Milestones NCLEX questions

Milestones NCLEX questions

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• You're assessing a 10-month-old infant. You note on

examination the anterior fontanelle is open. The nurse

will:*

• Document this as an abnormal finding because this

fontanelle should close at 2 months

• Document this as a normal finding because this

fontanelle closes at about 18 months

• Document this as a normal finding because this

fontanelle closes at about 12 months

• Document this as an abnormal finding because this

fontanelle should close at 6 months

• Document this as a normal finding because this fontanelle closes at about 18

months

• An infant weighed 8 lbs. at birth. How many lbs. should

the infant weigh at 6 months?*

• 24 lbs o
• 10 lbs o
• 16 lbs
• 32 lbs
• 16 lbs
• An infant was 21 inches at birth. How many inches

should the infant be at 6 months?*

• 30-36 inches
• 24-27 inches
• 23-25 inches
• 22-24 inches
• 24-27 inches

• During an assessment of a 10-month-old infant, you

note on the infant's gum line two teeth that have erupted.These are the only teeth present in the infant's mouth.These teeth are known as the?* oA.Lower central incisors

• Upper central incisors
• Lateral incisors
• Canine

oA.Lower central incisors

• You're assessing a 2-month-old infant. Which finding

below is a normal milestone that should be reached by this infant at this age?*

• The infant can sit up with support.
• The infant holds a rattle.
• The infant smiles at its parent.
• The infant is afraid of strangers.
• The infant smiles at its parent.

At what age would you educate the parents of an infant to stop swaddling the infant because the infant will be able to roll over onto its tummy?*

• 2 months
• 4 month
• 6 months
• 10 months
• 4 month

At 8-9 months of age, what milestone should an infant be able to successfully perform?*

• Begin walking
• Say several words like mama or dada o
• sit without support
• Follow basic commands
• sit without support
• A 6.5-month-old is hospitalized. What nursing

intervention will you include in their plan of care?*

• Separate the infant and parent during procedures
• Maintain the infant's daily rituals and routines
• Allow the infant to examine equipment before usage
• Maintain the same nursing staff during each shift
• Maintain the same nursing staff during each shift
• You note a 10-month-old is using the pincer grasp.

Which option below best describes this milestone?*

• The infant is able to grasp large objects with the

palm and forefingers.

• The infant is able to grasp small objects with the

index finger and thumb.

• The infant is able to grasp small and large objects

with the middle finger and thumb.

• The infant is able to grasp large objects with the

palm and thumb.

• The infant is able to grasp small objects with the index finger and

thumb.

• You're developing a plan of care for an infant and you

include activities for play. The play activities include hiding a toy and letting the infant look for it along with playing peek-a-boo. Which infant below would best benefit from this type of play?*

• 6-month-old
• 2-month-old
• 9-month-old
• 4-month-old
• 9-month-old
• A 12-month-old arrives to the health clinic for a well

visit. You're assessing the infant's developmental milestones. Select below all the milestones the child should be able to perform?*

• Rides a tricycle
• Draws a triangle
• Pulls to a standing position and can take a few steps
• Follows simple commands like "wave bye-bye"
• Puts objects in a container
• Hits two small wooden blocks together
• says 2-3 word sentences
• Pulls to a standing position and can take a few steps
• Follows simple commands like "wave bye-bye"
• Puts objects in a container
• Hits two small wooden blocks together
• Your patient is 5-months-old. Which developmental

milestone, if not performed by the infant, should be further investigated?*

• Crawling

oB. Rolling over from back to tummy

• Using the pincer grasp
• Sitting without support

oB. Rolling over from back to tummy

• You're teaching a new mom of a 1-week-old infant on

how to prevent SIDS (Sudden Infant Death Syndrome).Which statement by the parent requires you to re- educate the parent on this topic?*

• "The best sleeping position for the baby is on their

side or tummy".

• "It's okay to share the same room with the baby."
• "I will stop swaddling the baby once he can roll over

onto his tummy".

• "I will be sure to remove extra blankets and toys from

the baby's bed."

• "The best sleeping position for the baby is on their side or tummy".
• You're helping develop a meal plan for a 10-month-

old. Which foods will you select to be part of the meal

plan? Select all that apply:*

• Mashed potatoes
• Grapes
• Soup
• Toast with honey
• Mashed potatoes
• Soup

• You're educating a group of parents about car seat

safety. A participant asks about the best position of a car

seat for a 6-month-old. Your response is:*

• Forward-facing and back seat
• Forward-facing and front seat
• Rear-facing and front seat
• Rear-facing and back seat
• Rear-facing and back seat
• You're providing care to a 1-month-old infant who is

hospitalized. The parents are unable to be at the bedside.The infant is crying. Select appropriate nursing

interventions for this infant:*

• Let the infant play with crib mobiles
• Swaddle the infant
• Attempt to play peek-a-boo with the infant
• Rock the infant
• Distract the infant with a toy
• Swaddle the infant
• Rock the infant
• Your patient is 6-months-old. According to Erickson's

Stage of Development, this patient is in what stage?*

• Autonomy vs. Shame & Doubt
• Trust vs. Mistrust
• Initiative vs. Guilt
• Identity vs. Role Confusion
• Trust vs. Mistrust
• A 3-week-old infant is exclusively breast fed. What will

you include in the patient education to the mother during this clinic visit?*

• Introduce solid foods around 3-4 months of age along

with breast feeding.

• The infant needs to be supplemented with Vitamin D

(400 IU) daily.

• Cow's milk may be substituted for breast milk around 6

months.

• Breast feeding is only recommended for the first 4

months of life

• The infant needs to be supplemented with Vitamin D (400 IU) daily.
• A 2-year-old weighed 7 lbs. at birth. How much should

the child weigh now?*

• 14 lbs.
• 28 lbs.
• 21 lbs.
• 36 lbs.
• 28 lbs.

● 2. You're assessing the height of a 24-month-old. The child is 34 inches. Based on this measurement, what is an estimated adult height for this child?*

• 6 feet 2 inches
• 5 feet and 8 inches
• 5 feet 2 inches
• 6 feet
• 5 feet and 8 inches