Growth and Development
1. A nurse is assessing a 2-year-old child. Which developmental milestone should the nurse expect to observe?
o A) Hops on one foot
o B) Can stack six blocks
o C) Can say full sentences
o D) Is able to jump in place
o Answer: B) Can stack six blocks
Rationale: At 2 yea...
1. A nurse is assessing a 2-year-old child. Which developmental milestone should the
nurse expect to observe?
o A) Hops on one foot
o B) Can stack six blocks
o C) Can say full sentences
o D) Is able to jump in place
o Answer: B) Can stack six blocks
Rationale: At 2 years, children can stack blocks and engage in parallel play.
Hopping on one foot and jumping in place typically develop later.
2. Which of the following is a common characteristic of preschool-aged children?
o A) Ability to understand complex instructions
o B) Engaging in cooperative play
o C) A focus on individual play
o D) Ability to write their name
o Answer: B) Engaging in cooperative play
Rationale: Preschool-aged children (ages 3-5) begin to engage in cooperative
play, where they interact with others and work towards common goals.
3. A 6-year-old child is brought to the clinic for a well-child visit. The nurse notes that
the child is able to tie their shoes. What stage of development does this skill
indicate?
o A) Toddler
o B) Preschool
o C) Early school-age
o D) Late school-age
o Answer: C) Early school-age
Rationale: Children around age 6 are typically developing fine motor skills that
allow them to perform tasks such as tying shoes.
Health Promotion and Maintenance
4. Which immunization should be administered to a 4-year-old child during a routine
check-up?
o A) MMR (measles, mumps, rubella)
o B) Varicella (chickenpox)
o C) DTaP (diphtheria, tetanus, pertussis)
o D) Hepatitis B
o Answer: C) DTaP (diphtheria, tetanus, pertussis)
Rationale: The DTaP vaccine is administered at ages 4-6, while MMR and
varicella are typically given around the same age or slightly later.
5. During a health education session, a nurse discusses the importance of regular
dental visits for children. At what age should children have their first dental visit?
o A) At birth
o B) At 1 year
o C) At 3 years
, o D) At 5 years
o Answer: B) At 1 year
Rationale: The American Academy of Pediatric Dentistry recommends that
children should have their first dental visit by their first birthday.
Safety and Injury Prevention
6. What is the most effective way to prevent drowning in young children?
o A) Using life jackets
o B) Teaching children to swim
o C) Supervision while swimming
o D) Installing pool fences
o Answer: C) Supervision while swimming
Rationale: Active supervision is the most effective measure to prevent drowning
in young children, as it ensures immediate intervention if necessary.
7. A nurse is teaching parents about car safety for children. Which statement by a
parent indicates a need for further education?
o A) "I will keep my child in a rear-facing car seat until they are 2 years old."
o B) "I can switch my child to a booster seat when they reach 40 pounds."
o C) "My child should be in a seat belt when they are over 8 years old."
o D) "It’s okay for my child to ride in the front seat if they are over 12 years old."
o Answer: D) "It’s okay for my child to ride in the front seat if they are over 12
years old."
Rationale: Children should remain in the back seat until age 13, as it is safer in
the event of an accident.
Psychological and Social Issues
8. Which behavior might indicate that a school-aged child is experiencing anxiety?
o A) Increased academic performance
o B) Social withdrawal
o C) Active participation in sports
o D) Improved peer relationships
o Answer: B) Social withdrawal
Rationale: Social withdrawal is often a sign of anxiety in school-aged children,
while increased academic performance and participation in sports typically
indicate good mental health.
9. During an assessment, a nurse observes that a 10-year-old child is struggling to keep
up with classmates academically. What should the nurse do first?
o A) Refer the child for special education services
o B) Assess the child’s home environment
o C) Speak with the child’s teacher
o D) Suggest tutoring sessions
o Answer: B) Assess the child’s home environment
Rationale: Understanding the child’s home environment can provide insight into
possible factors affecting academic performance.
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