NCLEX – Infant Final Review Exam
Questions With Guaranteed Pass
Solutions.
The mother of a 12-month-old child expresses concern about the effects of her child's frequent
thumb-sucking. After the nurse provides instruction on this topic, which response by the
mother indicates that teaching has been effective? - Answer 3. "Sucking is important to the
baby."
The nurse is caring for an infant with congenital clubfoot. After the final cast has been removed,
which member of the health care team will most likely help the infant with leg and ankle
exercises and provide his parents with a home exercise regimen? - Answer 2. Physical
therapist
When planning to administer medication to a 3-month-old infant, the nurse should keep which
consideration in mind? - Answer 4. An infant's kidneys excrete drugs more slowly than an
adult's
The nurse must administer a medication to an infant based on his weight in kilograms. The
clients weight in pounds is 16. What is the client's weight in kilograms? - Answer 7.3
A mother, who is visibly upset, carries her 2-month-old infant into the crowded emergency
department. The child appears limp and lifeless. The mother screams to the nurse for help. The
nurse should: - Answer 2. take the infant and mother back to a treatment room
Which sexually transmitted disease is preventable through infant vaccination? - Answer 4.
Hepatitis B
A dehydrated infant is receiving I.V. therapy. The mother tells the nurse she wants to hold her
infant but is afraid this might cause the I.V. line to become dislodged. What should the nurse
do? - Answer 3. Show the mother how to hold the infant properly.
A mother is playing with her infant, who's sitting securely alone on the floor of the clinic. The
mother hides a toy behind her back and the infant looks for it. What age would the nurse
estimate the infant to be? - Answer 4. 10 months
, Select all that apply: - Answer 3. Check for a pulse by palpating the brachial artery.
5. Compress the sternum ½" to 1".
6. Give five compressions to one breath.
A 9-month-old infant is scheduled for an inguinal hernia repair. The divorced parents share joint
custody of the infant. What determines who can give informed consent for the procedure? -
Answer 1. The divorce decree should specify which parent has the right to sign the informed
consent form.
When collecting data on a neonate, the nurse observes a vaguely outlined area of scalp edema.
Which term should the nurse use when documenting this observation? - Answer 4. Caput
succedaneum
When collecting data on a postterm neonate, the nurse expects to find: - Answer 2. abundant
subcutaneous fat.
A client who has tested positive for the human immunodeficiency virus (HIV) delivers her baby.
When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should
the nurse respond? - Answer 3. "Your baby may have acquired HIV in utero, but we won't
know for sure until the baby is older."
A neonate was admitted to the pediatric unit with an unexpected congenital defect. What's the
best way to involve the parents in the infant's care? - Answer 2. Offer the parents
opportunities to be involved with the infant's care while they adjust to his unexpected
condition.
The nurse expects an infant to sit up without support at which age? - Answer 3. 8 months
An infant is diagnosed with a congenital hip dislocation. The nurse should expect to note: -
Answer 2. asymmetrical thigh and gluteal folds.
A 4-month-old rolls out of the crib and suffers a fractured skull when the nurse who's bathing
him turns her back to pick up a towel. As a follow-up to the incident the nurse-manager asks the
nurse to document how she could have prevented the injury. Which statement by the nurse is
best? - Answer 3. "I should have kept one hand on the infant when I turned my back on him."
Questions With Guaranteed Pass
Solutions.
The mother of a 12-month-old child expresses concern about the effects of her child's frequent
thumb-sucking. After the nurse provides instruction on this topic, which response by the
mother indicates that teaching has been effective? - Answer 3. "Sucking is important to the
baby."
The nurse is caring for an infant with congenital clubfoot. After the final cast has been removed,
which member of the health care team will most likely help the infant with leg and ankle
exercises and provide his parents with a home exercise regimen? - Answer 2. Physical
therapist
When planning to administer medication to a 3-month-old infant, the nurse should keep which
consideration in mind? - Answer 4. An infant's kidneys excrete drugs more slowly than an
adult's
The nurse must administer a medication to an infant based on his weight in kilograms. The
clients weight in pounds is 16. What is the client's weight in kilograms? - Answer 7.3
A mother, who is visibly upset, carries her 2-month-old infant into the crowded emergency
department. The child appears limp and lifeless. The mother screams to the nurse for help. The
nurse should: - Answer 2. take the infant and mother back to a treatment room
Which sexually transmitted disease is preventable through infant vaccination? - Answer 4.
Hepatitis B
A dehydrated infant is receiving I.V. therapy. The mother tells the nurse she wants to hold her
infant but is afraid this might cause the I.V. line to become dislodged. What should the nurse
do? - Answer 3. Show the mother how to hold the infant properly.
A mother is playing with her infant, who's sitting securely alone on the floor of the clinic. The
mother hides a toy behind her back and the infant looks for it. What age would the nurse
estimate the infant to be? - Answer 4. 10 months
, Select all that apply: - Answer 3. Check for a pulse by palpating the brachial artery.
5. Compress the sternum ½" to 1".
6. Give five compressions to one breath.
A 9-month-old infant is scheduled for an inguinal hernia repair. The divorced parents share joint
custody of the infant. What determines who can give informed consent for the procedure? -
Answer 1. The divorce decree should specify which parent has the right to sign the informed
consent form.
When collecting data on a neonate, the nurse observes a vaguely outlined area of scalp edema.
Which term should the nurse use when documenting this observation? - Answer 4. Caput
succedaneum
When collecting data on a postterm neonate, the nurse expects to find: - Answer 2. abundant
subcutaneous fat.
A client who has tested positive for the human immunodeficiency virus (HIV) delivers her baby.
When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should
the nurse respond? - Answer 3. "Your baby may have acquired HIV in utero, but we won't
know for sure until the baby is older."
A neonate was admitted to the pediatric unit with an unexpected congenital defect. What's the
best way to involve the parents in the infant's care? - Answer 2. Offer the parents
opportunities to be involved with the infant's care while they adjust to his unexpected
condition.
The nurse expects an infant to sit up without support at which age? - Answer 3. 8 months
An infant is diagnosed with a congenital hip dislocation. The nurse should expect to note: -
Answer 2. asymmetrical thigh and gluteal folds.
A 4-month-old rolls out of the crib and suffers a fractured skull when the nurse who's bathing
him turns her back to pick up a towel. As a follow-up to the incident the nurse-manager asks the
nurse to document how she could have prevented the injury. Which statement by the nurse is
best? - Answer 3. "I should have kept one hand on the infant when I turned my back on him."
