TRANSITIONS COMPREHENSIVE EXAM 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician's office for a scheduled visit. The infant's
weight at birth was 6 lb 8 oz. The nurse notes that the infant now weighs
13 lb. The nurse should. Answer: Tell the mother that the infant's weight
is increasing as expected
◉ A nurse performing a physical assessment of a 12-month-old infant
notes that the infant's head circumference is the same as the chest
circumference. On the basis of this finding, the nurse should: Answer:
Document these measurements in the infant's health-care record
◉ A new mother asks the nurse, "I was told that my infant received my
antibodies during pregnancy. Does that mean that my infant is protected
against infections?" Which statement should the nurse make in response
to the mother?. Answer: The immune system of an infant is immature,
and the infant is at risk for infection."
◉ A nurse is assessing the language development of a 9-month-old
infant. Which developmental milestone does the nurse expect to note in
an infant of this age?. Answer: The infant says "Mama."
,◉ The mother of a 9-month-old infant calls the nurse at the
pediatrician's office, tells the nurse that her infant is teething, and asks
what can be done to relieve the infant's discomfort. The nurse instructs
the mother to: Answer: Give the infant cool liquids or a Popsicle and
hard foods such as dry toast
◉ A nurse is teaching the mother of an 11-month-old infant how to clean
the infant's teeth. The nurse tells the mother to. Answer: Use water and a
cotton swab and rub the teeth
◉ A nurse provides information about feeding to the mother of a 6-
month-old infant. Which statement by the mother indicates an
understanding of the information?. Answer: "Egg white should not be
given to my infant because of the risk for an allergy."
◉ A nurse provides instructions to a mother of a newborn infant who
weighs 7 lb 2 oz about car safety. The nurse tells the mother: Answer: To
secure the infant in the middle of the back seat in a rear-facing infant
safety seat
◉ A nurse provides instructions to a mother about crib safety for her
infant. Which statement by the mother indicates a need for further
instructions?. Answer: "The distance between the slats needs to be no
more than 4 inches wide to prevent entrapment of my infant's head or
body."
, ◉ The mother of a 2-year-old tells the nurse that she is very concerned
about her child because he has developed "a will of his own" and "acts
as if he can control others." The nurse provides information to the
mother to alleviate her concern, recalling that, according to Erikson, a
toddler is confronting which developmental task?. Answer: Autonomy
versus doubt and shame
◉ A nurse is planning care for a hospitalized toddler. To best maintain
the toddler's sense of control and security and ease feelings of
helplessness and fear, the nurse should: Answer: Keep hospital routines
as similar as possible to those at home
◉ A nurse in a daycare setting is planning play activities for 2- and 3-
year-old children. Which of the following toys are most appropriate for
these activities?. Answer: Blocks and push-pull toys
◉ A mother of twin toddlers tells the nurse that she is concerned because
she found her children involved in sex play and didn't know what to do.
The nurse should tell the mother: Answer: That if she notes the behavior
again she should casually tell her children to dress and to direct them to
another activity
◉ A nurse is assessing the motor development of a 24-month-old child.
Which of the following activities would the nurse expect the mother to
report that the child can perform? Select all that apply. Answer: • Align
two or more blocks
• Turn the pages of a book one at a time.