Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is assessing a female child in an area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "All done" and "Go bye-bye” now during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old?
A. 24
None
B. 12
None
C. 18
None
D. 30
This question is an excerpt from Nurse Dive's nursing test bank - Paediatrics ATI Proctored Exam. Take the full exam now
Full Explanation
Walking Well: The ability to walk well typically develops around 12 to 15 months. Since the child walks well, we can consider her closer to this age range.
Stating first name: By 24-30 months, most children can identify themselves by name.
Repeating Phrases (“All done” and “Go bye-bye”): Repeating phrases is common around 15 to 18 months. The child’s language development aligns with this stage.
24 Deciduous Teeth: By the age of 2 to 3 years, children typically have all 20 deciduous (baby) teeth. Since this child has 24 deciduous teeth, she is likely closer to the 2-year-old mark.
Closed Anterior Fontanel: The anterior fontanel (soft spot on the baby’s head) usually closes by 18 months. The fact that it is closed indicates that the child is beyond this age.
Child is most likely 30 months old.
Similar Questions
A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
A. "The car seat is rear facing in the front passenger seat
B. "Our car seat is front-facing in the back seat."
C. "I can fit my hand between the baby and the car seat harness”
D. "Our car seat is an infant model and is anchored in the car”
Using an infant model car seat that is properly anchored in the car is the recommended practice for a 6-month-old infant. Rear-facing positioning in the back seat is also the safest option for infants to protect them in the event of a collision. Ensuring that the harness is snug and there is no space between the baby and the car seat harness is also important for optimal safety.
Full Explanation
Using an infant model car seat that is properly anchored in the car is the recommended practice for a 6-month-old infant. Rear-facing positioning in the back seat is also the safest option for infants to protect them in the event of a collision. Ensuring that the harness is snug and there is no space between the baby and the car seat harness is also important for optimal safety.
Which nursing action would help foster a hospitalized 3-year-old's sense of autonomy?
A. Let the child choose what time to take the oral antibiotics
B. Allow the child to have a doll for medical play
Allowing the child to have a doll for medical play would help foster their sense of autonomy. This allows the child to take on a role of authority and control in a familiar context, promoting a sense of independence and decision-making.
C. Let the child watch age appropriate videos
D. Allow the child to administer her own dose of Cephalexin (keflex) wa oral syringe
Full Explanation
Allowing the child to have a doll for medical play would help foster their sense of autonomy. This allows the child to take on a role of authority and control in a familiar context, promoting a sense of independence and decision-making.
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?
A. 6 months
Birth weight typically doubles by 6 months of age.
B. 12 months
C. 3 months
D. Months
Full Explanation
Birth weight typically doubles by 6 months of age.