1
NR
NR 328/ NR328 PEDIATRIC NURSING GUIDE EXAM 1
G G G G G G G
: |(NEW 2025/ 2026 UPDATE) QUESTIONS & ANSW
G G G G GG G G
ERS| GRADE A| 100% CORRECT (VERIFIED SOLUTION
G G G G G G
S)- CHAMBERLAIN G G
1.gWhichgtopicsgshouldgthegnursegdiscussgwithgthegparentsgofg
agyounggchildgtogpromoteghealthgingtheirgchild?
a. Dentalgcaregneedsgtogbegstartedgbygageg7.
b. Immunizationgschedulegandgthegimportancegofgimmunizatio
ns.
c. Humangmilkgorgirongfortifiedgformulagforgthegfirstg4gmonthsgo
fglife.
d. Positioninggthegcargseatgingthegfrontgpassengergseat.:gAnsw
er:gB
Rationale:gImmunizationsghavegmadegagmajorgimpactgingthegpreven
tiongofgdiseasegingchildren.gThegnursegshouldgreviewgindividualgimm
unizationgrecordsgatgeverygclinicgvisit,gavoidgmissinggopportunitiesgt
ogvaccinate,gandgencouragegparentsgtogkeepgimmunizationsgcurrent
.gDentalgcariesgisgthegsinglegmostgcommongchronicgdiseasegofgchild
hoodgandgmaygbegingbeforegthegfirstgbirthday.gHumangmilkgorgirongfo
rtifiedgformulagforgshouldgbeggivengforgthegfirstgyeargofglifegtogpreventg
NRg328ggggggggggg1g/g76
,IrongDeficiencyganemia.gChildrengyoungergthang1gyeargofgageghaveg
theghighestgrategofgdeathgfromgmotorgvehiclegaccidents,gprimarilygfro
mgagfailuregtogproperlygusegcargrestraints.
2.gWhatgisgthegleadinggcausegofgdeathgingchildrengoldergthangth
egagegofg1gyear?ga.gDrowning
b. Burns
c. Motorgvehiclegaccidents
d. Cancer:gAnswer(s):gCg
Rationale:ga.gDrowninggisgthegsecondgleadinggcausegofgdeathgingchil
drengoldergthangthegagegofg1gyear.gb.gBurnsgcausegfewergdeathsgtha
ngmotorgvehiclegaccidentsgingchildrengoldergthangthegagegofg1gyear.gc
.gMotorgvehiclegaccidentsgaregthegleadinggcausegofgdeathgingchildren
oldergthangthegagegofg1gyear.gd.gCancergcausesgfewergdeathsgthang
g
motorgvehiclegaccidentsgingchildrengoldergthangthegagegofg1gyear.
3.gThegnursegmakesgsuregthatgagtoddlerghasgagteddygbeargandgt
hatgagnightlightgisgongingtheghospitalgroomgatgbedtime.gWhatgco
nceptgwouldgthesegnursinggactionsgdemonstrate?
a. Atraumaticgcare
b. Nonmaleficence
c. Justice
d. Advocacy:gAnswer(s):gA
Rationale:gA.gAtraumaticgcaregisgthegprovisiongofgtherapeuticgcaregin
settings,gbygpersonnel,gandgthroughgthegusegofginterventionsgthatgel
g
2g/g76
, 3
NR
iminategorgminimizegthegpsychologicalgandgphysicalgdistressgexperi
encedgbygchildrengandgtheirgfamiliesgingtheghealthgcaregsystem.gIngth
isgcase,gitgisgmakinggsuregthatgthegtoddlerghasgagteddygbeargandgthatg
agnightglightgisgongtogpreventgagdarkgenvironment.gB.gNonmaleficenc
egisgthegobligationgtogminimizegorgpreventgharm;gtheregisgnogsituatio
ngpresentgthatgwouldgrequiregthis.gC.gJusticegisgthegconceptgofgfairne
ssgandgisgnotgapplicablegtogthisgsituation.gD.gAdvocacyginvolvesgens
uringgthatgfamiliesgaregawaregofgallgavailableghealthgservices,gadequ
atelyginformedgofgtreatmentsgandgprocedures,ginvolvedgingthegchild'
sgcare,gandgencouragedgtogchangegorgsupportgexistingghealthgcareg
practices.
4. TruegorgFalse:gOpengendedgquestionsgaregmostglikelygtoge
ncouragegparentsgtogtalkgaboutgtheirgfeelingsgr/tgtheirgchild'sgil
lness.:gTrue
5. Whengthegnurseginterviewsgangadolescent,gwhatgisgimport
antgtoghelpgestablishgagrelationship?
a. Usegthegsamegtypegofglanguagegasgthegadolescent.
b. Emphasizegthatgconfidentialitygwillgalwaysgbegmaintained.
c. Focusgthegdiscussiongongthegpeerggroup.
d. Displaygaggenuineginterestgingthegadolescent.:gAnswer:gD.g
Rationale:gDisplaygaggenuineginterestgingthegadolescent.Adolescent
sgacceptganyonegwhogshowsgaggenuineginterestgingthem.gAlthoughgp
eersgaregimportantgtogthisgage-
NRg328ggggggggggg3g/g76
, group,gthegfocusgofgtheginterviewgshouldgbegongthegadolescent.gTheg
nursegshouldgclarifygwhichginformationgwillgbegsharedgwithgothergme
mbersgofgtheghealthgcaregteamgandganyglimitsgtogconfidentiality.gThe
nursegshouldgmaintaingagprofessionalgrelationshipgwithgadolescent
g
s.gTogavoidgmisinterpretationgofgwordsgandgphrasesgthatgthegadoles
centgmayguse,gthegnursegshouldgclarifygtermsgfrequently.
6.gWhatgapproachgisgthegmostgappropriategwhengperforminggag
physicalgassessmentgongagtoddler?
a. Demonstrategusegofgequipment.
b. Performgtraumaticgproceduresgfirst.
c. Usegminimumgphysicalgcontactginitially.
d. Alwaysgproceedgingaghead-to-toegdirection.:gAnswer:gC.g
Rationale:gParentsgcangremovegclothing,gandgthegchildgcangremaing
ongthegparent'sglap.gThegnursegshouldgusegminimumgphysicalgconta
ctginitiallygtoggaingthegcooperationgofgthegchild.gThegnursegshouldgintr
oducegthegequipmentgslowly.gThegchildgcanginspectgthegequipment,g
butgdemonstrationsgaregusuallygtoogcomplexgforgthisgage-
group.gTraumaticgproceduresgshouldgalwaysgbegperformedglast.gTh
esegwillgmostglikelygupsetgthegchildgandginhibitgcooperation.gTheghea
d-to-
toegassessmentgcangbegdonegingoldergchildrengbutgusuallygmustgbeg
adaptedgingyoungergchildren.
4g/g76
NR
NR 328/ NR328 PEDIATRIC NURSING GUIDE EXAM 1
G G G G G G G
: |(NEW 2025/ 2026 UPDATE) QUESTIONS & ANSW
G G G G GG G G
ERS| GRADE A| 100% CORRECT (VERIFIED SOLUTION
G G G G G G
S)- CHAMBERLAIN G G
1.gWhichgtopicsgshouldgthegnursegdiscussgwithgthegparentsgofg
agyounggchildgtogpromoteghealthgingtheirgchild?
a. Dentalgcaregneedsgtogbegstartedgbygageg7.
b. Immunizationgschedulegandgthegimportancegofgimmunizatio
ns.
c. Humangmilkgorgirongfortifiedgformulagforgthegfirstg4gmonthsgo
fglife.
d. Positioninggthegcargseatgingthegfrontgpassengergseat.:gAnsw
er:gB
Rationale:gImmunizationsghavegmadegagmajorgimpactgingthegpreven
tiongofgdiseasegingchildren.gThegnursegshouldgreviewgindividualgimm
unizationgrecordsgatgeverygclinicgvisit,gavoidgmissinggopportunitiesgt
ogvaccinate,gandgencouragegparentsgtogkeepgimmunizationsgcurrent
.gDentalgcariesgisgthegsinglegmostgcommongchronicgdiseasegofgchild
hoodgandgmaygbegingbeforegthegfirstgbirthday.gHumangmilkgorgirongfo
rtifiedgformulagforgshouldgbeggivengforgthegfirstgyeargofglifegtogpreventg
NRg328ggggggggggg1g/g76
,IrongDeficiencyganemia.gChildrengyoungergthang1gyeargofgageghaveg
theghighestgrategofgdeathgfromgmotorgvehiclegaccidents,gprimarilygfro
mgagfailuregtogproperlygusegcargrestraints.
2.gWhatgisgthegleadinggcausegofgdeathgingchildrengoldergthangth
egagegofg1gyear?ga.gDrowning
b. Burns
c. Motorgvehiclegaccidents
d. Cancer:gAnswer(s):gCg
Rationale:ga.gDrowninggisgthegsecondgleadinggcausegofgdeathgingchil
drengoldergthangthegagegofg1gyear.gb.gBurnsgcausegfewergdeathsgtha
ngmotorgvehiclegaccidentsgingchildrengoldergthangthegagegofg1gyear.gc
.gMotorgvehiclegaccidentsgaregthegleadinggcausegofgdeathgingchildren
oldergthangthegagegofg1gyear.gd.gCancergcausesgfewergdeathsgthang
g
motorgvehiclegaccidentsgingchildrengoldergthangthegagegofg1gyear.
3.gThegnursegmakesgsuregthatgagtoddlerghasgagteddygbeargandgt
hatgagnightlightgisgongingtheghospitalgroomgatgbedtime.gWhatgco
nceptgwouldgthesegnursinggactionsgdemonstrate?
a. Atraumaticgcare
b. Nonmaleficence
c. Justice
d. Advocacy:gAnswer(s):gA
Rationale:gA.gAtraumaticgcaregisgthegprovisiongofgtherapeuticgcaregin
settings,gbygpersonnel,gandgthroughgthegusegofginterventionsgthatgel
g
2g/g76
, 3
NR
iminategorgminimizegthegpsychologicalgandgphysicalgdistressgexperi
encedgbygchildrengandgtheirgfamiliesgingtheghealthgcaregsystem.gIngth
isgcase,gitgisgmakinggsuregthatgthegtoddlerghasgagteddygbeargandgthatg
agnightglightgisgongtogpreventgagdarkgenvironment.gB.gNonmaleficenc
egisgthegobligationgtogminimizegorgpreventgharm;gtheregisgnogsituatio
ngpresentgthatgwouldgrequiregthis.gC.gJusticegisgthegconceptgofgfairne
ssgandgisgnotgapplicablegtogthisgsituation.gD.gAdvocacyginvolvesgens
uringgthatgfamiliesgaregawaregofgallgavailableghealthgservices,gadequ
atelyginformedgofgtreatmentsgandgprocedures,ginvolvedgingthegchild'
sgcare,gandgencouragedgtogchangegorgsupportgexistingghealthgcareg
practices.
4. TruegorgFalse:gOpengendedgquestionsgaregmostglikelygtoge
ncouragegparentsgtogtalkgaboutgtheirgfeelingsgr/tgtheirgchild'sgil
lness.:gTrue
5. Whengthegnurseginterviewsgangadolescent,gwhatgisgimport
antgtoghelpgestablishgagrelationship?
a. Usegthegsamegtypegofglanguagegasgthegadolescent.
b. Emphasizegthatgconfidentialitygwillgalwaysgbegmaintained.
c. Focusgthegdiscussiongongthegpeerggroup.
d. Displaygaggenuineginterestgingthegadolescent.:gAnswer:gD.g
Rationale:gDisplaygaggenuineginterestgingthegadolescent.Adolescent
sgacceptganyonegwhogshowsgaggenuineginterestgingthem.gAlthoughgp
eersgaregimportantgtogthisgage-
NRg328ggggggggggg3g/g76
, group,gthegfocusgofgtheginterviewgshouldgbegongthegadolescent.gTheg
nursegshouldgclarifygwhichginformationgwillgbegsharedgwithgothergme
mbersgofgtheghealthgcaregteamgandganyglimitsgtogconfidentiality.gThe
nursegshouldgmaintaingagprofessionalgrelationshipgwithgadolescent
g
s.gTogavoidgmisinterpretationgofgwordsgandgphrasesgthatgthegadoles
centgmayguse,gthegnursegshouldgclarifygtermsgfrequently.
6.gWhatgapproachgisgthegmostgappropriategwhengperforminggag
physicalgassessmentgongagtoddler?
a. Demonstrategusegofgequipment.
b. Performgtraumaticgproceduresgfirst.
c. Usegminimumgphysicalgcontactginitially.
d. Alwaysgproceedgingaghead-to-toegdirection.:gAnswer:gC.g
Rationale:gParentsgcangremovegclothing,gandgthegchildgcangremaing
ongthegparent'sglap.gThegnursegshouldgusegminimumgphysicalgconta
ctginitiallygtoggaingthegcooperationgofgthegchild.gThegnursegshouldgintr
oducegthegequipmentgslowly.gThegchildgcanginspectgthegequipment,g
butgdemonstrationsgaregusuallygtoogcomplexgforgthisgage-
group.gTraumaticgproceduresgshouldgalwaysgbegperformedglast.gTh
esegwillgmostglikelygupsetgthegchildgandginhibitgcooperation.gTheghea
d-to-
toegassessmentgcangbegdonegingoldergchildrengbutgusuallygmustgbeg
adaptedgingyoungergchildren.
4g/g76
