• MSN 629 Exam 09/09/2026
MSN 629 Week 3 Quiz 2 – Full Questions and
Answers | 2026 Update | Graded A+; Northern
Kentucky University Guaranteed Pass and First
Attempt– (2026) Actual Questions & Answers
100% Guarantee Pass
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse
knows which problem is frequently associated with Down syndrome?
Congenital heart disease.
Fragile X chromosome.
Trisomy 13.
Pyloric stenosis. –
Correct Answer :Congenital heart disease.
P 1
, • MSN 629 Exam 09/09/2026
Congenital heart disease (A) is the most common associated defect in children with Down syndrome. (C) might
have seemed possible since Down syndrome is a trisomal chromosomal abnormality of chromosome 21. (B) is a
sex-linked abnormality also causing mental retardation. (D) is not associated with Down syndrome.
A nurse provides the parents with information on health maintenance for their child with sickle cell disease.
Which information reflected by the parents indicates understanding of the child's care?
Daily iron supplements should be given.
Plenty of fluids should be consumed daily.
Immunizations should be delayed for a few years.
Protective equipment should be worn for contact sports.
- Correct Answer :Plenty of fluids should be consumed daily.
Adequate fluid intake (B) decreases the viscosity of the blood which affects the incidence of vasocclusive crisis.
(A and D) are not commonly indicated for a child with sickle cell disease. A routine immunization schedule (C) is
recommended for a children with SCD because of their increased susceptibility to infection that predisposes to
sickling phenomena.
The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's increasing
temperature over the past 24 hours. Which statement is accurate and should be considered when planning care
for the remainder of the shift?
An RN should be assigned to take temperatures frequently.
Tympanic and oral temperatures are equally accurate.
The PN should take rectal temperatures on this child.
The pediatrician should decide how to assess the temperature. –
Correct Answer :Tympanic and oral temperatures are equally accurate.
A tympanic membrane sensor approximates core temperatures because the hypothalamus and eardrum are
perfused by the same circulation. Tympanic readings obtained using proper technique correlated moderately to
P 2
, • MSN 629 Exam 09/09/2026
strongly with oral temperatures in recent research studies (B). The sensor is unaffected by cerumen or the
presence of suppurative or unsuppurative otitis media. An RN is not required to take the child's temperature,
but must assess readings received from assistive personnel (A). Although rectal readings are highly accurate (C),
such an invasive procedure is unnecessary. (D) is not required.
In developing a teaching plan for a 5-year-old child with diabetes, which component of diabetic management
should the nurse plan for the child to manage first?
Food planning and selection.
Administering insulin injections.
Process of glucose testing.
Drawing up the correct insulin dose. –
Correct Answer :Process of glucose testing.
Developmentally, a 5-year-old has the cognitive and psychomotor skills to use a glucometer (C) and to read the
number (it is especially helpful if the nurse presents this activity as a game). (A, B, and D) require more advanced
cognitive and psychomotor skills and have greater potential for errors
A 15-year-old girl tells the school nurse that all of her friends have started their periods and she feels abnormal
because she has not. Which response is best for the nurse provide?
Refer the adolescent to the healthcare provider for a pregnancy screen.
Schedule a conference with her parents to recommend hormone therapy.
Explain that menarche varies and occurs between the ages of 12 and 18 years.
Suggest that she use diversions to help her not worry about delayed menarche.
- Correct Answer :Explain that menarche varies and occurs between the ages of 12 and 18 years.
The nurse should provide a factual and reassuring explanation that focuses on individual variations of menarche,
which can normally occur between 12 and 18 years of age (C). (A) does not address the adolescent's concern
and is judgmental. Menarche is influenced by hereditary, general health, and nutritional status, so (B) is not
indicated. (D) dismisses the adolescent's concerns and does not offer factual information.
P 3
, • MSN 629 Exam 09/09/2026
Which action by the nurse is most helpful in communicating with a preschool-aged child?
Speak clearly and directly to the child.
Use a doll to play and communicate.
Approach when a parent is not present.
Play a board game with the child. –
Correct Answer :Use a doll to play and communicate.
Communicating through play with a doll (B) or other toy gives time for the child to feel comfortable with a
stranger. (A) may frighten some children and is usually not as effective as (B). To provide security and comfort,
preschool-aged children should be approached when a parent is present, not (C). (D) is too advanced for a
preschooler.
When assessing a child with asthma, the nurse should expect intercostal retractions during
inspiration.
coughing.
apneic episodes.
expiration.
- Correct Answer :inspiration.
Intercostal retractions result from respiratory effort to draw air into restricted airways (A).
The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother
states, "Yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed.
What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother?
Paddle him gently as soon as the behavior is initiated.
Immediately put him in "time-out."
Quietly remind him that others are watching him.
Walk away from him and ignore the behavior. –
P 4
MSN 629 Week 3 Quiz 2 – Full Questions and
Answers | 2026 Update | Graded A+; Northern
Kentucky University Guaranteed Pass and First
Attempt– (2026) Actual Questions & Answers
100% Guarantee Pass
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse
knows which problem is frequently associated with Down syndrome?
Congenital heart disease.
Fragile X chromosome.
Trisomy 13.
Pyloric stenosis. –
Correct Answer :Congenital heart disease.
P 1
, • MSN 629 Exam 09/09/2026
Congenital heart disease (A) is the most common associated defect in children with Down syndrome. (C) might
have seemed possible since Down syndrome is a trisomal chromosomal abnormality of chromosome 21. (B) is a
sex-linked abnormality also causing mental retardation. (D) is not associated with Down syndrome.
A nurse provides the parents with information on health maintenance for their child with sickle cell disease.
Which information reflected by the parents indicates understanding of the child's care?
Daily iron supplements should be given.
Plenty of fluids should be consumed daily.
Immunizations should be delayed for a few years.
Protective equipment should be worn for contact sports.
- Correct Answer :Plenty of fluids should be consumed daily.
Adequate fluid intake (B) decreases the viscosity of the blood which affects the incidence of vasocclusive crisis.
(A and D) are not commonly indicated for a child with sickle cell disease. A routine immunization schedule (C) is
recommended for a children with SCD because of their increased susceptibility to infection that predisposes to
sickling phenomena.
The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's increasing
temperature over the past 24 hours. Which statement is accurate and should be considered when planning care
for the remainder of the shift?
An RN should be assigned to take temperatures frequently.
Tympanic and oral temperatures are equally accurate.
The PN should take rectal temperatures on this child.
The pediatrician should decide how to assess the temperature. –
Correct Answer :Tympanic and oral temperatures are equally accurate.
A tympanic membrane sensor approximates core temperatures because the hypothalamus and eardrum are
perfused by the same circulation. Tympanic readings obtained using proper technique correlated moderately to
P 2
, • MSN 629 Exam 09/09/2026
strongly with oral temperatures in recent research studies (B). The sensor is unaffected by cerumen or the
presence of suppurative or unsuppurative otitis media. An RN is not required to take the child's temperature,
but must assess readings received from assistive personnel (A). Although rectal readings are highly accurate (C),
such an invasive procedure is unnecessary. (D) is not required.
In developing a teaching plan for a 5-year-old child with diabetes, which component of diabetic management
should the nurse plan for the child to manage first?
Food planning and selection.
Administering insulin injections.
Process of glucose testing.
Drawing up the correct insulin dose. –
Correct Answer :Process of glucose testing.
Developmentally, a 5-year-old has the cognitive and psychomotor skills to use a glucometer (C) and to read the
number (it is especially helpful if the nurse presents this activity as a game). (A, B, and D) require more advanced
cognitive and psychomotor skills and have greater potential for errors
A 15-year-old girl tells the school nurse that all of her friends have started their periods and she feels abnormal
because she has not. Which response is best for the nurse provide?
Refer the adolescent to the healthcare provider for a pregnancy screen.
Schedule a conference with her parents to recommend hormone therapy.
Explain that menarche varies and occurs between the ages of 12 and 18 years.
Suggest that she use diversions to help her not worry about delayed menarche.
- Correct Answer :Explain that menarche varies and occurs between the ages of 12 and 18 years.
The nurse should provide a factual and reassuring explanation that focuses on individual variations of menarche,
which can normally occur between 12 and 18 years of age (C). (A) does not address the adolescent's concern
and is judgmental. Menarche is influenced by hereditary, general health, and nutritional status, so (B) is not
indicated. (D) dismisses the adolescent's concerns and does not offer factual information.
P 3
, • MSN 629 Exam 09/09/2026
Which action by the nurse is most helpful in communicating with a preschool-aged child?
Speak clearly and directly to the child.
Use a doll to play and communicate.
Approach when a parent is not present.
Play a board game with the child. –
Correct Answer :Use a doll to play and communicate.
Communicating through play with a doll (B) or other toy gives time for the child to feel comfortable with a
stranger. (A) may frighten some children and is usually not as effective as (B). To provide security and comfort,
preschool-aged children should be approached when a parent is present, not (C). (D) is too advanced for a
preschooler.
When assessing a child with asthma, the nurse should expect intercostal retractions during
inspiration.
coughing.
apneic episodes.
expiration.
- Correct Answer :inspiration.
Intercostal retractions result from respiratory effort to draw air into restricted airways (A).
The mother of a 2-year-old boy consults the nurse about her son's increased temper tantrums. The mother
states, "Yesterday he threw a fit in the grocery store, and I did not know what to do. I was so embarrassed.
What can I do if this occurs again?" Which recommendation is best for the nurse to provide this mother?
Paddle him gently as soon as the behavior is initiated.
Immediately put him in "time-out."
Quietly remind him that others are watching him.
Walk away from him and ignore the behavior. –
P 4
