NUR 328 ACTUAL EXAM AND PREP GUIDE 250 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES 2026/2027 LATEST EXAM TEST
COVERING THE RECENT AND MOST TESTED QUESTIONS PERFECT TO PASS NUR
328 EXAM TEST
What does Erikson describe in his theory of psychosocial development as the most important task for
school-age children?
A. Sense of autonomy, in which children want to do things for themselves
B. Sense of industry, in which children enjoy competing tasks.
C. Sense of trust, in which children form basic trust in people around them
D. Sense of initiative, children explore their world with all their senses
Answer: B
Rationale: In his theory of psychosocial development, Erikson posits that the most important task for
school-age children is to develop a sense of industry, in which children have access to tasks that need to
be done and are able to complete them. A sense of autonomy, in which children want to do things for
themselves, is the task for psychosocial development in children ages 1 to 3 years. A sense of trust, in
which children form basic trust in the people around them, is the task for psychosocial development in
children from birth to 1 year of age. A sense of initiative, in which children form basic trust in the people
around them, is the task for psychosocial development in children ages 3 to 6 years.
True or False: As a rule of thumb, an infant’s birth weight should double by one year of age.
Answer: False
Rationale: In a normally developing infant, the body weight at the end of one year is approximately
three times the birth weight of the Infant. Example: the approximate weight of the neonate who weighs
7 pounds at the end of one year would be (7 x 3 = 21); 21 pounds. Birth weight typically doubles at 6
months of age.
A nurse is educating mothers about infant safety & injury prevention. Which information should the
nurse include?
A. Administer medications as a candy to get cooperation from an infant.
B. Mobile walkers increase coordination and prevent falls in infants.
C. Keep the infant’s play area free of rugs, mats, and large objects.
D. Maintain one hand on the infant at all times while in the bath tub.
Answer: D
Rationale: Keeping one hand on the infant at all times helps prevent bath tub drowning. Telling the
infant that medications are candy to get cooperation confuses the infant and creates a safety hazard,
because when the infant discovers a medication independently, they will want to eat it also. Mobile
,walkers do not increase coordination or prevent falls. It is not necessary to keep the infant’s play area
free of rugs, mats, and large objects; however, it is necessary to keep the area free of small objects that
the infant may ingest that could cause an airway obstruction.
A milestone in the infant's life is the development of object permanence. Which statement best
indicates this?
A. The infant turns and looks for the mother when she walks out of his view.
B. The infant repeatedly flexes and extends his arms and legs when the mother picks him up.
C. The infant cries when the mother hands him to a babysitter.
D. The infant smiles at the mother when she talks to him.
Answer: A
Rationale: This is an example of object permanence that usually develops by 8 months. B & C are not. D
is an example of separation anxiety that begins around 6 months and lasts until 36months.
True or False: A symptom of Enterobiasis (Pinworms) is intense anal itching.
Answer: True
Rationale: Enterobiasis (Pinworms) Enterobiasis, or pinworms, caused by the nematode Enterobius
vermicularis, is the most common helminthic infection in the United States. Transmission is favored in
crowded conditions, such as in classrooms and day care centers. Infection begins when the eggs are
ingested or inhaled (the eggs float in the air). The eggs hatch in the upper intestine and then mature and
migrate through the intestine. After mating, adult females migrate out the anus and lay eggs. The
movement of the worms on skin and mucous membrane surfaces causes intense itching.
What is the normal age that the anterior fontanel closes?
A. 6 weeks
B. 14 months
C. 8 weeks
D. 36 months
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: 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?
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: 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: 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: 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 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: 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: 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.
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: 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.
ANSWERS WITH DETAILED RATIONALES 2026/2027 LATEST EXAM TEST
COVERING THE RECENT AND MOST TESTED QUESTIONS PERFECT TO PASS NUR
328 EXAM TEST
What does Erikson describe in his theory of psychosocial development as the most important task for
school-age children?
A. Sense of autonomy, in which children want to do things for themselves
B. Sense of industry, in which children enjoy competing tasks.
C. Sense of trust, in which children form basic trust in people around them
D. Sense of initiative, children explore their world with all their senses
Answer: B
Rationale: In his theory of psychosocial development, Erikson posits that the most important task for
school-age children is to develop a sense of industry, in which children have access to tasks that need to
be done and are able to complete them. A sense of autonomy, in which children want to do things for
themselves, is the task for psychosocial development in children ages 1 to 3 years. A sense of trust, in
which children form basic trust in the people around them, is the task for psychosocial development in
children from birth to 1 year of age. A sense of initiative, in which children form basic trust in the people
around them, is the task for psychosocial development in children ages 3 to 6 years.
True or False: As a rule of thumb, an infant’s birth weight should double by one year of age.
Answer: False
Rationale: In a normally developing infant, the body weight at the end of one year is approximately
three times the birth weight of the Infant. Example: the approximate weight of the neonate who weighs
7 pounds at the end of one year would be (7 x 3 = 21); 21 pounds. Birth weight typically doubles at 6
months of age.
A nurse is educating mothers about infant safety & injury prevention. Which information should the
nurse include?
A. Administer medications as a candy to get cooperation from an infant.
B. Mobile walkers increase coordination and prevent falls in infants.
C. Keep the infant’s play area free of rugs, mats, and large objects.
D. Maintain one hand on the infant at all times while in the bath tub.
Answer: D
Rationale: Keeping one hand on the infant at all times helps prevent bath tub drowning. Telling the
infant that medications are candy to get cooperation confuses the infant and creates a safety hazard,
because when the infant discovers a medication independently, they will want to eat it also. Mobile
,walkers do not increase coordination or prevent falls. It is not necessary to keep the infant’s play area
free of rugs, mats, and large objects; however, it is necessary to keep the area free of small objects that
the infant may ingest that could cause an airway obstruction.
A milestone in the infant's life is the development of object permanence. Which statement best
indicates this?
A. The infant turns and looks for the mother when she walks out of his view.
B. The infant repeatedly flexes and extends his arms and legs when the mother picks him up.
C. The infant cries when the mother hands him to a babysitter.
D. The infant smiles at the mother when she talks to him.
Answer: A
Rationale: This is an example of object permanence that usually develops by 8 months. B & C are not. D
is an example of separation anxiety that begins around 6 months and lasts until 36months.
True or False: A symptom of Enterobiasis (Pinworms) is intense anal itching.
Answer: True
Rationale: Enterobiasis (Pinworms) Enterobiasis, or pinworms, caused by the nematode Enterobius
vermicularis, is the most common helminthic infection in the United States. Transmission is favored in
crowded conditions, such as in classrooms and day care centers. Infection begins when the eggs are
ingested or inhaled (the eggs float in the air). The eggs hatch in the upper intestine and then mature and
migrate through the intestine. After mating, adult females migrate out the anus and lay eggs. The
movement of the worms on skin and mucous membrane surfaces causes intense itching.
What is the normal age that the anterior fontanel closes?
A. 6 weeks
B. 14 months
C. 8 weeks
D. 36 months
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: 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?
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: 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: 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: 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 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: 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: 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.
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: 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.
