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ATI LPN · Pediatrics Nursing · NCLEX Pediatrics Questions Growth and Development

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

An infant age 4 months comes to the clinic for a well-infant check-up. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations include which of the following?

A. DTaP and IPV can be safely given.

B. DTaP and IPV are contraindicated because she has a cold.

C. IPV is contraindicated because her sister is immunocompromised.

D. DTaP and IPV are contraindicated because her sister is immunocompromised.

Expert Explanatory Rationale

Correct Answer: DTaP and IPV can be safely given.

Question 2 of 5

The nurse attends a conference about pain management. The nurse correctly relates that which of the following age groups can rate pain with use of the Wong-Baker pain faces system?

A. 9-12 years

B. 1-2 years

C. 2-4 months

D. 36-48 months

Expert Explanatory Rationale

Correct Answer: 36-48 months

Question 3 of 5

What is the earliest age at which an infant is able to sit steadily alone?

A. 4 months

B. 5 months

C. 8 months

D. 15 months

Expert Explanatory Rationale

Correct Answer: 8 months

Question 4 of 5

The nurse instructs the mother of an infant about infant safety factors. The nurse would assess the need for further instruction if the caregiver states:

A. I will place my infant on her back for sleep.'

B. I will place my infant in a car seat when driving.'

C. I will not leave my infant alone in a house or a car.'

D. I will place my infant on her stomach for sleep.'

Expert Explanatory Rationale

Correct Answer: I will place my infant on her stomach for sleep.'

Question 5 of 5

A recently hospitalized 2-year old client screams and shouts that he wants a 'bottle.' His parents are puzzled, and state that he has been drinking from a cup for the past year. The nurse explains that:

A. Irritability is exhibited in all age groups

B. Temper tantrums often represent the child's need for parental attention

C. Various forms of punishment are necessary when such behaviors occur

D. Regression to an earlier behavior often helps the child cope with stress and anxiety

Expert Explanatory Rationale

Correct Answer: Regression to an earlier behavior often helps the child cope with stress and anxiety

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