Milestones NCLEX questions and Answers with complete solutions

Milestones NCLEX questions and Answers with complete solutions ● 17. A toddler is hospitalized and the parent had to temporarily leave the child. The child was inconsolable when the parent left, but now is quite and withdrawn. This is known as what stage of separation anxiety?* o A. Detachment o B. Denial o C. Despair o D. Protest - ANS- o C. Despair ● 2. You're assessing the height of a 24-month-old. The child is 34 inches. Based on this measurement, what is an estimated adult height for this child?* A. 6 feet 2 inches B. 5 feet and 8 inches o C. 5 feet 2 inches o D. 6 feet - ANS- B. 5 feet and 8 inches 1. A 2-year-old weighed 7 lbs. at birth. How much should the child weigh now?* o A. 14 lbs. o B. 28 lbs. o C. 21 lbs. o D. 36 lbs. - ANS- o B. 28 lbs. 1. During a routine pediatric visit, a 2 month old patient will need which of the following vaccines?* o A. MMR (Measles, Mumps, Rubella) o B. Hepatitis A o C. Hepatitis B o D. DTaP (Diphtheria, Tetanus, Pertussis) o E. Hib (Haemophilus Influenzae Type B) F. varicella o G. Polio H. RV (Rotavirus) I. PCV (Pneumococcal Conjugate Vaccine) - ANS- o C. Hepatitis B o D. DTaP (Diphtheria, Tetanus, Pertussis) o E. Hib (Haemophilus Influenzae Type B) o G. Polio H. RV (Rotavirus) I. PCV (Pneumococcal Conjugate Vaccine) 1. You're assessing a 10-month-old infant. You note on examination the anterior fontanelle is open. The nurse will:* o A. Document this as an abnormal finding because this fontanelle should close at 2 months o B. Document this as a normal finding because this fontanelle closes at about 18 months o C. Document this as a normal finding because this fontanelle closes at about 12 months o D. Document this as an abnormal finding because this fontanelle should close at 6 months - ANS- B. Document this as a normal finding because this fontanelle closes at about 18 months 10. According to Piaget's Theory of Development, your patient is in the Preoperational Stage based on their age. The patient demonstrates they are in this stage by which finding below?* o A. The child understands time and quantity. o B. The child likes to play pretend. o C. This concept of object permanence is not developed yet. o D. The child possesses abstract thinking rather than concrete thinking. - ANS- o B. The child likes to play pretend. 10. You're developing a plan of care for an infant and you include activities for play. The play activities include hiding a toy and letting the infant look for it along with playing peek-a-boo. Which infant below would best benefit from this type of play?* o A. 6-month-old o B. 2-month-old o C. 9-month-old o D. 4-month-old - ANS- o C. 9-month-old 11. A 12-month-old arrives to the health clinic for a well visit. You're assessing the infant's developmental milestones. Select below all the milestones the child should be able to perform?* A. Rides a tricycle B. Draws a triangle o C. Pulls to a standing position and can take a few steps o D. Follows simple commands like "wave bye-bye" o E. Puts objects in a container o F. Hits two small wooden blocks together G. says 2-3 word sentences - ANS- o C. Pulls to a standing position and can take a few steps o D. Follows simple commands like "wave bye-bye" o E. Puts objects in a container o F. Hits two small wooden blocks together 11. You're creating a plan of care for a 24-month-old and developing interventions to help with the development of the child. According to Erickson's Stages of Development, what intervention below would help promote development in this patient?* o A. Thoroughly communicate the rules to the child. o B. Encourage the child to ask questions about care. o C. Take time to swaddle and rock the child when crying. o D. Give the child opportunities to make food and drink selections. - ANS- o D. Give the child opportunities to make food and drink selections. 12. A 20-month-old is in what stage of development according to Erickson's Stages of Development?* o A. Industry vs. Inferiority o B. Initiative vs. Guilt o C. Autonomy vs. Shame and Guilt o D. Trust vs. Mistrust - ANS- o C. Autonomy vs. Shame and Guilt 12. Your patient is 5-months-old. Which developmental milestone, if not performed by the infant, should be further investigated?* o A. Crawling oB. Rolling over from back to tummy o C. Using the pincer grasp o D. Sitting without support - ANS- oB. Rolling over from back to tummy 13. You observe toddlers playing. The children are playing with toys, but they are not playing together. This type of play is known as?* o A. Solitary play o B. Parallel play o C. Associate play o D. Co-operative - ANS- o B. Parallel play 13. You're teaching a new mom of a 1-week-old infant on how to prevent SIDS (Sudden Infant Death Syndrome). Which statement by the parent requires you to re-educate the parent on this topic?* o A. "The best sleeping position for the baby is on their side or tummy". o B. "It's okay to share the same room with the baby." o C. "I will stop swaddling the baby once he can roll over onto his tummy". o D. "I will be sure to remove extra blankets and toys from the baby's bed." - ANS- o A. "The best sleeping position for the baby is on their side or tummy". 14. You're helping develop a meal plan for a 10-month-old. Which foods will you select to be part of the meal plan? Select all that apply:* o A. Mashed potatoes o B. Grapes o C. Soup o D. Toast with honey - ANS- o A. Mashed potatoes o C. Soup 14. You're providing caring to a 2-year-old and have noted negativism. Which statement by the nurse to the toddler will help decrease negativism when administering medications to the toddler?* o A. "Are you ready for your medicine?" o B. "Can you take your medicine in a cup?" o C. "Do you want to take your medicine now?" oD. "You can take your medicine in the blue or green cup." - ANS- oD. "You can take your medicine in the blue or green cup." 15. The nurse is educating the parents of a 13-month-old on how to avoid dental caries. Which statements should the nurse include in the education about this topic to the parents? Select-all-that-apply:* o A. "If a bottle is given at night, be sure to water down the juice before giving it to the child". o B. "When your child's first teeth erupt, it is time to go to the dentist." o C. "If your water at home does not contain fluoride, fluoride supplementation may be needed". o D. "To help promote autonomy in your child, he should brush his teeth by himself without assistance". - ANS- o B. "When your child's first teeth erupt, it is time to go to the dentist." o C. "If your water at home does not contain fluoride, fluoride supplementation may be needed". 15. You're educating a group of parents about car seat safety. A participant asks about the best position of a car seat for a 6-month-old. Your response is:* o A. Forward-facing and back seat o B. Forward-facing and front seat o C. Rear-facing and front seat o D. Rear-facing and back seat - ANS- o D. Rear-facing and back seat 16. The mother of a toddler verbalizes her child has become a picky eater. What are some strategies the mother can implement to help her child? Select-all-that- apply:* A. Have small easy to grab nutritious snacks available rather than 3 large meals a day o B. Give the child new foods to try o C. Use the same plate and cup for meals o D. Offer food items that are mixed - ANS- A. Have small easy to grab nutritious snacks available rather than 3 large meals a day o C. Use the same plate and cup for meals 16. You're providing care to a 1-month-old infant who is hospitalized. The parents are unable to be at the bedside. The infant is crying. Select appropriate nursing interventions for this infant:* o A. Let the infant play with crib mobiles B. Swaddle the infant o C. Attempt to play peek-a-boo with the infant