NR 328 Exam 1 Pediatric Nursing Exam PREP
NR 328 EXAM 1 PEDIATRIC NURSING EXAM PREP TEST BANK
LATEST 2025/2026 STUDY GUIDE EXAM COMPLETE 200
QUESTIONS AND CORRECT ANSWERS GRADED A+ GUARANTEED
PASS- ACE YOUR EXAM
What approach is the most appropriate when performing a physical assessment
on a toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.
Answer: C.
Rationale: Parents can remove clothing, and the child can remain on the parent’s
lap. The nurse should use minimum physical contact initially to gain the
cooperation of the child. The nurse should introduce the equipment slowly. The
child can inspect the equipment, but demonstrations are usually too complex for
this age-group. Traumatic procedures should always be performed last. These will
most likely upset the child and inhibit cooperation. The head-to-toe assessment
can be done in older children but usually must be adapted in younger children.
What is the most consistent and commonly used indicator of pain in infants?
a. Thrashing of arms and legs.
b. Increased heart rate.
c. Increased respirations.
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, NR 328 Exam 1 Pediatric Nursing Exam PREP
d. Facial expression of discomfort.
Answer: D.
Rationale: Facial expression of discomfort. Facial expression has consistently been
validated as an indicator of pain in infants. Behavioral pain measures are most
reliable for sharp procedural pain in infants. Increased heart rate and respirations
are indicative of a generalized and complex response to stress. They are not
specific for pain in infants. Thrashing of arms and legs is a reliable indicator in
young children, not infants.
True or False: At age 1 month is the normal age for binocularity-ability to fixate on
one visual field with both eyes simultaneously.
Answer: False.
Rationale: Binocularity is usually achieved by age 3 to 4 months. One month is too
young for binocularity. If binocularity is not achieved by 6 to 12 months, the child
must be observed for strabismus.
What self-report pain rating scales can be used in children as young as 3 years of
age?
a. FACES Pain Rating Scale
b. Visual Analog Scale
c. Word-Graphic Rating Scale
d. Who Cares?
Answer: A.
Rationale: The FACES Pain Rating Scale is for children as young as 3 years of age.
The Visual Analog Scale can be used for children older than 4 years of age but is
most appropriate for ages 7 and older. The Word-Graphic Rating Scale uses
descriptive words and is recommended for children 4 to 17 years of age.
2|Page
, NR 328 Exam 1 Pediatric Nursing Exam PREP
An intravenous line is needed in a school-age child. What medication is
appropriate analgesic for use with this patient?
a. LMX (4% liposomal lidocaine cream) 30 minutes before the procedure.
b. EMLA (eutectic mixture of local anesthetics) immediately before.
c. A transdermal fentanyl (Duragesic) patch at the site of venipuncture.
d. TAC (tetracaine, epinephrine [Adrenalin], cocaine) 15 minutes before.
Answer: A.
Rationale: LMX is an effective analgesic agent when applied to the skin 30 minutes
before a procedure. It eliminates or reduces the pain from most procedures
involving skin puncture. TAC provides skin anesthesia about 15 minutes after
application to nonintact skin. The gel can be placed on the wound for suturing. It is
not useful for intact skin. Transdermal fentanyl patches are useful for continuous
pain control, not rapid pain control. For maximum effectiveness, EMLA must be
applied approximately 60 minutes in advance. A transdermal fentanyl (Duragesic)
patch at the site of venipuncture.
Which topics should the nurse discuss with the parents of a young child to
promote health in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
Answer: B
Rationale: Immunizations have made a major impact in the prevention of disease
in children. The nurse should review individual immunization records at every clinic
3|Page
, NR 328 Exam 1 Pediatric Nursing Exam PREP
visit, avoid missing opportunities to vaccinate, and encourage parents to keep
immunizations current. Dental caries is the single most common chronic disease of
childhood and may begin before the first birthday. Human milk or iron fortified
formula for should be given for the first year of life to prevent Iron Deficiency
anemia. Children younger than 1 year of age have the highest rate of death from
motor vehicle accidents, primarily from a failure to properly use car restraints.
What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children older than
the age of 1 year. b. Burns cause fewer deaths than motor vehicle accidents in
children older than the age of 1 year. c. Motor vehicle accidents are the leading
cause of death in children older than the age of 1 year. d. Cancer causes fewer
deaths than motor vehicle accidents in children older than the age of 1 year.
The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in
the hospital room at bedtime. What concept would these nursing actions
demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
4|Page
NR 328 EXAM 1 PEDIATRIC NURSING EXAM PREP TEST BANK
LATEST 2025/2026 STUDY GUIDE EXAM COMPLETE 200
QUESTIONS AND CORRECT ANSWERS GRADED A+ GUARANTEED
PASS- ACE YOUR EXAM
What approach is the most appropriate when performing a physical assessment
on a toddler?
a. Demonstrate use of equipment.
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.
Answer: C.
Rationale: Parents can remove clothing, and the child can remain on the parent’s
lap. The nurse should use minimum physical contact initially to gain the
cooperation of the child. The nurse should introduce the equipment slowly. The
child can inspect the equipment, but demonstrations are usually too complex for
this age-group. Traumatic procedures should always be performed last. These will
most likely upset the child and inhibit cooperation. The head-to-toe assessment
can be done in older children but usually must be adapted in younger children.
What is the most consistent and commonly used indicator of pain in infants?
a. Thrashing of arms and legs.
b. Increased heart rate.
c. Increased respirations.
1|Page
, NR 328 Exam 1 Pediatric Nursing Exam PREP
d. Facial expression of discomfort.
Answer: D.
Rationale: Facial expression of discomfort. Facial expression has consistently been
validated as an indicator of pain in infants. Behavioral pain measures are most
reliable for sharp procedural pain in infants. Increased heart rate and respirations
are indicative of a generalized and complex response to stress. They are not
specific for pain in infants. Thrashing of arms and legs is a reliable indicator in
young children, not infants.
True or False: At age 1 month is the normal age for binocularity-ability to fixate on
one visual field with both eyes simultaneously.
Answer: False.
Rationale: Binocularity is usually achieved by age 3 to 4 months. One month is too
young for binocularity. If binocularity is not achieved by 6 to 12 months, the child
must be observed for strabismus.
What self-report pain rating scales can be used in children as young as 3 years of
age?
a. FACES Pain Rating Scale
b. Visual Analog Scale
c. Word-Graphic Rating Scale
d. Who Cares?
Answer: A.
Rationale: The FACES Pain Rating Scale is for children as young as 3 years of age.
The Visual Analog Scale can be used for children older than 4 years of age but is
most appropriate for ages 7 and older. The Word-Graphic Rating Scale uses
descriptive words and is recommended for children 4 to 17 years of age.
2|Page
, NR 328 Exam 1 Pediatric Nursing Exam PREP
An intravenous line is needed in a school-age child. What medication is
appropriate analgesic for use with this patient?
a. LMX (4% liposomal lidocaine cream) 30 minutes before the procedure.
b. EMLA (eutectic mixture of local anesthetics) immediately before.
c. A transdermal fentanyl (Duragesic) patch at the site of venipuncture.
d. TAC (tetracaine, epinephrine [Adrenalin], cocaine) 15 minutes before.
Answer: A.
Rationale: LMX is an effective analgesic agent when applied to the skin 30 minutes
before a procedure. It eliminates or reduces the pain from most procedures
involving skin puncture. TAC provides skin anesthesia about 15 minutes after
application to nonintact skin. The gel can be placed on the wound for suturing. It is
not useful for intact skin. Transdermal fentanyl patches are useful for continuous
pain control, not rapid pain control. For maximum effectiveness, EMLA must be
applied approximately 60 minutes in advance. A transdermal fentanyl (Duragesic)
patch at the site of venipuncture.
Which topics should the nurse discuss with the parents of a young child to
promote health in their child?
a. Dental care needs to be started by age 7.
b. Immunization schedule and the importance of immunizations.
c. Human milk or iron fortified formula for the first 4 months of life.
d. Positioning the car seat in the front passenger seat.
Answer: B
Rationale: Immunizations have made a major impact in the prevention of disease
in children. The nurse should review individual immunization records at every clinic
3|Page
, NR 328 Exam 1 Pediatric Nursing Exam PREP
visit, avoid missing opportunities to vaccinate, and encourage parents to keep
immunizations current. Dental caries is the single most common chronic disease of
childhood and may begin before the first birthday. Human milk or iron fortified
formula for should be given for the first year of life to prevent Iron Deficiency
anemia. Children younger than 1 year of age have the highest rate of death from
motor vehicle accidents, primarily from a failure to properly use car restraints.
What is the leading cause of death in children older than the age of 1 year?
a. Drowning
b. Burns
c. Motor vehicle accidents
d. Cancer
Answer(s): C
Rationale: a. Drowning is the second leading cause of death in children older than
the age of 1 year. b. Burns cause fewer deaths than motor vehicle accidents in
children older than the age of 1 year. c. Motor vehicle accidents are the leading
cause of death in children older than the age of 1 year. d. Cancer causes fewer
deaths than motor vehicle accidents in children older than the age of 1 year.
The nurse makes sure that a toddler has a teddy bear and that a nightlight is on in
the hospital room at bedtime. What concept would these nursing actions
demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy
4|Page
