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1. A nurse is assessing a 6-month-old infant. Which
developmental milestone should the nurse expect?
A. Walking independently B. Sitting with support C. Speaking in
full sentences D. Riding a tricycle
Answer: B. Sitting with support
Rationale: At approximately 6 months of age, infants are expected to
sit with support, roll over, and begin babbling. Walking independently
and speaking in full sentences occur much later in development.
2. Which immunization is typically administered shortly after
birth?
A. Measles, mumps, and rubella vaccine B. Varicella vaccine C.
Hepatitis B vaccine D. Diphtheria vaccine only
Answer: C. Hepatitis B vaccine
Rationale: The hepatitis B vaccine is routinely administered shortly
after birth to protect infants from hepatitis B infection. Other
,childhood vaccines are administered later according to the
immunization schedule.
3. A nurse is caring for a child with dehydration caused by
diarrhea. Which assessment finding indicates moderate
dehydration?
A. Bradycardia B. Sunken eyes and dry mucous membranes C.
Hypertension D. Excessive urine output
Answer: B. Sunken eyes and dry mucous membranes
Rationale: Moderate dehydration in children commonly presents with
dry mucous membranes, decreased tears, sunken eyes, decreased urine
output, and irritability.
4. Which action is most appropriate when administering oral
medication to a toddler?
A. Force the medication into the child’s mouth B. Mix the
medication with a small amount of soft food if appropriate C. Tell
the child the medicine tastes like candy D. Pinch the child’s nose
during administration
Answer: B. Mix the medication with a small amount of soft food if
appropriate
Rationale: Mixing medication with a small amount of acceptable food
can help improve cooperation. The nurse should avoid forcing
medication or misleading the child.
5. Which finding should the nurse expect in a healthy newborn?
A. Heart rate of 60 beats/minute B. Respiratory rate of 10
breaths/minute C. Presence of Moro reflex D. Walking reflex
Answer: C. Presence of Moro reflex
, Rationale: The Moro reflex is a normal newborn reflex present at
birth. Normal newborn heart and respiratory rates are much higher
than adult values.
6. A nurse is teaching parents about sudden infant death
syndrome prevention. Which instruction is most appropriate?
A. Place the infant on the stomach to sleep B. Use soft blankets and
pillows in the crib C. Place the infant on the back to sleep D. Allow
co-sleeping in the parents’ bed
Answer: C. Place the infant on the back to sleep
Rationale: Placing infants on their backs to sleep significantly reduces
the risk of sudden infant death syndrome. Soft bedding and co-
sleeping increase risk.
7. Which developmental task is characteristic of toddlers?
A. Learning trust B. Developing autonomy C. Achieving identity D.
Establishing intimacy
Answer: B. Developing autonomy
Rationale: According to Erikson’s stages, toddlers are in the autonomy
versus shame and doubt stage, where they seek independence and
control over their environment.
8. A nurse is assessing pain in a preverbal child. Which tool is
most appropriate?
A. Numeric rating scale B. FLACC scale C. Glasgow Coma Scale D.
Mini-Mental Status Examination
Answer: B. FLACC scale
Rationale: The FLACC scale assesses pain in preverbal children using
facial expression, leg movement, activity, crying, and consolability.