Finall Exam:l NRl 328/l NR328l (NEWl
2026/l 2027l Update)l Pediatricl Nursingl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
Al 15-year-oldl patientl hasl beenl diagnosedl withl rheumatoidl arthritisl andl isl prescribedl
disease-modifyingl antirheumaticl drugsl (DMARDs).l Whichl ofl thel followingl statementsl byl
thel patientl indicatesl al needl forl furtherl educationl regardingl theirl medication?
A.l "Il shouldl havel regularl bloodl testsl tol monitorl forl potentiall sidel effects."l
B.l "Thesel medicationsl canl helpl slowl thel progressionl ofl myl rheumatoidl arthritis."l
C.l "Il shouldl takel myl DMARDsl withl al meall tol increasel theirl effectiveness."l
D.l "Ifl Il experiencel anyl signsl ofl infection,l Il shouldl contactl myl healthcarel provider."
Answer:
C.l "Il shouldl takel myl DMARDsl withl al meall tol increasel theirl effectiveness."l
DMARDsl (Disease-Modifyingl Antirheumaticl Drugs)l arel typicallyl takenl onl anl emptyl
stomachl orl asl directedl byl thel healthcarel provider,l asl takingl theml withl al meall mayl
reducel theirl absorptionl andl effectiveness.
QUESTION
Al 10-year-oldl childl withl juvenilel idiopathicl arthritisl (JIA)l hasl beenl prescribedl
methotrexatel asl partl ofl theirl treatmentl plan.l Thel nursel isl educatingl thel child'sl parentsl
aboutl thel medication.l Whichl ofl thel followingl instructionsl isl mostl importantl forl thel
nursel tol emphasizel tol thel parents?
A.l "Ensurel thel childl takesl methotrexatel withl al glassl ofl milkl tol reducel stomachl upset."l
,B.l "Monitorl thel childl forl anyl signsl ofl infectionl andl reportl theml tol thel healthcarel
provider."l
C.l "Encouragel thel childl tol engagel inl strenuousl physicall activitiesl tol maintainl jointl
mobility."l
D.l "Administerl folicl acidl supplementsl asl prescribedl tol reducel potentiall sidel effects."
Answer:
B.l "Monitorl thel childl forl anyl signsl ofl infectionl andl reportl theml tol thel healthcarel
provider."
Inl childrenl takingl methotrexate,l monitoringl forl signsl ofl infectionl isl cruciall becausel
methotrexatel canl suppressl thel immunel system,l makingl thel childl morel susceptiblel tol
infections.l Promptl reportingl ofl anyl signsl ofl infectionl isl essentiall tol ensurel thel child'sl
safetyl andl timelyl interventionl ifl needed.
QUESTION
Al patientl withl rheumatoidl arthritisl hasl beenl prescribedl methotrexatel asl partl ofl theirl
treatmentl regimen.l Thel nursel isl providingl educationl tol thel patientl aboutl thel medication.l
Whichl sidel effectsl shouldl thel nursel emphasizel asl expectedl withl methotrexatel therapy?
A.l Increasedl appetitel andl weightl gainl
B.l Nauseal andl gastrointestinall upsetl
C.l Elevatedl bloodl pressurel andl hypertensionl
D.l Improvedl sleepl qualityl andl reducedl fatigue
Answer:
B.l Nauseal andl gastrointestinall upset
Methotrexatel commonlyl causesl gastrointestinall sidel effects,l includingl nauseal andl
sometimesl vomiting.l Thisl isl onel ofl thel expectedl sidel effectsl ofl methotrexatel therapyl
forl arthritis.l Itl isl importantl forl patientsl tol bel awarel ofl thisl andl discussl anyl severel orl
persistentl symptomsl withl theirl healthcarel provider.
QUESTION
, Al 4-year-oldl childl hasl beenl admittedl tol thel pediatricl unitl withl suspectedl bacteriall
meningitis.l Whichl nursingl interventionl shouldl takel thel highestl priorityl inl thel carel ofl
thisl child?
A.l Administeringl acetaminophenl forl feverl reduction.l
B.l Placingl thel childl inl isolationl tol preventl thel spreadl ofl infection.l
C.l Initiatingl intravenousl antibioticsl andl steroidsl asl prescribed.l
D.l Offeringl comfortl measures,l suchl asl al favoritel toyl orl blanket.
Answer:
C.l Initiatingl intravenousl antibioticsl andl steroidsl asl prescribed.
Forl al childl withl suspectedl bacteriall meningitis,l thel priorityl interventionl isl tol initiatel
antibioticl therapyl asl soonl asl possiblel tol treatl thel infectionl andl steroids,l ifl prescribed,l
tol reducel inflammationl andl brainl swelling.l Promptl treatmentl isl essentiall inl bacteriall
meningitisl tol improvel outcomesl andl preventl complications.
QUESTION
Whenl providingl educationl tol parentsl ofl anl infantl prescribedl al Pavlikl harnessl forl hipl
dysplasia,l whichl instructionsl arel essentiall tol include?
A.l Ensuringl thel harnessl isl wornl 24l hoursl al day,l exceptl duringl bathing.l
B.l Checkingl thel harnessl strapsl forl snugnessl andl makingl adjustmentsl asl needed.l
C.l Removingl thel harnessl duringl thel nightl tol allowl thel infantl morel freedoml ofl
movement.l
D.l Usingl softl blanketsl andl clothingl tol reducel frictionl andl irritationl underl thel harness.l
E.l Applyingl talcuml powderl tol thel skinl underl thel harnessl tol preventl skinl breakdown.
Answer:
A.l Ensuringl thel harnessl isl wornl 24l hoursl al day,l exceptl duringl bathing.l
B.l Checkingl thel harnessl strapsl forl snugnessl andl makingl adjustmentsl asl needed.l
D.l Usingl softl blanketsl andl clothingl tol reducel frictionl andl irritationl underl thel harness.
Thesel instructionsl arel essentiall whenl teachingl parentsl aboutl caringl forl anl infantl inl al
Pavlikl harness.l It'sl importantl tol ensurel thatl thel harnessl isl wornl asl prescribed,l maintainl
properl snugnessl andl comfort,l andl minimizel irritationl tol thel infant'sl skin.l Removingl thel
2026/l 2027l Update)l Pediatricl Nursingl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)l -
Chamberlain
QUESTION
Al 15-year-oldl patientl hasl beenl diagnosedl withl rheumatoidl arthritisl andl isl prescribedl
disease-modifyingl antirheumaticl drugsl (DMARDs).l Whichl ofl thel followingl statementsl byl
thel patientl indicatesl al needl forl furtherl educationl regardingl theirl medication?
A.l "Il shouldl havel regularl bloodl testsl tol monitorl forl potentiall sidel effects."l
B.l "Thesel medicationsl canl helpl slowl thel progressionl ofl myl rheumatoidl arthritis."l
C.l "Il shouldl takel myl DMARDsl withl al meall tol increasel theirl effectiveness."l
D.l "Ifl Il experiencel anyl signsl ofl infection,l Il shouldl contactl myl healthcarel provider."
Answer:
C.l "Il shouldl takel myl DMARDsl withl al meall tol increasel theirl effectiveness."l
DMARDsl (Disease-Modifyingl Antirheumaticl Drugs)l arel typicallyl takenl onl anl emptyl
stomachl orl asl directedl byl thel healthcarel provider,l asl takingl theml withl al meall mayl
reducel theirl absorptionl andl effectiveness.
QUESTION
Al 10-year-oldl childl withl juvenilel idiopathicl arthritisl (JIA)l hasl beenl prescribedl
methotrexatel asl partl ofl theirl treatmentl plan.l Thel nursel isl educatingl thel child'sl parentsl
aboutl thel medication.l Whichl ofl thel followingl instructionsl isl mostl importantl forl thel
nursel tol emphasizel tol thel parents?
A.l "Ensurel thel childl takesl methotrexatel withl al glassl ofl milkl tol reducel stomachl upset."l
,B.l "Monitorl thel childl forl anyl signsl ofl infectionl andl reportl theml tol thel healthcarel
provider."l
C.l "Encouragel thel childl tol engagel inl strenuousl physicall activitiesl tol maintainl jointl
mobility."l
D.l "Administerl folicl acidl supplementsl asl prescribedl tol reducel potentiall sidel effects."
Answer:
B.l "Monitorl thel childl forl anyl signsl ofl infectionl andl reportl theml tol thel healthcarel
provider."
Inl childrenl takingl methotrexate,l monitoringl forl signsl ofl infectionl isl cruciall becausel
methotrexatel canl suppressl thel immunel system,l makingl thel childl morel susceptiblel tol
infections.l Promptl reportingl ofl anyl signsl ofl infectionl isl essentiall tol ensurel thel child'sl
safetyl andl timelyl interventionl ifl needed.
QUESTION
Al patientl withl rheumatoidl arthritisl hasl beenl prescribedl methotrexatel asl partl ofl theirl
treatmentl regimen.l Thel nursel isl providingl educationl tol thel patientl aboutl thel medication.l
Whichl sidel effectsl shouldl thel nursel emphasizel asl expectedl withl methotrexatel therapy?
A.l Increasedl appetitel andl weightl gainl
B.l Nauseal andl gastrointestinall upsetl
C.l Elevatedl bloodl pressurel andl hypertensionl
D.l Improvedl sleepl qualityl andl reducedl fatigue
Answer:
B.l Nauseal andl gastrointestinall upset
Methotrexatel commonlyl causesl gastrointestinall sidel effects,l includingl nauseal andl
sometimesl vomiting.l Thisl isl onel ofl thel expectedl sidel effectsl ofl methotrexatel therapyl
forl arthritis.l Itl isl importantl forl patientsl tol bel awarel ofl thisl andl discussl anyl severel orl
persistentl symptomsl withl theirl healthcarel provider.
QUESTION
, Al 4-year-oldl childl hasl beenl admittedl tol thel pediatricl unitl withl suspectedl bacteriall
meningitis.l Whichl nursingl interventionl shouldl takel thel highestl priorityl inl thel carel ofl
thisl child?
A.l Administeringl acetaminophenl forl feverl reduction.l
B.l Placingl thel childl inl isolationl tol preventl thel spreadl ofl infection.l
C.l Initiatingl intravenousl antibioticsl andl steroidsl asl prescribed.l
D.l Offeringl comfortl measures,l suchl asl al favoritel toyl orl blanket.
Answer:
C.l Initiatingl intravenousl antibioticsl andl steroidsl asl prescribed.
Forl al childl withl suspectedl bacteriall meningitis,l thel priorityl interventionl isl tol initiatel
antibioticl therapyl asl soonl asl possiblel tol treatl thel infectionl andl steroids,l ifl prescribed,l
tol reducel inflammationl andl brainl swelling.l Promptl treatmentl isl essentiall inl bacteriall
meningitisl tol improvel outcomesl andl preventl complications.
QUESTION
Whenl providingl educationl tol parentsl ofl anl infantl prescribedl al Pavlikl harnessl forl hipl
dysplasia,l whichl instructionsl arel essentiall tol include?
A.l Ensuringl thel harnessl isl wornl 24l hoursl al day,l exceptl duringl bathing.l
B.l Checkingl thel harnessl strapsl forl snugnessl andl makingl adjustmentsl asl needed.l
C.l Removingl thel harnessl duringl thel nightl tol allowl thel infantl morel freedoml ofl
movement.l
D.l Usingl softl blanketsl andl clothingl tol reducel frictionl andl irritationl underl thel harness.l
E.l Applyingl talcuml powderl tol thel skinl underl thel harnessl tol preventl skinl breakdown.
Answer:
A.l Ensuringl thel harnessl isl wornl 24l hoursl al day,l exceptl duringl bathing.l
B.l Checkingl thel harnessl strapsl forl snugnessl andl makingl adjustmentsl asl needed.l
D.l Usingl softl blanketsl andl clothingl tol reducel frictionl andl irritationl underl thel harness.
Thesel instructionsl arel essentiall whenl teachingl parentsl aboutl caringl forl anl infantl inl al
Pavlikl harness.l It'sl importantl tol ensurel thatl thel harnessl isl wornl asl prescribed,l maintainl
properl snugnessl andl comfort,l andl minimizel irritationl tol thel infant'sl skin.l Removingl thel
