NCLEX Exam 2022
1. Your patient is 4-years-old. According to Erickson’s Stages of Psychosocial
Development the child should develop ____________ by the end of their developmental
stage.
A. trust
B. purpose
C. autonomy
D. competence
The answer is B: purpose. Ages 3-5 years include preschoolers, and according to
Erickson’s Stages of Psychosocial Development the child is in the Initiative vs. Guilt
stage. The child is learning how to venture out and be independent. If they are able to do
this (not discouraged or restraint) the child will develop a sense of purpose and be able
to go to the next stage, which is Industry vs. Inferiority.
2. When considering Erickson’s Stages of Psychosocial Development for a 3-year-old
which action below would potentially hinder a child’s development?
A. Giving the child freedom to try new things
B. Offering options of play that are imaginary
C. Accepting reasonable choices made by the child
D. Making choices and decisions for the child
The answer is D. Children at this age need to be given opportunities to try new things
and make their own choices. If not given opportunities to try new things or make choices
on their own, the child will develop guilt and struggle with trying new things and being
, independent. In turn, the child will have trouble developing a sense of purpose.
Therefore, the parent should avoid trying to control or make choices or decisions for the
child.
3. A preschooler is in what stage of development according to Piaget’s Theory?
A. Preoperational
B. Concrete operational
C. Formal operational
D. Sensorimotor
The answer is A. A preschooler is in the preoperational stage of cognitive development.
This stage includes children 2-7 years.
4. Which statement below is TRUE regarding a 5-year-old’s cognitive development
based on Piaget’s Theory?
A. “The goal of this stage is to achieve the understanding of object permanence.”
B. “This child now has the ability to think logically about events.”
C. “This child’s thinking is still egocentric and they can’t understand the point of views of
others.”
D. “This child has the ability to create hypothetical arguments.”
The answer is C. Option A is a description of a child that is birth to 2 years (sensorimotor
stage). Option B is a description of a child that is 7-11 years (concrete operational).
Option D is a child that is 11 years and beyond (formal operational).
5. You’re assessing the development of a 5-year-old. Which of the following are FINE
motor skills a child should be able to perform at this age? Select-all-that-apply: