2024 NCLEX- Pediatrics Final Exam |Question and Answers| 100% Correct

2024 NCLEX- Pediatrics Final Exam |Question and Answers| 100% Correct A 3-month-old infant is admitted. Upon admission, the nurse assesses her developmental status as appropriate for age. Which of the following is the child least likely to be able to do? 1. Smile in response to mother's face 2. Reach for shiny objects but miss them 3. Hold head erect and steady 4. Sit with slight support *Answer* 4. Sitting with slight support would be expected in a child of 5 months. All of the other tasks are appropriate for this age. A 3-month-old infant is doing well after the repair of a cleft lip. The nurse wants to provide the client with appropriate stimulation. What is the best toy for the nurse to provide? 1. Colorful rattle 2. String of large beads 3. Mobile with a music box 4. Teddy bear with button eyes *Answer* 3. Anything that can be put in the mouth is inappropriate for a child with cleft lip repair. A rattle and beads can go in the mouth. Button eyes are a hazard for any infant because the infant may swallow them. A mobile with a music box is appropriate for a 3-month-old who lays in a crib, and this item cannot be put in the mouth. Note that a colorful rattle is also age appropriate but not condition appropriate. Which toys would be best for a 5-month-old infant who has infantile eczema? 1. Soft, washable toys 2. Stuffed toys 3. Puzzles and games 4. Toy cars *Answer* 1. Soft, washable toys of smooth, nonallergenic material should be used. Stuffed toys are contraindicated. Puzzles and games are not age appropriate. Toy cars could be used for scratching and should be avoided. Toy cars are also not age appropriate. Which diversion would be appropriate for the nurse to plan to use with an 8-month-old infant? 1. A colorful mobile 2. Large blocks to stack 3. A colorful rattle 4. A game of peek-a-boo *Answer* 4. Peek-a-boo is appropriate for an 8-month-old. Peek-a-boo helps the infant with the concept of object permanence; things that are out of sight do exist. An 8-month-old can sit up; once an infant can sit up, the mobiles should be removed because they can strangle an infant who might try to stand up. An 8-month-old infant cannot stack large blocks yet. A colorful rattle is more appropriate for a younger infant. Which activity would best occupy a 12-month- old child while the nurse is interviewing the parents