NSG311 - EXAM 2 NEWEST ACTUAL EXAM COMPLETE 150 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
A nurse is assessing a 6-month-old infant. The guardian reports that the infant
does not appear interested in the brightly colored mobile hanging above the crib
at home. Which of the following techniques should the nurse use to check the
infant's visual acuity?
A. Shine a penlight briefly into the left eye and then the right eye.
B. Move a brightly colored toy from side to side in front of the infant's face.
C. Ask the guardian to sit in front of the infant and nod his head up and down.
D. Observe the infant's ability to grasp the feet and pull them up to the mouth.
B. Move a brightly colored toy from side to side in front of the infant's face.
A nurse is conducting a health assessment for a 24-month-old toddler at the local
health department. The nurse should expect which of the following findings?
(Select all that apply.)
A. 8 deciduous teeth
B. Ability to build a tower of 6 blocks
C. Vocabulary of 10-20 words
D. Slightly bowed or curved leg appearance
E. Head circumference greater than chest circumference
B. Ability to build a tower of 6 blocks.
D. Slightly bowed or curved leg appearance.
A nurse is performing a well-child assessment on a 4-year old child. Which of the
following findings should the nurse expect?
A. The child is able to hop on 1 foot.
B. The child is able to build a tower of up to 6 blocks.
1|Page
, NSG311 - Exam 2 NEWEST ACTUAL EXAM
C. The child is able to name the days of the week.
D. The child is able to identify left and right.
A. The child is able to hop on 1 foot.
A nurse is performing a physical assessment on a 6-month-old infant. Which of the
following reflexes should the nurse expect to find?
A. Stepping
B. Babinski
C. Extrusion
D. Moro
B. Babinski.
A nurse is performing a physical assessment on a 12-month-old infant. Which of
the following findings should the nurse report to the provider?
A. The infant's current weight is double his birth weight.
B. The infant's posterior fontanel is closed.
C. The infant is unable to walk without support.
D. A total of 6 teeth are present.
A. The infant's current weight is double his birth weight.
A nurse is performing an annual physical assessment of a preschooler. The parent
expresses concern about the child's 1.8 kg (4 lb) weight gain over the past year.
Which of the following responses should the nurse make?
A. "This amount of weight gain could likely indicate a serious problem."
B. "This weight change seems to be the result of poor eating habits."
C. "Your child should have gained double this amount in a year."
D. "Your child's weight change is expected for this age group."
D. "Your child's weight change is expected for this age group."
2|Page
, NSG311 - Exam 2 NEWEST ACTUAL EXAM
A nurse is assessing the vital signs of a 1-month-old infant. Which of the following
actions should the nurse perform?
A. Use a cuff to auscultate blood pressure
B. Determine heart rate by taking the radial pulse
C. Count respirations before taking other vital signs
D. Measure temperature by playing the thermometer in the infant's ear
C. Count respirations before taking other vital signs.
A nurse is assessing a 12-month-old male infant's vital signs during a well-child
visit. The infant is in the 90th percentile for height. Which of the following findings
should the nurse report to the provider?
A. Heart rate 175/min
B. Respiratory rate 26/min
C. Blood pressure 88/40 mmHg
D. Temperature 37.6 degrees celsius
A. Heart rate 175/min.
A nurse is assessing an 18-month-old infant who is postoperative. Which of the
following pain scales should the nurse use?
A. FACES
B. CRIES
C. FLACC
D. PIPP
C. FLACC.
A nurse in a provider's office enters an examination room to assess an 8-month-
old infant for the first time. Which of the following reactions by the infant should
the nurse expect?
A. The infant gives the nurse a social smile
3|Page
, NSG311 - Exam 2 NEWEST ACTUAL EXAM
B. The infant turns away when the nurse approaches
C. The infant reaches out to the nurse to be held
D. The infant is responsive and alert as the nurse comes closer
B. The infant turns away when the nurse approaches.
A nurse is preparing to administer acetaminophen 240 mg PO daily to a child who
has a temperature of 38.9 degrees. The amount available is acetaminophen oral
solution 160 mg/5mL. How many mL should the nurse administer per dose?
7.5mL.
The nurse examines a 3-year-old girl in a health maintenance setting. What is the
first question the nurse would ask her mother?
A. "Has your daughter been ill in the past?"
B. "Do you have any concerns about your daughter?"
C. "Is your daughter ill in any way?"
D. "Tell me about your daughter."
D. "Tell me about your daughter."
Which technique would you begin with to assess a child's abdomen?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation
B. Inspection.
The nurse is preparing to measure the head circumference of a 6-month-old child.
How should the nurse make this measurement?
A. From the hairline in front to the hairline in the back.
B. From the center of the forehead to the base of the occiput.
4|Page