand on a bottle while being bottle fed.
What are some important developmental milestones for a 4 month old? - ANSWER:-Squeels, ah-goo, and
laughs
-Holds own hands together
What are some important developmental milestones for a 5 month old? - ANSWER:-Makes "rasberry"
sound
-Can roll over from stomach onto their back
What are some important developmental milestones for a 6 months old? - ANSWER:-Begins to babble
and respond to name
-Can roll over from their back onto their stomach
What are some important developmental milestones for a 7 month old? - ANSWER:-Says things like da,
ba, ga, ka, ma
-Sits w/out support
What are some important developmental milestones for an 8 month old? - ANSWER:-Says ma-ma, da-da,
ba-ba
-Can crawl
-Can feed self a cracker or a cookie
,What are some important developmental milestones for a 9 month old? - ANSWER:-Imitates speech
sounds you make
-Can pull self up to standing
-Is able to hold bottle with both hands while feeding.
What are some important developmental milestones for a 10 month old? - ANSWER:-Understands single
words like "bye bye" and "night night".
-Sidesteps around furniture while holding on
What are some important developmental milestones for a 11 month old? - ANSWER:-Uses mama and
dada specifically for parent
-Stands alone well
-Can pick up a spoon by the handle
What are some important developmental milestones for a 1 year old? - ANSWER:-Can say one word
clearly
-Climbs on chairs or other furnature and can walk with one hand being held for assistance
-Can transition to "sippy cup" and milk instead of bottle and formula
-They cooperate with dressing and can remove socks, hold out their foot for shoe or arm for sleeves and
assist by pushing legs or arms through the clothings.
Where is the recommended area for IM injections for children <12 months old? - ANSWER:Anterolateral
thigh
Where is the recommended area for IM injections in a child that is 12 months old or more? -
ANSWER:The deltoid although the ventrogluteal site is an option if completely necessary
What are the 3 live vaccines given? - ANSWER:MMR, Varicella, and Rotavirus
What ages is the MMR given? - ANSWER:(1): 12-15 months
(2): 4-6 years
Can an MMR be given at the same time as other vaccinations? - ANSWER:Yes, but in different sites.
Is the MMR IM or SubQ? - ANSWER:Subcutaneous Injection in most cases (of about 0.5 mL)
What are some contraindications for an MMR vaccine? - ANSWER:-Hx of hypersensitivity/anaphylaxis to
neomycin or eggs.
-Those with known altered immunodeficiency and pregnant women.
*NOTE:* This vaccine CAN be given to HIV+ individuals
What is the DTaP vaccine? - ANSWER:Diphtheria, pertussis, tetanus.
Is the DTaP given IM or SQ? - ANSWER:IM (about 0.5 mL)
, How many rounds of of the DTaP vaccine are given in total? - ANSWER:There are 5.
They are given at 2,4,6, and 15-18 months. Then again at 4 to 6 years old.
-There is also a booster given know as the TDAP between 11 to 12 years old. This is the adult dose.
What is the IPV vaccine? - ANSWER:Inactivated Poliovirus
Is the IPV IM or SQ? - ANSWER:It depends on the brand, it can be both. Usually 0.5 in amount.
What ages receive the IPV? - ANSWER:2mo, 4mo, and 12 to 18 months, and then again at 4 to 6 years of
age.
How is IPV often combined? - ANSWER:It is often combined with the DTaP and HepB vaccines
What are some contraindications of the IPV vaccine? - ANSWER:-Contraindicated in individuals with
previous reactions to neomycin and/or streptomycin.
-Can also cause tiredness and irritability
What is the Hib vaccination? - ANSWER:Haemophilus Influenzae Type B
Is the Hib IM or SQ? - ANSWER:IM (0.5 mL)
What's the earliest a Hib vaccine can be given? - ANSWER:2 months
At what age does a child who has not received a Hib vaccine fall into the high risk category? - ANSWER:5
years old
When is the Hep B vaccine initiated? - ANSWER:It can be started at birth. The subsequent 2 doses are
then given at 2 months, then 6-18 months.
What are the contraindications for a Hep B vaccine? - ANSWER:Allergic reactions to baker's yeast or hx of
anaphylactic response to vaccine.
When is the varicella vaccine given? Is it IM or SQ? - ANSWER:First given at 12-15 months, then again at
4-6 years of age.
-IM injection
What are some contraindications for the varicella vaccine? - ANSWER:-Thrombocytopenia
-Febrile Seizures
-CNS manifestations
-Some common reactions may include a fever up to 102 degrees (F), and a mild rash with lesions w/in
the first month.
What age group should receive the Hep A vaccine? - ANSWER:First dose is given at 12 months of age,
then second 6 to 12 months after the first dose.
Guide:NR 328 Exam 2 Practice Questions & Answers: NR 328 : NR 328 CMS Exam
How are pulses checked on patients <2 years of age? - ANSWER:An apical pulse should be ascultated for
a full minute.
What is the normal HR range for a newborn? - ANSWER:80-180 (depending on activity) (ATI CH.2, PG 7)
What is the normal HR range for a 1 week to 3 month old? - ANSWER:120-180 (ATI CH.2, PG 7)
What is the normal HR range for a 3 month to 2 year old? - ANSWER:70-150 (ATI CH.2, PG 7)
What is the normal HR range for a 2 - 10 year old? - ANSWER:60-110 (ATI CH.2, PG 7)
What is the normal HR range for a 10 year old - adult? - ANSWER:50 to 90 (ATI CH.2, PG 7)
Whats important to remember regarding newborn respirations when measuring? - ANSWER:The
breathing is irregular, and small very short apnic periods may be seen.
Are new borns more mouth or nose breathers at <6 weeks. - ANSWER:They're nose breathers until 6
weeks old usually.
Whats a normal respiration rate for a newborn to 1 year? - ANSWER:30 - 60 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 1-2 year old? - ANSWER:25-30 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 2 to 6 year old? - ANSWER:21-25 (ATI CH.2, PG 7)
Whats a normal respiration rate for a 6 to 12 year old? - ANSWER:19-21 (ATI CH.2, PG 7)
Whats a normal respiration rate for 12 years and older? - ANSWER:16-19 (ATI CH.2, PG 7)
Erect head posture is expected in peds patients greater than how may months of age? - ANSWER:4
months of age (ATI CH.2, PG 8)
Regarding hair, bald spots or patchy hair loss in infants may be indicative of what? - ANSWER:It may
indicate that the child is spending too much time in the same position. (ATI CH.2, PG 8)
When assessing lymph nodes in an asymptomatic child, you are able to palpate a small nontender and
mobile mass. Is this a normal finding for a child or is this something that the HCP should be notified of? -
ANSWER:This is a normal finding, unless the patient complains of pain or is showing symptoms of illness.
(ATI CH.2, PG 8)
At what age should the posterior fontanelle close? - ANSWER:Between 6-8 weeks.(ATI CH.2, PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
At what age should the anterior fontanelle close? - ANSWER:Between 12 to 18 months of age (ATI CH.2,
PG 8)
*Closing early is okay, but late closure is a problem that should be escalated to the HCP.
,What is the expected temperature for a 3 to 6 month old? - ANSWER:37.5
What is the expected temperature for a 1 to 3 year old? - ANSWER:37.7
What is the expected temperature for a 3 to 5 year old? - ANSWER:37.2
What is the expected temperature for a 5 to 7 year old? - ANSWER:37.0
What is the expected temperature for a 7 to 9 year old? - ANSWER:36.7
What are some important developmental milestones for a 1 month old? - ANSWER:-Cries in a special
way when hungry and responds to voices. Adults who spend time around the infant are often able to
relate the cry to the specific need of the intant (hunger, pain, tired, etc.)
-Can raise head and chest when lying on stomach
What are some important developmental milestones for a 2 month old? - ANSWER:-Makes sounds like -
ah, eh, ugh, and can smile
-Holds head steady when sitting.
-Reacts to the sight of a breast or bottle
What are some important developmental milestones for a 3 month old? - ANSWER:-Crawling
movements begin to be attempted
-They are able to keep one hand on a bottle while being bottle fed.
What are some important developmental milestones for a 4 month old? - ANSWER:-Squeels, ah-goo, and
laughs
-Holds own hands together
What are some important developmental milestones for a 5 month old? - ANSWER:-Makes "rasberry"
sound
-Can roll over from stomach onto their back
What are some important developmental milestones for a 6 months old? - ANSWER:-Begins to babble
and respond to name
-Can roll over from their back onto their stomach
What are some important developmental milestones for a 7 month old? - ANSWER:-Says things like da,
ba, ga, ka, ma
-Sits w/out support
What are some important developmental milestones for an 8 month old? - ANSWER:-Says ma-ma, da-da,
ba-ba
-Can crawl
-Can feed self a cracker or a cookie
,What are some important developmental milestones for a 9 month old? - ANSWER:-Imitates speech
sounds you make
-Can pull self up to standing
-Is able to hold bottle with both hands while feeding.
What are some important developmental milestones for a 10 month old? - ANSWER:-Understands single
words like "bye bye" and "night night".
-Sidesteps around furniture while holding on
What are some important developmental milestones for a 11 month old? - ANSWER:-Uses mama and
dada specifically for parent
-Stands alone well
-Can pick up a spoon by the handle
What are some important developmental milestones for a 1 year old? - ANSWER:-Can say one word
clearly
-Climbs on chairs or other furnature and can walk with one hand being held for assistance
-Can transition to "sippy cup" and milk instead of bottle and formula
-They cooperate with dressing and can remove socks, hold out their foot for shoe or arm for sleeves and
assist by pushing legs or arms through the clothings.
Where is the recommended area for IM injections for children <12 months old? - ANSWER:Anterolateral
thigh
Where is the recommended area for IM injections in a child that is 12 months old or more? -
ANSWER:The deltoid although the ventrogluteal site is an option if completely necessary
What are the 3 live vaccines given? - ANSWER:MMR, Varicella, and Rotavirus
What ages is the MMR given? - ANSWER:(1): 12-15 months
(2): 4-6 years
Can an MMR be given at the same time as other vaccinations? - ANSWER:Yes, but in different sites.
Is the MMR IM or SubQ? - ANSWER:Subcutaneous Injection in most cases (of about 0.5 mL)
What are some contraindications for an MMR vaccine? - ANSWER:-Hx of hypersensitivity/anaphylaxis to
neomycin or eggs.
-Those with known altered immunodeficiency and pregnant women.
*NOTE:* This vaccine CAN be given to HIV+ individuals
What is the DTaP vaccine? - ANSWER:Diphtheria, pertussis, tetanus.
Is the DTaP given IM or SQ? - ANSWER:IM (about 0.5 mL)
, How many rounds of of the DTaP vaccine are given in total? - ANSWER:There are 5.
They are given at 2,4,6, and 15-18 months. Then again at 4 to 6 years old.
-There is also a booster given know as the TDAP between 11 to 12 years old. This is the adult dose.
What is the IPV vaccine? - ANSWER:Inactivated Poliovirus
Is the IPV IM or SQ? - ANSWER:It depends on the brand, it can be both. Usually 0.5 in amount.
What ages receive the IPV? - ANSWER:2mo, 4mo, and 12 to 18 months, and then again at 4 to 6 years of
age.
How is IPV often combined? - ANSWER:It is often combined with the DTaP and HepB vaccines
What are some contraindications of the IPV vaccine? - ANSWER:-Contraindicated in individuals with
previous reactions to neomycin and/or streptomycin.
-Can also cause tiredness and irritability
What is the Hib vaccination? - ANSWER:Haemophilus Influenzae Type B
Is the Hib IM or SQ? - ANSWER:IM (0.5 mL)
What's the earliest a Hib vaccine can be given? - ANSWER:2 months
At what age does a child who has not received a Hib vaccine fall into the high risk category? - ANSWER:5
years old
When is the Hep B vaccine initiated? - ANSWER:It can be started at birth. The subsequent 2 doses are
then given at 2 months, then 6-18 months.
What are the contraindications for a Hep B vaccine? - ANSWER:Allergic reactions to baker's yeast or hx of
anaphylactic response to vaccine.
When is the varicella vaccine given? Is it IM or SQ? - ANSWER:First given at 12-15 months, then again at
4-6 years of age.
-IM injection
What are some contraindications for the varicella vaccine? - ANSWER:-Thrombocytopenia
-Febrile Seizures
-CNS manifestations
-Some common reactions may include a fever up to 102 degrees (F), and a mild rash with lesions w/in
the first month.
What age group should receive the Hep A vaccine? - ANSWER:First dose is given at 12 months of age,
then second 6 to 12 months after the first dose.
