NCLEX RN Health Promotion and
Maintenance Practice Exam 3 100
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A Instant Download Pdf
Question 1
A nurse is assessing a newborn 24 hours after birth. Which finding requires
further evaluation?
A. Respiratory rate of 44/min
B. Heart rate of 138/min
C. Acrocyanosis of the hands and feet
D. Temperature of 36.0°C (96.8°F)
Answer: Temperature of 36.0°C (96.8°F)
Rationale: A newborn's temperature should generally remain approximately
36.5–37.5°C (97.7–99.5°F). Hypothermia can increase oxygen and glucose
consumption and requires prompt intervention. Acrocyanosis is common
during the first several days of life.
Question 2
The nurse is teaching parents about safe sleep practices for their newborn.
Which statement indicates correct understanding?
A. "I will place my baby on the stomach after feeding."
B. "I will use a soft pillow to support my baby's head."
C. "I will place my baby on the back on a firm mattress."
D. "I will let my baby sleep in my bed at night."
,Answer: "I will place my baby on the back on a firm mattress."
Rationale: Infants should be placed supine on a firm, flat sleep surface
without pillows, loose blankets, bumper pads, or soft objects to reduce the
risk of sudden unexpected infant death.
Question 3
A nurse is assessing a 2-month-old infant. Which developmental finding is
expected?
A. Sitting independently
B. Smiling responsively
C. Walking with assistance
D. Using two-word phrases
Answer: Smiling responsively
Rationale: By approximately 2 months, infants commonly begin social
smiling. Independent sitting, walking, and two-word phrases occur much
later.
Question 4
A parent asks when an infant should typically begin eating solid foods. Which
response is most appropriate?
A. "At 1 month of age."
B. "At approximately 2 months of age."
C. "Around 4–6 months, when developmentally ready."
D. "After the infant develops all primary teeth."
Answer: "Around 4–6 months, when developmentally ready."
Rationale: Complementary foods are generally introduced around 6 months,
when the infant demonstrates developmental readiness. Breast milk or iron-
fortified formula remains important during infancy.
,Question 5
Which finding should the nurse expect in a healthy 6-month-old infant?
A. Transfers objects from one hand to the other
B. Uses three-word sentences
C. Walks independently
D. Uses a pincer grasp consistently
Answer: Transfers objects from one hand to the other
Rationale: Infants around 6 months commonly transfer objects between
hands. A mature pincer grasp develops later, and walking and sentences are
expected during the toddler period or beyond.
Question 6
A nurse is providing anticipatory guidance to parents of a 12-month-old child.
Which activity is developmentally appropriate?
A. Allowing unsupervised access to stairs
B. Encouraging use of a spoon
C. Expecting the child to read simple words
D. Teaching the child to ride a bicycle
Answer: Encouraging use of a spoon
Rationale: Toddlers around 12 months are developing fine-motor skills and
can begin practicing self-feeding with a spoon. Close supervision is necessary
because toddlers are at high risk for falls and injuries.
Question 7
Which behavior is most characteristic of a toddler?
A. Seeking independence while frequently saying "no"
B. Developing abstract reasoning
C. Preferring peer approval over parental approval
D. Demonstrating mature impulse control
, Answer: Seeking independence while frequently saying "no"
Rationale: Toddlers are developing autonomy and frequently assert
independence through negativism. Abstract reasoning and mature impulse
control develop much later.
Question 8
The nurse is teaching parents about toilet training. Which instruction is
appropriate?
A. Begin training at a specific chronological age regardless of readiness.
B. Punish the child for accidents.
C. Look for signs of physical and psychological readiness.
D. Require the child to remain on the toilet until elimination occurs.
Answer: Look for signs of physical and psychological readiness.
Rationale: Toilet training should be based on developmental readiness rather
than a specific age. Positive reinforcement is preferred, while punishment can
increase anxiety and resistance.
Question 9
Which developmental milestone is expected in a 2-year-old child?
A. Hopping on one foot
B. Riding a two-wheel bicycle
C. Using two-word phrases
D. Reading independently
Answer: Using two-word phrases
Rationale: Two-year-old children commonly combine words into simple
phrases. Hopping on one foot and advanced reading skills develop later.
Question 10
Maintenance Practice Exam 3 100
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A Instant Download Pdf
Question 1
A nurse is assessing a newborn 24 hours after birth. Which finding requires
further evaluation?
A. Respiratory rate of 44/min
B. Heart rate of 138/min
C. Acrocyanosis of the hands and feet
D. Temperature of 36.0°C (96.8°F)
Answer: Temperature of 36.0°C (96.8°F)
Rationale: A newborn's temperature should generally remain approximately
36.5–37.5°C (97.7–99.5°F). Hypothermia can increase oxygen and glucose
consumption and requires prompt intervention. Acrocyanosis is common
during the first several days of life.
Question 2
The nurse is teaching parents about safe sleep practices for their newborn.
Which statement indicates correct understanding?
A. "I will place my baby on the stomach after feeding."
B. "I will use a soft pillow to support my baby's head."
C. "I will place my baby on the back on a firm mattress."
D. "I will let my baby sleep in my bed at night."
,Answer: "I will place my baby on the back on a firm mattress."
Rationale: Infants should be placed supine on a firm, flat sleep surface
without pillows, loose blankets, bumper pads, or soft objects to reduce the
risk of sudden unexpected infant death.
Question 3
A nurse is assessing a 2-month-old infant. Which developmental finding is
expected?
A. Sitting independently
B. Smiling responsively
C. Walking with assistance
D. Using two-word phrases
Answer: Smiling responsively
Rationale: By approximately 2 months, infants commonly begin social
smiling. Independent sitting, walking, and two-word phrases occur much
later.
Question 4
A parent asks when an infant should typically begin eating solid foods. Which
response is most appropriate?
A. "At 1 month of age."
B. "At approximately 2 months of age."
C. "Around 4–6 months, when developmentally ready."
D. "After the infant develops all primary teeth."
Answer: "Around 4–6 months, when developmentally ready."
Rationale: Complementary foods are generally introduced around 6 months,
when the infant demonstrates developmental readiness. Breast milk or iron-
fortified formula remains important during infancy.
,Question 5
Which finding should the nurse expect in a healthy 6-month-old infant?
A. Transfers objects from one hand to the other
B. Uses three-word sentences
C. Walks independently
D. Uses a pincer grasp consistently
Answer: Transfers objects from one hand to the other
Rationale: Infants around 6 months commonly transfer objects between
hands. A mature pincer grasp develops later, and walking and sentences are
expected during the toddler period or beyond.
Question 6
A nurse is providing anticipatory guidance to parents of a 12-month-old child.
Which activity is developmentally appropriate?
A. Allowing unsupervised access to stairs
B. Encouraging use of a spoon
C. Expecting the child to read simple words
D. Teaching the child to ride a bicycle
Answer: Encouraging use of a spoon
Rationale: Toddlers around 12 months are developing fine-motor skills and
can begin practicing self-feeding with a spoon. Close supervision is necessary
because toddlers are at high risk for falls and injuries.
Question 7
Which behavior is most characteristic of a toddler?
A. Seeking independence while frequently saying "no"
B. Developing abstract reasoning
C. Preferring peer approval over parental approval
D. Demonstrating mature impulse control
, Answer: Seeking independence while frequently saying "no"
Rationale: Toddlers are developing autonomy and frequently assert
independence through negativism. Abstract reasoning and mature impulse
control develop much later.
Question 8
The nurse is teaching parents about toilet training. Which instruction is
appropriate?
A. Begin training at a specific chronological age regardless of readiness.
B. Punish the child for accidents.
C. Look for signs of physical and psychological readiness.
D. Require the child to remain on the toilet until elimination occurs.
Answer: Look for signs of physical and psychological readiness.
Rationale: Toilet training should be based on developmental readiness rather
than a specific age. Positive reinforcement is preferred, while punishment can
increase anxiety and resistance.
Question 9
Which developmental milestone is expected in a 2-year-old child?
A. Hopping on one foot
B. Riding a two-wheel bicycle
C. Using two-word phrases
D. Reading independently
Answer: Using two-word phrases
Rationale: Two-year-old children commonly combine words into simple
phrases. Hopping on one foot and advanced reading skills develop later.
Question 10
