1. A nurse is caring for a 4-year-old child who has a new diagnosis of type 1
diabetes. The nurse should include which of the following in the teaching plan?
A. Insulin therapy will be discontinued once the child reaches adolescence. B. The child will
need to check their blood glucose levels several times a day. C. A child with type 1 diabetes
should avoid all sources of sugar. D. The child will likely experience periods of hyperglycemia
due to stress.
Answer: B. The child will need to check their blood glucose levels several times a day.
Rationale: Children with type 1 diabetes require ongoing blood glucose monitoring to ensure
proper management of their condition. Insulin therapy continues throughout life and the child
should be allowed some sugar intake, as long as it is balanced with insulin and diet. Stress can
also increase the risk of hyperglycemia.
2. A nurse is assessing a 2-year-old child’s developmental milestones. Which of
the following is expected for this age?
A. Can walk up and down stairs using alternating feet. B. Has a vocabulary of 50-100 words. C.
Can stand on one foot for 5 seconds. D. Can draw a square with a pencil.
Answer: B. Has a vocabulary of 50-100 words.
Rationale: By age 2, most children have a vocabulary of 50-100 words and can start to form
short phrases. Walking up stairs with alternating feet and drawing shapes like a square usually
develops later.
3. A nurse is providing care for a 6-month-old infant. Which of the following is
an expected finding?
A. The infant can say “mama” and “dada.” B. The infant begins to crawl. C. The infant has
doubled their birth weight. D. The infant can walk with assistance.
Answer: C. The infant has doubled their birth weight.
Rationale: By 6 months of age, an infant typically has doubled their birth weight. At this stage,
they may begin to roll over or sit with support but are not likely to crawl or walk yet.
, 4. A nurse is caring for a child who has a newly diagnosed severe peanut allergy.
The nurse should include which of the following in the teaching plan?
A. The child should avoid foods that may contain hidden peanuts, such as baked goods. B. The
child can tolerate small amounts of peanuts with no serious effects. C. The child will need
allergy shots to desensitize them to peanuts. D. The child should avoid all foods that contain any
form of protein.
Answer: A. The child should avoid foods that may contain hidden peanuts, such as baked
goods.
Rationale: Children with severe peanut allergies must avoid not only foods with obvious peanut
content but also foods that may contain hidden peanuts. Allergy shots (immunotherapy) are not
used for peanut allergies in most cases.
5. A nurse is assessing a 5-year-old child’s nutrition. The child’s mother
expresses concern about the child’s refusal to eat vegetables. The nurse should
suggest which of the following strategies to improve the child’s diet?
A. Limit the child’s snack intake until vegetables are eaten. B. Praise the child for trying new
foods, even in small amounts. C. Prepare vegetables in a way that is bland and unappealing to the
child. D. Encourage the child to eat vegetables only at dinner.
Answer: B. Praise the child for trying new foods, even in small amounts.
Rationale: Positive reinforcement, such as praising the child for trying new foods, can
encourage acceptance of vegetables. Making vegetables appealing and offering them regularly
can also help.
6. A nurse is caring for a 15-month-old toddler. Which of the following is an
expected milestone for this age?
A. The child can kick a ball forward. B. The child can build a tower of six blocks. C. The child
can walk without assistance. D. The child can say simple sentences.
Answer: C. The child can walk without assistance.
Rationale: By 15 months, most toddlers can walk independently, though they may still be
unsteady. Building towers with six blocks typically happens around age 2, and simple sentences
develop later.
diabetes. The nurse should include which of the following in the teaching plan?
A. Insulin therapy will be discontinued once the child reaches adolescence. B. The child will
need to check their blood glucose levels several times a day. C. A child with type 1 diabetes
should avoid all sources of sugar. D. The child will likely experience periods of hyperglycemia
due to stress.
Answer: B. The child will need to check their blood glucose levels several times a day.
Rationale: Children with type 1 diabetes require ongoing blood glucose monitoring to ensure
proper management of their condition. Insulin therapy continues throughout life and the child
should be allowed some sugar intake, as long as it is balanced with insulin and diet. Stress can
also increase the risk of hyperglycemia.
2. A nurse is assessing a 2-year-old child’s developmental milestones. Which of
the following is expected for this age?
A. Can walk up and down stairs using alternating feet. B. Has a vocabulary of 50-100 words. C.
Can stand on one foot for 5 seconds. D. Can draw a square with a pencil.
Answer: B. Has a vocabulary of 50-100 words.
Rationale: By age 2, most children have a vocabulary of 50-100 words and can start to form
short phrases. Walking up stairs with alternating feet and drawing shapes like a square usually
develops later.
3. A nurse is providing care for a 6-month-old infant. Which of the following is
an expected finding?
A. The infant can say “mama” and “dada.” B. The infant begins to crawl. C. The infant has
doubled their birth weight. D. The infant can walk with assistance.
Answer: C. The infant has doubled their birth weight.
Rationale: By 6 months of age, an infant typically has doubled their birth weight. At this stage,
they may begin to roll over or sit with support but are not likely to crawl or walk yet.
, 4. A nurse is caring for a child who has a newly diagnosed severe peanut allergy.
The nurse should include which of the following in the teaching plan?
A. The child should avoid foods that may contain hidden peanuts, such as baked goods. B. The
child can tolerate small amounts of peanuts with no serious effects. C. The child will need
allergy shots to desensitize them to peanuts. D. The child should avoid all foods that contain any
form of protein.
Answer: A. The child should avoid foods that may contain hidden peanuts, such as baked
goods.
Rationale: Children with severe peanut allergies must avoid not only foods with obvious peanut
content but also foods that may contain hidden peanuts. Allergy shots (immunotherapy) are not
used for peanut allergies in most cases.
5. A nurse is assessing a 5-year-old child’s nutrition. The child’s mother
expresses concern about the child’s refusal to eat vegetables. The nurse should
suggest which of the following strategies to improve the child’s diet?
A. Limit the child’s snack intake until vegetables are eaten. B. Praise the child for trying new
foods, even in small amounts. C. Prepare vegetables in a way that is bland and unappealing to the
child. D. Encourage the child to eat vegetables only at dinner.
Answer: B. Praise the child for trying new foods, even in small amounts.
Rationale: Positive reinforcement, such as praising the child for trying new foods, can
encourage acceptance of vegetables. Making vegetables appealing and offering them regularly
can also help.
6. A nurse is caring for a 15-month-old toddler. Which of the following is an
expected milestone for this age?
A. The child can kick a ball forward. B. The child can build a tower of six blocks. C. The child
can walk without assistance. D. The child can say simple sentences.
Answer: C. The child can walk without assistance.
Rationale: By 15 months, most toddlers can walk independently, though they may still be
unsteady. Building towers with six blocks typically happens around age 2, and simple sentences
develop later.
