Test Bank for LPN/LVN Students - Chapter 01
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the
HEADSS Adolescent Risk Profile when the new nurse responds that it is used to review for needs related to
[Multiple Choice]
a. anticipatory guidance. ✔
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which reviews home, education,
activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipatory
guidance. It is used to identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data. Sexual development is reviewed using physical examination. OBJ: NCLEX Client Needs
Category: Health Promotion and Maintenance
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which reviews home, education,
activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipatory
guidance. It is used to identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data. Sexual development is reviewed using physical examination. OBJ: NCLEX Client Needs
Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of
development for a preschooler is [Multiple Choice]
a. concrete operational.
b. formal operational.
c. preoperational. ✔
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete operational
describes the thinking of a school-age child (7–11 years old). Formal operational describes the thinking of an
individual after about 11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
years old. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete operational
,describes the thinking of a school-age child (7–11 years old). Formal operational describes the thinking of an
individual after about 11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
years old. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between growth and development would
best describe growth as [Multiple Choice]
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight. ✔
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an increase in overall size
or weight of the body or any of its parts. The processes by which early cells specialize are referred to as
differentiation. Psychosocial and cognitive changes are referred to as development. Qualitative changes
associated with aging are referred to as maturation. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
Growth is a quantitative change in which an increase in cell number and size results in an increase in overall size
or weight of the body or any of its parts. The processes by which early cells specialize are referred to as
differentiation. Psychosocial and cognitive changes are referred to as development. Qualitative changes
associated with aging are referred to as maturation. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver Developmental Screening
Test II (DDST II) does is that it [Multiple Choice]
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool. ✔
d. provides a framework for health teaching.
ANS: C
The DDST II is the most commonly used measure of developmental status used by healthcare professionals; it is a
screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment
history and physical examination. Developmental delay, which is suggested by screening, is a symptom, not a
diagnosis. The need for any therapy would be identified with a comprehensive evaluation, not a screening tool.
Some providers use the DDST II as a framework for teaching about expected development, but this is not the
primary purpose of the tool. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
,The DDST II is the most commonly used measure of developmental status used by healthcare professionals; it is a
screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment
history and physical examination. Developmental delay, which is suggested by screening, is a symptom, not a
diagnosis. The need for any therapy would be identified with a comprehensive evaluation, not a screening tool.
Some providers use the DDST II as a framework for teaching about expected development, but this is not the
primary purpose of the tool. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge of other
physical development exemplars such as [Multiple Choice]
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly. ✔
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive developmental
delay. Failure to thrive is an exemplar of social/emotional developmental delay. Fetal alcohol syndrome is an
exemplar of cognitive developmental delay. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive developmental
delay. Failure to thrive is an exemplar of social/emotional developmental delay. Fetal alcohol syndrome is an
exemplar of cognitive developmental delay. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would consider
knowledge of the concepts most significantly impacted by development, including [Multiple Choice]
a. culture.
b. environment.
c. functional status. ✔
d. nutrition.
ANS: C
Function is one of the concepts most significantly impacted by development. Others include sensory-perceptual,
cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the nurse anticipate areas
that need to be addressed. Culture is a concept that is considered to significantly affect development; the
difference is the concepts that affect development are those that represent major influencing factors (causes);
hence determination of development would be the focus of preventive interventions. Environment is considered
, to significantly affect development. Nutrition is considered to significantly affect development. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
Function is one of the concepts most significantly impacted by development. Others include sensory-perceptual,
cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the nurse anticipate areas
that need to be addressed. Culture is a concept that is considered to significantly affect development; the
difference is the concepts that affect development are those that represent major influencing factors (causes);
hence determination of development would be the focus of preventive interventions. Environment is considered
to significantly affect development. Nutrition is considered to significantly affect development. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys and
makes up stories. The mother wants her child to have a psychological evaluation. The nurse’s best initial response
is to [Multiple Choice]
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age. ✔
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANS: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this age. A
referral to a psychologist would be premature based only on the complaint of the mother. Completing a
developmental screening would be very appropriate but not the initial response. The nurse would certainly want
to get more information, but separating the child from the mother is not necessary at this time. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this age. A
referral to a psychologist would be premature based only on the complaint of the mother. Completing a
developmental screening would be very appropriate but not the initial response. The nurse would certainly want
to get more information, but separating the child from the mother is not necessary at this time. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting
like a child. The best response of the nurse is that in the hospital, adolescents [Multiple Choice]
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress. ✔
d. want to know everything.
1. The nurse manager of a pediatric clinic could confirm that the new nurse recognized the purpose of the
HEADSS Adolescent Risk Profile when the new nurse responds that it is used to review for needs related to
[Multiple Choice]
a. anticipatory guidance. ✔
b. low-risk adolescents.
c. physical development.
d. sexual development.
ANS: A
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which reviews home, education,
activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipatory
guidance. It is used to identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data. Sexual development is reviewed using physical examination. OBJ: NCLEX Client Needs
Category: Health Promotion and Maintenance
The HEADSS Adolescent Risk Profile is a psychosocial assessment screening tool which reviews home, education,
activities, drugs, sex, and suicide for the purpose of identifying high-risk adolescents and the need for anticipatory
guidance. It is used to identify high-risk, not low-risk, adolescents. Physical development is reviewed with
anthropometric data. Sexual development is reviewed using physical examination. OBJ: NCLEX Client Needs
Category: Health Promotion and Maintenance
2. The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of
development for a preschooler is [Multiple Choice]
a. concrete operational.
b. formal operational.
c. preoperational. ✔
d. sensorimotor.
ANS: C
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete operational
describes the thinking of a school-age child (7–11 years old). Formal operational describes the thinking of an
individual after about 11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
years old. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
The expected stage of development for a preschooler (3–4 years old) is pre-operational. Concrete operational
,describes the thinking of a school-age child (7–11 years old). Formal operational describes the thinking of an
individual after about 11 years of age. Sensorimotor describes the earliest pattern of thinking from birth to 2
years old. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
3. The school nurse talking with a high school class about the difference between growth and development would
best describe growth as [Multiple Choice]
a. processes by which early cells specialize.
b. psychosocial and cognitive changes.
c. qualitative changes associated with aging.
d. quantitative changes in size or weight. ✔
ANS: D
Growth is a quantitative change in which an increase in cell number and size results in an increase in overall size
or weight of the body or any of its parts. The processes by which early cells specialize are referred to as
differentiation. Psychosocial and cognitive changes are referred to as development. Qualitative changes
associated with aging are referred to as maturation. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
Growth is a quantitative change in which an increase in cell number and size results in an increase in overall size
or weight of the body or any of its parts. The processes by which early cells specialize are referred to as
differentiation. Psychosocial and cognitive changes are referred to as development. Qualitative changes
associated with aging are referred to as maturation. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
4. The most appropriate response of the nurse when a mother asks what the Denver Developmental Screening
Test II (DDST II) does is that it [Multiple Choice]
a. can diagnose developmental disabilities.
b. identifies a need for physical therapy.
c. is a developmental screening tool. ✔
d. provides a framework for health teaching.
ANS: C
The DDST II is the most commonly used measure of developmental status used by healthcare professionals; it is a
screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment
history and physical examination. Developmental delay, which is suggested by screening, is a symptom, not a
diagnosis. The need for any therapy would be identified with a comprehensive evaluation, not a screening tool.
Some providers use the DDST II as a framework for teaching about expected development, but this is not the
primary purpose of the tool. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
,The DDST II is the most commonly used measure of developmental status used by healthcare professionals; it is a
screening tool. Screening tools do not provide a diagnosis. Diagnosis requires a thorough neurodevelopment
history and physical examination. Developmental delay, which is suggested by screening, is a symptom, not a
diagnosis. The need for any therapy would be identified with a comprehensive evaluation, not a screening tool.
Some providers use the DDST II as a framework for teaching about expected development, but this is not the
primary purpose of the tool. OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. To plan early intervention and care for an infant with Down syndrome, the nurse considers knowledge of other
physical development exemplars such as [Multiple Choice]
a. cerebral palsy.
b. failure to thrive.
c. fetal alcohol syndrome.
d. hydrocephaly. ✔
ANS: D
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive developmental
delay. Failure to thrive is an exemplar of social/emotional developmental delay. Fetal alcohol syndrome is an
exemplar of cognitive developmental delay. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
Hydrocephaly is also a physical development exemplar. Cerebral palsy is an exemplar of adaptive developmental
delay. Failure to thrive is an exemplar of social/emotional developmental delay. Fetal alcohol syndrome is an
exemplar of cognitive developmental delay. OBJ: NCLEX Client Needs Category: Health Promotion and
Maintenance
6. To plan early intervention and care for a child with a developmental delay, the nurse would consider
knowledge of the concepts most significantly impacted by development, including [Multiple Choice]
a. culture.
b. environment.
c. functional status. ✔
d. nutrition.
ANS: C
Function is one of the concepts most significantly impacted by development. Others include sensory-perceptual,
cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the nurse anticipate areas
that need to be addressed. Culture is a concept that is considered to significantly affect development; the
difference is the concepts that affect development are those that represent major influencing factors (causes);
hence determination of development would be the focus of preventive interventions. Environment is considered
, to significantly affect development. Nutrition is considered to significantly affect development. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
Function is one of the concepts most significantly impacted by development. Others include sensory-perceptual,
cognition, mobility, reproduction, and sexuality. Knowledge of these concepts can help the nurse anticipate areas
that need to be addressed. Culture is a concept that is considered to significantly affect development; the
difference is the concepts that affect development are those that represent major influencing factors (causes);
hence determination of development would be the focus of preventive interventions. Environment is considered
to significantly affect development. Nutrition is considered to significantly affect development. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
7. A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys and
makes up stories. The mother wants her child to have a psychological evaluation. The nurse’s best initial response
is to [Multiple Choice]
a. refer the child to a psychologist immediately.
b. explain that playing make believe is normal at this age. ✔
c. complete a developmental screening using a validated tool.
d. separate the child from the mother to get more information.
ANS: B
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this age. A
referral to a psychologist would be premature based only on the complaint of the mother. Completing a
developmental screening would be very appropriate but not the initial response. The nurse would certainly want
to get more information, but separating the child from the mother is not necessary at this time. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
By the end of the fourth year, it is expected that a child will engage in fantasy, so this is normal at this age. A
referral to a psychologist would be premature based only on the complaint of the mother. Completing a
developmental screening would be very appropriate but not the initial response. The nurse would certainly want
to get more information, but separating the child from the mother is not necessary at this time. OBJ: NCLEX Client
Needs Category: Health Promotion and Maintenance
8. A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting
like a child. The best response of the nurse is that in the hospital, adolescents [Multiple Choice]
a. have separation anxiety.
b. rebel against rules.
c. regress because of stress. ✔
d. want to know everything.
