NCEX RN STUDY EXAM 2025 WITH QUESTIONS AND
WELL VERIFIED ANSWERS [ALREADY GRADED A+]
REAL EXAM!! REAL EXAM!!!
While assessing a one-month-old infant, which of the findings warrants further
investigation by the nurse? Select all that apply.
A. Abdominal respirations
B. Irregular breathing rate
C. Inspiratory grunt
D. Increased heart rate with crying
E. Nasal flaring
F. Cyanosis
G. Asymmetric chest movement - ANS✔✔--Correct Answers: C, E, F, & G
Option C. Grunting occurs when an infant attempts to maintain an adequate functional
residual capacity in the face of poorly compliant lungs by partial glottic closure. As the
infant prolongs the expiratory phase against this partially closed glottis, there is a
prolonged and increased residual volume that maintains the airway opening and also an
audible expiratory sound.
Option E: Nasal flaring occurs when the nostrils widen while breathing and is a sign of
troubled breathing or respiratory distress.
Option F: Cyanosis refers to the bluish discoloration of the skin and indicates a
decrease in oxygen attached to the red blood cells in the bloodstream.
Option G: Asymmetric chest movement occurs when the abnormal side of the lungs
expands less and lags behind the normal side. This indicates respiratory distress.
Option A: Abdominal respiration is normal among infants and young children. Since
their intercostal muscles are not yet fully developed, they use their abdominal muscles
much more to pull the diaphragm down for breathing.
Option B: Newborns can have irregular breathing patterns ranging from 30 to 60 breaths
per minute with short periods of apnea (15 seconds).
Option D: An increase in heart rate is normal for an infant during activity (including
crying). Fluctuations in heart rate follow the changes in the newborn's behavioral state -
crying, movement, or wakefulness corresponds to an increase in heart rate.
WELL VERIFIED ANSWERS [ALREADY GRADED A+]
REAL EXAM!! REAL EXAM!!!
While assessing a one-month-old infant, which of the findings warrants further
investigation by the nurse? Select all that apply.
A. Abdominal respirations
B. Irregular breathing rate
C. Inspiratory grunt
D. Increased heart rate with crying
E. Nasal flaring
F. Cyanosis
G. Asymmetric chest movement - ANS✔✔--Correct Answers: C, E, F, & G
Option C. Grunting occurs when an infant attempts to maintain an adequate functional
residual capacity in the face of poorly compliant lungs by partial glottic closure. As the
infant prolongs the expiratory phase against this partially closed glottis, there is a
prolonged and increased residual volume that maintains the airway opening and also an
audible expiratory sound.
Option E: Nasal flaring occurs when the nostrils widen while breathing and is a sign of
troubled breathing or respiratory distress.
Option F: Cyanosis refers to the bluish discoloration of the skin and indicates a
decrease in oxygen attached to the red blood cells in the bloodstream.
Option G: Asymmetric chest movement occurs when the abnormal side of the lungs
expands less and lags behind the normal side. This indicates respiratory distress.
Option A: Abdominal respiration is normal among infants and young children. Since
their intercostal muscles are not yet fully developed, they use their abdominal muscles
much more to pull the diaphragm down for breathing.
Option B: Newborns can have irregular breathing patterns ranging from 30 to 60 breaths
per minute with short periods of apnea (15 seconds).
Option D: An increase in heart rate is normal for an infant during activity (including
crying). Fluctuations in heart rate follow the changes in the newborn's behavioral state -
crying, movement, or wakefulness corresponds to an increase in heart rate.
