Question: The neonatal nurse assesses newborns for iron-deficiency anemia. Which newborn is at highest risk for this disorder?
Answer Choices:
A preterm newborn
A post-term newborn
A newborn term with jaundice
A newborn born to a birth parent with diabetes
Answer: A — A preterm newborn
Question: Teaching parent about newborn sensory skills. What alerts to sensory deficit?
Answer Choices:
Eyes focus on near objects
Does not respond to loud noise
Eyes wander/crossed
More alert with stroking
Answer: B — The newborn does not respond to a loud noise.
Question: A 2-week-old newborn was crying vigorously 30 minutes after receiving 2 OZ of formula. The pediatric nurse assessed the newborn and everything seemed to be okay. Which of the following interventions will calm the baby down and promote trust?
Answer Choices:
• Cuddling
• Holding
• Rocking
• All the above
Answer: All the above
Question: A preschool-aged child refuses to play with other children and displays abnormal behavior. What intervention should the nurse implement?
Answer Choices:
Try to alleviate the parent concerns
Label the child as developmentally delayed
Advise the parent to bring the child to a Psychologist
Report the findings to the health care provider for further assessment
Answer: D — The nurse should report the findings to the health care provider for further assessment
Question 27:
A 6-month-old infant weighs 14.7 lbs (6.7 kg). Birth weight was 8 lbs. What is the priority nursing intervention?
Answer Options:
discussing feeding patterns.
discouraging daily fruit juice intake
talking about solid food consumption
increasing the number of breast-feedings
Correct Answer:
A — discussing feeding patterns.
Question 29:
Teaching parents of an 11-year-old about peer pressure and tobacco/alcohol. Best course of action?
Answer Options:
Hide alcohol out of reach
Discuss punishment
Forbid friends who smoke or drink
Avoid smoking or drinking in the house or in front of the child
Correct Answer:
D — Avoid smoking or drinking in the house or in front of the child.
Question: The nurse is caring for a 10-year-old child who is on a contact isolation room. When helping their parents to select activities for this child, the most appropriate recommendation by the nurse would be to:
Answer Choices:
• Reduce noise as much as possible.
• Put on a mask prior to entering the room.
• Discourage visitors from entering the room.
• Provide age-appropriate games to keep the child engaged.
Answer: Provide age-appropriate games to keep the child engaged.
Question: A parent calls the hospital nursing hotline and asks, “My 8-week-old infant cries 8 hours a day and is hard to console. Is this normal?” How should the nurse respond?
Answer Choices:
• “Let me ask you some more questions to see if there are symptoms of colic.”
• “Yes, infants cry all the time at that age.”
• “No, you should call your health care provider for an appointment.”
• “Yes, this is normal. Your infant may just be tired.”
Answer: “Let me ask you some more questions to see if there are symptoms of colic.”
Question: During a teaching session on breast feeding, a parent asked the nurse about the best time to feed a newborn. The nurse will be correct if she states which of the following answers?
Answer Choices:
• Hourly
• Every 4 hrs.
• 3 times per day
• On-demand
Answer: On-demand
Question: Which 4-month-old infant behavior requires referral?
Answer Choices:
reaches for nearby objects
unable to support their head
cannot sit without assistance
rolls from prone to supine position
Answer: B — unable to support their head
Question: Which of the following signs of socialization would the nurse expect to see when assessing a 2 month-old infant?
Answer Choices:
• Smiling at a mirror image
• Displaying social smile
• Exhibiting fear of strangers
• Offers objects to others to initiate interaction
Answer: Displaying social smile
Question: The nurse is preparing to administer an IM injection to an 11-month-old infant. Which of the following injection sites is the best site for the infant?
Answer Choices:
• Vastus Lateralis Muscles
• Ventrogluteal muscles
• Dorsogluteal Muscles
• None of the above
Answer: Vastus Lateralis Muscles
Question 25:
The parents of a 4-year-old child ask the nurse when their child will be able to differentiate right from wrong and develop morals. How will the nurse respond?
Answer Options:
• “The preschool-age child has no sense of right and wrong.”
• “The preschool-age child is developing a conscience.”
• “The preschool-age child sees morality as internal to self.”
• “The preschool-age child’s morals are their own, right or wrong.”
Correct Answer:
“The preschool-age child is developing a conscience.”
Question 28:
The nurse is assessing heart rate for children on the pediatric ward. What is a normal finding based on developmental age?
Answer Options:
• An infant’s rate is 100 bpm.
• A toddler’s rate is 150 bpm.
• A preschooler’s rate is 130 bpm.
• A school-age child’s rate is 50 bpm.
Correct Answer:
An infant’s rate is 100 bpm.
Question 34:
Which statement regarding atopic dermatitis (eczema) in the infant is most accurate?
Answer Options:
• It is easily cured.
• It is worse in humid climates.
• It is associated with upper respiratory tract infections.
• It is associated with allergy with a hereditary tendency.
Correct Answer:
It is associated with allergy with a hereditary tendency.
Question: Which is most important for family-centered care?
Answer Choices:
Provide structured visiting hours
Keep parents informed and educated
Encourage sibling participation
Limit parental presence during procedures
Answer: D — Keep parents informed and well educated on their child’s conditions.