NCLEX RN ACTUAL TEST 2023 TESTED MARCH VERIFIED QUESTIONS AND ANSWERS

The nurse is completing an assessment of a child in the clinic. Which of the following should be documented in the child's health history? Select all that apply. 1.‐ The child was born by cesarean section. 2.‐ Mother states child has a rash 3.‐ Child appears feverish 4.‐ Diminished reflexes 5.‐ Older sister had the chicken pox recently. A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that: A. Milk intake should be limited to no more than four 8-oz bottles per day and should be followed by iron-enriched cereal or other solid foods or juices B. Milk is an excellent food and will meet his nutritional needs adequately until he is ready to eat solid foods C. It is acceptable to continue to give him whole milk and to delay giving solid foods as long as he takes a vitamin supplement daily D. He should be started on iron-enriched cereal, meat, vegetables, fruits, and juices prior to bottle feeds. Milk intake should be limited to 1 qt/day A 9-month-old infant was diagnosed with nonorganic failure to thrive. During her hospitalization, primary nurses were assigned to initiate all infant feedings. The infant's parents question why they cannot feed their own child. Which of the following responses would be most appropriate by the nurse? A. By assigning the same nurses to the child, the nurses can begin to learn the infant's cues and feeding behaviors. B. The same nurses will prevent parental fatigue and frustration. C. The same nurses will prevent infant fatigue and frustration. D. Primary nurses will ensure privacy. The parents of a 2-year-old child are ready to begin toilet training activities with him. His parents feel he is ready to train because he is now 2 years old. What would the nurse identify as readiness in this child? A. Patience by the child when wearing soiled diapers B. Communicating the urge to defecate or urinate C. The child awakening wet from his naps D. The age at which the child's siblings were traine