Comprehensive physical assessment of
a child Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the most appropriate position to assess the fontanels of an infant?
✔✔ The infant should be calm and in an upright position.
What does a sunken anterior fontanel typically indicate in an infant?
✔✔ Dehydration.
What is the expected finding when auscultating the lungs of a healthy 3-year-old child?
✔✔ Clear breath sounds bilaterally.
What should the nurse use to assess visual acuity in a 6-year-old child?
✔✔ A Snellen chart or a symbol chart appropriate for the child’s age.
How should the nurse begin a physical assessment of a shy preschooler?
✔✔ By performing non-threatening procedures first, such as listening to the heart with a
stethoscope.
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, Where is the point of maximal impulse (PMI) typically located in a 4-year-old child?
✔✔ At the 4th intercostal space, left midclavicular line.
What does a heart rate of 120 bpm in a 2-year-old at rest indicate?
✔✔ A normal finding.
How can the nurse best assess hearing in a cooperative 5-year-old child?
✔✔ By performing a whisper test.
What is an expected finding when assessing the abdomen of a toddler?
✔✔ A rounded or protuberant abdomen.
How should the nurse assess for scoliosis in a school-aged child?
✔✔ Ask the child to bend forward at the waist and observe the spine.
When assessing reflexes in a newborn, what does a positive Moro reflex indicate?
✔✔ A normal neurologic response.
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a child Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the most appropriate position to assess the fontanels of an infant?
✔✔ The infant should be calm and in an upright position.
What does a sunken anterior fontanel typically indicate in an infant?
✔✔ Dehydration.
What is the expected finding when auscultating the lungs of a healthy 3-year-old child?
✔✔ Clear breath sounds bilaterally.
What should the nurse use to assess visual acuity in a 6-year-old child?
✔✔ A Snellen chart or a symbol chart appropriate for the child’s age.
How should the nurse begin a physical assessment of a shy preschooler?
✔✔ By performing non-threatening procedures first, such as listening to the heart with a
stethoscope.
1
, Where is the point of maximal impulse (PMI) typically located in a 4-year-old child?
✔✔ At the 4th intercostal space, left midclavicular line.
What does a heart rate of 120 bpm in a 2-year-old at rest indicate?
✔✔ A normal finding.
How can the nurse best assess hearing in a cooperative 5-year-old child?
✔✔ By performing a whisper test.
What is an expected finding when assessing the abdomen of a toddler?
✔✔ A rounded or protuberant abdomen.
How should the nurse assess for scoliosis in a school-aged child?
✔✔ Ask the child to bend forward at the waist and observe the spine.
When assessing reflexes in a newborn, what does a positive Moro reflex indicate?
✔✔ A normal neurologic response.
2
