MCN 374 EXAM 1 ACTUAL EXAM 100 QUESTIONS
AND CORRECT ANSWERS|ALREADY GRADED
A+(LATEST 2023-2024)
- 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: - “At 6 months, his weight should be approximately three times his birth weight.”
- “Each child gains weight at his or her own pace.”
- “At 6 months, his weight should be approximately twice his birth weight.”
- “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.” - How can the nurse best facilitate the trust relationship between infant and
parents while the infant is hospitalized? The nurse should: - Encourage the parents to remain at their child’s bedside as much as possible.
- Keep parents informed about all aspects of their child’s condition.
- Encourage the parents to hold their child as much as possible.
- 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.
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. - “I will continue to breastfeed my son and will give him oatmeal cereal two times
a day.” - “I will start my son on fruits and gradually introduce vegetables.”
- “I will start my son on carrots and will introduce one new vegetable every few
days.” - “I will not give my son any more than 4 to 6 ounces of baby juice per day.”
- “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.” - “I will not give my son any more than 4 to 6 ounces of baby juice per day.”
- “I will make sure my son gets cereal three times a day.
- Which statement accurately describes the best method for assessing a 12-monthold?
- The nurse should assess the child on the examining table.
- The nurse should assess the child in a head-to-toe sequence.
- The nurse should have the child ‘ s parent assist in holding her down.
- 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? - “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.” - “My baby will need to have iron supplements introduced when she is 4 months
old.” - “I will need to add iron supplements to my baby ‘ s diet when she is 2 months
old.” - “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: - “I will let the doctor know, and he will talk with you about possible causes of
your infant ‘ s weight loss.” - “A weight loss of a few ounces is common among newborns, especially for
breastfeeding mothers.” - “I can tell you are a first-time mother. Don ‘ t worry; we will fi nd out why she is
losing weight.” - “Maybe she isn’t ‘ 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.”
- Which toy is the best choice for a 12-month-old?
- Baby doll.
- Musical rattle.
- Board book.
- 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.
also 12 month old can grasp object - Which finding would the nurse consider abnormal when performing a physical
assessment on a 6-month-old? - Posterior fontanel is open.
- Anterior fontanel is open.
- Beginning signs of tooth eruption.
- Able to track and follow objects. – ANSWER- 1. Posterior fontanel is open.
The posterior fontanel should close
between 6 and 8 weeks of age. - Which should the nurse teach the parents is one of the most common causes of
injury and death for a 9-month-old infant? - Poisoning.
- Child abuse.
- Aspiration.
- Dog bites. – ANSWER- 3. Aspiration.
- An 8-day-old was admitted to the hospital with vomiting and dehydration. The
newborn ‘ s heart rate is 170, respiratory rate is 44, blood pressure is 85/52, and
temperature is 99°F (37.2°C). What is the nurse’s best response to the parents who
ask if the vital signs are normal? - “The blood pressure is elevated, but the other vital signs are within normal
limits.” - “The temperature is elevated, but the other vital signs are within normal limits.”
- “The respiratory rate is elevated, but the other vital signs are within normal
limits.” - “The heart rate is elevated, but the other vital signs are within normal limits.” –
ANSWER- 4. “The heart rate is elevated, but the other vital signs are within
normal limits.”
A normal heart rate for a child from birth
to 1 month is 90 to 160. - The nurse is using the FLACC scale to rate the pain level in a 9-month-old.
Which is the nurse’s best response to the father’s question of what the FLACC scale
is? - “It estimates a child ‘ s level of pain utilizing vital sign information.”
- “It estimates a child ‘ s level of pain based on parents perception.”
- “It estimates a child ‘ s level of pain utilizing behavioral and physical responses.”
- “It estimates a child ‘ s level of pain utilizing a numeric scale from 0 to 5.” –
ANSWER- 3. “It estimates a child ‘ s level of pain utilizing behavioral and physical
responses.”
The FLACC scale utilizes behavioral
and physical responses of the child to
measure the child ‘ s level of pain. The
scale utilizes facial expression, leg
position, activity, intensity of cry, and
level of consolability. - A 12-month-old boy weighed 8 lb 2 oz at birth. Understanding developmental
milestones, what should the nurse caring for the child expect the current weight to
be? - 16 lb 4 oz
- 20 lb 5 oz
- 24 lb 6 oz
- 32 lb 8 oz – ANSWER- 3. 24 lb 6 oz
Children should triple their birth weight
by 12 months of age. - The nurse is assessing the pain level in an infant who just had surgery. The
infant’s parent asks which vital sign changes are expected in a child experiencing
pain. The nurse’s best response is: - “We expect to see a child ‘ s heart rate decrease and respiratory rate increase.”
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