NR328
EXAM I
PEDIATRIC NURSING
100% Exam-Style Questions
Pediatric Nursing | NCLEX-Style | Exam-Focused
✔ 100% exam-style multiple-choice questions
✔ Select-All-That-Apply (SATA) questions
✔ Pediatric nursing–focused clinical scenarios
✔ Priority, safety, and delegation questions
✔ Growth and development–based questions
✔ Acute and chronic pediatric conditions
✔ Medication administration & dosage safety
✔ Infection control and isolation precautions
✔ Emergency pediatric nursing situations
✔ Clear identification of correct answers
✔ Exam-level difficulty aligned with NR328
✔ No filler, no repetition, no outdated content
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
1
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____1. A 2-year-old child is admitted to the pediatric unit for an unrelated minor procedure.
The parents express concern that the child will experience severe separation anxiety. Which
nursing intervention is most appropriate to minimize the anxiety associated with separation
from the parents?
a. Encourage the parents to slip out of the room while the child is distracted by a cartoon
– Correct answer✅✅
b. Recommend that the parents avoid visiting the unit to prevent reinforcing crying
behavior
c. Assign the child to a private room to limit interaction with other children
d. Tell the child that the parents will return in exactly two hours
_____2. The nurse is providing discharge teaching to the parents of a 4-month-old infant.
Which statement by the parents indicates a need for further instruction regarding injury
prevention?
a. We will place the infant car seat in the rear-facing position in the back seat
b. We will keep the hot water heater set at 140 degrees Fahrenheit to ensure proper
sanitation – Correct answer✅✅
c. We will place the baby on their back to sleep in a bassinet without any loose blankets
d. We will install stair gates at the top and bottom of all staircases in our home
_____3. A 3-year-old child is postoperative following an inguinal hernia repair. Which tool
should the nurse use to assess this child's pain level most accurately?
a. Numeric rating scale from 0 to 10
b. Wong-Baker FACES Pain Rating Scale
c. FLACC Behavioral Pain Assessment Scale – Correct answer✅✅
d. Visual Analog Scale
_____4. A nurse is calculating the maintenance intravenous fluid rate for a 10-year-old child
weighing 30 kg using the Holliday-Segar method. What is the total daily fluid requirement for
this child?
a. 1000 mL
b. 1100 mL
c. 1500 mL – Correct answer✅✅
d. 2000 mL
_____5. A 4-year-old child is preparing for an appendectomy. The child asks the nurse, "Will I
wake up after the medicine?" What is the best response by the nurse?
a. Yes, but you might feel a little sick to your stomach when you wake up
b. The doctor will make sure you wake up, and I will be right here in the room when you
open your eyes – Correct answer✅✅
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
2
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, c. You will wake up eventually, but you will be in the recovery room by yourself
d. Most children wake up, but there is a small chance you might sleep for a long time
_____6. The nurse is administering an oral medication to a 9-month-old infant. Which
technique is most appropriate to facilitate safe and effective administration?
a. Place the medication in a small amount of formula in the infant's primary bottle
b. Use a plastic syringe to slowly dispense the medication into the lateral aspect of the
mouth – Correct answer✅✅
c. Administer the medication rapidly to ensure the infant swallows it before tasting it
d. Mix the medication directly into the infant's cereal on the highchair tray
_____7. A 15-month-old child is brought to the emergency department with a barking cough,
inspiratory stridor, and low-grade fever at night. Which intervention should the nurse
anticipate implementing first upon admission?
a. Administration of aerosolized racemic epinephrine – Correct answer✅✅
b. Immediate placement in a mist tent with cool humidified air
c. Administration of oral dexamethasone
d. Preparation for immediate endotracheal intubation
_____8. A 3-week-old infant is diagnosed with hypertrophic pyloric stenosis. Which clinical
manifestation should the nurse expect to find during the initial health history and physical
assessment?
a. Passage of ribbon-like, foul-smelling stools
b. Bile-stained projectile emesis immediately after feeding
c. Visible peristaltic waves moving from left to right across the epigastrium and a palpable
olive-like mass in the right upper quadrant – Correct answer✅✅
d. Abdominal distension and refusal to feed due to severe abdominal pain
_____9. According to Erikson's theory of psychosocial development, which behavior indicates a
7-year-old child has successfully resolved the industry versus inferiority stage?
a. The child expresses pride in completing a complex science project independently –
Correct answer✅✅
b. The child frequently seeks reassurance from the teacher before attempting new tasks
c. The child prefers to play alone rather than engage in group activities
d. The child demonstrates intense jealousy when a sibling receives praise
_____10. A 5-year-old child presents to the emergency department with a sudden onset of high
fever, dysphagia, drooling, and a muffled voice. Which action should the nurse take
immediately?
a. Inspect the posterior pharynx using a tongue depressor to visualize the tonsils
b. Position the child upright on the parent's lap and prepare for immediate airway
management – Correct answer✅✅
c. Administer a prescribed antipyretic and obtain a throat culture
d. Apply a cool mist face tent to reduce airway inflammation
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
3
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____11. The nurse is assessing a 12-month-old infant during a well-child visit. Which finding
should the nurse report to the pediatrician as a potential developmental delay?
a. The infant can pull to a standing position but cannot walk independently
b. The infant does not speak any recognizable words other than "mama" and "dada" –
Correct answer✅✅
c. The infant uses a pincer grasp to pick up small pieces of cereal
d. The infant actively resists having a toy taken away
_____12. A 6-year-old child is receiving chemotherapy and develops severe mucositis. Which
intervention should the nurse include in the plan of care to manage this complication?
a. Provide lemon-glycerin swabs to cleanse the oral mucosa before meals
b. Encourage the child to consume hot, spicy foods to increase salivation
c. Administer prescribed topical analgesics prior to oral intake – Correct answer✅✅
d. Advise the child to brush teeth vigorously twice daily to prevent plaque buildup
_____13. The nurse is caring for a toddler with iron deficiency anemia. The provider prescribes
oral iron supplements. Which instruction should the nurse give to the parents regarding
administration?
a. Administer the iron supplement with a glass of milk to prevent gastrointestinal upset
b. Give the iron supplement through a straw to prevent discoloration of the tooth enamel
– Correct answer✅✅
c. Expect the child's stools to become light-colored and clay-like
d. Stop giving the iron supplement if the child complains of mild stomach cramps
_____14. A 4-month-old infant is admitted to the hospital with respiratory syncytial virus (RSV)
bronchiolitis. Which transmission-based precaution should the nurse implement?
a. Airborne precautions
b. Droplet precautions
c. Contact precautions – Correct answer✅✅
d. Standard precautions only
_____15. The nurse is providing preoperative teaching to an 8-year-old child scheduled for a
tonsillectomy. Which approach is most developmentally appropriate?
a. Use a detailed anatomical model to explain the exact surgical pathology
b. Provide a coloring book that illustrates the hospital experience and encourage the child
to ask questions – Correct answer✅✅
c. Ask the parents to explain the procedure to the child in the waiting room
d. Read the child a complex story about another child's surgical experience
_____16. A nurse is caring for an infant with congenital heart disease who is receiving digoxin.
Prior to administering the medication, which assessment is the priority?
a. Assessing the infant's pupillary response to light
b. Obtaining the infant's exact weight and measuring the apical heart rate for a full minute
– Correct answer✅✅
c. Checking the infant's capillary refill time and peripheral pulses
d. Evaluating the infant's respiratory effort and oxygen saturation
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
4
© 2026. All rights reserved. Unauthorized distribution is prohibited.
EXAM I
PEDIATRIC NURSING
100% Exam-Style Questions
Pediatric Nursing | NCLEX-Style | Exam-Focused
✔ 100% exam-style multiple-choice questions
✔ Select-All-That-Apply (SATA) questions
✔ Pediatric nursing–focused clinical scenarios
✔ Priority, safety, and delegation questions
✔ Growth and development–based questions
✔ Acute and chronic pediatric conditions
✔ Medication administration & dosage safety
✔ Infection control and isolation precautions
✔ Emergency pediatric nursing situations
✔ Clear identification of correct answers
✔ Exam-level difficulty aligned with NR328
✔ No filler, no repetition, no outdated content
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
1
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____1. A 2-year-old child is admitted to the pediatric unit for an unrelated minor procedure.
The parents express concern that the child will experience severe separation anxiety. Which
nursing intervention is most appropriate to minimize the anxiety associated with separation
from the parents?
a. Encourage the parents to slip out of the room while the child is distracted by a cartoon
– Correct answer✅✅
b. Recommend that the parents avoid visiting the unit to prevent reinforcing crying
behavior
c. Assign the child to a private room to limit interaction with other children
d. Tell the child that the parents will return in exactly two hours
_____2. The nurse is providing discharge teaching to the parents of a 4-month-old infant.
Which statement by the parents indicates a need for further instruction regarding injury
prevention?
a. We will place the infant car seat in the rear-facing position in the back seat
b. We will keep the hot water heater set at 140 degrees Fahrenheit to ensure proper
sanitation – Correct answer✅✅
c. We will place the baby on their back to sleep in a bassinet without any loose blankets
d. We will install stair gates at the top and bottom of all staircases in our home
_____3. A 3-year-old child is postoperative following an inguinal hernia repair. Which tool
should the nurse use to assess this child's pain level most accurately?
a. Numeric rating scale from 0 to 10
b. Wong-Baker FACES Pain Rating Scale
c. FLACC Behavioral Pain Assessment Scale – Correct answer✅✅
d. Visual Analog Scale
_____4. A nurse is calculating the maintenance intravenous fluid rate for a 10-year-old child
weighing 30 kg using the Holliday-Segar method. What is the total daily fluid requirement for
this child?
a. 1000 mL
b. 1100 mL
c. 1500 mL – Correct answer✅✅
d. 2000 mL
_____5. A 4-year-old child is preparing for an appendectomy. The child asks the nurse, "Will I
wake up after the medicine?" What is the best response by the nurse?
a. Yes, but you might feel a little sick to your stomach when you wake up
b. The doctor will make sure you wake up, and I will be right here in the room when you
open your eyes – Correct answer✅✅
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
2
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, c. You will wake up eventually, but you will be in the recovery room by yourself
d. Most children wake up, but there is a small chance you might sleep for a long time
_____6. The nurse is administering an oral medication to a 9-month-old infant. Which
technique is most appropriate to facilitate safe and effective administration?
a. Place the medication in a small amount of formula in the infant's primary bottle
b. Use a plastic syringe to slowly dispense the medication into the lateral aspect of the
mouth – Correct answer✅✅
c. Administer the medication rapidly to ensure the infant swallows it before tasting it
d. Mix the medication directly into the infant's cereal on the highchair tray
_____7. A 15-month-old child is brought to the emergency department with a barking cough,
inspiratory stridor, and low-grade fever at night. Which intervention should the nurse
anticipate implementing first upon admission?
a. Administration of aerosolized racemic epinephrine – Correct answer✅✅
b. Immediate placement in a mist tent with cool humidified air
c. Administration of oral dexamethasone
d. Preparation for immediate endotracheal intubation
_____8. A 3-week-old infant is diagnosed with hypertrophic pyloric stenosis. Which clinical
manifestation should the nurse expect to find during the initial health history and physical
assessment?
a. Passage of ribbon-like, foul-smelling stools
b. Bile-stained projectile emesis immediately after feeding
c. Visible peristaltic waves moving from left to right across the epigastrium and a palpable
olive-like mass in the right upper quadrant – Correct answer✅✅
d. Abdominal distension and refusal to feed due to severe abdominal pain
_____9. According to Erikson's theory of psychosocial development, which behavior indicates a
7-year-old child has successfully resolved the industry versus inferiority stage?
a. The child expresses pride in completing a complex science project independently –
Correct answer✅✅
b. The child frequently seeks reassurance from the teacher before attempting new tasks
c. The child prefers to play alone rather than engage in group activities
d. The child demonstrates intense jealousy when a sibling receives praise
_____10. A 5-year-old child presents to the emergency department with a sudden onset of high
fever, dysphagia, drooling, and a muffled voice. Which action should the nurse take
immediately?
a. Inspect the posterior pharynx using a tongue depressor to visualize the tonsils
b. Position the child upright on the parent's lap and prepare for immediate airway
management – Correct answer✅✅
c. Administer a prescribed antipyretic and obtain a throat culture
d. Apply a cool mist face tent to reduce airway inflammation
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
3
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____11. The nurse is assessing a 12-month-old infant during a well-child visit. Which finding
should the nurse report to the pediatrician as a potential developmental delay?
a. The infant can pull to a standing position but cannot walk independently
b. The infant does not speak any recognizable words other than "mama" and "dada" –
Correct answer✅✅
c. The infant uses a pincer grasp to pick up small pieces of cereal
d. The infant actively resists having a toy taken away
_____12. A 6-year-old child is receiving chemotherapy and develops severe mucositis. Which
intervention should the nurse include in the plan of care to manage this complication?
a. Provide lemon-glycerin swabs to cleanse the oral mucosa before meals
b. Encourage the child to consume hot, spicy foods to increase salivation
c. Administer prescribed topical analgesics prior to oral intake – Correct answer✅✅
d. Advise the child to brush teeth vigorously twice daily to prevent plaque buildup
_____13. The nurse is caring for a toddler with iron deficiency anemia. The provider prescribes
oral iron supplements. Which instruction should the nurse give to the parents regarding
administration?
a. Administer the iron supplement with a glass of milk to prevent gastrointestinal upset
b. Give the iron supplement through a straw to prevent discoloration of the tooth enamel
– Correct answer✅✅
c. Expect the child's stools to become light-colored and clay-like
d. Stop giving the iron supplement if the child complains of mild stomach cramps
_____14. A 4-month-old infant is admitted to the hospital with respiratory syncytial virus (RSV)
bronchiolitis. Which transmission-based precaution should the nurse implement?
a. Airborne precautions
b. Droplet precautions
c. Contact precautions – Correct answer✅✅
d. Standard precautions only
_____15. The nurse is providing preoperative teaching to an 8-year-old child scheduled for a
tonsillectomy. Which approach is most developmentally appropriate?
a. Use a detailed anatomical model to explain the exact surgical pathology
b. Provide a coloring book that illustrates the hospital experience and encourage the child
to ask questions – Correct answer✅✅
c. Ask the parents to explain the procedure to the child in the waiting room
d. Read the child a complex story about another child's surgical experience
_____16. A nurse is caring for an infant with congenital heart disease who is receiving digoxin.
Prior to administering the medication, which assessment is the priority?
a. Assessing the infant's pupillary response to light
b. Obtaining the infant's exact weight and measuring the apical heart rate for a full minute
– Correct answer✅✅
c. Checking the infant's capillary refill time and peripheral pulses
d. Evaluating the infant's respiratory effort and oxygen saturation
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam preparation
purposes only.
4
© 2026. All rights reserved. Unauthorized distribution is prohibited.
