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1. Which of the following is the benchmark of

development indicating that the child is

developing normally?

C. Developmental milestones

2. An infant responds to abdominal pain by flailing the extremities; while a child

responds by guarding the abdomen. The example shows which pattem or principle of growth and development?

C. General to specific

3. In the embryo, the trachea develops first,

followed by the outward development of the

bronchial tree. The example shows which

pattern or principle of growth and

development?

A. Proximodistal

4. A toddler uses two-word sentences; a

preschooler tells stories. The example

shows which pattern or principle of growth

and development?

D. Simple to complex

5. The infant can lift the head before being

able to lift the trunk. The example shows

which pattern or principle of growth and

development?

B. Cephalocaudal

6. The term growth and development used

in changeability. To which of the following

does development refer?

7. A chlid's temperament makes the child

easy to care for. The child's characteristics

probably include:

7. A chlid's temperament makes the child

easy to care for. The child's characteristics

probably include:

D. long attention span, high level of

persistence.

8. During a home visit, the nurse determines

that a toddler has a difficult temperament.

What did the nurse observe in this toddler?

Select all that apply.

1. Rhythmic

2 Withdrawing

3. Intense mood

4. Negative mood

5. Minimal adaptability

D 2,3,4,5

9. When planning care for children, the

nurse knows that which factor has the

largest impact but is not able to be altered

to influence the growth and development of

children?

B. genetics

10. When the nurse examines a toddler, she

suggests to his mother that the activity that

could most appropriately foster his

developmental task according to Erikson

would be to:

C. Allow him to pull a talking-duck toy.

11. Which activity will the nurse encourage

a new parent to perform to foster the

developmental toddler according to

Erikson's developmental stages?

D. Allow the child to choose a dress from

two options.

12. During a home visit, nurse observes an

8-year-old child pick up toys and places

them in the toy box. The child then looks to

the mother who says, "Thank you for

helping me." Which stage of Kohibengs

moral development is this child

demonstrating

D. Interpersonal retations of mutuality

13. Kim and her daughter Jane wen to

grocery shopping to only buy essential

things needed at home. As they went along

the different sections of the store, Jane saw

a limited-edition Barbie doll, She is tempted

to get it but decides not to grab it for fear of

being slapped. This behavior of Jane is

considered to be in what stage of Kohlberg's

Moral Development?

A. Preconventional Stage 1:

Punishment/Obedience Orientation

14. Gaining more understanding by asking

questions is a preschoolers way of learning.

According to Piaget this is what we call:

C. Intuitive thinking

15. Development of the ability of an

individual to distinguish right from wrong

and to develop ethical values on which to

base his or her actions is termed:

A.Moral Development

16. During which stage of cognitive

development does the individual's thinking

move to abstract and theoretical subjects

and possibly venture into such topics as

achieving world peace, finding justice, and

seeking meaning in life?

C. Formal Operations

17. The BEST way for an infant's parent to

help the child complete Erikson's

developmental task of the first year is to:

A. respond to the infant consistently.

18. An infant is breastfed. When assessing

the stools, which findings would be typical?

C. Less constipation than bottle-fed

infants

19. Which milestone would the nurse expect

an infant to accomplish by 8 months of age?

B. Sitting without support

20. The parent of an infant asks the nurse

when to begin brushing the infant's teeth.

What would be the nurse's best response?

C. as soon as the first tooth erupts

21. Which of the following is the significant

individual to a 3-month-old infant?

D. Primary Caregiver

22. Which of the following is the fear

experienced by an 8 month-old infant?

B. Stranger Anxiety

23. At which age does the infant say two

words like da-da, ma-ma?

D. 12 months

24. A mother noticed that the child smile in

response to social interactions and start to

roll over from front to back. Student nurse

Matthew is aware that the infant is at what

age?

C. 5-6 months

25. Student Nurse Andrea is taking good

care of a 10-month-old infant. Which of the

following is a typical gross motor skills

milestone achieved at this age?

B. Pulling to stand

26. Which developmental milestone is

typically observed around 12 months?

D. Walking with assistance

27. A clinic nurse assesses the

communication patterns of a 5-month-old

infant. The nurse determines that the infant

is demonstrating the highest level of

developmental achievement expected if the

infant:

D. Say some simple words (e.g.

"goo-goo", "gah-gah")

28. The mother of several children is

amazed that the youngest male child

achieved toilet training much earlier than the

other children. What should the nurse

explain as the reason for this early

development?

B. "He learned by watching your other

children."

29. The nurse had instructed a mother on

the importance of providing a toddler with a

balanced diet. Which observation during a

home visit indicates that instruction has

been effective?

B. The mother prepares a scrambled egg

for the toddler's breakfast.

30. Which of the following is the fear

experienced by a 3-year-old child?

C. Separation Anxiety

31. A student nurse Caryll is evaluating the

developmental level of a 2-year-old. Which

of the following does the nurse expect to

observe in this child?

B. Uses a cup to drink.

32. The mother of a 3-year-old is concerned

because her child still is insisting on a bottle

at nap time at bedtime. Which of the

following is the most appropriate suggestion

to the mother?

D. Allow the bottle if it contains water.

33. What advice should the nursie provide

the parent of a toddler, regarding how to

handle temper

A. Appear to ignore the toddler.

34. A parent tells the nurse that no matter

what is asked of the toddler, the toddler

says, "No." What suggestion might the

nurse make to help the parent handle this

situation?

C. Making a statement instead of asking

a question

35. The nurse sees a 15-month-old at a

health maintenance visit. Of the following

assessments, which one is generally

included in a 15-month checkup?

D. Height and weight measurements

36. A nurse is providing guidance to the

parents of a toddler about way to help the

child to achieve the developmental task of

autonomy. The nurse determines that the

teaching was successful based on which

parental statement?

A. "We'll let our child pick from two

choices for what to wear."

37. The nurse had instructed the family of a

toddler on home safety during a previous

visit. During this current visit, what

observation indicates that instruction has

been effective?

D. All windows in the home have locked

screens.

38. The parent of a toddler observes the

child play next to another child but not with

the child. What should the nurse explain to

the parent about this type of play behavior?

B. This is parallel play and is expected.

39. The parents of a toddler worries that

their child is always leaving food on his

plate. What should the nurse tell the

parents?

A. Place small amounts of food on the

child’s plate

40. The home health nurse is visiting a 2

year old client’s home. Which finding will

cause the nurse to intervene?

B The toddler goes to the bathroom

alone to urinate

41. If a toileting accident happens while you

are teaching your child, you should

C. Tell your child it was an accident

and move on.

42. During the preschool years, female

children may develop a strong attachment

to their fathers. What is this attachment

called?

B. Electra complex

43. When planning how to respond to a

4-year-old child about telling stories ("tall

tales"), the nurse would base the statement

on the fact that:

A. imagination in a 4-year-old is at

its peak.

44. The nurse is identifying outcomes for a

family with a preschool-age child who has

broken fluency. Which initial outcome would

be the most appropriate?

A. The parents will listen and will not

interrupt the child's broken

fluency.

45. The nurse is helping parents enhance

the developmental task of initiative in their

press. Which activity would the nurse

suggest the parents implement?

D. Provide the child with clothes that

snap rather than button.

46. The parents are concerned because the

child refuses to do anything without the

friend’s help. Which nursing diagnosis is

appropriate to the family?

C. Parental anxiety related to lack of

understanding of childhood

development

47. Measurements appropriate for a 4 year

old

D. Height and weight

48. When assessing the growth and

development of a 4 year old, which would

the nurse note as being appropriate?

C. Tells a fantasy story about a bear and

a car

49. The parents of a 4-year-old ask the

nurse, "We want to use time-out to help

discipline our child. But we're not sure how

long we should keep our child in time-out?

Which response by the nurse would be

appropriate?

C. "Keep the time to about 4 minutes."

50. After administering an I.M. injection to a

preschooler, which of the following is the

primary reason for a nurse to apply

adhesive bandage to the site?

C. Children are afraid that they will leak

from the "hole".

51. On physical examination, the nurse

discovers that a 5-year-old child's palatine

tonsils are some enlarged in the back of the

throat. What would be the nurse's best

action?

C. Record this as a normal finding in a

preschool child.

52. How many words can a typical

preschool child’s vocabulary — by age 5?

C. 2,100-2,500 words

53. What is the appropriate play of a 11 year

old boy?

D. Competitive

54. To assess a 9 year old’s social

development, the nurse asks the parent if

the child:

C. Has a best friend of same sex

55. The nurse is talking with a mother of a

6-year-old child who says, "I'm really

concerned because my child seems really

stressed and has been biting the fingernails

since beginning the first grade What can I

do?" Which response by the nurse would be

appropriate?

D. "Allow some time every day for your

child to talk about things."

56. A 9-year-old girl tells the nurse about

belonging to a girls' social media club. How

does belonging to this group support the

child's development?

A. fulfills peer group needs

57. The nurse is discussing home safety

with the parents of a 10-year-old client.

Which statement by the client's parents

MOST concern the nurse?

57. The nurse is discussing home safety

with the parents of a 10-year-old client.

Which statement by the client's parents

MOST concern the nurse?

58. Which of the following physical

development typically occurs in school-age

children?

C. Loss of baby teeth and growth of

permanent teeth.

C. Loss of baby teeth and growth of

permanent teeth.

C. Rapid growth spurts similar to

infancy.

60. Which of the following is typical during

school-age years?

C. Begin to engage in structured team

sports

61. Which of the following gross motor skills

is often developed by school-age children?

B. Riding a bicycle

62. Which emotional development milestone

is expected in school-age children?

A Forming strong peer relationships

63. What social development skill is

characteristic of school-age children?

D. Understanding and following social

rules

64. Which of the developmental stages

defined by Freud is a time of turbulence

during which earlier sexual reawaken and

are directed to an individual outside the

family circle?

B. Genital

65. Which of the following options best

reflect the moral developmental milestone of

an adolescent?

D. Adolescents are capable of abstract

thought, internalizing standards of

conduct.

92. The nurse has written a nursing

diagnosis for a patient's care. Which of the

following is a correctly stated nursing

diagnosis

C. Impaired bowel elimination caused by

long-term laxative use

93. The nurse is making inferences about

patterns of data collected from a patient. In

which step of the nursing process is the

nurse currently working?

B. Nursing Diagnosis

94. The nurse is considering an actual

nursing diagnosis for a patient. An actual

nursing diagnosis category can be applied

when?

D. Signs and symptoms are identified

that define an existing problem.

95. The nurse is creating a nursing

diagnosis but is being confused by the

medical staff. Which of the following is a

nursing diagnosis?

C. Ineffective breathing pattern

96. The nurse is writing a nursing diagnosis

for a patient. Which of the following

statements is correctly written?

D. Imbalanced nutrition: Less than body

requirements related to inadequate

intake.

97. Which nursing diagnosis is likely to be of

highest priority when developing a nursing

care plan for a patient?

A. Diarrhea

98. Which of the following goals did the

nurse write correctly?

D. After 30 minutes of nursing

interventions, the patient will plan a

day's meal for a 1000 mg sodium diet.

99. The nurse is performing a dependent

nursing action for a patient, Which of the

following is considered as being a

dependent nursing action for most nurses?

C. Starting an intravenous infusion

100. Which of the following would be

considered as being an independent

nursing intervention?

C. Teaching a postoperative patient how

to cough and deep breathe..