Custom: NUR 365 Fall 26 FK Exam 1

Question 2 of 50

Custom: NUR 365 Fall 26 FK Exam 1. A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?

• Unable to sit without support
• Unable to pull to a standing position
• Absence of pincer grasp
• Presence of Moro reflex

Question 3 of 50

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child’s vital signs?

• “Can I listen to your lungs?”
• “Can you stand very still while I feel how warm you are?”
• “I am going to listen to your heart.”
• “I am going to take your blood pressure now.”

Question 4 of 50

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client’s psychosocial needs according to Erikson?

• Vary the child’s schedule each day
• Encourage the client to complete school work
• Provide a daily session with a play therapist Custom: NUR 365 Fall 26 FK Exam 1
• Discourage visits from the client’s friends

Question 5 of 50

A nurse is teaching an AP about measuring a newborn’s respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute?

• “Newborns are abdominal breathers.”
• “Newborns have an irregular pattern of breathing.”
• “Newborns have a slow respiratory rate.”
• “Newborns breathe primarily through their mouth.”

Question 6 of 50

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child’s tympanic membrane?

• At the end
• At the beginning
• Before examining the head and neck
• Before auscultating the chest and abdomen

Question 7 of 50

A nurse is obtaining the length and weight of a 6-month-old infant. Which of the following actions should the nurse take? (Select all that apply.)

• Place a disposable covering on the scale.
• Weigh the infant in a diaper.
• Use a stadiometer to measure the infant.
• Measure the infant from crown of the head to the heels of feet.
• Zero the scale prior to use.

Question 8 of 50

A nurse is assessing a child in an area struck by an earthquake. The child, who is crying, walks well, can state his name, and repeatedly says “All done” and “Bye-bye” during the assessment. The child has 20 deciduous teeth and the anterior fontanelle is closed. Based on these observations, the nurse should estimate that the child’s age is:

• 12 months
• 18 months
• 24 months
• 36 months

Question 9 of 50

A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

• Furrowed brow
• Decreased respiratory rate
• Increased formula consumption
• Decreased heart rate

Question 10 of 50

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client’s history, the nurse should determine that which of the following is the priority risk factor for suicide completion?

• History of prior suicide attempt
• Family history of depression
• Poor academic performance
• Substance use disorder

Question 11 of 50

A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?

• The most rapid growth spurt occurs before other physical changes of puberty begin
• Puberty might be delayed if testicular changes have not occurred by the age of 14
• Testicular enlargement is the first sign of puberty.
• Gynecomastia commonly occurs during late puberty

Question 12 of 50

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse administer? (Select all that apply.)

• Diphtheria, tetanus, and acellular pertussis (DTaP)
• Measles, mumps, and rubella (MMR)
• Rotavirus (RV)
• Varicella (VAR)
• Hepatitis A (HepA)

Question 13 of 50

A nurse is caring for a 12-month-old who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the child?

• Large building blocks
• Crayons and a coloring book
• Modeling clay
• Pull toy

Question 14 of 50

A nurse is assessing a 6-month-old infant. Which of the following findings should the nurse report to the provider?

• Inability to pick up an object with her fingers
• Inability to sit without support
• Inability to turn from back to abdomen
• Inability to raise head when in prone position

Question 15 of 50

A nurse is assessing the psychosocial development of a toddler. The nurse should recognize that this stage is characterized by which of the following?

• Presence of imaginary playmates
• Erikson’s stage of initiative versus guilt
• Negative behaviors characterized by the need for autonomy
• Demonstrations of sexual curiosity

Question 16 of 50

A nurse is assessing an 8-month-old infant. Which of the following reflex findings should the nurse expect?

• Rooting reflex
• Plantar grasp reflex
• Moro reflex
• Negative plantar reflex

Question 17 of 50

A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson’s stages of psychosocial development in order from birth to adolescence:

• Trust vs. mistrust
• Autonomy vs. shame and doubt
• Initiative vs. guilt
• Industry vs. inferiority
• Identity vs. role confusion

Question 18 of 50

A nurse is preparing to examine the ear canal of a 2-year-old child. The nurse pulls the pinna down and back. The mother asks, “Why are you pulling the ear down?” Which of the following explanations should the nurse provide?

• “It helps straighten the ear canal to get a clearer view.”
• “It prevents discomfort during the examination.”
• “It opens the eardrum for better visualization.”
• “It decreases pressure in the inner ear.”

Question 19 of 50

A nurse is planning care for an adolescent who has a chronic illness and requires surgical intervention. Which of the following behaviors by the adolescent should the nurse anticipate because it is most common for this age group?

• Anxiety over changes in body image
• Feelings of displacement
• Fear of loss of control
• Loss of privacy

Question 20 of 50

A nurse is caring for a 4-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child’s plan of care? (Select all that apply.)

• Use restraints during painful procedures
• Have a parent stay with the child during procedures
• Allow the child to keep a favorite toy from home
• Perform procedures in a treatment room rather than the child’s bed
• Give detailed explanations before the procedure

Question 21 of 50

A nurse is providing health promotion teaching to an adolescent. Which of the following information should the nurse include?

• “You should obtain a tetanus booster every 10 years.”
• “You will need a flu vaccine once every 5 years.”
• “Physical activity is only necessary if you participate in sports.”
• “You should limit sleep to 6 hours per night.”

Question 22 of 50

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

• The toddler cannot turn a doorknob
• The toddler cannot build a tower of six to seven cubes
• The toddler cannot stand upright without support
• The toddler cannot jump with both feet

Question 23 of 50

A nurse is assessing the gross motor development of a preschool-age child. Which finding would be expected in a preschooler?

• Jumps with both feet
• Walks up and down stairs holding onto a railing
• Descends stairs while alternating feet without using the railing
• Skips on alternate feet and maintains good balance

Question 24 of 50

A nurse is preparing to measure an infant’s vital signs. The nurse should use which of the following sites to assess the pulse rate?

• Apical artery
• Radial artery
• Carotid artery Custom: NUR 365 Fall 26 FK Exam 1
• Brachial artery

Question 25 of 50

A nurse is teaching a parent of an 8-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

• “I can put the seat facing forward in the front passenger seat.”
• “I should be able to fit one finger between the harness and my baby’s chest.”
• “Our car seat can be installed at a 90-degree angle.”
• “I will place the car seat facing forward in the back seat.”

Question 26 of 50

A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take first?

• Ask the parents about the causes of the bruises
• Report to child protective services
• Separate the child from the parents
• Ask a psychiatrist to evaluate the family

Question 27 of 50

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

• Closed anterior fontanelle
• Presence of central incisors
• Sitting briefly with support
• Standing alone

Question 28 of 50

A nurse is caring for a 4-year-old child who has a new diagnosis of leukemia. Which of the following play activities should the nurse recognize as therapeutic in helping the child cope with hospitalization?

• A video game
• A medical play kit with doctor supplies
• Unstructured play in the playroom
• Watching television

Question 29 of 50

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

• 6 months
• 9 months
• 12 months
• 18 months

Question 30 of 50

A nurse is assessing a 3-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect?

• Walks backwards heel-to-toe
• Stands on one foot for a few seconds
• Has a vocabulary of 1,500 words
• Ties shoelaces independently

Question 31 of 50

A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

• Meningococcal conjugate vaccine (MCV4)
• Pneumococcal polysaccharide vaccine
• Haemophilus influenzae type b (Hib)
• Rotavirus vaccine

Question 32 of 50

A nurse is preparing to examine a 3-year-old child. Which approach by the nurse is appropriate?

• Allow the child to make simple choices during the assessment
• Perform the most invasive procedures first
• Give detailed explanations to help the child understand the purpose
• Ask the parents to leave the room during the exam

Question 33 of 50

A nurse is preparing to administer vaccines in the deltoid muscle of a preschooler. Which of the following actions should the nurse take?

• Use a 1.5-inch needle
• Insert the needle at a 45-degree angle
• Use a 5/8-inch to 1-inch needle
• Administer a volume up to 2.5 mL in the deltoid

Question 34 of 50

A nurse is teaching the parents of a toddler about temper tantrums. Which of the following statements should the nurse include in the teaching?

• “You should seek a psychological consult for temper tantrums.”
• “Tantrums are a sign of emotional instability.”
• “Ensure the child’s safety while ignoring the behavior.”
• “Temper tantrums are a form of rebellion that requires immediate isolation.”

Question 35 of 50

A nurse is preparing to assist with applying a cast to a preschooler’s arm. Which of the following actions should the nurse take?

• Place a heated fan at the bedside to facilitate drying
• Support the casted arm with a firm grasp Custom: NUR 365 Fall 26 FK Exam 1
• Wrap the arm of the child’s doll or toy prior to the procedure
• Tell the child, “This will make your arm feel better.”

Question 36 of 50

A nurse is preparing to administer a vaccine to a 4-year-old child. Which of the following vaccines should the nurse administer?

• Meningococcal (MCV4)
• Haemophilus influenzae type b (Hib)
• Hepatitis B (HepB)
• Varicella (VAR)

Question 37 of 50

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closet at bedtime. Which of the following statements should the nurse make?

• “Stay with your child until the child is asleep.”
• “Keep a night light on in your child’s room.”
• “Let your child sleep in your bed with you.”
• “Tell your child that monsters are not real.”

Question 38 of 50

A nurse is teaching new parents the proper way to use an infant safety seat. Which of the following should indicate to the nurse a need for further teaching?

• “We will need to go by the weight and height of the child when deciding to change to a booster seat.”
• “My baby will be able to see me from their car seat.”
• “I will avoid large thick outfits so I can use the harness to secure her in the car seat.”
• “I will place the infant safety seat in the middle of the back seat, away from the windows.”

Question 39 of 50

A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS). Which of the following statements should indicate to the nurse the need for additional teaching?

• “We will remove blankets and toys from the crib.”
• “Our baby will sleep in our bed because I am breastfeeding.”
• “We will place my baby on her back when sleeping.”
• “We will give my baby a pacifier during naps and at bedtime.”

Question 40 of 50

A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend?

• Grapes
• Bananas
• Celery
• Raw carrots

Question 41 of 50

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

• “Sometimes my child acts bossy with his friends.”
• “The teacher says my child has to squint to see the board.”
• “My child has recently lost both front top teeth.”
• “My child often cheats when we play board games.”

Question 42 of 50

A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?

• “Your baby should receive the measles, mumps, rubella vaccine at 6 months.”
• “Your baby should receive the pneumococcal conjugate vaccine on his first birthday.”
• “Your baby will receive the first diphtheria, tetanus, pertussis vaccine at the 2 week well-baby visit.”
• “Your baby will receive a hepatitis B vaccine prior to discharge.”

Question 43 of 50

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

• Respiratory rate
• Skin integrity
• Body weight
• Blood pressure

Question 44 of 50

A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant’s pain level?

• Oucher
• Visual Analog Scale
• FACES
• FLACC

Question 45 of 50

A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)

• Serve food in small, non-circular pieces.
• Set the water heater at 65.6° C (150° F).
• Tie plastic bags in knots before discarding them.
• Install accordion style gates.
• Fit the mattress so that it is snug against the sides of the crib.

Question 46 of 50

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

• Controls impulsive feelings
• Expresses need for privacy
• Participates in imaginary play
• Builds a collection of cards

Question 47 of 50

A nurse is bathing a 14 month old and notices that she has several bruises. Which of the following actions should the nurse take first?

• Notify the provider
• Ask the parents what caused the bruises.
• Ask the toddler what caused the bruises
• Notify social services

Question 48 of 50

A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?

• The child has a cough and a temperature of 37.7° C (99.9° F).
• The child is currently taking antibiotics for otitis media.
• The child’s temperature after the last set of immunizations was 38.3° C (101° F).
• The child has a congenital immunodeficiency.

Question 49 of 50

A nurse is inspecting the skin of a toddler. Which of the following findings should the nurse report to the provider?

• Congenital dermal melanocytosis spot across the buttocks
• Ecchymotic area on the abdomen
• Presence of fine hair on the lower arms and legs
• Telangiectatic nevi on the back of the neck

Question 50 of 50

A nurse is obtaining vital signs from 2-month-old infant. The infant’s heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant’s heart is beating so fast. Which of the following responses by the nurse is appropriate?

• “The fever is causing an increase in your baby’s heart rate.”
• “Your baby’s heart is beating fast in an attempt to cool down his body.”
• “This is within the expected range for your baby.”
• “As your baby begins to fall asleep, his heart rate will decrease.”