Kaplan Pediatric Nursing Assessment Exam
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Explained Rationales/Expert Verified For
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1. The nurse is assessing a 2-year-old child. Which developmental milestone
should the nurse expect the child to have achieved?
• A) Tying shoelaces
• B) Riding a tricycle
• C) Using a spoon to eat
• D) Drawing a circle
Correct Answer: C) Using a spoon to eat
Rationale: By 2 years of age, a child should be able to use a spoon to eat. Tying
shoelaces is a 5- to 6-year milestone, riding a tricycle is a 3- to 4-year milestone,
and drawing a circle is also a 3- to 4-year milestone.
2. A mother asks the nurse when her infant will be able to sit without support.
What is the best response?
, • A) 4 months
• B) 6 months
• C) 8 months
• D) 10 months
Correct Answer: C) 8 months
Rationale: Most infants can sit unsupported by 8 months of age. At 4 months, they
have head control; at 6 months, they can sit with support; and by 10 months, they
are usually crawling or pulling to stand.
3. The nurse is assessing a 4-year-old child's language development. Which
finding is consistent with normal development for this age?
• A) Uses 3-4 word sentences
• B) Tells a story with a plot
• C) Has a vocabulary of 50 words
• D) Stutters frequently
Correct Answer: B) Tells a story with a plot
Rationale: By age 4, children typically tell stories with a plot and have a vocabulary
of approximately 1,500 words. Three- to 4-word sentences are expected at age 2.
Stuttering is not a normal developmental finding.
4. The nurse is providing anticipatory guidance to the parents of a 6-month-old
infant. Which statement by the parents indicates a need for further teaching?
, • A) "We will introduce solid foods one at a time."
• B) "We will put our baby to sleep on her back."
• C) "We will start using a rear-facing car seat."
• D) "We will give our baby honey to help with teething."
Correct Answer: D) "We will give our baby honey to help with teething."
Rationale: Honey should not be given to infants under 12 months due to the risk of
infant botulism. Solid foods should be introduced one at a time, infants should
sleep on their backs to reduce SIDS risk, and rear-facing car seats are appropriate
for infants.
5. The nurse is assessing a 12-month-old infant during a well-child visit. Which
finding requires further evaluation?
• A) The infant has a vocabulary of 3 words
• B) The infant can stand while holding onto furniture
• C) The infant has not yet achieved a pincer grasp
• D) The infant can walk independently
Correct Answer: C) The infant has not yet achieved a pincer grasp
Rationale: By 12 months, infants should have achieved a pincer grasp. A
vocabulary of 3 words, standing while holding onto furniture, and walking
independently are all appropriate milestones at this age.
6. An 8-month-old infant is brought to the clinic for a routine checkup. Which
developmental milestone should the nurse expect the infant to demonstrate?
, • A) Walking independently
• B) Sitting without support
• C) Speaking three-word sentences
• D) Crawling on command
Correct Answer: B) Sitting without support
Rationale: By 8 months, infants typically sit without support. Walking
independently occurs around 12 months, speaking three-word sentences occurs
around 2 years, and crawling on command is not a standard milestone.
7. A 2-year-old child is hospitalized. Which action best supports a toddler's
developmental needs?
• A) Encourage independent feeding and simple choices
• B) Place the child on strict bed rest
• C) Limit parental presence to reduce dependence
• D) Provide only group play activities
Correct Answer: A) Encourage independent feeding and simple choices
Rationale: Toddlers strive for autonomy, so allowing self-feeding and simple
choices supports normal development according to Erikson's stage of autonomy
vs. shame and doubt.
8. Which finding is expected in a healthy newborn?
• A) Strong neck control
With Actual Questions & Verified Answers ,Plus
Explained Rationales/Expert Verified For
Guaranteed Pass 2026/Latest Update/Instant
Download Pdf
1. The nurse is assessing a 2-year-old child. Which developmental milestone
should the nurse expect the child to have achieved?
• A) Tying shoelaces
• B) Riding a tricycle
• C) Using a spoon to eat
• D) Drawing a circle
Correct Answer: C) Using a spoon to eat
Rationale: By 2 years of age, a child should be able to use a spoon to eat. Tying
shoelaces is a 5- to 6-year milestone, riding a tricycle is a 3- to 4-year milestone,
and drawing a circle is also a 3- to 4-year milestone.
2. A mother asks the nurse when her infant will be able to sit without support.
What is the best response?
, • A) 4 months
• B) 6 months
• C) 8 months
• D) 10 months
Correct Answer: C) 8 months
Rationale: Most infants can sit unsupported by 8 months of age. At 4 months, they
have head control; at 6 months, they can sit with support; and by 10 months, they
are usually crawling or pulling to stand.
3. The nurse is assessing a 4-year-old child's language development. Which
finding is consistent with normal development for this age?
• A) Uses 3-4 word sentences
• B) Tells a story with a plot
• C) Has a vocabulary of 50 words
• D) Stutters frequently
Correct Answer: B) Tells a story with a plot
Rationale: By age 4, children typically tell stories with a plot and have a vocabulary
of approximately 1,500 words. Three- to 4-word sentences are expected at age 2.
Stuttering is not a normal developmental finding.
4. The nurse is providing anticipatory guidance to the parents of a 6-month-old
infant. Which statement by the parents indicates a need for further teaching?
, • A) "We will introduce solid foods one at a time."
• B) "We will put our baby to sleep on her back."
• C) "We will start using a rear-facing car seat."
• D) "We will give our baby honey to help with teething."
Correct Answer: D) "We will give our baby honey to help with teething."
Rationale: Honey should not be given to infants under 12 months due to the risk of
infant botulism. Solid foods should be introduced one at a time, infants should
sleep on their backs to reduce SIDS risk, and rear-facing car seats are appropriate
for infants.
5. The nurse is assessing a 12-month-old infant during a well-child visit. Which
finding requires further evaluation?
• A) The infant has a vocabulary of 3 words
• B) The infant can stand while holding onto furniture
• C) The infant has not yet achieved a pincer grasp
• D) The infant can walk independently
Correct Answer: C) The infant has not yet achieved a pincer grasp
Rationale: By 12 months, infants should have achieved a pincer grasp. A
vocabulary of 3 words, standing while holding onto furniture, and walking
independently are all appropriate milestones at this age.
6. An 8-month-old infant is brought to the clinic for a routine checkup. Which
developmental milestone should the nurse expect the infant to demonstrate?
, • A) Walking independently
• B) Sitting without support
• C) Speaking three-word sentences
• D) Crawling on command
Correct Answer: B) Sitting without support
Rationale: By 8 months, infants typically sit without support. Walking
independently occurs around 12 months, speaking three-word sentences occurs
around 2 years, and crawling on command is not a standard milestone.
7. A 2-year-old child is hospitalized. Which action best supports a toddler's
developmental needs?
• A) Encourage independent feeding and simple choices
• B) Place the child on strict bed rest
• C) Limit parental presence to reduce dependence
• D) Provide only group play activities
Correct Answer: A) Encourage independent feeding and simple choices
Rationale: Toddlers strive for autonomy, so allowing self-feeding and simple
choices supports normal development according to Erikson's stage of autonomy
vs. shame and doubt.
8. Which finding is expected in a healthy newborn?
• A) Strong neck control
