EXAM 3
Nursing and Healthcare I
Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Detailed Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. A nurse is teaching new parents about safe sleep practices to reduce the risk of
sudden infant death syndrome (SIDS). Which statement by a parent indicates
understanding of the teaching?
A. "I will place my baby on her side with a thin blanket tucked around her."
B. "I will lay my baby on her back in the crib without loose bedding."
C. "I will let my baby sleep on her stomach since she can lift her head."
D. "I will add a soft pillow and bumper pads to make the crib cozy."
Correct Answer: B
Rationale: The American Academy of Pediatrics recommends that infants be placed on
their backs for every sleep, on a firm sleep surface without loose bedding, pillows, or
soft objects, to reduce SIDS risk. Pacifier use is also associated with reduced SIDS risk.
Why Other Choices Are Wrong:
• A: Side-lying is unstable and can lead to prone positioning; loose blankets are
suffocation hazards.
• C: Prone (stomach) sleeping significantly increases SIDS risk, even if the infant
has head control.
• D: Pillows and bumper pads increase suffocation and entrapment risk.
2. A pediatric nurse is assessing a 4-month-old infant during a well-child visit.
Which reflex, if still present, would be considered abnormal at this age?
A. Rooting reflex
B. Sucking reflex
C. Tonic neck reflex
D. Moro reflex
Correct Answer: C
Rationale: The tonic neck reflex (fencing reflex) normally disappears by 5 months of
age. While still present at 4 months, persistence beyond 5–6 months may indicate
neurological dysfunction. The rooting and sucking reflexes are present until 4–6 months,
and the Moro reflex disappears by 3–4 months.
Why Other Choices Are Wrong:
• A: Rooting reflex is normal until 4–6 months.
• B: Sucking reflex is normal until approximately 6 months.
, • D: Moro reflex normally disappears by 3–4 months; absence at 4 months would
be more concerning than presence.
3. During a developmental assessment, a nurse observes a 2-month-old infant.
Which milestone should the nurse expect to find?
A. Sitting unsupported
B. Head control when prone
C. Creeping on hands and knees
D. Standing with support
Correct Answer: B
Rationale: Infants typically achieve head control (lifting head when prone) by 2 months
of age. This is an early gross motor milestone indicating adequate neck and upper trunk
strength.
Why Other Choices Are Wrong:
• A: Sitting unsupported occurs at approximately 7 months.
• C: Creeping occurs around 10 months.
• D: Standing with support occurs between 9–11 months.
4. A nurse is counseling parents of a 6-month-old infant about nutrition. Which
statement by the parents indicates correct understanding?
A. "We started rice cereal at 4 months because he seemed hungry."
B. "We will introduce iron-fortified cereals and pureed foods now."
C. "We plan to wait until 9 months to start any solid foods."
D. "We give him diluted cow's milk in a bottle at night."
Correct Answer: B
Rationale: Solid foods are typically introduced at approximately 6 months of age. Iron-
fortified cereals and pureed fruits/vegetables are appropriate first foods. By 6 months,
birth weight should have doubled.
Why Other Choices Are Wrong:
• A: Introducing solids before 4–6 months increases allergy risk and is
unnecessary; the AAP recommends around 6 months.
• C: Waiting until 9 months may delay oral motor development and iron intake.