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NR 328 Exam 1 Pediatric Nursing EXAM
NR 328 Exam 1 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
A nurse is assessing a 3 year-old-child at a routine wellness checkup. Which finding would
the nurse expect at this age?
a. Skips and hops on one foot
b. Stands on one foot for a few seconds
c. Has a vocabulary of 1,500 words
d. Walks backwards heel to toe
Answer: B
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NR 328 Exam 1 Pediatric Nursing EXAM
Rationale: The nurse should expect a 3 year-old-child to be able to stand on one foot for a
few seconds, ascend stairs on alternate feet, and jump off of the bottom step.The other
responses are appropriate for 4 & 5 year olds.
A nurse is assessing a child's ears. Which of the following findings should the nurse expect?
a. Light reflex is located at the 2 o'clock position
b. Tympanic membrane is red in color
c. Bony landmarks are not visible
d. Cerumen is present bilaterally
Answer: D
Rationale: The presence of cerumen bilaterally is an expected finding. Bony landmarks
should be visible. Tympanic membrane should be pearly pink, or gray in color. Light reflex
should be located around the 5 or 7 o'clock position.
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant
exhibit?
a. Moro
b. Plantar grasp
c. Stepping
d. Tonic neck
Answer: B
Rationale: Plantar grasp is exhibited by infants from birth to the age of 8 months. Moro is
exhibited by infants from birth to 4 months. Stepping is exhibited by infants from birth to 4
weeks. Tonic neck is exhibited by infants from birth to age of 3 to 4 months.
A nurse is performing a neurologic assessment on an adolescent. Which of the following
responses should the nurse expect the adolescent to exhibit when assessing the trigeminal
nerve? (SATA)
a. Clenching teeth together tightly
b. Recognizing sour tastes on the back of the tongue.
c. Identifying smells through each nostril
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NR 328 Exam 1 Pediatric Nursing EXAM
d. Detecting facial touches with eyes closed
e. Looking down and in with the eyes
Answer: A, D
Rationale: A and D are expected when assessing the trigeminal nerve. B is expected when
assessing the glossopharyngeal nerve. C is expected when assessing the olfactory nerve. E is
expected when assessing the trochlear nerve.
A nurse is caring for a preschooler. Which of the following is an expected behavior of a
preschool-age child?
a. Describing manifestations of illness
b. Relating fears to magical thinking
c. Understanding cause of illness
d. Awareness of body functioning
Answer: B
Rationale: Preschool-age children are egocentric and relate fears to magical thinking.
A nurse on a peds unit is caring for a toddler. Which of the following behaviors is an effect
of hospitalization? (SATA)
a. Believes the experience is a punishment
b. Experiences separation anxiety
c. Displays intense emotions
d. Exhibits regressive behaviors
e. Manifests disturbance in body image
Answers: B, C, D
A nurse is teaching a guardian about parallel play in children. Which of thee following
statements should the nurse include in the teaching?
a. "Children sit and observe others playing"
b. "Children exhibit organized play when in a group"
c. "The child plays alone"
d. "The child plays independently when in a group"
Answer: D
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NR 328 Exam 1 Pediatric Nursing EXAM
A nurse is teaching a group of caregivers about separation anxiety. Which of the following
information should the nurse include in the teaching?
a. It is often observed in the school-age child
b. Detachment is the stage exhibited in the hospital
c. It results in prolonged issues of adaptability
d. Kicking a stranger is an example
Answer: D
A nurse is completing a pain assessment in an infant. Which of the following pain scales
should the nurse use?
a. FACES
b. FLACC
c. Oucher
d. Non-communicating children's pain checklist.
Answer: B
Rationale: FLACC is used for infants and children between 2 months and 7 years. FACES is
recommended for children 3 years and older. Oucher is used for children between 3 and 13
years. Non- communicating is used for children who are non-communicating between 3 and
18 years.
A nurse is planning care for a child following a surgical procedure. Which of the following
interventions should the nurse include in the plan of care?
a. Administer NSAIDs for pain greater than 7 on a scale of 0 to 10
b. Administer intranasal analgesics PRN
c. Administer IM analgesics for pain
d. Administer IV analgesics on a schedule
Answer: D
A nurse is assessing an infant. Which of the following are findings of pain in an infant?
(SATA)
a. pursed lips
b. Loud cry
NR 328 Exam 1 Pediatric Nursing EXAM
NR 328 Exam 1 Pediatric Nursing EXAM
PREDICTOR VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YR EXAM
A nurse is assessing a 3 year-old-child at a routine wellness checkup. Which finding would
the nurse expect at this age?
a. Skips and hops on one foot
b. Stands on one foot for a few seconds
c. Has a vocabulary of 1,500 words
d. Walks backwards heel to toe
Answer: B
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NR 328 Exam 1 Pediatric Nursing EXAM
Rationale: The nurse should expect a 3 year-old-child to be able to stand on one foot for a
few seconds, ascend stairs on alternate feet, and jump off of the bottom step.The other
responses are appropriate for 4 & 5 year olds.
A nurse is assessing a child's ears. Which of the following findings should the nurse expect?
a. Light reflex is located at the 2 o'clock position
b. Tympanic membrane is red in color
c. Bony landmarks are not visible
d. Cerumen is present bilaterally
Answer: D
Rationale: The presence of cerumen bilaterally is an expected finding. Bony landmarks
should be visible. Tympanic membrane should be pearly pink, or gray in color. Light reflex
should be located around the 5 or 7 o'clock position.
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant
exhibit?
a. Moro
b. Plantar grasp
c. Stepping
d. Tonic neck
Answer: B
Rationale: Plantar grasp is exhibited by infants from birth to the age of 8 months. Moro is
exhibited by infants from birth to 4 months. Stepping is exhibited by infants from birth to 4
weeks. Tonic neck is exhibited by infants from birth to age of 3 to 4 months.
A nurse is performing a neurologic assessment on an adolescent. Which of the following
responses should the nurse expect the adolescent to exhibit when assessing the trigeminal
nerve? (SATA)
a. Clenching teeth together tightly
b. Recognizing sour tastes on the back of the tongue.
c. Identifying smells through each nostril
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NR 328 Exam 1 Pediatric Nursing EXAM
d. Detecting facial touches with eyes closed
e. Looking down and in with the eyes
Answer: A, D
Rationale: A and D are expected when assessing the trigeminal nerve. B is expected when
assessing the glossopharyngeal nerve. C is expected when assessing the olfactory nerve. E is
expected when assessing the trochlear nerve.
A nurse is caring for a preschooler. Which of the following is an expected behavior of a
preschool-age child?
a. Describing manifestations of illness
b. Relating fears to magical thinking
c. Understanding cause of illness
d. Awareness of body functioning
Answer: B
Rationale: Preschool-age children are egocentric and relate fears to magical thinking.
A nurse on a peds unit is caring for a toddler. Which of the following behaviors is an effect
of hospitalization? (SATA)
a. Believes the experience is a punishment
b. Experiences separation anxiety
c. Displays intense emotions
d. Exhibits regressive behaviors
e. Manifests disturbance in body image
Answers: B, C, D
A nurse is teaching a guardian about parallel play in children. Which of thee following
statements should the nurse include in the teaching?
a. "Children sit and observe others playing"
b. "Children exhibit organized play when in a group"
c. "The child plays alone"
d. "The child plays independently when in a group"
Answer: D
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NR 328 Exam 1 Pediatric Nursing EXAM
A nurse is teaching a group of caregivers about separation anxiety. Which of the following
information should the nurse include in the teaching?
a. It is often observed in the school-age child
b. Detachment is the stage exhibited in the hospital
c. It results in prolonged issues of adaptability
d. Kicking a stranger is an example
Answer: D
A nurse is completing a pain assessment in an infant. Which of the following pain scales
should the nurse use?
a. FACES
b. FLACC
c. Oucher
d. Non-communicating children's pain checklist.
Answer: B
Rationale: FLACC is used for infants and children between 2 months and 7 years. FACES is
recommended for children 3 years and older. Oucher is used for children between 3 and 13
years. Non- communicating is used for children who are non-communicating between 3 and
18 years.
A nurse is planning care for a child following a surgical procedure. Which of the following
interventions should the nurse include in the plan of care?
a. Administer NSAIDs for pain greater than 7 on a scale of 0 to 10
b. Administer intranasal analgesics PRN
c. Administer IM analgesics for pain
d. Administer IV analgesics on a schedule
Answer: D
A nurse is assessing an infant. Which of the following are findings of pain in an infant?
(SATA)
a. pursed lips
b. Loud cry
