NR 328 EXAM 1/NR 328 PEDIATRIC NURSING EXAM 1
NEWEST 2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
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What is the normal age that the anterior fontanel closes?
A. 6 weeks
B. 14 months
C. 8 weeks
D. 36 months - ANSWER-Answer: B
Rationale: The anterior fontanel usually closes between 12
to 18 months of age (average, 14 months). The posterior
fontanel closes by 6 weeks to 8 weeks of age. By 36
months of age, all fontanels in the cranium are closed.
What is the recommended age for a child to begin primary
immunizations?
A. 2 months
B. 4 months
C. 12 months
D. At birth - ANSWER-Answer: D
Rationale: The recommended age for children to begin
primary immunizations is from birth to 2 weeks, according
to the Committee on Infectious Diseases of the American
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Academy of Pediatrics and the Advisory Committee on
Immunization Practices of the Centers for Disease Control
and Prevention (CDC). For children who were not
immunized at birth, there is a catch-up schedule on the
CDC website. The ages 2 months, 4 months, and 12
months are too late and will require catch-up
immunizations.
A mom calls the HCP to report her child has a T of 102° F
& a large red welt on his thigh after an immunization. What
should the nurse advise the mother to do?
A. Give the child a baby aspirin every 4 hours.
B. This is normal after an immunization and will resolve
soon.
C. Tell her the symptoms could not be related to the
immunizations.
D. Have her bring the child in to be evaluated by the HCP.
- ANSWER-Answer: D
Rationale: Only mild fever and discomfort are expected
after an immunization. More serious symptoms should be
assessed by the HCP. Aspirin usually is not given to
children because of its relationship to Reye's syndrome
(especially with varicella immunizations).
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True or False: A nurse is preparing immunizations for a
12-mon-old who is immunocompromised. The varicella
vaccine can be given safely. - ANSWER-Answer: False
Rationale: In general, live virus vaccines such as varicella
and MMR should not be administered to persons who are
severely immunocompromised. Rotavirus too.
Nurse is teaching child-safety classes to parents of
preschoolers. Which is helpful to prevent foreign body
aspiration?
A. Knowledge of the most common objects that
preschoolers aspirate.
B. Knowledge of the therapeutic management of foreign
body aspiration.
C. Knowledge of the risks associated with foreign body
aspiration.
D. Knowledge of the signs and symptoms of foreign body
aspiration. - ANSWER-Answer: A
Rationale: Without knowing what objects preschoolers
most commonly aspirate, it is difficult to teach parents
what objects to keep out of reach of the child, and what
objects they should avoid having in the house. Nurses are
in a position to teach prevention in a variety of settings.
They can educate parents singly or in groups about
hazards of aspiration in relation to the developmental level
of their children and encourage them to teach their
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children safety. Parents should be cautioned about
behaviors that their children might imitate (e.g., holding
foreign objects, such as pins, nails, and toothpicks, in their
lips or mouth)
Which of the following is the leading cause of death in
infants younger than 1 year of age?
A. Sudden infant death syndrome
B. Respiratory distress syndrome
C. Congenital anomalies
D. Infections specific to the perinatal period - ANSWER-
Answer: C
Rationale: Congenital anomalies are the leading cause of
death in the first year of life.
A previously "potty-trained" 3yr old has reverted to
wearing diapers while hospitalized. What explains this
behavior?
A. Developmental delays occur because of the
hospitalization.
B. Regression is frequently seen during hospitalization.
C. The child was too young to be "potty-trained."
D. The child is experiencing urinary urgency because of
hospitalization. - ANSWER-Answer: B