ACTUAL Exam Questions and CORRECT
Answers
The nurse is working in a well child clinic. The nurse will include which of these health
promotion strategies in the first well-care infant visit?
Select one:
A. Instructing the mother to baby-proof the house right away.
B. Instructing the mother to avoid the introduction of new foods until the infant is 8 months old.
C. encouraging the parent to place the infant in a prone position to sleep.
D. describing activities that will help the infant meet developmental milestones. - CORRECT
ANSWER - D. Describing activities that will help the infant meet developmental
milestones
A nurse is preparing to perform a physical assessment on a toddler. Which of these actions is
most appropriate for the nurse to take?
Select one:
A. Perform the assessment from head to toe.
B. Ask the mother to tell the child not to be afraid.
C. Give a detailed explanation about each part of the examination before performing it.
D. Leave intrusive procedures such as ear examination until the end. - CORRECT
ANSWER - D. Leave intrusive procedures such as ear examination until the end
developmental milestone:
Scribbles on paper, undresses self - CORRECT ANSWER - 1-2 years old
developmental milestone:
,undresses self - CORRECT ANSWER - 6-8 months old
developmental milestone:
stands alone, walks holding onto furniture - CORRECT ANSWER - 10-12 months old
developmental milestone:
crawls or creeps, uses pincer grasp well - CORRECT ANSWER - 8-10 months old
developmental milestone:
bears weight on legs when held standing - CORRECT ANSWER - 4-6 months old
While teaching parents of a newborn about normal growth and development, the nurse informs
them that their child's weight should:
Select one:
A. Double by 5 months of age.
B. Triple by 6 months of age.
C. Triple by 9 months of age.
D. Double by one year of age. - CORRECT ANSWER - A. Double by 5 months of age
Hospitalization of a child has resulted in disturbance of the dynamics of family life. Which
nursing diagnosis is most appropriate?
Select one:
a. Disturbed sleep pattern related to unfamiliar surroundings.
b. Interrupted family processes related to hospitalization.
c. Ineffective individual coping related to procedures.
d. Diversional activity deficit related to separation from siblings. - CORRECT ANSWER -
B. Interrupted family processes related to hospitalization
, A hospitalized 2-year-old screams and shouts that he wants a "bottle". His parents are puzzled,
and state that he has been drinking from a cup for the past year. The nurse should explain to the
parents that:
Select one:
a. regression to an earlier behavior often helps the child cope with stress.
b. temper tantrums may indicate a need for parental attention.
c. this irritabilty is common for young children when they are hospitalized.
d. various forms of punishment can be used for this behavior. - CORRECT ANSWER - A.
Regression to an earlier behavior often helps the child cope with stress
A charge nurse is concerned with reducing the stressors of hospitalization. The nursing
intervention that is most helpful in decreasing stress for the toddler is to:
Select one:
A. Encourage a parent to stay with the child.
B. Assign the same nurse to the toddler as much as possible.
C. Place a picture of the family at the bedside.
D. Let the child listen to an audiotape of the mother's voice. - CORRECT ANSWER - A.
Encourage a parent to stay with the child.
The nurse is performing a screening assessment on a 3- year-old for developmental milestones.
Which of the following would indicate the child would need further evaluation?
Select one:
A. The child has some temper tantrums.
B. The child can speak about 50 words.
C. The child wets the bed.