NR 328 Pediatric Nursing Exam 1 Study Guide 2026 |Chamberlain
College
1. According to Erikson, which developmental task is primary for an infant (birth
to 1 year)?
A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: C
Rationale: Infancy is the stage where the child develops a sense of trust when caregivers
provide reliability, care, and affection.
2. Which pain scale is most appropriate for a 3-year-old child who cannot yet
express pain numerically?
A. Numeric Rating Scale
B. Visual Analog Scale
C. FLACC Scale
D. CRIES Scale
Answer: C
Rationale: The FLACC (Face, Legs, Activity, Cry, Consolability) scale is an observational
tool used for children aged 2 months to 7 years.
,3. To prevent Sudden Infant Death Syndrome (SIDS), how should an infant be
positioned for sleep?
A. Side-lying with a bolster
B. Prone (on the stomach)
C. In a car seat
D. Supine (on the back)
Answer: D
Rationale: The ‘Back to Sleep’ campaign recommends the supine position to significantly
reduce the risk of SIDS.
4. A nurse expects a healthy infant’s birth weight to triple by what age?
A. 6 months
B. 9 months
C. 12 months
D. 18 months
Answer: C
Rationale: Generally, an infant’s weight doubles by 6 months and triples by 12 months (1
year).
5. According to Piaget, which concept is mastered when an infant understands
that an object still exists even when out of sight?
A. Egocentrism
B. Conservation
C. Object Permanence
D. Centration
Answer: C
Rationale: Object permanence is a key milestone in the sensorimotor stage, typically
developing around 8 to 9 months.
, 6. Two toddlers are playing in the same room with similar toys but are not
interacting with each other. What type of play is this?
A. Solitary Play
B. Cooperative Play
C. Associative Play
D. Parallel Play
Answer: D
Rationale: Parallel play is characteristic of toddlers who play beside but not with others.
7. At what age does the posterior fontanel typically close?
A. 12 to 18 months
B. 24 months
C. At birth
D. 6 to 8 weeks
Answer: D
Rationale: The posterior fontanel closes by 2 months (6-8 weeks), while the anterior
fontanel closes between 12-18 months.
8. At what age should a child receive their first Measles, Mumps, and Rubella
(MMR) vaccine?
A. 2 months
B. 6 months
C. 4 years
D. 12 to 15 months
Answer: D
Rationale: The first dose of MMR is typically administered between 12 and 15 months of
age.
College
1. According to Erikson, which developmental task is primary for an infant (birth
to 1 year)?
A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: C
Rationale: Infancy is the stage where the child develops a sense of trust when caregivers
provide reliability, care, and affection.
2. Which pain scale is most appropriate for a 3-year-old child who cannot yet
express pain numerically?
A. Numeric Rating Scale
B. Visual Analog Scale
C. FLACC Scale
D. CRIES Scale
Answer: C
Rationale: The FLACC (Face, Legs, Activity, Cry, Consolability) scale is an observational
tool used for children aged 2 months to 7 years.
,3. To prevent Sudden Infant Death Syndrome (SIDS), how should an infant be
positioned for sleep?
A. Side-lying with a bolster
B. Prone (on the stomach)
C. In a car seat
D. Supine (on the back)
Answer: D
Rationale: The ‘Back to Sleep’ campaign recommends the supine position to significantly
reduce the risk of SIDS.
4. A nurse expects a healthy infant’s birth weight to triple by what age?
A. 6 months
B. 9 months
C. 12 months
D. 18 months
Answer: C
Rationale: Generally, an infant’s weight doubles by 6 months and triples by 12 months (1
year).
5. According to Piaget, which concept is mastered when an infant understands
that an object still exists even when out of sight?
A. Egocentrism
B. Conservation
C. Object Permanence
D. Centration
Answer: C
Rationale: Object permanence is a key milestone in the sensorimotor stage, typically
developing around 8 to 9 months.
, 6. Two toddlers are playing in the same room with similar toys but are not
interacting with each other. What type of play is this?
A. Solitary Play
B. Cooperative Play
C. Associative Play
D. Parallel Play
Answer: D
Rationale: Parallel play is characteristic of toddlers who play beside but not with others.
7. At what age does the posterior fontanel typically close?
A. 12 to 18 months
B. 24 months
C. At birth
D. 6 to 8 weeks
Answer: D
Rationale: The posterior fontanel closes by 2 months (6-8 weeks), while the anterior
fontanel closes between 12-18 months.
8. At what age should a child receive their first Measles, Mumps, and Rubella
(MMR) vaccine?
A. 2 months
B. 6 months
C. 4 years
D. 12 to 15 months
Answer: D
Rationale: The first dose of MMR is typically administered between 12 and 15 months of
age.
