PN 3004 Final Exam | Latest Update 2026/2027 | 200
Questions and Verified Answers | Complete Practical
Nursing Q&A Guide | A+ Graded
PRACTICE QUESTIONS 1–200
1. Which developmental milestone is expected in a 6monthold infant?
A. Walks holding furniture
B. Rolls from back to front
C. Says twoword sentences
D. Scribbles with a crayon
Answer: B. Rolls from back to front
Rationale: Infants roll front to back by 4 months and back to front by 6 months. Cruising begins around
9–12 months, twoword phrases by 18–24 months, and scribbling around 15 months.
2. At what age does a toddler typically use twoword phrases?
A. 12 months
B. 18 months
C. 24 months
D. 36 months
Answer: C. 24 months
Rationale: Twoword telegraphic speech is common by age 2 (e.g., "Mommy go"). An 18monthold
typically has a vocabulary of approximately 10–15 words.
,3. Which reflex persists into adulthood?
A. Moro reflex
B. Babinski reflex
C. Palmar grasp reflex
D. Withdrawal reflex
Answer: D. Withdrawal reflex
Rationale: Protective reflexes like withdrawal remain lifelong. The Moro reflex disappears by 4 months,
palmar grasp by 5–6 months, and Babinski by 12 months (or up to 2 years).
4. A newborn's Apgar score is 8 at 1 minute. What does this indicate?
A. Severe distress
B. Mild distress
C. Stable condition
D. Need for immediate CPR
Answer: C. Stable condition
Rationale: An Apgar score of 7–10 is normal, 4–6 indicates moderate distress, and less than 4 indicates
severe distress requiring resuscitation.
,5. Which finding is normal in a newborn? (Select all that apply.)
A. Head circumference larger than chest
B. Acrocyanosis
C. Absent Moro reflex
D. Irregular respirations
E. Sunken fontanelles
Answer: A, B, D
Rationale: Head circumference is normally about 2 cm larger than chest. Acrocyanosis is common in the
first 24 hours. Irregular respirations are normal in newborns. Absent Moro reflex indicates a neurologic
issue, and sunken fontanelles indicate dehydration.
6. A pregnant patient reports morning sickness. Which hormone is primarily responsible?
A. Estrogen
B. Progesterone
C. hCG
D. Relaxin
Answer: C. hCG
Rationale: hCG peaks at 8–12 weeks and is associated with nausea and vomiting. Progesterone relaxes
smooth muscle, estrogen increases vascularity, and relaxin softens ligaments.
7. Which is a presumptive sign of pregnancy?
A. Positive hCG test
, B. Fetal heart tones
C. Quickening
D. Ultrasound confirmation
Answer: C. Quickening
Rationale: Presumptive signs are felt by the woman only (amenorrhea, quickening). Probable signs are
provider signs (Hegar, Chadwick). Positive signs include fetal heart tones, ultrasound, and fetal
movement seen.
8. When teaching dental health to the community, what should be included?
A. The importance of brushing after every meal
B. The importance of brushing before bedtime
C. The importance of flossing only
D. The importance of using mouthwash
Answer: B. The importance of brushing before bedtime
Rationale: Brushing before bedtime is a key dental health teaching point as it removes plaque and
bacteria that accumulate during the day and prevents decay overnight.
9. What individuals should a nurse use traumainformed care with?
A. Only patients who disclose trauma
B. Only patients in acute care settings
C. Everyone, as trauma may be undisclosed
D. Only patients with a psychiatric diagnosis
Questions and Verified Answers | Complete Practical
Nursing Q&A Guide | A+ Graded
PRACTICE QUESTIONS 1–200
1. Which developmental milestone is expected in a 6monthold infant?
A. Walks holding furniture
B. Rolls from back to front
C. Says twoword sentences
D. Scribbles with a crayon
Answer: B. Rolls from back to front
Rationale: Infants roll front to back by 4 months and back to front by 6 months. Cruising begins around
9–12 months, twoword phrases by 18–24 months, and scribbling around 15 months.
2. At what age does a toddler typically use twoword phrases?
A. 12 months
B. 18 months
C. 24 months
D. 36 months
Answer: C. 24 months
Rationale: Twoword telegraphic speech is common by age 2 (e.g., "Mommy go"). An 18monthold
typically has a vocabulary of approximately 10–15 words.
,3. Which reflex persists into adulthood?
A. Moro reflex
B. Babinski reflex
C. Palmar grasp reflex
D. Withdrawal reflex
Answer: D. Withdrawal reflex
Rationale: Protective reflexes like withdrawal remain lifelong. The Moro reflex disappears by 4 months,
palmar grasp by 5–6 months, and Babinski by 12 months (or up to 2 years).
4. A newborn's Apgar score is 8 at 1 minute. What does this indicate?
A. Severe distress
B. Mild distress
C. Stable condition
D. Need for immediate CPR
Answer: C. Stable condition
Rationale: An Apgar score of 7–10 is normal, 4–6 indicates moderate distress, and less than 4 indicates
severe distress requiring resuscitation.
,5. Which finding is normal in a newborn? (Select all that apply.)
A. Head circumference larger than chest
B. Acrocyanosis
C. Absent Moro reflex
D. Irregular respirations
E. Sunken fontanelles
Answer: A, B, D
Rationale: Head circumference is normally about 2 cm larger than chest. Acrocyanosis is common in the
first 24 hours. Irregular respirations are normal in newborns. Absent Moro reflex indicates a neurologic
issue, and sunken fontanelles indicate dehydration.
6. A pregnant patient reports morning sickness. Which hormone is primarily responsible?
A. Estrogen
B. Progesterone
C. hCG
D. Relaxin
Answer: C. hCG
Rationale: hCG peaks at 8–12 weeks and is associated with nausea and vomiting. Progesterone relaxes
smooth muscle, estrogen increases vascularity, and relaxin softens ligaments.
7. Which is a presumptive sign of pregnancy?
A. Positive hCG test
, B. Fetal heart tones
C. Quickening
D. Ultrasound confirmation
Answer: C. Quickening
Rationale: Presumptive signs are felt by the woman only (amenorrhea, quickening). Probable signs are
provider signs (Hegar, Chadwick). Positive signs include fetal heart tones, ultrasound, and fetal
movement seen.
8. When teaching dental health to the community, what should be included?
A. The importance of brushing after every meal
B. The importance of brushing before bedtime
C. The importance of flossing only
D. The importance of using mouthwash
Answer: B. The importance of brushing before bedtime
Rationale: Brushing before bedtime is a key dental health teaching point as it removes plaque and
bacteria that accumulate during the day and prevents decay overnight.
9. What individuals should a nurse use traumainformed care with?
A. Only patients who disclose trauma
B. Only patients in acute care settings
C. Everyone, as trauma may be undisclosed
D. Only patients with a psychiatric diagnosis
