NP1 EXAM 2
1. A nurse assesses a 4-month-old infant and notes the baby does not followa moving object
with her eyes. What action by the nurse is best?
a. Document the findings and continue the assessment.
b. Refer the child and parent to a pediatric neurologist.
c. Assess the child for other age-appropriate behaviors.
d. Assess the child for signs of child abuse or neglect.: c
2. A home health care nurse notes a parent becoming irritated when his toddler repeatedly
throws his rattle from the highchair to the floor. What actionby the nurse is most appropriate?
a. Teach the parent about age-appropriate discipline.
b. Educate the parent on age-appropriate behaviors.
c. Tell the parent to stop giving the rattle back to the child.
d. Assess the child for signs of abuse or neglect.: b
3. The nurse is teaching parents about actions to assist in developing a critical skill in the
concrete operations phase of Piaget's developmental theory. What activities does the nurse
suggest the parents participate with their childin? (Select all that apply.)
a. Separating a collection of toy horses into functions each type performs.
b. Exploring a space and astronomy museum and planetarium together.
c. Making a scrapbook of leaves sorted by color or type of tree.
d. Having the child explore how common objects can be used for differentpurposes.
e. Asking the child to describe an event from several different points ofview.: a, c
4. A nurse is assessing a 12-month-old at a well-baby visit. For what developmental
milestones does the nurse assess this child? (Select all that apply.)
a. Attempting to walk with help.
b. Transferring objects from one hand to the other.
c. Ability to roll around on the floor holding a bottle independently.
d. Searching for objects that are out of sight.
e. Moving from lying on abdomen to sitting unassisted.: a, d, e
5. A nurse is planning a community education event for parents on the topic of school-aged
children and the concerns of bullying. What topics should the nurse plan to include? (Select all
that apply.)
,a. Need to be vigilant in monitoring their children's activities.
b. Watch for decreased physical activity.
c. Watch for signs of low self-esteem and depression.
d. Setting safe limits on social media.
e. Be on the lookout for aggressive behavior.: a, c, d
6. A high-school nurse is planning an educational presentation for juniors. What activities
are most appropriate for the nurse's plan to include? (Selectall that apply.)
a. Video showing the aftermath of a drunk driving car crash.
b. Confidential depression and suicide risk assessment.
c. Same-age speaker sharing her story about the impact of HIV disease.
d. Charts and graphs showing the physical changes of puberty.
e. Bicycle helmet fitting station to see if child has outgrown the helmet.: a, b,c, d
7. A pregnant woman in her second trimester is scheduled for quad testing. What conditions
does the nurse explain are screened for in this assessment?(Select all that apply.)
a. Blood clotting abnormalities
b. Neural tube defects
c. Heart abnormalities
d. Trisomy 18
e. Trisomy 21: b, d, e
8. The nurse working in long-term care knows that there are multiple theoriesregarding aging.
The one the nurse most identifies with proposes that the body's cells are leading to damaged
organs and organ systems. This description is congruent with which theory?
a. Cross-linking theory of aging
b. Wear-and-tear theory
c. Gould's theory on adult development
d. Senescence theory of aging: b
9. A nurse is obtaining a history from a 37-year-old patient. What statementby the patient
indicates that he has met the age-appropriate developmental task according to Gould?
a. Patient describes moving out of his parents' house into an apartment.
b. Patient reminisces about past life events and accomplishments.
c. Patient questions his life choices such as profession and decision not tomarry.
d. Patient expresses satisfaction in having his own family and successfulcareer.: d
, 10. The nurse plans to develop a comprehensive screening tool to use with young adults,
assessing their lifestyles and healthy living habits. What barriermust the nurse plan to overcome
to make this screening successful?
a. Young adults may not see a health provider regularly.
b.Young adults are so diversified that a screening tool may not be appropriate.
c. Young adults have too many risky lifestyle behaviors to make educationrelevant.
d. Young adults are too busy with their lives to see a health care providerregularly.: a
11. A nurse who uses Havighurst's theory of development is assessing a young adult. What
question does the nurse ask to provide the most relevant information about this person's
successful negotiation of this developmentalstage?
a. "Do you find yourself doing familiar tasks in new ways to accomplishthem?"
b. "Please count backwards from 100 by 7s, such as 100, 93, and so on."
c. "What occupation have you chosen for your life's work?"
d. "Do you still have a good relationship with your parents and siblings?": c
12. A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse
perform to confirm this?
a. Mini-mental state exam
b. Tests of muscle strength
c. Gait and balance
d. Vision and hearing: b
13. A nurse is assessing a middle-aged adult for cognitive skills. The patienthas difficulty
with number-series tests. What action by the nurse is most appropriate?
a. Document the findings and continue the assessment.
b. Perform another test for fluid intelligence.
c. Consult with the provider about dementia screening.
d. Ask the patient about family medical history.: b
14. A nurse working with a middle-aged adult is concerned that the adult is not meeting
developmental tasks associated with Erikson's theory. What question by the nurse is most
appropriate?
a. Are there community organizations you would like to volunteer with?
b. Do your children come to see you on a regular basis?
c. Do you get at least 30 minutes of exercise most days of the week?
d. How do you feel about reading for a leisure time activity?: a
1. A nurse assesses a 4-month-old infant and notes the baby does not followa moving object
with her eyes. What action by the nurse is best?
a. Document the findings and continue the assessment.
b. Refer the child and parent to a pediatric neurologist.
c. Assess the child for other age-appropriate behaviors.
d. Assess the child for signs of child abuse or neglect.: c
2. A home health care nurse notes a parent becoming irritated when his toddler repeatedly
throws his rattle from the highchair to the floor. What actionby the nurse is most appropriate?
a. Teach the parent about age-appropriate discipline.
b. Educate the parent on age-appropriate behaviors.
c. Tell the parent to stop giving the rattle back to the child.
d. Assess the child for signs of abuse or neglect.: b
3. The nurse is teaching parents about actions to assist in developing a critical skill in the
concrete operations phase of Piaget's developmental theory. What activities does the nurse
suggest the parents participate with their childin? (Select all that apply.)
a. Separating a collection of toy horses into functions each type performs.
b. Exploring a space and astronomy museum and planetarium together.
c. Making a scrapbook of leaves sorted by color or type of tree.
d. Having the child explore how common objects can be used for differentpurposes.
e. Asking the child to describe an event from several different points ofview.: a, c
4. A nurse is assessing a 12-month-old at a well-baby visit. For what developmental
milestones does the nurse assess this child? (Select all that apply.)
a. Attempting to walk with help.
b. Transferring objects from one hand to the other.
c. Ability to roll around on the floor holding a bottle independently.
d. Searching for objects that are out of sight.
e. Moving from lying on abdomen to sitting unassisted.: a, d, e
5. A nurse is planning a community education event for parents on the topic of school-aged
children and the concerns of bullying. What topics should the nurse plan to include? (Select all
that apply.)
,a. Need to be vigilant in monitoring their children's activities.
b. Watch for decreased physical activity.
c. Watch for signs of low self-esteem and depression.
d. Setting safe limits on social media.
e. Be on the lookout for aggressive behavior.: a, c, d
6. A high-school nurse is planning an educational presentation for juniors. What activities
are most appropriate for the nurse's plan to include? (Selectall that apply.)
a. Video showing the aftermath of a drunk driving car crash.
b. Confidential depression and suicide risk assessment.
c. Same-age speaker sharing her story about the impact of HIV disease.
d. Charts and graphs showing the physical changes of puberty.
e. Bicycle helmet fitting station to see if child has outgrown the helmet.: a, b,c, d
7. A pregnant woman in her second trimester is scheduled for quad testing. What conditions
does the nurse explain are screened for in this assessment?(Select all that apply.)
a. Blood clotting abnormalities
b. Neural tube defects
c. Heart abnormalities
d. Trisomy 18
e. Trisomy 21: b, d, e
8. The nurse working in long-term care knows that there are multiple theoriesregarding aging.
The one the nurse most identifies with proposes that the body's cells are leading to damaged
organs and organ systems. This description is congruent with which theory?
a. Cross-linking theory of aging
b. Wear-and-tear theory
c. Gould's theory on adult development
d. Senescence theory of aging: b
9. A nurse is obtaining a history from a 37-year-old patient. What statementby the patient
indicates that he has met the age-appropriate developmental task according to Gould?
a. Patient describes moving out of his parents' house into an apartment.
b. Patient reminisces about past life events and accomplishments.
c. Patient questions his life choices such as profession and decision not tomarry.
d. Patient expresses satisfaction in having his own family and successfulcareer.: d
, 10. The nurse plans to develop a comprehensive screening tool to use with young adults,
assessing their lifestyles and healthy living habits. What barriermust the nurse plan to overcome
to make this screening successful?
a. Young adults may not see a health provider regularly.
b.Young adults are so diversified that a screening tool may not be appropriate.
c. Young adults have too many risky lifestyle behaviors to make educationrelevant.
d. Young adults are too busy with their lives to see a health care providerregularly.: a
11. A nurse who uses Havighurst's theory of development is assessing a young adult. What
question does the nurse ask to provide the most relevant information about this person's
successful negotiation of this developmentalstage?
a. "Do you find yourself doing familiar tasks in new ways to accomplishthem?"
b. "Please count backwards from 100 by 7s, such as 100, 93, and so on."
c. "What occupation have you chosen for your life's work?"
d. "Do you still have a good relationship with your parents and siblings?": c
12. A nurse reads on a patient's chart that she has sarcopenia. What assessment does the nurse
perform to confirm this?
a. Mini-mental state exam
b. Tests of muscle strength
c. Gait and balance
d. Vision and hearing: b
13. A nurse is assessing a middle-aged adult for cognitive skills. The patienthas difficulty
with number-series tests. What action by the nurse is most appropriate?
a. Document the findings and continue the assessment.
b. Perform another test for fluid intelligence.
c. Consult with the provider about dementia screening.
d. Ask the patient about family medical history.: b
14. A nurse working with a middle-aged adult is concerned that the adult is not meeting
developmental tasks associated with Erikson's theory. What question by the nurse is most
appropriate?
a. Are there community organizations you would like to volunteer with?
b. Do your children come to see you on a regular basis?
c. Do you get at least 30 minutes of exercise most days of the week?
d. How do you feel about reading for a leisure time activity?: a
