AND CORRECT ANSWERS WITH
DETAILED RATIONALES
Section 1: Growth and Development (Questions 1-60)
1. A nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
- A. Sitting without support
- B. Rolling from back to abdomen
- C. Pincer grasp
- D. Walking with assistance
Correct Answer: B
Rationale: At 4 months, infants typically can roll from back to abdomen.
Sitting without support occurs around 6-8 months. Pincer grasp develops
around 9-10 months. Walking with assistance occurs around 12 months.
2. At what age do infants typically double their birth weight?
- A. 3 months
- B. 6 months
- C. 9 months
- D. 12 months
,Correct Answer: B
Rationale: Infants typically double their birth weight by 6 months of age. They
triple their birth weight by approximately 1 year of age.
3. At what age do infants typically triple their birth weight?
- A. 6 months
- B. 9 months
- C. 12 months
- D. 18 months
Correct Answer: C
Rationale: Infants typically triple their birth weight by 1 year of age.
4. According to Erikson's psychosocial development theory, which
developmental task is associated with the infant (birth to 1 year)?
- A. Autonomy vs. Shame and Doubt
- B. Trust vs. Mistrust
- C. Initiative vs. Guilt
- D. Industry vs. Inferiority
Correct Answer: B
Rationale: According to Erikson, infants (birth to 1 year) are in the Trust vs.
Mistrust stage. Trust is established through consistent feeding, diaper
changes, and holding.
,5. According to Erikson's psychosocial development theory, which
developmental stage occurs from 1 to 3 years of age?
- A. Trust vs. Mistrust
- B. Autonomy vs. Shame and Doubt
- C. Initiative vs. Guilt
- D. Industry vs. Inferiority
Correct Answer: B
Rationale: The Autonomy vs. Shame and Doubt stage occurs from 1 to 3 years.
This stage begins when the child is walking and ends when they are toilet
trained.
6. A toddler is in the "NO" stage and insists on doing things independently.
According to Erikson, which developmental stage is this toddler in?
- A. Trust vs. Mistrust
- B. Autonomy vs. Shame and Doubt
- C. Initiative vs. Guilt
- D. Industry vs. Inferiority
Correct Answer: B
Rationale: Toddlers in the Autonomy vs. Shame and Doubt stage (1-3 years)
frequently say "no" as they strive for independence.
7. A nurse is assessing a 2-year-old child. According to Erikson, which
behavior would indicate successful completion of the current developmental
stage?
- A. The child trusts the caregiver
, - B. The child demonstrates independence and self-control
- C. The child initiates play activities
- D. The child demonstrates competence in school tasks
Correct Answer: B
Rationale: A 2-year-old is in the Autonomy vs. Shame and Doubt stage.
Successful completion is demonstrated by independence and self-control.
8. A nurse is educating parents about cephalocaudal growth. Which of the
following statements best describes this growth pattern?
- A. Growth proceeds from the midline to the periphery
- B. Growth proceeds from the head downward to the feet
- C. Growth proceeds from the feet upward to the head
- D. Growth proceeds from the periphery to the midline
Correct Answer: B
Rationale: Cephalocaudal growth means growth proceeds from the head
downward to the feet.
9. A nurse is educating parents about proximodistal growth. Which of the
following statements best describes this growth pattern?
- A. Growth proceeds from the head downward to the feet
- B. Growth proceeds from the midline to the periphery
- C. Growth proceeds from the feet upward to the head
- D. Growth proceeds randomly without a specific pattern