Nursing – Development Exam Questions
Correctly Answered.
A 6-year-old child is found to have type 1 diabetes. In light of the child's cognitive developmental level,
which explanation of the illness is most appropriate? - CORRECT ANSWER "Taking insulin for your
diabetes is like getting new batteries for your superhero toys
A parent brings an 18-month-old toddler to the clinic. The parent reports, "My child is so difficult to
please! He has temper tantrums and annoys me by throwing food from the table." What is the best
response by the nurse? - CORRECT ANSWER "Toddlers are learning to assert independence, and this
behavior is expected at this age
While assessing a group of children, which child is underdeveloped according to the table? - CORRECT
ANSWER Child D
Child D is underdeveloped because the average height and weight of a 5-year-old child should be 110 cm
and 19 kg. The average height of and weight of a 3-year-old child is 95 cm and 14.5 kg. Therefore, child A
and child B show normal growth and development. The average height and weight of a 4-year-old child
is 103 cm and 16.7 kg. Therefore, child C is not underdeveloped
What type of play does a nurse expect to see while observing a toddler in a playroom with other
children? - CORRECT ANSWER Parallel
Incidences of child molestation often are revealed years later when the victim is an adult. Which defense
mechanism reflects this situation? - CORRECT ANSWER Repression
The mother of an 18-year-old man comes to the local mental health center. She is extremely upset
because of her son's behavior since the young man returned from his freshman year at college. He takes
his brother's clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and
outgoing, but at other times he is withdrawn. The mother asks why her son is like this. While
contemplating this situation, the nurse considers that adolescents are usually: - CORRECT ANSWER
Impulsive and self-centered
,Before surgery to relieve an intestinal obstruction, a 3-month-old infant is kept on nothing-by-mouth
status and has a nasogastric tube in place. Which nursing intervention will help calm the infant and meet
developmental needs? - CORRECT ANSWER Providing a pacifier for the infant to suck
When planning activities for a child with autism, the nurse remembers that autistic children respond
best to: - CORRECT ANSWER Their own self-stimulating acts
The nurse is assessing head growth in a 7-month-old infant. The nurse observes that the rate of the
growth has been 0.5 cm since the 6-month check-up. What does the nurse tell the parents about the
child's development? mal. - CORRECT ANSWER "The child's head growth is normal.
A nurse becomes aware of an older client's feeling of loneliness when the client states, "I only have a
few friends. My daughter lives in another state and couldn't care less whether I live or die. She doesn't
even know I'm in the hospital." The nurse identifies the client's communication as a: - CORRECT ANSWER
Reflection of depression that is causing feelings of hopelessness
A mother brings her 7-year-old son into an outpatient clinic for a follow-up appointment. The mother
appeared angry and agitated with the boy. Looking at the boy's medical chart, the nurse notes that the
boy has a diagnosis of encopresis. The primary symptom of encopresis is: - CORRECT ANSWER Passing
feces either voluntarily or involuntarily into inappropriate places
While assessing an 18-month-old child a nurse observes that the toddler can crawl up stairs but needs
assistance when climbing the stairs upright. What does this indicate to the nurse? - CORRECT ANSWER
Expected behavior in a toddler of this age
On the afternoon of admission to a psychiatric unit, an adolescent boy with the diagnosis of
schizophrenia exposes his genitals to a female nurse. What should the nurse's immediate therapeutic
response be? - CORRECT ANSWER Stating that this behavior is unacceptable
A 16-year-old high school student who has anorexia nervosa tells the school nurse that she thinks she
that is pregnant even though she has had intercourse only once, more than a year ago. What is the most
appropriate inference for the nurse to make about the student? - CORRECT ANSWER Lacking knowledge
that anorexia can cause amenorrhea
, While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to copy
the same picture from a book. They are not talking to each other or sharing their crayons. What does
the nurse conclude about this behavioral interaction? - CORRECT ANSWER It is a typical expression of
toddlers' social development
A 15-year-old adolescent with Down syndrome is scheduled for surgery. The parents inform the nurse
that their child has a mental age of 8 years. At what age level should the nurse prepare the child's
preoperative teaching plan? - CORRECT ANSWER School-age, because this is the child's developmental
age
A 7-month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses several of
the infant's behaviors. What behavior is most unusual for an infant of this age? - CORRECT ANSWER A 7-
month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses several of the
infant's behaviors. What behavior is most unusual for an infant of this age?
Correct1
Putting clothespins in a plastic bottle
A nurse is caring for a 4-year-old child who is terminally ill. The 4-year-old child's concept of death is
based on a sense of causality. In what stage of Piaget's cognitive development is this child?
1
Formal operations
Correct2
Preoperational thought - CORRECT ANSWER Preoperational thought
For which clinical indication should a nurse observe a child in whom autism is suspected? - CORRECT
ANSWER Lack of eye contact
An adolescent who is extremely underweight and disappears into the bathroom after meals angrily says
to the nurse, "I don't need to be here. I don't have any problems. Stop watching me." The most
therapeutic response by the nurse, aimed at reducing the client's feeling of being threatened, is: -
CORRECT ANSWER "I hear how frustrated you are to be here
Correctly Answered.
A 6-year-old child is found to have type 1 diabetes. In light of the child's cognitive developmental level,
which explanation of the illness is most appropriate? - CORRECT ANSWER "Taking insulin for your
diabetes is like getting new batteries for your superhero toys
A parent brings an 18-month-old toddler to the clinic. The parent reports, "My child is so difficult to
please! He has temper tantrums and annoys me by throwing food from the table." What is the best
response by the nurse? - CORRECT ANSWER "Toddlers are learning to assert independence, and this
behavior is expected at this age
While assessing a group of children, which child is underdeveloped according to the table? - CORRECT
ANSWER Child D
Child D is underdeveloped because the average height and weight of a 5-year-old child should be 110 cm
and 19 kg. The average height of and weight of a 3-year-old child is 95 cm and 14.5 kg. Therefore, child A
and child B show normal growth and development. The average height and weight of a 4-year-old child
is 103 cm and 16.7 kg. Therefore, child C is not underdeveloped
What type of play does a nurse expect to see while observing a toddler in a playroom with other
children? - CORRECT ANSWER Parallel
Incidences of child molestation often are revealed years later when the victim is an adult. Which defense
mechanism reflects this situation? - CORRECT ANSWER Repression
The mother of an 18-year-old man comes to the local mental health center. She is extremely upset
because of her son's behavior since the young man returned from his freshman year at college. He takes
his brother's clothing, comes in at all hours, and refuses to get a job. Sometimes he is happy and
outgoing, but at other times he is withdrawn. The mother asks why her son is like this. While
contemplating this situation, the nurse considers that adolescents are usually: - CORRECT ANSWER
Impulsive and self-centered
,Before surgery to relieve an intestinal obstruction, a 3-month-old infant is kept on nothing-by-mouth
status and has a nasogastric tube in place. Which nursing intervention will help calm the infant and meet
developmental needs? - CORRECT ANSWER Providing a pacifier for the infant to suck
When planning activities for a child with autism, the nurse remembers that autistic children respond
best to: - CORRECT ANSWER Their own self-stimulating acts
The nurse is assessing head growth in a 7-month-old infant. The nurse observes that the rate of the
growth has been 0.5 cm since the 6-month check-up. What does the nurse tell the parents about the
child's development? mal. - CORRECT ANSWER "The child's head growth is normal.
A nurse becomes aware of an older client's feeling of loneliness when the client states, "I only have a
few friends. My daughter lives in another state and couldn't care less whether I live or die. She doesn't
even know I'm in the hospital." The nurse identifies the client's communication as a: - CORRECT ANSWER
Reflection of depression that is causing feelings of hopelessness
A mother brings her 7-year-old son into an outpatient clinic for a follow-up appointment. The mother
appeared angry and agitated with the boy. Looking at the boy's medical chart, the nurse notes that the
boy has a diagnosis of encopresis. The primary symptom of encopresis is: - CORRECT ANSWER Passing
feces either voluntarily or involuntarily into inappropriate places
While assessing an 18-month-old child a nurse observes that the toddler can crawl up stairs but needs
assistance when climbing the stairs upright. What does this indicate to the nurse? - CORRECT ANSWER
Expected behavior in a toddler of this age
On the afternoon of admission to a psychiatric unit, an adolescent boy with the diagnosis of
schizophrenia exposes his genitals to a female nurse. What should the nurse's immediate therapeutic
response be? - CORRECT ANSWER Stating that this behavior is unacceptable
A 16-year-old high school student who has anorexia nervosa tells the school nurse that she thinks she
that is pregnant even though she has had intercourse only once, more than a year ago. What is the most
appropriate inference for the nurse to make about the student? - CORRECT ANSWER Lacking knowledge
that anorexia can cause amenorrhea
, While in the playroom of a pediatric unit the nurse sees several toddlers seated at a table trying to copy
the same picture from a book. They are not talking to each other or sharing their crayons. What does
the nurse conclude about this behavioral interaction? - CORRECT ANSWER It is a typical expression of
toddlers' social development
A 15-year-old adolescent with Down syndrome is scheduled for surgery. The parents inform the nurse
that their child has a mental age of 8 years. At what age level should the nurse prepare the child's
preoperative teaching plan? - CORRECT ANSWER School-age, because this is the child's developmental
age
A 7-month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses several of
the infant's behaviors. What behavior is most unusual for an infant of this age? - CORRECT ANSWER A 7-
month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses several of the
infant's behaviors. What behavior is most unusual for an infant of this age?
Correct1
Putting clothespins in a plastic bottle
A nurse is caring for a 4-year-old child who is terminally ill. The 4-year-old child's concept of death is
based on a sense of causality. In what stage of Piaget's cognitive development is this child?
1
Formal operations
Correct2
Preoperational thought - CORRECT ANSWER Preoperational thought
For which clinical indication should a nurse observe a child in whom autism is suspected? - CORRECT
ANSWER Lack of eye contact
An adolescent who is extremely underweight and disappears into the bathroom after meals angrily says
to the nurse, "I don't need to be here. I don't have any problems. Stop watching me." The most
therapeutic response by the nurse, aimed at reducing the client's feeling of being threatened, is: -
CORRECT ANSWER "I hear how frustrated you are to be here
