NURS-4331 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
A new mother is concerned about the risk of her 6-month-old aspirating and choking. Which of the
following should the nurse recommend to her? Select all that apply.
1. Don't prop up the baby's bottle when feeding him
2. Offer only unbuttered popcorn
3. Use only pacifiers that have a two-piece construction and small flange
4, Allow only toys that fit inside a toilet paper roll
5. Use only clothing without decorative buttons - CORRECT ANSWER - Don't prop up the
baby's bottle when feeding him
- Use only clothing without decorative buttons
Aspiration is a potential threat to infants throughout the first year. Educate parents who feed their
infant formula not to prop bottles. By doing this, they are overestimating their infant's ability to push
the bottle away, sit up, turn the head to the side, cough, and clear the airway if milk should flow too
rapidly into the mouth and an infant begins to aspirate. Using clothing without decorative buttons, and
checking toys and rattles to ensure they have no small parts that could snap off or fall out are good
steps for parents to follow. A test of whether a toy could be dangerous if an infant puts it inside the
mouth is whether it fits inside a toilet paper roll. If it does, it is small enough to be aspirated. Children
under about 5 years should not be offered popcorn or peanuts because of this danger of aspiration. If
parents are going to offer an infant a pacifier, they should use one that has a one-piece construction
with a flange large enough to keep it from completely entering the child's mouth.
A nurse is administering a liquid oral medication to a 5-month-old. Which nursing action provides the
correct dosage? Select all that apply.
1. Placing the end of the dropper or syringe at the back of the infant's mouth
2. Administering the medicine such that it flows slowly into the child's mouth
3. Viewing the medication in the medication cup at eye level
4. Gently restraining the child's arms and head
5. Placing the child supine on the examination table before giving the dose
6. Using a medicine dropper - CORRECT ANSWER - Administering the medicine such that it
flows slowly into the child's mouth
- Using a medicine dropper
- Gently restraining the child's arms and head
, In infants, oral medication can be given with a medicine dropper or a unit dose syringe (without a
needle). The nurse would not choose a medicine cup for administration. Never give medicine with the
child lying completely flat; otherwise, a child could choke and aspirate. Instead, gently restrain the
child's arms and head by holding the child against your body with the head raised. A crying child is
already opening the mouth for you; otherwise, gently open the mouth by pressing on the child's chin.
Press the bulb of the medicine dropper or use the plunger of the syringe so that the fluid flows slowly
into the side of the child's mouth. Be certain the end of the syringe or dropper rests at the side of the
infant's mouth to help prevent aspiration.
The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the
infant at risk for respiratory compromise? Select all that apply.
1. The nasal passages are narrower.
2. The larynx is more funnel shaped.
3.The tongue is smaller.
4. The bronchi and bronchioles are shorter and wider.
5. The trachea and chest wall are less compliant. - CORRECT ANSWER 1. The nasal passages
are narrower.
2. The larynx is more funnel shaped.
In comparison with the adult, in the infant, the nasal passages are narrower, the trachea and chest wall
are more compliant, the bronchi and bronchioles are shorter and narrower, the larynx is more funnel
shaped, and the tongue is larger in comparison. These anatomic differences place the infant at higher
risk for respiratory compromise. The respiratory system does not reach adult levels of maturity until
about 7 years of age.
The nurse observes an infant interacting with his parents. What are normal social behavioral
developments for this age group? Select all that apply.
Answer,
1. Around 3 to 6 months of age the infant may enjoy socially interactive games such as patty-cake and
peek-a-boo.
2.Around 2 months the infant exhibits a first real smile.
3.Around 3 months the infant smiles widely and gurgles when interacting with the caregiver.
4.Around 5 months the infant may develop "stranger anxiety."
5.Around 3 months the infant will mimic the parent's facial movements, such as sticking out the
tongue.
6.Separation anxiety may also start in the last few months of infancy. - CORRECT ANSWER -
Around 2 months the infant exhibits a first real smile.
- Around 3 months the infant smiles widely and gurgles when interacting with the caregiver.
QUESTIONS AND CORRECT ANSWERS
A new mother is concerned about the risk of her 6-month-old aspirating and choking. Which of the
following should the nurse recommend to her? Select all that apply.
1. Don't prop up the baby's bottle when feeding him
2. Offer only unbuttered popcorn
3. Use only pacifiers that have a two-piece construction and small flange
4, Allow only toys that fit inside a toilet paper roll
5. Use only clothing without decorative buttons - CORRECT ANSWER - Don't prop up the
baby's bottle when feeding him
- Use only clothing without decorative buttons
Aspiration is a potential threat to infants throughout the first year. Educate parents who feed their
infant formula not to prop bottles. By doing this, they are overestimating their infant's ability to push
the bottle away, sit up, turn the head to the side, cough, and clear the airway if milk should flow too
rapidly into the mouth and an infant begins to aspirate. Using clothing without decorative buttons, and
checking toys and rattles to ensure they have no small parts that could snap off or fall out are good
steps for parents to follow. A test of whether a toy could be dangerous if an infant puts it inside the
mouth is whether it fits inside a toilet paper roll. If it does, it is small enough to be aspirated. Children
under about 5 years should not be offered popcorn or peanuts because of this danger of aspiration. If
parents are going to offer an infant a pacifier, they should use one that has a one-piece construction
with a flange large enough to keep it from completely entering the child's mouth.
A nurse is administering a liquid oral medication to a 5-month-old. Which nursing action provides the
correct dosage? Select all that apply.
1. Placing the end of the dropper or syringe at the back of the infant's mouth
2. Administering the medicine such that it flows slowly into the child's mouth
3. Viewing the medication in the medication cup at eye level
4. Gently restraining the child's arms and head
5. Placing the child supine on the examination table before giving the dose
6. Using a medicine dropper - CORRECT ANSWER - Administering the medicine such that it
flows slowly into the child's mouth
- Using a medicine dropper
- Gently restraining the child's arms and head
, In infants, oral medication can be given with a medicine dropper or a unit dose syringe (without a
needle). The nurse would not choose a medicine cup for administration. Never give medicine with the
child lying completely flat; otherwise, a child could choke and aspirate. Instead, gently restrain the
child's arms and head by holding the child against your body with the head raised. A crying child is
already opening the mouth for you; otherwise, gently open the mouth by pressing on the child's chin.
Press the bulb of the medicine dropper or use the plunger of the syringe so that the fluid flows slowly
into the side of the child's mouth. Be certain the end of the syringe or dropper rests at the side of the
infant's mouth to help prevent aspiration.
The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the
infant at risk for respiratory compromise? Select all that apply.
1. The nasal passages are narrower.
2. The larynx is more funnel shaped.
3.The tongue is smaller.
4. The bronchi and bronchioles are shorter and wider.
5. The trachea and chest wall are less compliant. - CORRECT ANSWER 1. The nasal passages
are narrower.
2. The larynx is more funnel shaped.
In comparison with the adult, in the infant, the nasal passages are narrower, the trachea and chest wall
are more compliant, the bronchi and bronchioles are shorter and narrower, the larynx is more funnel
shaped, and the tongue is larger in comparison. These anatomic differences place the infant at higher
risk for respiratory compromise. The respiratory system does not reach adult levels of maturity until
about 7 years of age.
The nurse observes an infant interacting with his parents. What are normal social behavioral
developments for this age group? Select all that apply.
Answer,
1. Around 3 to 6 months of age the infant may enjoy socially interactive games such as patty-cake and
peek-a-boo.
2.Around 2 months the infant exhibits a first real smile.
3.Around 3 months the infant smiles widely and gurgles when interacting with the caregiver.
4.Around 5 months the infant may develop "stranger anxiety."
5.Around 3 months the infant will mimic the parent's facial movements, such as sticking out the
tongue.
6.Separation anxiety may also start in the last few months of infancy. - CORRECT ANSWER -
Around 2 months the infant exhibits a first real smile.
- Around 3 months the infant smiles widely and gurgles when interacting with the caregiver.
