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NR 328 Pediatric Nursing Exam 1 – 2026 Complete
200 Questions with Verified Answers & Detailed
Rationales | A+ Graded Actual Exam Prep
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 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?
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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).
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 children safety. Parents should be
,3|Page
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
Rationale: Regression is expected and normal for all age-groups when
hospitalized. Nurses should assure the parents this is temporary and the child will
return to the previously mastered developmental milestone when back home.
This does not indicate a developmental delay. The child should not be
experiencing urinary urgency because of hospitalization and this would not be
normal. Successful "potty-training" can be started at 2 years of age if the child is
ready.
, 4|Page
A 5-year-old tells the nurse that she "needs a Band-Aid" where she had an
injection. Which is the best intervention?
A. Ask her why she wants a Band-Aid.
B. Explain why a Band-Aid is not needed.
C. Show her that the bleeding has already stopped.
D. Apply a Band-Aid after the injection site. - ANSWER-Answer: D
Rationale: Because of toddlers' and preschool children's poorly defined body
boundaries, the use of bandages may be particularly helpful. For example, telling
children that the bleeding will stop after the needle is removed does little to
relieve their fears, but applying a small Band-Aid usually reassures them. This age
group is concerned with body integrity.
Which would be a preferred oral fluid choice to offer a child in the initial post op
period following a Tonsillectomy?
A. Cola (room temperature)
B. Crushed ice
C. Cherry popsicle
D. Chocolate milkshake - ANSWER-Answer: B
Rationale: Cold, clear liquids are well tolerated following a tonsillectomy. Liquids
that are brown or red should be avoided in order to tell the difference between
liquid or blood. Dairy products increase the viscosity of the mucous—causing the
child to clear the throat frequently and can lead to bleeding.
Speaking of food. What is an appropriate snack choice for a toddler?
A. Fruit snacks
B. Grapes
C. Bananas
NR 328 Pediatric Nursing Exam 1 – 2026 Complete
200 Questions with Verified Answers & Detailed
Rationales | A+ Graded Actual Exam Prep
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 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?
,2|Page
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).
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 children safety. Parents should be
,3|Page
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
Rationale: Regression is expected and normal for all age-groups when
hospitalized. Nurses should assure the parents this is temporary and the child will
return to the previously mastered developmental milestone when back home.
This does not indicate a developmental delay. The child should not be
experiencing urinary urgency because of hospitalization and this would not be
normal. Successful "potty-training" can be started at 2 years of age if the child is
ready.
, 4|Page
A 5-year-old tells the nurse that she "needs a Band-Aid" where she had an
injection. Which is the best intervention?
A. Ask her why she wants a Band-Aid.
B. Explain why a Band-Aid is not needed.
C. Show her that the bleeding has already stopped.
D. Apply a Band-Aid after the injection site. - ANSWER-Answer: D
Rationale: Because of toddlers' and preschool children's poorly defined body
boundaries, the use of bandages may be particularly helpful. For example, telling
children that the bleeding will stop after the needle is removed does little to
relieve their fears, but applying a small Band-Aid usually reassures them. This age
group is concerned with body integrity.
Which would be a preferred oral fluid choice to offer a child in the initial post op
period following a Tonsillectomy?
A. Cola (room temperature)
B. Crushed ice
C. Cherry popsicle
D. Chocolate milkshake - ANSWER-Answer: B
Rationale: Cold, clear liquids are well tolerated following a tonsillectomy. Liquids
that are brown or red should be avoided in order to tell the difference between
liquid or blood. Dairy products increase the viscosity of the mucous—causing the
child to clear the throat frequently and can lead to bleeding.
Speaking of food. What is an appropriate snack choice for a toddler?
A. Fruit snacks
B. Grapes
C. Bananas
