NCLEX RN Health Promotion and
Maintenance Practice Exam 5 100
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A Instant Download Pdf
Question 1
A nurse is providing anticipatory guidance to the parents of a healthy 2-month-
old infant. Which developmental milestone should the nurse expect?
A. Sitting without support
B. Rolling from abdomen to back
C. Using a pincer grasp
D. Saying two-word phrases
Answer: Rolling from abdomen to back
Rationale: A 2-month-old commonly begins to lift the head and may roll from
the abdomen to the back. Sitting, pincer grasp, and two-word phrases occur
later in development.
Question 2
The nurse is assessing a 6-month-old infant. Which finding is most appropriate
for this age?
A. Walks independently
B. Uses a pincer grasp
C. Sits with support
D. Speaks in three-word sentences
Answer: Sits with support
,Rationale: By approximately 6 months, infants can generally sit with support
and demonstrate improved head control. Independent walking and two-word
or three-word speech occur much later.
Question 3
Which behavior is expected in a 12-month-old child?
A. Riding a tricycle
B. Walking independently
C. Reading simple words
D. Dressing independently
Answer: Walking independently
Rationale: Many children begin walking independently around 12 months,
although normal variation exists. Tricycle riding, reading, and independent
dressing develop later.
Question 4
A nurse is assessing a 2-year-old child. Which language finding is expected?
A. Uses approximately 50 words
B. Speaks only single words
C. Uses complex paragraphs
D. Has no interest in communicating
Answer: Uses approximately 50 words
Rationale: By age 2, children commonly have a vocabulary of about 50 or
more words and begin combining words into short phrases.
Question 5
Which developmental behavior is expected in a 3-year-old child?
A. Parallel play only
B. Cooperative play
C. No symbolic play
D. Complete independence from caregivers
Answer: Cooperative play
,Rationale: Preschool children increasingly engage in cooperative play with
other children. Parallel play is more characteristic of toddlers.
Question 6
The nurse teaches parents about toilet training. Which instruction is
appropriate?
A. Begin training at a specific chronological age for every child.
B. Punish accidents to encourage progress.
C. Look for signs of readiness before beginning.
D. Require the child to remain on the toilet until elimination occurs.
Answer: Look for signs of readiness before beginning.
Rationale: Toilet training should be based on developmental readiness rather
than a strict age. Positive reinforcement and patience are recommended;
punishment can create anxiety and resistance.
Question 7
A parent asks when a child should transition from a rear-facing car seat. What
is the best nursing response?
A. "Turn the seat forward at 6 months."
B. "Turn the seat forward when the child reaches the minimum age regardless
of size."
C. "Keep the child rear-facing until reaching the car seat's height or weight
limit."
D. "A child should use a booster seat after the first birthday."
Answer: Keep the child rear-facing until reaching the car seat's height or
weight limit.
Rationale: Current child passenger safety recommendations emphasize
keeping children rear-facing as long as possible within the manufacturer's
height and weight limits.
Question 8
Which safety intervention is most appropriate for parents of a toddler?
, A. Store medications in an unlocked cabinet.
B. Keep cleaning products in their original containers and locked away.
C. Allow the toddler to play with small objects.
D. Place hot beverages on low tables.
Answer: Keep cleaning products in their original containers and locked away.
Rationale: Toddlers are at high risk for poisoning and accidental ingestion.
Household chemicals should remain in original containers and be secured out
of reach.
Question 9
A nurse is teaching parents about preventing choking in a young child. Which
food should be avoided?
A. Soft banana slices
B. Cooked vegetables
C. Whole grapes
D. Mashed potatoes
Answer: Whole grapes
Rationale: Whole grapes can obstruct a child's airway. Foods such as grapes
should be cut into small, appropriate pieces before being offered to young
children.
Question 10
Which intervention is most appropriate when teaching parents about infant
sleep safety?
A. Place the infant prone for sleep.
B. Use soft pillows around the infant.
C. Place the infant supine on a firm sleep surface.
D. Allow the infant to sleep with stuffed animals.
Answer: Place the infant supine on a firm sleep surface.
Rationale: Infants should be placed on their backs on a firm, flat sleep surface
without loose bedding, pillows, bumper pads, or stuffed toys to reduce the
risk of sleep-related infant death.
Maintenance Practice Exam 5 100
Questions And Correct Answers
(Verified Answers) Plus Rationales
2026 Q&A Instant Download Pdf
Question 1
A nurse is providing anticipatory guidance to the parents of a healthy 2-month-
old infant. Which developmental milestone should the nurse expect?
A. Sitting without support
B. Rolling from abdomen to back
C. Using a pincer grasp
D. Saying two-word phrases
Answer: Rolling from abdomen to back
Rationale: A 2-month-old commonly begins to lift the head and may roll from
the abdomen to the back. Sitting, pincer grasp, and two-word phrases occur
later in development.
Question 2
The nurse is assessing a 6-month-old infant. Which finding is most appropriate
for this age?
A. Walks independently
B. Uses a pincer grasp
C. Sits with support
D. Speaks in three-word sentences
Answer: Sits with support
,Rationale: By approximately 6 months, infants can generally sit with support
and demonstrate improved head control. Independent walking and two-word
or three-word speech occur much later.
Question 3
Which behavior is expected in a 12-month-old child?
A. Riding a tricycle
B. Walking independently
C. Reading simple words
D. Dressing independently
Answer: Walking independently
Rationale: Many children begin walking independently around 12 months,
although normal variation exists. Tricycle riding, reading, and independent
dressing develop later.
Question 4
A nurse is assessing a 2-year-old child. Which language finding is expected?
A. Uses approximately 50 words
B. Speaks only single words
C. Uses complex paragraphs
D. Has no interest in communicating
Answer: Uses approximately 50 words
Rationale: By age 2, children commonly have a vocabulary of about 50 or
more words and begin combining words into short phrases.
Question 5
Which developmental behavior is expected in a 3-year-old child?
A. Parallel play only
B. Cooperative play
C. No symbolic play
D. Complete independence from caregivers
Answer: Cooperative play
,Rationale: Preschool children increasingly engage in cooperative play with
other children. Parallel play is more characteristic of toddlers.
Question 6
The nurse teaches parents about toilet training. Which instruction is
appropriate?
A. Begin training at a specific chronological age for every child.
B. Punish accidents to encourage progress.
C. Look for signs of readiness before beginning.
D. Require the child to remain on the toilet until elimination occurs.
Answer: Look for signs of readiness before beginning.
Rationale: Toilet training should be based on developmental readiness rather
than a strict age. Positive reinforcement and patience are recommended;
punishment can create anxiety and resistance.
Question 7
A parent asks when a child should transition from a rear-facing car seat. What
is the best nursing response?
A. "Turn the seat forward at 6 months."
B. "Turn the seat forward when the child reaches the minimum age regardless
of size."
C. "Keep the child rear-facing until reaching the car seat's height or weight
limit."
D. "A child should use a booster seat after the first birthday."
Answer: Keep the child rear-facing until reaching the car seat's height or
weight limit.
Rationale: Current child passenger safety recommendations emphasize
keeping children rear-facing as long as possible within the manufacturer's
height and weight limits.
Question 8
Which safety intervention is most appropriate for parents of a toddler?
, A. Store medications in an unlocked cabinet.
B. Keep cleaning products in their original containers and locked away.
C. Allow the toddler to play with small objects.
D. Place hot beverages on low tables.
Answer: Keep cleaning products in their original containers and locked away.
Rationale: Toddlers are at high risk for poisoning and accidental ingestion.
Household chemicals should remain in original containers and be secured out
of reach.
Question 9
A nurse is teaching parents about preventing choking in a young child. Which
food should be avoided?
A. Soft banana slices
B. Cooked vegetables
C. Whole grapes
D. Mashed potatoes
Answer: Whole grapes
Rationale: Whole grapes can obstruct a child's airway. Foods such as grapes
should be cut into small, appropriate pieces before being offered to young
children.
Question 10
Which intervention is most appropriate when teaching parents about infant
sleep safety?
A. Place the infant prone for sleep.
B. Use soft pillows around the infant.
C. Place the infant supine on a firm sleep surface.
D. Allow the infant to sleep with stuffed animals.
Answer: Place the infant supine on a firm sleep surface.
Rationale: Infants should be placed on their backs on a firm, flat sleep surface
without loose bedding, pillows, bumper pads, or stuffed toys to reduce the
risk of sleep-related infant death.
