Nursing Care Of Children (Nur 321): Final Exam 300 Actual Questions And Correct Answers With Rationale Latest Update Already Graded A+

NURSING CARE OF CHILDREN (NUR 321):
FINAL EXAM 300 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE
LATEST UPDATE ALREADY GRADED A+


Section 1: Growth and Development (Questions 1–60)
Question 1
A parent asks the nurse what developmental milestone should be expected in a 6-
month-old infant. Which response is most accurate?
A. Sitting without support
B. Rolling from back to abdomen
C. Walking with one hand held
D. Saying two-word sentences
Correct Answer: B
Rationale: Rolling from back to abdomen is typically achieved by 6 months.
Sitting without support usually occurs around 8 months, walking with one hand
held around 12 months, and two-word sentences around 24 months.

Question 2
The nurse is assessing a 2-year-old child. Which fine motor skill is expected at this
age?
A. Drawing a circle
B. Stacking six blocks
C. Using a spoon with little spilling
D. Tying shoelaces
Correct Answer: C
Rationale: A 2-year-old can use a spoon with some spilling. Drawing a circle is
expected at 3 years, stacking six blocks at 2 years is emerging, and tying shoelaces
at 5 years.

Question 3
Which statement by a parent indicates understanding of normal language
development in a 12-month-old?
A. "My baby should be saying 10 to 15 words."

,B. "My baby should be pointing to body parts."
C. "My baby should be saying one or two words besides mama and dada."
D. "My baby should be speaking in short sentences."
Correct Answer: C
Rationale: A 12-month-old typically says one or two words besides mama and
dada. Ten to 15 words is expected at 18 months, pointing to body parts at 18 -24
months, and short sentences at 24 months.

Question 4
The nurse is teaching a parent about toilet training readiness. Which sign indicates
the child is ready?
A. The child can undress independently
B. The child stays dry for 2 hours during the day
C. The child is 18 months old
D. The child shows interest in the toilet and can follow simple directions
Correct Answer: D
Rationale: Toilet training readiness includes showing interest in the toilet, being
able to follow simple directions, staying dry for at least 2 hours, and being able to
pull pants up and down. Age alone is not a reliable indicator.

Question 5
A 4-year-old child is brought to the clinic. Which developmental task is most
characteristic of this age?
A. Cooperative play
B. Associative play
C. Parallel play
D. Solitary play
Correct Answer: A
Rationale: Cooperative play is characteristic of 4- to 5-year-olds. Associative play
is seen in 3- to 4-year-olds, parallel play in toddlers, and solitary play in infants.

Question 6
The nurse is assessing a 9-month-old infant. Which gross motor milestone is
expected?
A. Pulling to stand
B. Walking independently
C. Sitting without support
D. Creeping on hands and knees
Correct Answer: A

,Rationale: Pulling to stand typically occurs around 9 months. Sitting without
support is at 8 months, creeping on hands and knees at 10 months, and walking
independently at 12-15 months.

Question 7
A parent expresses concern that their 15-month-old is not yet walking. What is the
nurse's best response?
A. "Your child may have a developmental delay and needs immediate evaluation."
B. "Most children walk by 12 months, so this is concerning."
C. "Walking can normally occur between 12 and 15 months, so this is within the
expected range."
D. "You should encourage more tummy time."
Correct Answer: C
Rationale: Independent walking typically occurs between 12 and 15 months. A 15-
month-old not yet walking is at the upper end of normal but still within the
expected range.

Question 8
Which psychosocial stage does Erikson identify for the toddler?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: B
Rationale: Erikson's stage for toddlers (1-3 years) is autonomy vs. shame and
doubt. Trust vs. mistrust is infancy, initiative vs. guilt is preschool, and industry vs.
inferiority is school age.

Question 9
The nurse is assessing a 5-year-old child. Which Piagetian stage is most
characteristic?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Correct Answer: B
Rationale: The preoperational stage (2-7 years) is characteristic of a 5-year-old.
Sensorimotor is 0-2 years, concrete operational is 7-11 years, and formal
operational is 11 years and older.

, Question 10
A parent asks when their child should be able to ride a tricycle. The nurse should
respond:
A. 2 years
B. 3 years
C. 4 years
D. 5 years
Correct Answer: B
Rationale: Riding a tricycle is typically achieved by 3 years of age.

Question 11
The nurse is teaching a parent about appropriate toys for a 6-month-old. Which toy
is most appropriate?
A. Stuffed animal
B. Rattles and teething toys
C. Building blocks
D. Board games
Correct Answer: B
Rationale: Rattles and teething toys are appropriate for a 6-month-old. Stuffed
animals are more for older infants, building blocks for toddlers, and board games
for school-age children.

Question 12
Which developmental warning sign should the nurse report to the provider?
A. A 2-month-old who does not smile responsively
B. A 6-month-old who cannot sit without support
C. A 12-month-old who cannot walk independently
D. A 3-year-old who cannot pedal a tricycle
Correct Answer: A
Rationale: A 2-month-old should smile responsively. Lack of social smile is a
warning sign. Sitting without support at 6 months is not yet expected; walking at
12 months is within normal limits; pedaling a tricycle at 3 years is emerging.

Question 13
The nurse is assessing a 7-year-old child. Which cognitive milestone is expected?
A. Conservation of mass
B. Magical thinking
C. Object permanence
D. Abstract reasoning
Correct Answer: A