NR 328 Pediatric Nursing Week 3 Comprehensive Study Guide 2026
|Chamberlain College
1. A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect the infant to have achieved?
A. Sitting steadily without support
B. Using a neat pincer grasp
C. Rolling from back to abdomen
D. Walking while holding onto furniture
Answer: C
Rationale: Most infants roll from back to abdomen by 6 months of age. Sitting steadily
without support usually occurs at 8 months, pincer grasp at 9 months, and cruising at 11
months.
2. Which pain scale is most appropriate for a 4-year-old child who is post-
operative?
A. CRIES scale
B. Wong-Baker FACES scale
C. FLACC scale
D. Visual Analog Scale (VAS)
Answer: B
Rationale: The Wong-Baker FACES scale is appropriate for children as young as 3 years
old because it uses drawings of faces to represent pain levels.
,3. A nurse is caring for a toddler in the hospital. Which of the following is the
primary stressor for this age group?
A. Separation anxiety
B. Fear of bodily mutilation
C. Loss of identity
D. Loss of peer interaction
Answer: A
Rationale: Separation anxiety is the primary stressor for toddlers (ages 1-3) when
hospitalized. Fear of mutilation is more common in preschoolers.
4. When administering an intramuscular injection to a 10-month-old infant,
which site should the nurse select?
A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
Answer: A
Rationale: The vastus lateralis is the preferred site for IM injections in infants and toddlers
who are not yet walking steadily.
5. A nurse is assessing a 2-year-old child with suspected croup. Which of the
following findings is a classic sign of this condition?
A. Barking cough
B. Expiratory wheeze
C. Drooling and high fever
D. Silent chest
Answer: A
Rationale: Laryngotracheobronchitis (croup) is characterized by a brassy, barking cough
and inspiratory stridor.
, 6. A school-age child is being treated for asthma. The nurse knows that the
‘rescue’ medication used for acute bronchospasm is:
A. Salmeterol
B. Cromolyn sodium
C. Fluticasone
D. Albuterol
Answer: D
Rationale: Albuterol is a short-acting beta-2 agonist (SABA) used as a rescue medication
for acute asthma symptoms.
7. An infant with pyloric stenosis is likely to exhibit which of the following
symptoms?
A. Currant jelly stools
B. Chronic constipation
C. Steatorrhea
D. Projectile vomiting
Answer: D
Rationale: Hypertrophic pyloric stenosis causes forceful, projectile vomiting usually after
feeding, occurring around 3-6 weeks of age.
8. What is the most appropriate action for a nurse when a 3-year-old is having a
temper tantrum in the hospital?
A. Ignore the behavior while ensuring safety
B. Provide a ‘time-out’ in a safe place
C. Reason with the child about their behavior
D. Offer a toy to distract the child
Answer: A
Rationale: Ignoring the negative behavior while ensuring the child is safe is the most
effective way to manage temper tantrums in toddlers.
|Chamberlain College
1. A nurse is assessing a 6-month-old infant. Which of the following
developmental milestones should the nurse expect the infant to have achieved?
A. Sitting steadily without support
B. Using a neat pincer grasp
C. Rolling from back to abdomen
D. Walking while holding onto furniture
Answer: C
Rationale: Most infants roll from back to abdomen by 6 months of age. Sitting steadily
without support usually occurs at 8 months, pincer grasp at 9 months, and cruising at 11
months.
2. Which pain scale is most appropriate for a 4-year-old child who is post-
operative?
A. CRIES scale
B. Wong-Baker FACES scale
C. FLACC scale
D. Visual Analog Scale (VAS)
Answer: B
Rationale: The Wong-Baker FACES scale is appropriate for children as young as 3 years
old because it uses drawings of faces to represent pain levels.
,3. A nurse is caring for a toddler in the hospital. Which of the following is the
primary stressor for this age group?
A. Separation anxiety
B. Fear of bodily mutilation
C. Loss of identity
D. Loss of peer interaction
Answer: A
Rationale: Separation anxiety is the primary stressor for toddlers (ages 1-3) when
hospitalized. Fear of mutilation is more common in preschoolers.
4. When administering an intramuscular injection to a 10-month-old infant,
which site should the nurse select?
A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
Answer: A
Rationale: The vastus lateralis is the preferred site for IM injections in infants and toddlers
who are not yet walking steadily.
5. A nurse is assessing a 2-year-old child with suspected croup. Which of the
following findings is a classic sign of this condition?
A. Barking cough
B. Expiratory wheeze
C. Drooling and high fever
D. Silent chest
Answer: A
Rationale: Laryngotracheobronchitis (croup) is characterized by a brassy, barking cough
and inspiratory stridor.
, 6. A school-age child is being treated for asthma. The nurse knows that the
‘rescue’ medication used for acute bronchospasm is:
A. Salmeterol
B. Cromolyn sodium
C. Fluticasone
D. Albuterol
Answer: D
Rationale: Albuterol is a short-acting beta-2 agonist (SABA) used as a rescue medication
for acute asthma symptoms.
7. An infant with pyloric stenosis is likely to exhibit which of the following
symptoms?
A. Currant jelly stools
B. Chronic constipation
C. Steatorrhea
D. Projectile vomiting
Answer: D
Rationale: Hypertrophic pyloric stenosis causes forceful, projectile vomiting usually after
feeding, occurring around 3-6 weeks of age.
8. What is the most appropriate action for a nurse when a 3-year-old is having a
temper tantrum in the hospital?
A. Ignore the behavior while ensuring safety
B. Provide a ‘time-out’ in a safe place
C. Reason with the child about their behavior
D. Offer a toy to distract the child
Answer: A
Rationale: Ignoring the negative behavior while ensuring the child is safe is the most
effective way to manage temper tantrums in toddlers.
