@PROFDOCDIGITALLIBRARIES
NR 328/ NR328 EXAM 1: PEDIATRIC NURSING
GUIDE | QUESTIONS & ANSWERS| GRADE A+|
100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN (NEW 2025/ 2026 UPDATE)
1. Ear Drop Administration - ANS ✓- instilled with child in prone or supine position
with head turned to the appropriate side
PR
- for children younger than 3 pull the pinna downward and straight back
- for children older than 3 pull the pinna upward and back
- do not contaminate the dropper by touching it to any part of the ear
O
2. Fever Interventions - ANS ✓- Antipyretics (acetaminophen)
FD
- Cooling measures, wearing minimal clothing, exposing the skin to the air, reducing the
temperature in the room, increasing air circulation, cool moist compresses
O
- most effective if done 1 hour after antipyretic is given
C
3. Vastus Lateralis Injection - ANS ✓- large muscle that can tolerate larger amounts of
fluid
- can hold 0.5 ml for infant and 2 ml for a child
- use 22-25G needle - 5/8-1 inch
4. Ventrogluteal Injection - ANS ✓- free of nerves and vascular structures
- easy to identify by prominent bony landmarks
,@PROFDOCDIGITALLIBRARIES
- can hold 0.5 ml for infant and 2 ml for a child
- less painful and easily accessible if child is supine, prone or side lying
- use 22-25G - 1/2 - 1 inch needle
5. Deltoid Injection - ANS ✓- provides faster absorption rates than gluteal sites
- easily accessible, less pain and fewer local side effects from vaccines when compared with
vastus lateralis
- use 22-25G 1/2- 1 inch needle
PR
6. Intravenous Infiltration Actions - ANS ✓defined as inadvertent administration of a
nonvesicant parenteral solution, or medication into surrounding tissue as a result of
O
catheter dislodgment
FD
7. Intravenous Infiltration: S/S - ANS ✓- erythema
- pain
O
- edema
- blanching
C
- streaking on the skin along the vein
- darkened area around the insertion site
8. Intravenous Infiltration: Intervention - ANS ✓- stop the infusion
- elevate the extremity
- notify provider
- initiate ordered treatment as soon as possible
, @PROFDOCDIGITALLIBRARIES
9. Atopic Dermatitis - ANS ✓- also known as eczema
- chronic inflammatory skin condition that usually begins during infancy and is associated
with an allergy
- have dry skin and increased colonization of staph aureus
10. Atopic Dermatitis: Infants - ANS ✓lesions are generalized in cheek, scalp, trunk
and extensor surfaces of extremities
PR
11. Atopic Dermatitis: Children - ANS ✓lesions are located on flexural areas, behind
knee, wrists, ankles, feet, face, sides of neck and hands
O
12. Atopic Dermatitis: Interventions - ANS ✓- avoiding exposure to skin irritants and
FD
allergens (dairy)
- avoid overheating
- avoid skin moisture loss
O
- improve skin hydration
- administer topical steroids
C
- pruritus can be relieved with oral antihistamine drugs and corticosteroids (1st line
treatment)
13. Atopic Dermatitis: Scratching - ANS ✓- avoid scratching to avoid potential
infections
- report any signs of infection to the practitioner
NR 328/ NR328 EXAM 1: PEDIATRIC NURSING
GUIDE | QUESTIONS & ANSWERS| GRADE A+|
100% CORRECT (VERIFIED SOLUTIONS)-
CHAMBERLAIN (NEW 2025/ 2026 UPDATE)
1. Ear Drop Administration - ANS ✓- instilled with child in prone or supine position
with head turned to the appropriate side
PR
- for children younger than 3 pull the pinna downward and straight back
- for children older than 3 pull the pinna upward and back
- do not contaminate the dropper by touching it to any part of the ear
O
2. Fever Interventions - ANS ✓- Antipyretics (acetaminophen)
FD
- Cooling measures, wearing minimal clothing, exposing the skin to the air, reducing the
temperature in the room, increasing air circulation, cool moist compresses
O
- most effective if done 1 hour after antipyretic is given
C
3. Vastus Lateralis Injection - ANS ✓- large muscle that can tolerate larger amounts of
fluid
- can hold 0.5 ml for infant and 2 ml for a child
- use 22-25G needle - 5/8-1 inch
4. Ventrogluteal Injection - ANS ✓- free of nerves and vascular structures
- easy to identify by prominent bony landmarks
,@PROFDOCDIGITALLIBRARIES
- can hold 0.5 ml for infant and 2 ml for a child
- less painful and easily accessible if child is supine, prone or side lying
- use 22-25G - 1/2 - 1 inch needle
5. Deltoid Injection - ANS ✓- provides faster absorption rates than gluteal sites
- easily accessible, less pain and fewer local side effects from vaccines when compared with
vastus lateralis
- use 22-25G 1/2- 1 inch needle
PR
6. Intravenous Infiltration Actions - ANS ✓defined as inadvertent administration of a
nonvesicant parenteral solution, or medication into surrounding tissue as a result of
O
catheter dislodgment
FD
7. Intravenous Infiltration: S/S - ANS ✓- erythema
- pain
O
- edema
- blanching
C
- streaking on the skin along the vein
- darkened area around the insertion site
8. Intravenous Infiltration: Intervention - ANS ✓- stop the infusion
- elevate the extremity
- notify provider
- initiate ordered treatment as soon as possible
, @PROFDOCDIGITALLIBRARIES
9. Atopic Dermatitis - ANS ✓- also known as eczema
- chronic inflammatory skin condition that usually begins during infancy and is associated
with an allergy
- have dry skin and increased colonization of staph aureus
10. Atopic Dermatitis: Infants - ANS ✓lesions are generalized in cheek, scalp, trunk
and extensor surfaces of extremities
PR
11. Atopic Dermatitis: Children - ANS ✓lesions are located on flexural areas, behind
knee, wrists, ankles, feet, face, sides of neck and hands
O
12. Atopic Dermatitis: Interventions - ANS ✓- avoiding exposure to skin irritants and
FD
allergens (dairy)
- avoid overheating
- avoid skin moisture loss
O
- improve skin hydration
- administer topical steroids
C
- pruritus can be relieved with oral antihistamine drugs and corticosteroids (1st line
treatment)
13. Atopic Dermatitis: Scratching - ANS ✓- avoid scratching to avoid potential
infections
- report any signs of infection to the practitioner
