NR 328 Pediatric Final Exam Actual
Complete 1-100 Exam Questions
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Question 1
According to Erikson's theory of psychosocial development, the toddler stage is
characterized by which developmental task?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: B
Rationale: According to Erikson, the toddler stage (1-3 years) is characterized by
Autonomy vs. Shame and Doubt. During this stage, children develop a sense of
personal control and independence. Trust vs. Mistrust is the infant stage (0-1 year),
Initiative vs. Guilt is the preschool stage (3-6 years), and Industry vs. Inferiority is
the school-age stage (6-12 years).
Question 2
A nurse is assessing a 3-month-old infant. Which of the following findings should
the nurse report to the provider?
,A) Unable to pick up an object with fingers
B) Unable to sit without support
C) Unable to raise head when in prone position
D) Unable to bring an object to mouth
Correct Answer: C
Rationale: By 3 months of age, an infant should be able to raise the head and chest
when in the prone position. Failure to do so may indicate a developmental delay or
neuromuscular concern. Infants typically cannot pick up objects with fingers
(pincer grasp) until 9-10 months, sit without support until 8 months, or bring
objects to mouth until 4-5 months.
Question 3
A 5-year-old child is admitted to the pediatric unit. According to Piaget's theory of
cognitive development, this child is in which stage?
A) Sensorimotor
B) Preoperational
C) Concrete Operational
D) Formal Operational
Correct Answer: B
Rationale: According to Piaget, the preoperational stage occurs from ages 2-7
years. Children in this stage demonstrate egocentric thinking, magical thinking, and
the use of symbols and language. The sensorimotor stage is from birth to 2 years,
concrete operational is 7-11 years, and formal operational is 11 years and beyond.
,Question 4
According to Freud's theory of psychosexual development, the school-age child is
in which stage?
A) Oral
B) Anal
C) Phallic
D) Latency
Correct Answer: D
Rationale: According to Freud, the latency stage occurs from approximately 6-12
years of age. During this stage, sexual impulses are repressed, and the child's
energy is directed toward intellectual and social pursuits. The oral stage is infancy,
the anal stage is toddlerhood, and the phallic stage is the preschool years.
Question 5
A nurse is providing anticipatory guidance to parents of a 12-month-old infant.
Which developmental milestone should the nurse expect the infant to have
achieved?
A) Walking independently
B) Saying 2-3 words
C) Drinking from a cup
D) All of the above
Correct Answer: D
Rationale: By 12 months, most infants can walk independently or with assistance,
say 2-3 words, and drink from a cup with assistance. These milestones represent
typical development for a 1-year-old.
, Question 6
The nurse is assessing a 4-year-old child. Which of the following developmental
tasks should the nurse expect?
A) Ties shoelaces
B) Rides a tricycle
C) Copies a square
D) All of the above
Correct Answer: D
Rationale: A 4-year-old child typically can tie shoelaces, ride a tricycle, and copy a
square. These are expected developmental milestones for a preschool-age child.
Question 7
A nurse is assessing an infant with Trisomy 21 (Down syndrome). Which of the
following are common characteristics? (Select all that apply)
A) Muscular hypertonicity
B) Large ears
C) Protruding tongue
D) Hyperflexibility
E) Transverse palmar creases
Correct Answer: C, D, E
Rationale: Common characteristics of Down syndrome (Trisomy 21) include a
protruding tongue, hyperflexibility (joint laxity), and transverse palmar creases
(single simian crease). Muscular hypertonicity is NOT a characteristic; infants with
Complete 1-100 Exam Questions
Proctored Via Examplify Chamberlain
University With Correct Answers | 100%
Pass 2026 update
Question 1
According to Erikson's theory of psychosocial development, the toddler stage is
characterized by which developmental task?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: B
Rationale: According to Erikson, the toddler stage (1-3 years) is characterized by
Autonomy vs. Shame and Doubt. During this stage, children develop a sense of
personal control and independence. Trust vs. Mistrust is the infant stage (0-1 year),
Initiative vs. Guilt is the preschool stage (3-6 years), and Industry vs. Inferiority is
the school-age stage (6-12 years).
Question 2
A nurse is assessing a 3-month-old infant. Which of the following findings should
the nurse report to the provider?
,A) Unable to pick up an object with fingers
B) Unable to sit without support
C) Unable to raise head when in prone position
D) Unable to bring an object to mouth
Correct Answer: C
Rationale: By 3 months of age, an infant should be able to raise the head and chest
when in the prone position. Failure to do so may indicate a developmental delay or
neuromuscular concern. Infants typically cannot pick up objects with fingers
(pincer grasp) until 9-10 months, sit without support until 8 months, or bring
objects to mouth until 4-5 months.
Question 3
A 5-year-old child is admitted to the pediatric unit. According to Piaget's theory of
cognitive development, this child is in which stage?
A) Sensorimotor
B) Preoperational
C) Concrete Operational
D) Formal Operational
Correct Answer: B
Rationale: According to Piaget, the preoperational stage occurs from ages 2-7
years. Children in this stage demonstrate egocentric thinking, magical thinking, and
the use of symbols and language. The sensorimotor stage is from birth to 2 years,
concrete operational is 7-11 years, and formal operational is 11 years and beyond.
,Question 4
According to Freud's theory of psychosexual development, the school-age child is
in which stage?
A) Oral
B) Anal
C) Phallic
D) Latency
Correct Answer: D
Rationale: According to Freud, the latency stage occurs from approximately 6-12
years of age. During this stage, sexual impulses are repressed, and the child's
energy is directed toward intellectual and social pursuits. The oral stage is infancy,
the anal stage is toddlerhood, and the phallic stage is the preschool years.
Question 5
A nurse is providing anticipatory guidance to parents of a 12-month-old infant.
Which developmental milestone should the nurse expect the infant to have
achieved?
A) Walking independently
B) Saying 2-3 words
C) Drinking from a cup
D) All of the above
Correct Answer: D
Rationale: By 12 months, most infants can walk independently or with assistance,
say 2-3 words, and drink from a cup with assistance. These milestones represent
typical development for a 1-year-old.
, Question 6
The nurse is assessing a 4-year-old child. Which of the following developmental
tasks should the nurse expect?
A) Ties shoelaces
B) Rides a tricycle
C) Copies a square
D) All of the above
Correct Answer: D
Rationale: A 4-year-old child typically can tie shoelaces, ride a tricycle, and copy a
square. These are expected developmental milestones for a preschool-age child.
Question 7
A nurse is assessing an infant with Trisomy 21 (Down syndrome). Which of the
following are common characteristics? (Select all that apply)
A) Muscular hypertonicity
B) Large ears
C) Protruding tongue
D) Hyperflexibility
E) Transverse palmar creases
Correct Answer: C, D, E
Rationale: Common characteristics of Down syndrome (Trisomy 21) include a
protruding tongue, hyperflexibility (joint laxity), and transverse palmar creases
(single simian crease). Muscular hypertonicity is NOT a characteristic; infants with