Test Bank for Advanced Practice Nursing: Essentials for
Role Development 5th Edition by Joel
, Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done-
Radicals, Renegades, and Rebels
MULTIPLE CHOICE
1. The pediatric clinic nurse manager would know the newly hired nurse understands the goal of the HEADSS
Adolescent Risk Profile when the nurse explains it is used to evaluate needs related to
a. future health guidance.
b. teens at low risk.
c. physical growth.
d. sexual maturation.
Correct Answer: A
The HEADSS Adolescent Risk Profile is a psychosocial tool used to evaluate aspects such as home, education,
activities, drug use, sex, and suicide, with the intent to identify adolescents at high risk who may benefit from
anticipatory guidance. It targets high-risk—not low-risk—teens. Physical growth is assessed through body
measurements, while sexual maturity is examined during a physical assessment.
REF: 6
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. When creating a teaching strategy for a preschool-aged child, the nurse understands that, according to Piaget,
the developmental phase expected is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
Correct Answer: C
Preschoolers (ages 3 to 4) fall under Piaget’s preoperational stage. The concrete operational stage is typical of
school-aged children (7–11 years). The formal operational phase begins around age 11. Sensorimotor thinking
occurs from birth to 2 years old.
REF: 5
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
,3. When educating high school students about growth and development, the school nurse best defines growth as
a. cell specialization during early development.
b. psychological and mental progression.
c. aging-related qualitative shifts.
d. measurable changes in body size or weight.
Correct Answer: D
Growth refers to measurable increases in body size or weight due to increases in cell number and size. Cell
differentiation is the term for early cell specialization. Development involves emotional and cognitive progress.
Maturation reflects qualitative changes with aging.
REF: 2
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most accurate explanation the nurse can give a mother asking about the Denver II test is that it
a. diagnoses developmental disorders.
b. determines the need for physical therapy.
c. functions as a developmental screening instrument.
d. supports planning for patient education.
Correct Answer: C
The Denver II is widely used by healthcare professionals to screen a child’s developmental progress. It is not
diagnostic; diagnosis demands a detailed neurodevelopmental exam and history. While it may assist in patient
teaching, that’s not its main function.
REF: 4
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. When developing a care plan for an infant diagnosed with Down syndrome, the nurse should reference
knowledge of other physical developmental conditions such as
a. cerebral palsy.
b. growth failure.
c. fetal alcohol effects.
d. hydrocephalus.
Correct Answer: D
Hydrocephalus is considered another exemplar related to physical development. Cerebral palsy represents
, adaptive delays, failure to thrive affects social/emotional growth, and fetal alcohol syndrome is associated with
cognitive delays.
REF: 9
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To design early care plans for a child with developmental delays, the nurse should consider the key concepts
most influenced by development, which include
a. culture.
b. environment.
c. ability to function.
d. nutrition.
Correct Answer: C
Function is among the most impacted areas by development, along with cognition, mobility, sensory-
perception, sexuality, and reproduction. These areas guide nurses in identifying necessary interventions.
Culture, environment, and nutrition are all factors that affect development rather than being outcomes of it.
REF: 1
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A concerned mother tells the pediatric nurse that her 4-year-old child constantly talks to toys and creates
stories. The nurse's best initial reply is to
a. arrange a mental health referral.
b. reassure her that make-believe play is typical at this stage.
c. begin a developmental assessment.
d. talk to the child privately for further insight.
Correct Answer: B
Pretend play, including talking to dolls or toys, is developmentally normal for children around age four. A
referral for psychological testing is unnecessary at this point. Although developmental screening is appropriate,
it wouldn’t be the first action. Speaking to the child apart from the parent is not required right away.
REF: 5
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
Role Development 5th Edition by Joel
, Chapter 1. Advanced Practice Nursing: Doing What Has to Be Done-
Radicals, Renegades, and Rebels
MULTIPLE CHOICE
1. The pediatric clinic nurse manager would know the newly hired nurse understands the goal of the HEADSS
Adolescent Risk Profile when the nurse explains it is used to evaluate needs related to
a. future health guidance.
b. teens at low risk.
c. physical growth.
d. sexual maturation.
Correct Answer: A
The HEADSS Adolescent Risk Profile is a psychosocial tool used to evaluate aspects such as home, education,
activities, drug use, sex, and suicide, with the intent to identify adolescents at high risk who may benefit from
anticipatory guidance. It targets high-risk—not low-risk—teens. Physical growth is assessed through body
measurements, while sexual maturity is examined during a physical assessment.
REF: 6
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
2. When creating a teaching strategy for a preschool-aged child, the nurse understands that, according to Piaget,
the developmental phase expected is
a. concrete operational.
b. formal operational.
c. preoperational.
d. sensorimotor.
Correct Answer: C
Preschoolers (ages 3 to 4) fall under Piaget’s preoperational stage. The concrete operational stage is typical of
school-aged children (7–11 years). The formal operational phase begins around age 11. Sensorimotor thinking
occurs from birth to 2 years old.
REF: 5
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
,3. When educating high school students about growth and development, the school nurse best defines growth as
a. cell specialization during early development.
b. psychological and mental progression.
c. aging-related qualitative shifts.
d. measurable changes in body size or weight.
Correct Answer: D
Growth refers to measurable increases in body size or weight due to increases in cell number and size. Cell
differentiation is the term for early cell specialization. Development involves emotional and cognitive progress.
Maturation reflects qualitative changes with aging.
REF: 2
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
4. The most accurate explanation the nurse can give a mother asking about the Denver II test is that it
a. diagnoses developmental disorders.
b. determines the need for physical therapy.
c. functions as a developmental screening instrument.
d. supports planning for patient education.
Correct Answer: C
The Denver II is widely used by healthcare professionals to screen a child’s developmental progress. It is not
diagnostic; diagnosis demands a detailed neurodevelopmental exam and history. While it may assist in patient
teaching, that’s not its main function.
REF: 4
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
5. When developing a care plan for an infant diagnosed with Down syndrome, the nurse should reference
knowledge of other physical developmental conditions such as
a. cerebral palsy.
b. growth failure.
c. fetal alcohol effects.
d. hydrocephalus.
Correct Answer: D
Hydrocephalus is considered another exemplar related to physical development. Cerebral palsy represents
, adaptive delays, failure to thrive affects social/emotional growth, and fetal alcohol syndrome is associated with
cognitive delays.
REF: 9
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
6. To design early care plans for a child with developmental delays, the nurse should consider the key concepts
most influenced by development, which include
a. culture.
b. environment.
c. ability to function.
d. nutrition.
Correct Answer: C
Function is among the most impacted areas by development, along with cognition, mobility, sensory-
perception, sexuality, and reproduction. These areas guide nurses in identifying necessary interventions.
Culture, environment, and nutrition are all factors that affect development rather than being outcomes of it.
REF: 1
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
7. A concerned mother tells the pediatric nurse that her 4-year-old child constantly talks to toys and creates
stories. The nurse's best initial reply is to
a. arrange a mental health referral.
b. reassure her that make-believe play is typical at this stage.
c. begin a developmental assessment.
d. talk to the child privately for further insight.
Correct Answer: B
Pretend play, including talking to dolls or toys, is developmentally normal for children around age four. A
referral for psychological testing is unnecessary at this point. Although developmental screening is appropriate,
it wouldn’t be the first action. Speaking to the child apart from the parent is not required right away.
REF: 5
OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance
