Concepts for Nursing Practice 4th Edition Test Bank
(Giddens) – 1,260 (Chapter 1-57) NGN-Style Questions &
Rationales – 2026/2027
,Chapter 1: Development
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Sits without support
B. Rolls from back to stomach
C. Uses a pincer grasp
D. Says two-word sentences
B. Rolls from back to stomach
Rationale: Rolling from back to stomach typically develops around 6 months. Sitting
without support is usually around 8 months, pincer grasp around 9–12 months, and two-
word sentences around 18–24 months.
2. A 2-year-old toddler is brought for a well-child visit. Which behavior indicates normal
psychosocial development according to Erikson?
A. Plays cooperatively with peers
B. Says “no” frequently to assert autonomy
C. Understands conservation
D. Has an imaginary friend
B. Says “no” frequently to assert autonomy
Rationale: Toddlers are in the autonomy versus shame and doubt stage. Negativism is a
normal way to assert independence. Cooperative play is more typical of preschool or
school-age children, conservation is concrete operational, and imaginary friends are
common in preschoolers.
,3. A 4-year-old preschooler is most likely in which Piaget stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
B. Preoperational
Rationale: Preoperational thought occurs from about 2 to 7 years and is characterized by
egocentrism and magical thinking. Concrete operational thought begins around 7 years.
4. A nurse is teaching parents about a 9-month-old infant. Which milestone should the
nurse include?
A. Pincer grasp
B. Walking independently
C. Speaking 50 words
D. Drawing a circle
A. Pincer grasp
Rationale: A pincer grasp usually develops around 9 months. Walking independently is
expected around 12–15 months, 50 words around 2 years, and drawing a circle around
3–4 years.
5. A 15-year-old adolescent is working on which psychosocial task according to Erikson?
A. Trust versus mistrust
B. Initiative versus guilt
C. Identity versus role confusion
, D. Intimacy versus isolation
C. Identity versus role confusion
Rationale: Adolescents are in the identity versus role confusion stage. Trust versus
mistrust is infancy, initiative versus guilt is preschool, and intimacy versus isolation is
young adulthood.
6. An 8-year-old school-age child is in which Erikson stage?
A. Autonomy versus shame
B. Industry versus inferiority
C. Generativity versus stagnation
D. Intimacy versus isolation
B. Industry versus inferiority
Rationale: School-age children develop a sense of competence through industry.
Repeated failure or negative feedback can lead to inferiority.
7. A nurse is assessing an 18-month-old toddler. Which language milestone is expected?
A. Uses two-word phrases
B. Uses 200 words
C. Tells stories
D. Understands metaphors
A. Uses two-word phrases
Rationale: Two-word phrases typically appear by 18–24 months. A 200-word vocabulary
is more typical around 2 years, storytelling is preschool-age, and understanding
metaphors is later childhood or adolescence.
(Giddens) – 1,260 (Chapter 1-57) NGN-Style Questions &
Rationales – 2026/2027
,Chapter 1: Development
1. A nurse is assessing a 6-month-old infant. Which finding should the nurse expect?
A. Sits without support
B. Rolls from back to stomach
C. Uses a pincer grasp
D. Says two-word sentences
B. Rolls from back to stomach
Rationale: Rolling from back to stomach typically develops around 6 months. Sitting
without support is usually around 8 months, pincer grasp around 9–12 months, and two-
word sentences around 18–24 months.
2. A 2-year-old toddler is brought for a well-child visit. Which behavior indicates normal
psychosocial development according to Erikson?
A. Plays cooperatively with peers
B. Says “no” frequently to assert autonomy
C. Understands conservation
D. Has an imaginary friend
B. Says “no” frequently to assert autonomy
Rationale: Toddlers are in the autonomy versus shame and doubt stage. Negativism is a
normal way to assert independence. Cooperative play is more typical of preschool or
school-age children, conservation is concrete operational, and imaginary friends are
common in preschoolers.
,3. A 4-year-old preschooler is most likely in which Piaget stage?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
B. Preoperational
Rationale: Preoperational thought occurs from about 2 to 7 years and is characterized by
egocentrism and magical thinking. Concrete operational thought begins around 7 years.
4. A nurse is teaching parents about a 9-month-old infant. Which milestone should the
nurse include?
A. Pincer grasp
B. Walking independently
C. Speaking 50 words
D. Drawing a circle
A. Pincer grasp
Rationale: A pincer grasp usually develops around 9 months. Walking independently is
expected around 12–15 months, 50 words around 2 years, and drawing a circle around
3–4 years.
5. A 15-year-old adolescent is working on which psychosocial task according to Erikson?
A. Trust versus mistrust
B. Initiative versus guilt
C. Identity versus role confusion
, D. Intimacy versus isolation
C. Identity versus role confusion
Rationale: Adolescents are in the identity versus role confusion stage. Trust versus
mistrust is infancy, initiative versus guilt is preschool, and intimacy versus isolation is
young adulthood.
6. An 8-year-old school-age child is in which Erikson stage?
A. Autonomy versus shame
B. Industry versus inferiority
C. Generativity versus stagnation
D. Intimacy versus isolation
B. Industry versus inferiority
Rationale: School-age children develop a sense of competence through industry.
Repeated failure or negative feedback can lead to inferiority.
7. A nurse is assessing an 18-month-old toddler. Which language milestone is expected?
A. Uses two-word phrases
B. Uses 200 words
C. Tells stories
D. Understands metaphors
A. Uses two-word phrases
Rationale: Two-word phrases typically appear by 18–24 months. A 200-word vocabulary
is more typical around 2 years, storytelling is preschool-age, and understanding
metaphors is later childhood or adolescence.
