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NR 328 EXAM 1/NR 328 PEDIATRIC NURSING EXAM 1 LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
An important milestone in the infant's life is the development of
object permanence. This milestone is represented by which of
these statements?
a. The infant turns and looks for the mother when she walks out of
his view.
b. The infant smiles at the mother when she talks to him.
c. The infant cries when the mother hands him to a babysitter.
d. The infant repeatedly flexes and extends his arms and legs
when the mother picks him up. - ANSWER-Answer: A
Rationale: A major accomplishment is achieving the concept
of object permanence, or the realization that objects that
leave the visual field still exist. A typical example of the
development of object permanence is when infants are able
to pursue objects they observe being hidden under a pillow
or behind a chair. This skill develops at approximately 9 to 10
months of age, which corresponds to the time of increased
locomotion skills.
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The type of play in which infants engage is called:
a. Onlooker
b. Parallel
c. Associative
d. Cooperative - ANSWER-Answer: A
Rationale: when the child watches others at play but does
not engage in it. The child may engage in forms of social
interaction, such as conversation about the play, without
actually joining in the activity. This type of activity is also
more common in younger children
What are clinical manifestations of failure to thrive? (Select all that
apply)
a. Growth failure
b. Developmental delays
c. Avoidance of eye contact
d. Smiling
e. Fear of strangers - ANSWER-Answers: A, B, C
Rationale: Clinical manifestations of failure to thrive include
growth failure, developmental delays, malnutrition, apathy,
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withdrawn behavior, feeding or eating disorders, and
avoidance of eye contact. Smiling and fear of strangers are
not clinical manifestations of failure to thrive.
What must the nurse teach the parents of the child with cystic
fibrosis about the use of pancreatic enzymes?
a. Extra enzymes must be taken with high-fat foods.
b. Enteric-coated beads may be chewed or crushed.
c. Mix the powder-form enzyme with the entire meal.
d. Fat-soluble forms of vitamins are added with the food. -
ANSWER-Answer: A
Rationale: The child with cystic fibrosis is unable to digest
the fat content in foods. Therefore, the child must be
encouraged to take extra enzymes when high-fat foods are
eaten. Enteric-coated beads must not be chewed or crushed,
because destroying the enteric coating can lead to
inactivation of the enzymes and excoriation of oral mucosa.
The beads prevent the neutralization of enzymes by gastric
acids, thus allowing activation to occur in the alkaline
environment of the small bowel. The powder form should be
mixed with only a small amount of food to be taken at the
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beginning of the meal, because it predigests the food,
making it unpalatable. Enzymes must be taken within 30
minutes of eating. Water-soluble forms of vitamins are given
along with the food and enzymes, because the uptake of fat-
soluble forms of vitamins is decreased.
A nurse is teaching an adolescent about the appropriate use of
his asthma medications. Which of the following medications
should the nurse instruct the adolescent to use before he
participates in exercise?
a. Albuterol
b. Prednisone
c. Montelukast
d. Fluticasone/salmeterol - ANSWER-Answer: A
Rationale: Exercise is advantageous for children with
asthma, and most children can participate in activities at
school and in sports with minimal difficulty, provided their
asthma is under control. Evaluate participation on an
individual basis. Appropriate prophylactic treatment with
short-acting β-adrenergic agents or cromolyn sodium before
NR 328 EXAM 1/NR 328 PEDIATRIC NURSING EXAM 1 LATEST 2026-2027
ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
An important milestone in the infant's life is the development of
object permanence. This milestone is represented by which of
these statements?
a. The infant turns and looks for the mother when she walks out of
his view.
b. The infant smiles at the mother when she talks to him.
c. The infant cries when the mother hands him to a babysitter.
d. The infant repeatedly flexes and extends his arms and legs
when the mother picks him up. - ANSWER-Answer: A
Rationale: A major accomplishment is achieving the concept
of object permanence, or the realization that objects that
leave the visual field still exist. A typical example of the
development of object permanence is when infants are able
to pursue objects they observe being hidden under a pillow
or behind a chair. This skill develops at approximately 9 to 10
months of age, which corresponds to the time of increased
locomotion skills.
,2|Page
The type of play in which infants engage is called:
a. Onlooker
b. Parallel
c. Associative
d. Cooperative - ANSWER-Answer: A
Rationale: when the child watches others at play but does
not engage in it. The child may engage in forms of social
interaction, such as conversation about the play, without
actually joining in the activity. This type of activity is also
more common in younger children
What are clinical manifestations of failure to thrive? (Select all that
apply)
a. Growth failure
b. Developmental delays
c. Avoidance of eye contact
d. Smiling
e. Fear of strangers - ANSWER-Answers: A, B, C
Rationale: Clinical manifestations of failure to thrive include
growth failure, developmental delays, malnutrition, apathy,
,3|Page
withdrawn behavior, feeding or eating disorders, and
avoidance of eye contact. Smiling and fear of strangers are
not clinical manifestations of failure to thrive.
What must the nurse teach the parents of the child with cystic
fibrosis about the use of pancreatic enzymes?
a. Extra enzymes must be taken with high-fat foods.
b. Enteric-coated beads may be chewed or crushed.
c. Mix the powder-form enzyme with the entire meal.
d. Fat-soluble forms of vitamins are added with the food. -
ANSWER-Answer: A
Rationale: The child with cystic fibrosis is unable to digest
the fat content in foods. Therefore, the child must be
encouraged to take extra enzymes when high-fat foods are
eaten. Enteric-coated beads must not be chewed or crushed,
because destroying the enteric coating can lead to
inactivation of the enzymes and excoriation of oral mucosa.
The beads prevent the neutralization of enzymes by gastric
acids, thus allowing activation to occur in the alkaline
environment of the small bowel. The powder form should be
mixed with only a small amount of food to be taken at the
, 4|Page
beginning of the meal, because it predigests the food,
making it unpalatable. Enzymes must be taken within 30
minutes of eating. Water-soluble forms of vitamins are given
along with the food and enzymes, because the uptake of fat-
soluble forms of vitamins is decreased.
A nurse is teaching an adolescent about the appropriate use of
his asthma medications. Which of the following medications
should the nurse instruct the adolescent to use before he
participates in exercise?
a. Albuterol
b. Prednisone
c. Montelukast
d. Fluticasone/salmeterol - ANSWER-Answer: A
Rationale: Exercise is advantageous for children with
asthma, and most children can participate in activities at
school and in sports with minimal difficulty, provided their
asthma is under control. Evaluate participation on an
individual basis. Appropriate prophylactic treatment with
short-acting β-adrenergic agents or cromolyn sodium before
