Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
6-month-old infant.A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?
Correct answer
A
Rationale
The correct answer is A: Increased crying episodes. Infants often communicate pain through increased crying. This is the most reliable indicator of pain in non-verbal infants. Decreased respiratory rate (B) and heart rate (C) are not typical signs of pain and may actually indicate distress. Increased formula consumption (D) is unlikely to indicate pain as infants may seek comfort through feeding.