ATI RN PEDIATRIC NURSING PROCTORED EXAM
|| LATEST 2025 LATEST VERSION WITH VERIFIED
ANSWERS || NGN-ALIGNED EXAM
Awnursewinwawpediatricwclinicwiswassessingwawtoddlerwatwawwell-childwvisit.wWhichwofwthe
followingwactionswshouldwthewnursewtake?
a.wPerformwthewassessmentwinwawheadwtowtoewsequence.
b.wMinimizewphysicalwcontactwwithwthewchildwinitially.
c.wExplainwprocedureswusingwmedicalwterminology.
d.wStopwthewassessmentwifwthewchildwbecomeswuncooperative.w-wCORRECTwANSWERSB
Rationale:wThewnursewshouldwinitiallywminimizewphysicalwcontactwwithwthewtoddler,wandwthe
n
progresswfromwthewleastwtraumaticwtowthewmostwtraumaticwprocedures.
Awnursewiswcaringwforwanw18-year-oldwadolescentwwhowiswup-to-
datewonwimmunizationswandwis
planningwtowattendwcollege.wThewnursewshouldwinformwthewclientwthatwhewshouldwreceivewwh
ichwofwthe
followingwimmunizationswpriorwtowmovingwintowawcampuswdormitory?
a.wPneumococcalwpolysaccharide
b.wMeningococcalwpolysaccharide
c.wRotavirus
d.wHerpeswzosterw-wCORRECTwANSWERSB
Rationale:wThewmeningococcalwpolysaccharidewimmunizationwiswusedwtowpreventwinfection
wby
certainwgroupswofwmeningococcalwbacteria.wMeningococcalwinfectionwcanwcausewlife-
threatening
illnesses,wsuchwaswmeningococcalwmeningitis,wwhichwaffectswthewbrain,wandwmeningococc
emia,
whichwaffectswthewblood.wBothwofwthesewconditionswcanwbewfatal.wCollegewfreshmen,wpartic
ularly
thosewwhowlivewinwdormitories,warewatwanwincreasedwriskwforwmeningococcalwdiseasewrelativ
ewtowother
personswtheirwage.wTherefore,wthewCenterswforwDiseasewControlwandwPreventionwhaswissue
dwa
recommendationwthatwallwincomingwcollegewstudentswreceivewthewmeningococcalwimmuniz
ation.
Awnursewiswteachingwthewparentwofwanwinfantwaboutwfoodwallergens.wWhichwofwthewfollowing
foodswshouldwthewnursewincludewaswbeingwthewmostwcommonwfoodwallergywinwchildren?
a.wCow'swmilk
b.wWheatwbread
c.wCornwsyrup
d.wEggw-wCORRECTwANSWERSA
Rationale:wAccordingwtowevidence-
basedwpractice,wthewnursewshouldwinstructwthewparentwthatwcow's
,milkwiswthewmostwcommonwfoodwallergywinwchildren.wSomewchildrenwarewsensitivewtowthewpro
tein,
calledwcasein,wfoundwinwcow'swmilk.wTheywhavewdifficultywmetabolizingwthewcaseinwandware,
therefore,wallergicwtowcow'swmilk.
Awnursewiswteachingwthewparentwofwawtoddlerwaboutwhomewsafety.wWhichwofwthewfollowing
statementswbywthewparentwindicateswanwunderstandingwofwthewteaching?
a.w"Iwlockwmywmedicationswinwthewmedicinewcabinet."
b.w"Iwkeepwmywchild'swcribwmattresswatwthewhighestwlevel."
c.w"Iwturnwpotwhandleswtowthewsidewofwmywstovewwhilewcooking."
d.w"Iwwillwgivewmywchildwsyrupwofwipecacwifwshewswallowswsomethingwpoisonous."w-
wCORRECTwANSWERSA
Rationale:wLockingwupwmedicationswandwotherwpotentialwpoisonswpreventswaccess.wToddle
rswhave
improvedwgrosswandwfinewmotorwskillswthatwallowwforwfurtherwexplorationwofwthewenvironmen
twand
possiblewaccesswtowhazardouswsubstances.
Awnursewiswperformingwawphysicalwassessmentwonwaw6-month-oldwinfant.wWhichwofwthe
followingwreflexeswshouldwthewnursewexpectwtowfind?
a.wStepping
wb.wBabinski
c.wExtrusion
d.wMorow-wCORRECTwANSWERSB
Rationale:wThewBabinskiwreflex,wwhichwiswelicitedwbywstrokingwthewbottomwofwthewfootwandwc
ausing
thewtoeswtowfanwandwthewbigwtoewtowdorsiflex,wshouldwbewpresentwuntilwthewagewofw1wyear.wPe
rsistence
ofwneonatalwreflexeswmightwindicatewneurologicalwdeficits.
Awnursewiswpreparingwtowadministerwrecommendedwimmunizationswtowaw2-month-
oldwinfant.
Whichwofwthewfollowingwimmunizationswshouldwthewnursewplanwtowadminister?
a.wHumanwpapillomavirusw(HPV)wandwhepatitiswA
b.wMeasles,wmumps,wrubellaw(MMR)wandwtetanus,wdiphtheria,wandwacellularwpertussis
(TDaP)
c.wHaemophiluswinfluenzaewtypewBw(Hib)wandwinactivatedwpoliowvirusw(IPV)
d.wVaricellaw(VAR)wandwlivewattenuatedwinfluenzawvaccinew(LAIV)w-
wCORRECTwANSWERSC
Rationale:wThewrecommendedwimmunizationswforwaw2-month-
oldwinfantwincludewHibwandwIPV.wThe
Hibwimmunizationwserieswconsistswofw3wtow4wdoses,wdependingwonwthewimmunizationwused,
wandwatwa
minimumwiswadministeredwatwthewageswofw2wmonths,w4wmonths,wandw12wtow15wmonths.wThe
wIPV
immunizationwserieswconsistswofw4wdoseswandwiswadministeredwatwthewageswofw2wmonths,w4
wmonths,w6
tow18wmonths,wandw4wtow6wyears.
Awnursewiswdevelopingwawplanwofwcarewforwawschool-agewchildwwhowunderwentwawsurgical
,procedurewthatwresultedwinwtemporarywlosswofwvision.wWhichwofwthewfollowingwinterventions
shouldwthewnursewincludewinwthewplanwofwcare?
a.wAssignwanwassistivewpersonnelwtowfeedwthewchild.
b.wExplainwsoundswthewchildwiswhearing.
c.wHavewthewchildwusewawcanewwhenwambulating.
d.wRotatewnurseswcaringwforwthewchild.w-wCORRECTwANSWERSB
Rationale:wThewnoiseswinwawfacilitywcanwbewfrighteningwtowawchildwwhowiswexperiencingwawse
nsory
loss.wItwiswimportantwtowexplainwthesewnoiseswtowallaywthewchild'swfears.
Awnursewiswassessingwaw3-year-
oldwchildwwhowisw1wdaywpostoperativewfollowingwawtonsillectomy.
Whichwofwthewfollowingwmethodswshouldwthewnursewusewtowdeterminewifwthewchildwis
experiencingwpain?
a.wAskwthewparents.
b.wUsewthewFACESwscale.
c.wUsewthewnumericwratingwscale.
d.wCheckwthewchild'swtemperature.w-wCORRECTwANSWERSB
Rationale:wPainwiswawsubjectivewexperiencewevenwforwaw3-year-
oldwchild.wThewFACESwscalewcanwbe
usedwtowaccuratelywdeterminewthewpresencewofwpainwinwchildrenwaswyoungwasw3wyearswofwa
ge.
12.wAwnursewiswassessingwaw6-month-oldwinfantwatwawwell-childwvisit.wWhichwofwthewfollowing
findingswindicateswthewneedwforwfurtherwassessment?
a.wGrabswfeetwandwpullswthemwtowherwmouth
b.wPosteriorwfontanelwiswclosed
c.wLegswremainwcrossedwandwextendedwwhenwsupine
d.wBirthwweightwhaswdoubledw-wCORRECTwANSWERSC
Rationale:wLegswcrossedwandwextendedwwhenwsupinewiswanwunexpectedwfindingwandwrequi
reswfurther
assessment.wAtw6wmonthswofwage,wthewlegswflexwatwthewkneeswwhenwthewinfantwiswsupine.wC
rossedwand
extendedwlegswwhenwsupinewiswawfindingwassociatedwwithwcerebralwpalsy.
Awnursewiswobservingwawmotherwwhowiswplayingwpeek-a-boowwithwherw8-month-
oldwchild.wThe
motherwaskswifwthiswgamewhaswanywdevelopmentalwsignificance.wThewnursewshouldwinformw
the
motherwthatwpeek-a-boowhelpswdevelopwwhichwofwthewfollowingwconceptswinwthewchild?
a.wHand-eyewcoordination
b.wSensewofwtrust
c.wObjectwpermanence
d.wEgocentrismw-wCORRECTwANSWERSC
Rationale:wObjectwpermanencewreferswtowthewcognitivewskillwofwknowingwanwobjectwstillwexis
tsweven
whenwitwiswoutwofwsight.wInwdiscoveringwawhiddenwobjectwwhilewplayingwpeek-a-
boo,wthewinfant
experienceswvalidationwofwthiswconcept.
, Awnursewiswcaringwforwaw15-month-
oldwtoddlerwwhowrequireswdropletwprecautions.wWhichwofwthe
followingwactionswshouldwthewnursewtake?
a.wHavewthewtoddlerwwearwawdisposablewgownwwhenwinwthewunit'swplayroom.
b.wWearwsterilewgloveswwhenwchangingwthewtoddler'swdiapers.
c.wWearwawmaskwwhenwassistingwthewtoddlerwwithwmeals.
d.wAskwvisitorswtowwearwanwN-95wmaskwwhenwenteringwthewroom.w-
wCORRECTwANSWERSC
Rationale:wThewnursewshouldwwearwawmaskwwhenwwithinw3wtow6wfeetwofwthewtoddlerwtowprev
entwthe
transmissionwofwinfectionswthatwarewspreadwviawlargewdropletwparticleswexpelledwinwthewair.
Awnursewatwawpediatricwclinicwiswassessingwaw5-month-oldwinfantwduringwawwell-
childwvisit.wWhich
ofwthewfollowingwfindingswshouldwthewnursewreportwtowthewprovider?
a.wHeadwlagswwhenwpulledwfromwawlyingwtowawsittingwposition
b.wAbsencewofwstartlewandwcrawlwreflexes
c.wInabilitywtowpickwupwawrattlewafterwdroppingwit
d.wRollswfromwbackwtowsidew-wCORRECTwANSWERSA
Rationale:wAtwthewagewofw5wmonths,wthewinfantwshouldwhavewnowheadwlagwwhenwpulledwtowaw
sitting
position;wtherefore,wthewnursewshouldwreportwthiswfindingwtowthewprovider
16.wAwnursewiswplanningwtowcollectwawspecimenwfromwawmalewinfantwusingwawurinewcollection
wbag.
Whichwofwthewfollowingwactionswshouldwthewnursewtake?
a.wWashwandwdrywthewinfant'swgenitaliawandwperineumwthoroughly.
b.wApplywawsmallwcoatingwofwwater-solublewlubricantwtowthewskinwofwthewinfant'swperineal
area.
c.wAvoidwplacingwthewscrotumwinsidewthewcollectionwbag.
d.wWaitwseveralwhourswafterwpositioningwthewdevicewbeforewcheckingwit.w-
wCORRECTwANSWERSA
Rationale:wThiswiswthewmethodwusedwtowobtainwawroutinewurinewspecimenwofwanywsortwinwawc
hildwwho
iswnotwtoiletwtrained.wThewskinwshouldwbewwashedwandwdriedwtowpromotewapplicationwofwthew
adhesive
ofwthewcollectionwdevice.
Awnursewinwawpediatricwclinicwiswcaringwforwaw3-year-
oldwchildwwhowhaswawbloodwleadwlevelwofw3
mcg/dL.wWhenwteachingwthewtoddler'swparentswaboutwthewcorrelationwofwnutritionwwithwlead
poisoning,wwhichwofwthewfollowingwinformationwiswappropriatewforwthewnursewtowincludewinwth
e
teaching?
a.wDecreasewthewchild'swvitaminwCwintakewuntilwthewbloodwleadwlevelwdecreaseswtowzero.
b.wAdministerwawfolicwacidwsupplementwtowthewchildweachwday.
c.wGivewpancreaticwenzymeswtowthewchildwwithwmealswandwsnacks.
d.wEnsurewthewchild'swdietarywintakewofwcalciumwandwironwiswadequate.w-
wCORRECTwANSWERSD
|| LATEST 2025 LATEST VERSION WITH VERIFIED
ANSWERS || NGN-ALIGNED EXAM
Awnursewinwawpediatricwclinicwiswassessingwawtoddlerwatwawwell-childwvisit.wWhichwofwthe
followingwactionswshouldwthewnursewtake?
a.wPerformwthewassessmentwinwawheadwtowtoewsequence.
b.wMinimizewphysicalwcontactwwithwthewchildwinitially.
c.wExplainwprocedureswusingwmedicalwterminology.
d.wStopwthewassessmentwifwthewchildwbecomeswuncooperative.w-wCORRECTwANSWERSB
Rationale:wThewnursewshouldwinitiallywminimizewphysicalwcontactwwithwthewtoddler,wandwthe
n
progresswfromwthewleastwtraumaticwtowthewmostwtraumaticwprocedures.
Awnursewiswcaringwforwanw18-year-oldwadolescentwwhowiswup-to-
datewonwimmunizationswandwis
planningwtowattendwcollege.wThewnursewshouldwinformwthewclientwthatwhewshouldwreceivewwh
ichwofwthe
followingwimmunizationswpriorwtowmovingwintowawcampuswdormitory?
a.wPneumococcalwpolysaccharide
b.wMeningococcalwpolysaccharide
c.wRotavirus
d.wHerpeswzosterw-wCORRECTwANSWERSB
Rationale:wThewmeningococcalwpolysaccharidewimmunizationwiswusedwtowpreventwinfection
wby
certainwgroupswofwmeningococcalwbacteria.wMeningococcalwinfectionwcanwcausewlife-
threatening
illnesses,wsuchwaswmeningococcalwmeningitis,wwhichwaffectswthewbrain,wandwmeningococc
emia,
whichwaffectswthewblood.wBothwofwthesewconditionswcanwbewfatal.wCollegewfreshmen,wpartic
ularly
thosewwhowlivewinwdormitories,warewatwanwincreasedwriskwforwmeningococcalwdiseasewrelativ
ewtowother
personswtheirwage.wTherefore,wthewCenterswforwDiseasewControlwandwPreventionwhaswissue
dwa
recommendationwthatwallwincomingwcollegewstudentswreceivewthewmeningococcalwimmuniz
ation.
Awnursewiswteachingwthewparentwofwanwinfantwaboutwfoodwallergens.wWhichwofwthewfollowing
foodswshouldwthewnursewincludewaswbeingwthewmostwcommonwfoodwallergywinwchildren?
a.wCow'swmilk
b.wWheatwbread
c.wCornwsyrup
d.wEggw-wCORRECTwANSWERSA
Rationale:wAccordingwtowevidence-
basedwpractice,wthewnursewshouldwinstructwthewparentwthatwcow's
,milkwiswthewmostwcommonwfoodwallergywinwchildren.wSomewchildrenwarewsensitivewtowthewpro
tein,
calledwcasein,wfoundwinwcow'swmilk.wTheywhavewdifficultywmetabolizingwthewcaseinwandware,
therefore,wallergicwtowcow'swmilk.
Awnursewiswteachingwthewparentwofwawtoddlerwaboutwhomewsafety.wWhichwofwthewfollowing
statementswbywthewparentwindicateswanwunderstandingwofwthewteaching?
a.w"Iwlockwmywmedicationswinwthewmedicinewcabinet."
b.w"Iwkeepwmywchild'swcribwmattresswatwthewhighestwlevel."
c.w"Iwturnwpotwhandleswtowthewsidewofwmywstovewwhilewcooking."
d.w"Iwwillwgivewmywchildwsyrupwofwipecacwifwshewswallowswsomethingwpoisonous."w-
wCORRECTwANSWERSA
Rationale:wLockingwupwmedicationswandwotherwpotentialwpoisonswpreventswaccess.wToddle
rswhave
improvedwgrosswandwfinewmotorwskillswthatwallowwforwfurtherwexplorationwofwthewenvironmen
twand
possiblewaccesswtowhazardouswsubstances.
Awnursewiswperformingwawphysicalwassessmentwonwaw6-month-oldwinfant.wWhichwofwthe
followingwreflexeswshouldwthewnursewexpectwtowfind?
a.wStepping
wb.wBabinski
c.wExtrusion
d.wMorow-wCORRECTwANSWERSB
Rationale:wThewBabinskiwreflex,wwhichwiswelicitedwbywstrokingwthewbottomwofwthewfootwandwc
ausing
thewtoeswtowfanwandwthewbigwtoewtowdorsiflex,wshouldwbewpresentwuntilwthewagewofw1wyear.wPe
rsistence
ofwneonatalwreflexeswmightwindicatewneurologicalwdeficits.
Awnursewiswpreparingwtowadministerwrecommendedwimmunizationswtowaw2-month-
oldwinfant.
Whichwofwthewfollowingwimmunizationswshouldwthewnursewplanwtowadminister?
a.wHumanwpapillomavirusw(HPV)wandwhepatitiswA
b.wMeasles,wmumps,wrubellaw(MMR)wandwtetanus,wdiphtheria,wandwacellularwpertussis
(TDaP)
c.wHaemophiluswinfluenzaewtypewBw(Hib)wandwinactivatedwpoliowvirusw(IPV)
d.wVaricellaw(VAR)wandwlivewattenuatedwinfluenzawvaccinew(LAIV)w-
wCORRECTwANSWERSC
Rationale:wThewrecommendedwimmunizationswforwaw2-month-
oldwinfantwincludewHibwandwIPV.wThe
Hibwimmunizationwserieswconsistswofw3wtow4wdoses,wdependingwonwthewimmunizationwused,
wandwatwa
minimumwiswadministeredwatwthewageswofw2wmonths,w4wmonths,wandw12wtow15wmonths.wThe
wIPV
immunizationwserieswconsistswofw4wdoseswandwiswadministeredwatwthewageswofw2wmonths,w4
wmonths,w6
tow18wmonths,wandw4wtow6wyears.
Awnursewiswdevelopingwawplanwofwcarewforwawschool-agewchildwwhowunderwentwawsurgical
,procedurewthatwresultedwinwtemporarywlosswofwvision.wWhichwofwthewfollowingwinterventions
shouldwthewnursewincludewinwthewplanwofwcare?
a.wAssignwanwassistivewpersonnelwtowfeedwthewchild.
b.wExplainwsoundswthewchildwiswhearing.
c.wHavewthewchildwusewawcanewwhenwambulating.
d.wRotatewnurseswcaringwforwthewchild.w-wCORRECTwANSWERSB
Rationale:wThewnoiseswinwawfacilitywcanwbewfrighteningwtowawchildwwhowiswexperiencingwawse
nsory
loss.wItwiswimportantwtowexplainwthesewnoiseswtowallaywthewchild'swfears.
Awnursewiswassessingwaw3-year-
oldwchildwwhowisw1wdaywpostoperativewfollowingwawtonsillectomy.
Whichwofwthewfollowingwmethodswshouldwthewnursewusewtowdeterminewifwthewchildwis
experiencingwpain?
a.wAskwthewparents.
b.wUsewthewFACESwscale.
c.wUsewthewnumericwratingwscale.
d.wCheckwthewchild'swtemperature.w-wCORRECTwANSWERSB
Rationale:wPainwiswawsubjectivewexperiencewevenwforwaw3-year-
oldwchild.wThewFACESwscalewcanwbe
usedwtowaccuratelywdeterminewthewpresencewofwpainwinwchildrenwaswyoungwasw3wyearswofwa
ge.
12.wAwnursewiswassessingwaw6-month-oldwinfantwatwawwell-childwvisit.wWhichwofwthewfollowing
findingswindicateswthewneedwforwfurtherwassessment?
a.wGrabswfeetwandwpullswthemwtowherwmouth
b.wPosteriorwfontanelwiswclosed
c.wLegswremainwcrossedwandwextendedwwhenwsupine
d.wBirthwweightwhaswdoubledw-wCORRECTwANSWERSC
Rationale:wLegswcrossedwandwextendedwwhenwsupinewiswanwunexpectedwfindingwandwrequi
reswfurther
assessment.wAtw6wmonthswofwage,wthewlegswflexwatwthewkneeswwhenwthewinfantwiswsupine.wC
rossedwand
extendedwlegswwhenwsupinewiswawfindingwassociatedwwithwcerebralwpalsy.
Awnursewiswobservingwawmotherwwhowiswplayingwpeek-a-boowwithwherw8-month-
oldwchild.wThe
motherwaskswifwthiswgamewhaswanywdevelopmentalwsignificance.wThewnursewshouldwinformw
the
motherwthatwpeek-a-boowhelpswdevelopwwhichwofwthewfollowingwconceptswinwthewchild?
a.wHand-eyewcoordination
b.wSensewofwtrust
c.wObjectwpermanence
d.wEgocentrismw-wCORRECTwANSWERSC
Rationale:wObjectwpermanencewreferswtowthewcognitivewskillwofwknowingwanwobjectwstillwexis
tsweven
whenwitwiswoutwofwsight.wInwdiscoveringwawhiddenwobjectwwhilewplayingwpeek-a-
boo,wthewinfant
experienceswvalidationwofwthiswconcept.
, Awnursewiswcaringwforwaw15-month-
oldwtoddlerwwhowrequireswdropletwprecautions.wWhichwofwthe
followingwactionswshouldwthewnursewtake?
a.wHavewthewtoddlerwwearwawdisposablewgownwwhenwinwthewunit'swplayroom.
b.wWearwsterilewgloveswwhenwchangingwthewtoddler'swdiapers.
c.wWearwawmaskwwhenwassistingwthewtoddlerwwithwmeals.
d.wAskwvisitorswtowwearwanwN-95wmaskwwhenwenteringwthewroom.w-
wCORRECTwANSWERSC
Rationale:wThewnursewshouldwwearwawmaskwwhenwwithinw3wtow6wfeetwofwthewtoddlerwtowprev
entwthe
transmissionwofwinfectionswthatwarewspreadwviawlargewdropletwparticleswexpelledwinwthewair.
Awnursewatwawpediatricwclinicwiswassessingwaw5-month-oldwinfantwduringwawwell-
childwvisit.wWhich
ofwthewfollowingwfindingswshouldwthewnursewreportwtowthewprovider?
a.wHeadwlagswwhenwpulledwfromwawlyingwtowawsittingwposition
b.wAbsencewofwstartlewandwcrawlwreflexes
c.wInabilitywtowpickwupwawrattlewafterwdroppingwit
d.wRollswfromwbackwtowsidew-wCORRECTwANSWERSA
Rationale:wAtwthewagewofw5wmonths,wthewinfantwshouldwhavewnowheadwlagwwhenwpulledwtowaw
sitting
position;wtherefore,wthewnursewshouldwreportwthiswfindingwtowthewprovider
16.wAwnursewiswplanningwtowcollectwawspecimenwfromwawmalewinfantwusingwawurinewcollection
wbag.
Whichwofwthewfollowingwactionswshouldwthewnursewtake?
a.wWashwandwdrywthewinfant'swgenitaliawandwperineumwthoroughly.
b.wApplywawsmallwcoatingwofwwater-solublewlubricantwtowthewskinwofwthewinfant'swperineal
area.
c.wAvoidwplacingwthewscrotumwinsidewthewcollectionwbag.
d.wWaitwseveralwhourswafterwpositioningwthewdevicewbeforewcheckingwit.w-
wCORRECTwANSWERSA
Rationale:wThiswiswthewmethodwusedwtowobtainwawroutinewurinewspecimenwofwanywsortwinwawc
hildwwho
iswnotwtoiletwtrained.wThewskinwshouldwbewwashedwandwdriedwtowpromotewapplicationwofwthew
adhesive
ofwthewcollectionwdevice.
Awnursewinwawpediatricwclinicwiswcaringwforwaw3-year-
oldwchildwwhowhaswawbloodwleadwlevelwofw3
mcg/dL.wWhenwteachingwthewtoddler'swparentswaboutwthewcorrelationwofwnutritionwwithwlead
poisoning,wwhichwofwthewfollowingwinformationwiswappropriatewforwthewnursewtowincludewinwth
e
teaching?
a.wDecreasewthewchild'swvitaminwCwintakewuntilwthewbloodwleadwlevelwdecreaseswtowzero.
b.wAdministerwawfolicwacidwsupplementwtowthewchildweachwday.
c.wGivewpancreaticwenzymeswtowthewchildwwithwmealswandwsnacks.
d.wEnsurewthewchild'swdietarywintakewofwcalciumwandwironwiswadequate.w-
wCORRECTwANSWERSD