KEY 400 QUESTIONS TEST BANK 2023-2024
LATEST PROCTORED EXAM EVALUATION
TEST GRADED A
A nurse on a pediatric unit is assisting the manager with preparing an education
program on working with families for a group of newly hired nurses. Which of the
following should the nurse include when discussing the developmental theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change - ANSWER>>Defines consistencies in
how families change
A nurse is assisting a group of guardians of adolescents to develop skills that will
improve communication within the family. The nurse hears one guardian state, "My son
knows he better do what I say." Which of the following parenting styles is the parent
exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive - ANSWER>>
A nurse is assisting with performing family data collection. Which of the following should
the nurse include?
A. Medical history
B. Parents' education level
C. Child's physical growth
D. Support systems
E. Stressors - ANSWER>>1. Medical history
2. Parents' education level
3. Support systems
4. Stressors
A nurse is preparing to examine a preschooler during a well-child visit. Which of the
following actions should the nurse take to prepare the child?
A. Allow the child to role-play using miniature equipment
B. Use medical terminology to describe what will happen
C. Separate the child from the caregiver during the examination
,D. Keep medical equipment visible to the child - ANSWER>>Allow the child to role-play
using miniature equipment
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of
the following findings should the nurse report to the provider?
A. Temperature 37.2 C (99.0 F)
B. Heart rate 106/min
C. Respirations 35/min
D. Blood pressure 88/54 mm Hg - ANSWER>>Respirations 35/min
A nurse is using an otoscope to examine a child's ears. Which of the following findings
should the nurse expect?
A. Light reflex is located at the 2 o-clock position
B. Tympanic membrane is red in color
C. Bony landmarks are not visible
D. Cerumen is present bilaterally - ANSWER>>Cerumen is present bilaterally
A nurse is collecting data from a 6 month old infant. Which of the following reflexes
should the nurse expect the infant to exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck - ANSWER>>Plantar grasp
A nurse is checking the trigeminal nerve of an adolescent client. Which of the following
responses should the expect? (select all that apply)
A. Clenching teeth together tightly
B. Recognizing sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down and in with the eyes - ANSWER>>1. Clenching teeth together tightly
2. Detecting facial touches with eyes closed
A nurse is assisting with collecting data from 12 month old infant during a well child visit.
Which of the following findings should the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% - ANSWER>>Birth weight doubled
,A nurse is collecting data during a developmental screening on a 10 month old infant.
Which of the fine motor skills should the nurse expect the infant to perform? (select all
that apply)
A. Grasp the rattle by the handle
B. Try building a two block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Walks with one hand held - ANSWER>>1. Grasp the rattle by the handle
2. Use a crude pincer grasp
A nurse is collecting data during a well-baby visit with a 4 month old infant. Which of the
following immunizations should the nurse plan to administer to the infant? (select all that
apply)
A. Measles, mumps, rubella (MMR)
B. Polio (IPV)
C. Pneumococcal vaccine (PCV)
D. Varicella
E. Rotavirus vaccine (RV) - ANSWER>>1. Polio (IPV)
2. Pneumococcal vaccine (PCV)
3. Rotavirus vaccine (RV)
A nurse is reinforcing teaching about when introducing new foods to the guardians of a
4 month old infant. The nurse should recommend that the caregiver introduce which of
the following foods first?
A. Strained yellow vegetables
B. Iron fortified cereals
C. Pureed fruits
D. Whole milk - ANSWER>>Iron fortified cereals
A nurse is reinforcing teaching about dental care and teething to the caregiver of a 9
month old infant. Which of the following statements by the caregiver suggests an
understanding of the teaching?
A. "I can give my baby a warm teething ring to relieve discomfort."
B. "I should clean my baby's teeth with a cool, wet wash cloth."
C. "I can give Advil for up to 5 days while my baby is teething."
D. "I should place diluted juice in the bottle my baby drinks while falling asleep." -
ANSWER>>"I should clean my baby's teeth with a cool, wet wash cloth."
A nurse is collecting data from a 2 1/2 year old toddler at a well child visit. Which of the
following findings should the nurse report to the provider?
A. Height increased by 7.5 cm (3 in) in the past year
, B. Head circumference exceeds chest circumference
C. Anterior and posterior fontanels are closed
D. Current weight equals four times the birth weight - ANSWER>>Head circumference
exceeds chest circumference
A nurse is assisting with a development screening on an 18 month old. Which of the
following skills should the toddler be able to perform? (Select all that apply)
A. Build a tower with six blocks
B. Throw a ball overhand
C. Walk up and down stairs
D. Stand on one foot for a few seconds
E. Use a spoon without rotation - ANSWER>>1. Throw a ball overhand
2. Use a spoon without rotation
A nurse is reinforcing teaching about growth and development characteristics to the
guardian on a 2 year old toddler. Which of the following statements by the guardian
indicates an understanding of the teaching?
A. "My child should be able to turn the pages of a book one a time."
B. "My child should be able to walk on their tiptoes for several steps."
C. "My child should be able to cut out an outline using scissors."
D. "My child should be able to put the toys away after using them." - ANSWER>>"My
child should be able to turn the pages of a book one a time."
A nurse providing anticipatory guidance to the adoptive parents of a toddler. Which of
the following information should the nurse include? (Select all that apply)
A. Develop food habits that will prevent dental caries
B. Meeting caloric needs results in an increased appetite
C. Expression of bedtime fears is common
D. Expect behaviors associated with negativism and ritualism
E. Annual screenings for phenylketonuria are important - ANSWER>>1. Develop food
habits that will prevent dental caries
2. Expression of bedtime fears is common
3. Expect behaviors associated with negativism and ritualism
A nurse is reinforcing teaching to the guardian of a preschooler about methods to
promote sleep. Which of the following statements by the guardian indicates an
understanding of the teaching?
A. "I will sleep in the bed with my child if she wakes up during the night."
B. "I will let my child stay up an additional 2 hours on weekend nights."
C. "I will let my child watch television for 3 minutes just before bedtime each night."
D. "I will keep a dim light on in my child's room during the night." - ANSWER>>"I will
keep a dim light on in my child's room during the night."