and answers 2026\2027 A+ Grade
Which is true about acetaminophen poisoning?
a. nausea begins 24 hr after ingestion
b. pallor can appear as early as 2 hr after ingestion
c. jaundice will appear in 12 hr if the child is toxic
d. children can have 4 g/day of acetaminophen
- correct answer b. pallor can appear as early as 2 hr after ingestion
*nausea, vomiting, sweating, and pallor 2-4 hr after ingestion
Vital signs of 3 yo. Which should nurse report to provider?
a. temp 37.2 C
b. heart rate 106
c. respirations 30
d. BP 88/54
- correct answer c. respirations 30
*above expected reference range
Nurse assessing child's ears. Which of following should nurse expect?
a. light reflex located a 2 o'clock
b. tympanic membrane red in color
,c. bony landmarks are not visible
d. cerumen present bilaterally
- correct answer d. cerumen present bilaterally
*light reflex should be from 5-7 o'clock
*tympanic membrane should be pearly pink or gray
*bony landmarks should be visible
Nurse assessing 6 month old infant. Which of following reflexes should be observed?
a. Moro
b. Plantar grasp
c. Stepping
d. Tonic neck
- correct answer b. Plantar grasp- *until 8 months
Moro- 4 months
Stepping- 4 weeks
Tonic neck- 3-4 months
Nurse assessing 12 month infant. Which finding should be reported to provider?
a. closed anterior fontanel
b. eruption of 6 teeth
c. birth weight doubled
d. birth length increased by 50%
- correct answer c. birth weight doubled
*should be TRIPLED by 1 year
(all others in normal range)
,Nurse doing developmental screening. Which of the following fine motor skills should be expected @ 10
months?
a. grasp the rattle by the handle
b. try building a 2 block tower
c. use a crude pincer grasp
d. place objects into container
e. walks w/ one hand held
- correct answer a. grasp the rattle by the handle
c. use a crude pincer grasp
11 months = place objects into container
12 months = builds 2 block tower, walks w/ one hand held
Nurse assessing 2 1/2 year old toddler. Which finding should the nurse report to provider?
a. height increased by 7.5 cm (3 in) in past year
b. head circumference exceeds chest circumference
c. anterior and posterior fontanelles closed
d. current weight equals 4x birth weight
- correct answer b. head circumference exceeds chest circumference
*should be equal by 1-2 years
Which of the following skills should an 18-month old be able to perform? SATA
a. build a tower with 6 blocks
b. throw a ball overhand
c. walk up and down stairs
, d. stand on one foot for a few seconds
e. use a spoon w/o rotation
- correct answer b. throw a ball overhand
e. use a spoon w/o rotation
2 years- build tower w/ 6 blocks and walk up and down stairs
2 1/2 years- stand on one foot
Which should nurse teach to the parents of a toddler? SATA
a. develop food habits that will prevent dental caries
b. meeting caloric needs results in an increased appetite
c. expression of bedtime fears is common
d. expect behaviors associated w/ negativism and ritualism
e. annual screenings for PKU are important
- correct answer a. develop food habits that will prevent dental caries
c. expression of bedtime fears is common
d. expect behaviors associated w/ negativism and ritualism
*DECREASED appetite in toddler years!
Which of the following skills should a 3-year old be able to perform?
a. ride a tricycle
b. hop on one foot
c. jump rope
d. throw a ball overhead
- correct answer a. ride a tricycle- THREE, TRIcycle!
4- hop on one foot, throw ball overhead