NR 328 CMS Exam: Practice Questions& Answers
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight
is normal for his age. The nurse's best response is:
1. "At 6 months, his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months, his weight should be approximately twice his birth weight."
4. "At 6 months, a child should weigh about 10 lb more than his or her birth
weight." - ANSWER:3. "At 6 months, his weight should be approximately twice his birth weight."
Infants should double their birth weight by 4 to 6 months of age.
How can the nurse best facilitate the trust relationship between the infant and parents while the infant is
hospitalized? The nurse should:
1. Encourage the parents to remain at their child's bedside as much as possible.
2. Keep parents informed about all aspects of their child's condition.
3. Encourage the parents to hold their child as much as possible.
4. Advise the parents to participate actively in their child's care. - ANSWER:3. Encourage the parents to
hold their child as much as possible.
Having parents hold their child while in the hospital is an excellent means of building the trust
relationship. infants are most secure when they are being held, patted, and spoken to
The nurse is going to give a 6-month-old a dose of ceftriaxone (Rocephin) IM. What must the nurse do
when the 1.5-mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANSWER:2. Divide the dose into two
injections.
,The nurse should not deliver more than 1 mL per IM injection to a 6-month-old.
Which statements by an infant's mother lead the nurse to believe that she needs further education
about the nutritional needs of a 6-month-old? Select all that apply.
1. "I will continue to breastfeed my son and will give him oatmeal cereal two times
a day."
2. "I will start my son on fruits and gradually introduce vegetables."
3. "I will start my son on carrots and will introduce one new vegetable every few
days."
4. "I will not give my son any more than 4 to 6 ounces of baby juice per day."
5. "I will make sure my son gets cereal three times a day." - ANSWER:2. "I will start my son on fruits and
gradually introduce vegetables."
4. "I will not give my son any more than 4 to 6 ounces of baby juice per day."
5. "I will make sure my son gets cereal three times a day."
-infants should be started on vegetables prior to fruits. the sweetness of fruits may inhibit infants from
taking vegetables
-infants can be given fruit juice by 6 months of age, but it is recommended not to exceed 4-6 ounces per
day
-infants need another source of iron by 4-6 months of age, so cereal is introduced twice a day
Which statement accurately describes the best method for assessing a 12-month-old?
1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child's parent assist in holding her down.
4. The nurse should assess the child while she is in her parent's lap. - ANSWER:4. The nurse should assess
the child while she is in her parent's lap.
The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an
adequate source of iron in her diet. Which statement reflects a need for further education of the new
mother?
,1. "I will use only breast milk or an iron-fortified formula as a source of milk for my
baby until she is at least 12 months old."
2. "My baby will need to have iron supplements introduced when she is 4 months
old."
3. "I will need to add iron supplements to my baby's diet when she is 2 months
old."
4. "When my baby begins to eat solid foods, I should introduce iron-fortified
cereals to her diet." - ANSWER:3. "I will need to add iron supplements to my baby's diet when she is 2
months
old."
Premature infants have iron stores from the mother that last approximately 2 months, so it is important
to introduce an iron supplement by 2 months of age. Full-term infants have iron stores that last
approximately 4 to 6 months.
A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and
reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her
baby weighed 7 lb 10 oz when she was discharged 4 days ago. The nurse's best response to the mother
is:
1. "I will let the doctor know, and he will talk with you about possible causes of your infant's weight
loss."
2. "A weight loss of a few ounces is common among newborns, especially for breastfeeding mothers."
3. "I can tell you are a first-time mother. Don't worry; we will find out why she is losing weight."
4. "Maybe she isn't getting enough milk. How often are you breastfeeding her?" - ANSWER:2. "A weight
loss of a few ounces is common among newborns, especially for breastfeeding mothers."
Newborns can lose up to 10% of their birth weight without concern but should regain their birth weight
by 2 weeks of age.
Which toy is the best choice for a 12-month-old?
1. Baby doll.
, 2. Musical rattle.
3. Board book.
4. Colorful beads. - ANSWER:2. Musical rattle.
A musical rattle is the perfect toy for this child. infants have short attention spans and enjoy auditory and
visual stimulation
The parents of a newborn are asking the nurse how to use the infant car seat and where it should be
placed in their vehicle. Which is the most appropriate action by the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car and show them how to install the car seat.
3. Contact the hospital's car-seat safety officer and ask the officer to accompany the
parents to the car for car-seat installation.
4. Show the parents a video on car-seat installation and safety and ask if they are
comfortable with the information. - ANSWER:3. Contact the hospital's car-seat safety officer and ask the
officer to accompany the
parents to the car for car-seat installation.
The car-seat safety officer is the best choice, as that individual would have the needed information and
certification to help the family.
The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization.
Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis
B-positive."
2. "The first dose of the hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6 months of age." - ANSWER:2. "The first dose of the
hepatitis B vaccine will be given prior to discharge today."
The first dose of hepatitis B vaccine
A 6-month-old male is at his well-child checkup. The nurse weighs him, and his mother asks if his weight
is normal for his age. The nurse's best response is:
1. "At 6 months, his weight should be approximately three times his birth weight."
2. "Each child gains weight at his or her own pace."
3. "At 6 months, his weight should be approximately twice his birth weight."
4. "At 6 months, a child should weigh about 10 lb more than his or her birth
weight." - ANSWER:3. "At 6 months, his weight should be approximately twice his birth weight."
Infants should double their birth weight by 4 to 6 months of age.
How can the nurse best facilitate the trust relationship between the infant and parents while the infant is
hospitalized? The nurse should:
1. Encourage the parents to remain at their child's bedside as much as possible.
2. Keep parents informed about all aspects of their child's condition.
3. Encourage the parents to hold their child as much as possible.
4. Advise the parents to participate actively in their child's care. - ANSWER:3. Encourage the parents to
hold their child as much as possible.
Having parents hold their child while in the hospital is an excellent means of building the trust
relationship. infants are most secure when they are being held, patted, and spoken to
The nurse is going to give a 6-month-old a dose of ceftriaxone (Rocephin) IM. What must the nurse do
when the 1.5-mL dose arrives from the pharmacy?
1. Administer the injection into the deltoid muscle.
2. Divide the dose into two injections.
3. Administer the injection into the dorsogluteal muscle.
4. Give dose as a single injection into the vastus lateralis muscle. - ANSWER:2. Divide the dose into two
injections.
,The nurse should not deliver more than 1 mL per IM injection to a 6-month-old.
Which statements by an infant's mother lead the nurse to believe that she needs further education
about the nutritional needs of a 6-month-old? Select all that apply.
1. "I will continue to breastfeed my son and will give him oatmeal cereal two times
a day."
2. "I will start my son on fruits and gradually introduce vegetables."
3. "I will start my son on carrots and will introduce one new vegetable every few
days."
4. "I will not give my son any more than 4 to 6 ounces of baby juice per day."
5. "I will make sure my son gets cereal three times a day." - ANSWER:2. "I will start my son on fruits and
gradually introduce vegetables."
4. "I will not give my son any more than 4 to 6 ounces of baby juice per day."
5. "I will make sure my son gets cereal three times a day."
-infants should be started on vegetables prior to fruits. the sweetness of fruits may inhibit infants from
taking vegetables
-infants can be given fruit juice by 6 months of age, but it is recommended not to exceed 4-6 ounces per
day
-infants need another source of iron by 4-6 months of age, so cereal is introduced twice a day
Which statement accurately describes the best method for assessing a 12-month-old?
1. The nurse should assess the child on the examining table.
2. The nurse should assess the child in a head-to-toe sequence.
3. The nurse should have the child's parent assist in holding her down.
4. The nurse should assess the child while she is in her parent's lap. - ANSWER:4. The nurse should assess
the child while she is in her parent's lap.
The nurse is instructing a new breastfeeding mother in the need to provide her premature infant with an
adequate source of iron in her diet. Which statement reflects a need for further education of the new
mother?
,1. "I will use only breast milk or an iron-fortified formula as a source of milk for my
baby until she is at least 12 months old."
2. "My baby will need to have iron supplements introduced when she is 4 months
old."
3. "I will need to add iron supplements to my baby's diet when she is 2 months
old."
4. "When my baby begins to eat solid foods, I should introduce iron-fortified
cereals to her diet." - ANSWER:3. "I will need to add iron supplements to my baby's diet when she is 2
months
old."
Premature infants have iron stores from the mother that last approximately 2 months, so it is important
to introduce an iron supplement by 2 months of age. Full-term infants have iron stores that last
approximately 4 to 6 months.
A first-time mother brings in her 5-day-old baby for a well-child visit. The nurse weighs the infant and
reports a weight of 7 lb 5 oz to the mother. The mother looks concerned and tells the nurse that her
baby weighed 7 lb 10 oz when she was discharged 4 days ago. The nurse's best response to the mother
is:
1. "I will let the doctor know, and he will talk with you about possible causes of your infant's weight
loss."
2. "A weight loss of a few ounces is common among newborns, especially for breastfeeding mothers."
3. "I can tell you are a first-time mother. Don't worry; we will find out why she is losing weight."
4. "Maybe she isn't getting enough milk. How often are you breastfeeding her?" - ANSWER:2. "A weight
loss of a few ounces is common among newborns, especially for breastfeeding mothers."
Newborns can lose up to 10% of their birth weight without concern but should regain their birth weight
by 2 weeks of age.
Which toy is the best choice for a 12-month-old?
1. Baby doll.
, 2. Musical rattle.
3. Board book.
4. Colorful beads. - ANSWER:2. Musical rattle.
A musical rattle is the perfect toy for this child. infants have short attention spans and enjoy auditory and
visual stimulation
The parents of a newborn are asking the nurse how to use the infant car seat and where it should be
placed in their vehicle. Which is the most appropriate action by the nurse?
1. Give the parents a pamphlet explaining how to install the car seat.
2. Accompany the parents to the car and show them how to install the car seat.
3. Contact the hospital's car-seat safety officer and ask the officer to accompany the
parents to the car for car-seat installation.
4. Show the parents a video on car-seat installation and safety and ask if they are
comfortable with the information. - ANSWER:3. Contact the hospital's car-seat safety officer and ask the
officer to accompany the
parents to the car for car-seat installation.
The car-seat safety officer is the best choice, as that individual would have the needed information and
certification to help the family.
The mother of a newborn asks the nurse when the infant will receive the first hepatitis B immunization.
Which is the nurse's best response?
1. "Babies receive the hepatitis B vaccine only if their mother is hepatitis
B-positive."
2. "The first dose of the hepatitis B vaccine will be given prior to discharge today."
3. "The first dose of hepatitis B vaccine is given at 1 year of age."
4. "Babies receive their first hepatitis B vaccine at 6 months of age." - ANSWER:2. "The first dose of the
hepatitis B vaccine will be given prior to discharge today."
The first dose of hepatitis B vaccine
