@PROFDOCDIGITALLIBRARIES
NR 328/ NR328 PEDIATRIC NURSING GUIDE EXAM
1: |(NEW 2025/ 2026 UPDATE) QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
PR
1. Which topics should the nurse discuss with the parents of
a young child to promote health in their child?
a. Dental care needs to be started by age 7.
O
b. Immunization schedule and the importance of
immunizations.
FD
c. Human milk or iron fortified formula for the first 4 months
of life.
O
d. Positioning the car seat in the front passenger seat.:
Answer: B
C
Rationale: Immunizations have made a major impact in the
prevention of disease in children. The nurse should review
individual immunization records at every clinic visit, avoid missing
opportunities to vaccinate, and encourage parents to keep
immunizations current. Dental caries is the single most common
chronic disease of childhood and may begin before the first
birthday. Human milk or iron fortified formula for should be given
,for the first year of life to prevent Iron Deficiency anemia. Children
younger than 1 year of age have the highest rate of death from
motor vehicle accidents, primarily from a failure to properly use car
restraints.
2. What is the leading cause of death in children older than the
age of 1 year? a. Drowning
b. Burns
c. Motor vehicle accidents
PR
d. Cancer: Answer(s): C
Rationale: a. Drowning is the second leading cause of death in
O
children older than the age of 1 year. b. Burns cause fewer deaths
than motor vehicle accidents in children older than the age of 1
FD
year. c. Motor vehicle accidents are the leading cause of death in
children older than the age of 1 year. d. Cancer causes fewer
deaths than motor vehicle accidents in children older than the age
O
of 1 year.
C
3. The nurse makes sure that a toddler has a teddy bear and
that a nightlight is on in the hospital room at bedtime. What
concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy: Answer(s): A
,@PROFDOCDIGITALLIBRARIES
Rationale: A. Atraumatic care is the provision of therapeutic care in
settings, by personnel, and through the use of interventions that
eliminate or minimize the psychological and physical distress
experienced by children and their families in the health care
system. In this case, it is making sure that the toddler has a teddy
bear and that a night light is on to prevent a dark environment. B.
Nonmaleficence is the obligation to minimize or prevent harm;
there is no situation present that would require this. C. Justice is
PR
the concept of fairness and is not applicable to this situation. D.
Advocacy involves ensuring that families are aware of all available
health services, adequately informed of treatments and
O
procedures, involved in the child's care, and encouraged to change
FD
or support existing health care practices.
4. True or False: Open ended questions are most likely to
encourage parents to talk about their feelings r/t their child's
O
illness.: True
C
5. When the nurse interviews an adolescent, what is
important to help establish a relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.: Answer: D.
, Rationale: Display a genuine interest in the
adolescent.Adolescents accept anyone who shows a genuine
interest in them. Although peers are important to this age-group,
the focus of the interview should be on the adolescent. The nurse
should clarify which information will be shared with other members
of the health care team and any limits to confidentiality. The nurse
should maintain a professional relationship with adolescents. To
avoid misinterpretation of words and phrases that the adolescent
PR
may use, the nurse should clarify terms frequently.
6. What approach is the most appropriate when performing a
physical assessment on a toddler?
O
a. Demonstrate use of equipment.
FD
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.: Answer: C.
O
Rationale: Parents can remove clothing, and the child can remain
C
on the parent's lap. The nurse should use minimum physical
contact initially to gain the cooperation of the child. The nurse
should introduce the equipment slowly. The child can inspect the
equipment, but demonstrations are usually too complex for this
age-group. Traumatic procedures should always be performed last.
These will most likely upset the child and inhibit cooperation. The
NR 328/ NR328 PEDIATRIC NURSING GUIDE EXAM
1: |(NEW 2025/ 2026 UPDATE) QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- CHAMBERLAIN
PR
1. Which topics should the nurse discuss with the parents of
a young child to promote health in their child?
a. Dental care needs to be started by age 7.
O
b. Immunization schedule and the importance of
immunizations.
FD
c. Human milk or iron fortified formula for the first 4 months
of life.
O
d. Positioning the car seat in the front passenger seat.:
Answer: B
C
Rationale: Immunizations have made a major impact in the
prevention of disease in children. The nurse should review
individual immunization records at every clinic visit, avoid missing
opportunities to vaccinate, and encourage parents to keep
immunizations current. Dental caries is the single most common
chronic disease of childhood and may begin before the first
birthday. Human milk or iron fortified formula for should be given
,for the first year of life to prevent Iron Deficiency anemia. Children
younger than 1 year of age have the highest rate of death from
motor vehicle accidents, primarily from a failure to properly use car
restraints.
2. What is the leading cause of death in children older than the
age of 1 year? a. Drowning
b. Burns
c. Motor vehicle accidents
PR
d. Cancer: Answer(s): C
Rationale: a. Drowning is the second leading cause of death in
O
children older than the age of 1 year. b. Burns cause fewer deaths
than motor vehicle accidents in children older than the age of 1
FD
year. c. Motor vehicle accidents are the leading cause of death in
children older than the age of 1 year. d. Cancer causes fewer
deaths than motor vehicle accidents in children older than the age
O
of 1 year.
C
3. The nurse makes sure that a toddler has a teddy bear and
that a nightlight is on in the hospital room at bedtime. What
concept would these nursing actions demonstrate?
a. Atraumatic care
b. Nonmaleficence
c. Justice
d. Advocacy: Answer(s): A
,@PROFDOCDIGITALLIBRARIES
Rationale: A. Atraumatic care is the provision of therapeutic care in
settings, by personnel, and through the use of interventions that
eliminate or minimize the psychological and physical distress
experienced by children and their families in the health care
system. In this case, it is making sure that the toddler has a teddy
bear and that a night light is on to prevent a dark environment. B.
Nonmaleficence is the obligation to minimize or prevent harm;
there is no situation present that would require this. C. Justice is
PR
the concept of fairness and is not applicable to this situation. D.
Advocacy involves ensuring that families are aware of all available
health services, adequately informed of treatments and
O
procedures, involved in the child's care, and encouraged to change
FD
or support existing health care practices.
4. True or False: Open ended questions are most likely to
encourage parents to talk about their feelings r/t their child's
O
illness.: True
C
5. When the nurse interviews an adolescent, what is
important to help establish a relationship?
a. Use the same type of language as the adolescent.
b. Emphasize that confidentiality will always be maintained.
c. Focus the discussion on the peer group.
d. Display a genuine interest in the adolescent.: Answer: D.
, Rationale: Display a genuine interest in the
adolescent.Adolescents accept anyone who shows a genuine
interest in them. Although peers are important to this age-group,
the focus of the interview should be on the adolescent. The nurse
should clarify which information will be shared with other members
of the health care team and any limits to confidentiality. The nurse
should maintain a professional relationship with adolescents. To
avoid misinterpretation of words and phrases that the adolescent
PR
may use, the nurse should clarify terms frequently.
6. What approach is the most appropriate when performing a
physical assessment on a toddler?
O
a. Demonstrate use of equipment.
FD
b. Perform traumatic procedures first.
c. Use minimum physical contact initially.
d. Always proceed in a head-to-toe direction.: Answer: C.
O
Rationale: Parents can remove clothing, and the child can remain
C
on the parent's lap. The nurse should use minimum physical
contact initially to gain the cooperation of the child. The nurse
should introduce the equipment slowly. The child can inspect the
equipment, but demonstrations are usually too complex for this
age-group. Traumatic procedures should always be performed last.
These will most likely upset the child and inhibit cooperation. The
