Solutions
a nurse is assessing a 6-month old infant. which of the following
reflexes should the infant exhibit?
a. moro
b. plantar grasp
c. stepping
d. tonic neck Correct Answers b. plantar grasp
the reflex is present from birth to 8 months
a nurse is assessing a child's ear. which of the following findings
should the nurse expect?
a. light reflex is located at 2 o'clock position
b. tympanic membrane is red in color.
c. bony landmarks are not visible
d. cerumen is present bilaterally. Correct Answers d. cerumen
is present bilaterally
a nurse is checking the vital signs of a 3-year child during a
well-child visit. which of the following findings should the nurse
report to the provider?
a. temperature 37.2C (99.0F)
b. heart rate 106/min
c. respirations 30/min
d. blood pressure 88/54 Correct Answers c. respirations 30/min
a nurse is performing a neurologic assessment on an adolescent.
which of the following responses should the nurse expect the
, adolescent to exhibit when assessing the trigeminal nerve?
(SATA)
a. clenching teeth together tightly
b. recognizing sour tastes on the back of the tongue
c. identifying smells through each nostril
d. detecting facial touches with eye closed
d. looking down and in with the eyes. Correct Answers a.
clenching teeth together tightly & d. detecting facial touches
with eye closed.
a nurse is preparing to assess a preschooler. which of the
following actions should the nurse take to prepare the child?
a. allow the child to role-play using miniature equipment
b. use medial terminology to describe what will happen
c. separate the child form the caregiver during the examination
d. keep medical equipment visible to the child. Correct Answers
a. allow the child to role-play using miniature equipment
reduces anxiety and fear related to the exam
assessing abdomen in PED's Correct Answers bowl sounds: 5-
30
infants & toddlers: round
children: flat
assessing gait in PED's Correct Answers toddlers and young
adults: a bowlegged or knock-knee appearance is common
finding. feet should face forward while walking.
older children and adolescents: a steady gait