QUESTIONS AND 100% CORRECT
While in the pediatrician's office for their child's 12-month well-
B B B B B B B B B
child exam, the parents ask the nurse for advice on age-
B B B B B B B B B B
appropriate toys for their child. Based on the child's developmental level, which types of toys
B B B B B B B B B B B B B B B
would the nurse suggest? Select all that apply.
B B B B B B B
1. Soft toys that can be manipulated
B B B B B B
2. Small toys that can pop apart and go back together
B B B B B B B B B B
3. Jack-in-the-box toys
B B
4. Toys with black and white patterns
B B B B B B
5. Push-and-pull toys - ANSWER-
B B B B Answer: 1, 3, 5 B B B
A mother of a school-
B B B B
age client who recently had surgery for the removal of tonsils and adenoids complains that th
B B B B B B B B B B B B B B B
e child has begun sucking his thumb again. Which coping mechanisms is the child using to cop
B B B B B B B B B B B B B B B B
e with the surgery and hospitalization?
B B B B B B
1. Repression
B
2. Rationalization
B
3. Regression
B
4. Fantasy - ANSWER-
B B B 3. Regression
B
While being comforted in the emergency department, a young school-
B B B B B B B B B
age sibling of a pediatric trauma victim blurts out to the nurse, "It's my fault! When we were fi
B B B B B B B B B B B B B B B B B B
ghting yesterday, I told him I wished he was dead!" Which response is most appropriate by the
B B B B B B B B B B B B B B B B
nurse?
B B
1. Asking the child if she would like to sit down and drink some water
B B B B B B B B B B B B B B
2. Sitting the child down in an empty room with markers and paper so that she can draw a pict
B B B B B B B B B B B B B B B B B B B
ure
3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explain
B B B B B B B B B B B B B
ing to the sibling why the patient needs them
B B B B B B B B
1
Wicky
,4. Reassuring the child that it is normal to get angry and say things that we do not mean but th
B B B B B B B B B B B B B B B B B B B B
at we have no control over whether or not an accident happens - ANSWER-
B B B B B B B B B B B B B
4. Reassuring the child that it is normal to get angry and say things that we do not mean
B B B B B B B B B B B B B B B B B B
B but that we have no control over whether or not an accident happens
B B B B B B B B B B B B
While assessing the development of a 9-month-
B B B B B B
old infant, the nurse asks the mother if the child actively looks for toys when they are placed o
B B B B B B B B B B B B B B B B B B
ut of sight. Which developmental task is the nurse assessing this infant for?
B B B B B B B B B B B B
1. Object permanence
B B
2. Centration
B
3. Transductive reasoning
B B
4. Conservation - ANSWER-
B B B 1. Object permanence
B B
The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-
B B B B B B B B B B B
appropriate toy is most appropriate for the nurse to suggest to these parents?
B B B B B B B B B B B B B
1. Soft, fluid-filled ring that can be chilled in the refrigerator
B B B B B B B B B B
2. Colorful rattle
B B
3. Jack-in-the-box toy
B B
4. Push-and-pull toy - ANSWER-
B 1. Soft, fluid- B B B B B
filled ring that can be chilled in the refrigerator
B B B B B B B B
Rationale: 1. Teething toys would be appropriate for this age. The rattle might be better enjoy
B B B B B B B B B B B B B B B
ed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-
B B B B B B B B B B B
pull toys are better suited for a 9- to 12-month-old child.
B B B B B B B B B B
A nurse is assessing language development in all the infants presenting at the doctor's office f
B B B B B B B B B B B B B B B
or well- B
child visits. At which age range would the nurse expect a child to verbalize the words "dada" a
B B B B B B B B B B B B B B B B B
nd "mama"? B B
1. 3 and 5 months
B B B B
2. 6 and 8 months
B B B B
3. 9 and 12 months
B B B B
2
Wicky
,4. 13 and 18 months - ANSWER-
B B B B B B 3. 9 and 12 months
B B B B
The parents of an 8-year-
B B B B
old state that their son seems very interested in trying new activities. When the parents ask fo
B B B B B B B B B B B B B B B B
r suggested activities for this age child, the nurse recommends scouts as an activity that will fo
B B B B B B B B B B B B B B B B
ster growth and development. In which stage of Erikson's "psychosocial stages of developmen
B B B B B B B B B B B B
t" is this child?
B B B
1. Trust versus mistrust
B B B
2. Initiative versus guilt
B B B
3. Industry versus inferiority
B B B
4. Identity versus role confusion - ANSWER-
B B B B B B 3. Industry versus inferiority
B B B
Two 3-year- B
olds are playing in a hospital playroom together. One is working on a puzzle while the other is s
B B B B B B B B B B B B B B B B B B
tacking blocks. Which type of play are these children exhibiting?
B B B B B B B B B B
1. Cooperative play
B B
2. Associative play
B B
3. Parallel play
B B
4. Solitary play - ANSWER-
B B B B 3. Parallel play
B B
Rationale: Parallel play describes when two or more children play together, each engaging in t
B B B B B B B B B B B B B B
heir own activities. Cooperative play happens when children demonstrate the ability to coope
B B B B B B B B B B B B
rate with others and play a part in order to contribute to a unified whole. Associative play is ch
B B B B B B B B B B B B B B B B B B
aracterized by children interacting in groups and participating in similar activities. In solitary pl
B B B B B B B B B B B B B
ay, a child plays alone.
B B B B
The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures
B B B B B B B B B B B B B B B
them that their child is demonstrating a typical developmental stage. According to Erikson, w
B B B B B B B B B B B B B B
hich developmental stage will the nurse document in the medical record for this toddler?
B B B B B B B B B B B B B B
1. Trust versus mistrust
B B B
2. Autonomy versus shame and doubt
B B B B B
3. Initiative versus guilt
B B B
3
Wicky
, 4. Industry versus inferiority - ANSWER-
B B B B B 2. Autonomy versus shame and doubt
B B B B B
A new parent group inquires about the stages through which their children will progress as th
B B B B B B B B B B B B B B B
ey grow older. The nurse is discussing Piaget's developmental stages. In what order would the
B B B B B B B B B B B B B B B
nurse expect the child to progress through Piaget's stages of development?
B B B B B B B B B B
1. Sensorimotor
B
2. Formal operational
B B
3. Preoperational
B
4. Concrete operational - ANSWER-
B B B B Answer: 1, 3, 4, 2 B B B B
While trying to inform a young school-
B B B B B B
age client about what will occur during an upcoming CT scan, the nurse notices that the child i
B B B B B B B B B B B B B B B B B
s engaged in a collective monologue, talking about a new puppy. Which response by the nurse
B B B B B B B B B B B B B B B B
is the most appropriate in this situation?
B B B B B B B
1. "Please stop talking about your puppy. I need to tell you about your CT scan."
B B B B B B B B B B B B B B B
2. Ignore the child's responses and continue discussing the procedure.
B B B B B B B B B
3. "I'll come back when you are ready to talk with me more about your CT scan."
B B B B B B B B B B B B B B B B
4. "You must be so excited to have a new puppy! They are so much fun. Now, let me tell you ag
B B B B B B B B B B B B B B B B B B B B B
ain about going downstairs in a wheelchair to a special room." - ANSWER-
B B B B B B B B B B B B
4. "You must be so excited to have a new puppy! They are so much fun. Now, let me tell
B B B B B B B B B B B B B B B B B B B B
you again about going downstairs in a wheelchair to a special room."
B B B B B B B B B B B
An adolescent client with cystic fibrosis suddenly becomes noncompliant with the medication
B B B B B B B B B B B B
regime. Which intervention by the nurse will most likely improve compliance for this client?
B B B B B B B B B B B B B B
1. Give the child a computer-
B B B B B
animated game that presents information on the management of cystic fibrosis.
B B B B B B B B B B
2. Arrange for the physician to sit down and talk to the child about the risks related to noncom
B B B B B B B B B B B B B B B B B B
pliance with medications. B B
3. Set up a meeting with some older teens with cystic fibrosis who have been managing their d
B B B B B B B B B B B B B B B B B
isease effectively. B
4
Wicky
While in the pediatrician's office for their child's 12-month well-
B B B B B B B B B
child exam, the parents ask the nurse for advice on age-
B B B B B B B B B B
appropriate toys for their child. Based on the child's developmental level, which types of toys
B B B B B B B B B B B B B B B
would the nurse suggest? Select all that apply.
B B B B B B B
1. Soft toys that can be manipulated
B B B B B B
2. Small toys that can pop apart and go back together
B B B B B B B B B B
3. Jack-in-the-box toys
B B
4. Toys with black and white patterns
B B B B B B
5. Push-and-pull toys - ANSWER-
B B B B Answer: 1, 3, 5 B B B
A mother of a school-
B B B B
age client who recently had surgery for the removal of tonsils and adenoids complains that th
B B B B B B B B B B B B B B B
e child has begun sucking his thumb again. Which coping mechanisms is the child using to cop
B B B B B B B B B B B B B B B B
e with the surgery and hospitalization?
B B B B B B
1. Repression
B
2. Rationalization
B
3. Regression
B
4. Fantasy - ANSWER-
B B B 3. Regression
B
While being comforted in the emergency department, a young school-
B B B B B B B B B
age sibling of a pediatric trauma victim blurts out to the nurse, "It's my fault! When we were fi
B B B B B B B B B B B B B B B B B B
ghting yesterday, I told him I wished he was dead!" Which response is most appropriate by the
B B B B B B B B B B B B B B B B
nurse?
B B
1. Asking the child if she would like to sit down and drink some water
B B B B B B B B B B B B B B
2. Sitting the child down in an empty room with markers and paper so that she can draw a pict
B B B B B B B B B B B B B B B B B B B
ure
3. Calmly discussing the catheters, tubes, and equipment that the patient requires and explain
B B B B B B B B B B B B B
ing to the sibling why the patient needs them
B B B B B B B B
1
Wicky
,4. Reassuring the child that it is normal to get angry and say things that we do not mean but th
B B B B B B B B B B B B B B B B B B B B
at we have no control over whether or not an accident happens - ANSWER-
B B B B B B B B B B B B B
4. Reassuring the child that it is normal to get angry and say things that we do not mean
B B B B B B B B B B B B B B B B B B
B but that we have no control over whether or not an accident happens
B B B B B B B B B B B B
While assessing the development of a 9-month-
B B B B B B
old infant, the nurse asks the mother if the child actively looks for toys when they are placed o
B B B B B B B B B B B B B B B B B B
ut of sight. Which developmental task is the nurse assessing this infant for?
B B B B B B B B B B B B
1. Object permanence
B B
2. Centration
B
3. Transductive reasoning
B B
4. Conservation - ANSWER-
B B B 1. Object permanence
B B
The nurse is counseling the parents of a 6-1/2-month-old infant. Which age-
B B B B B B B B B B B
appropriate toy is most appropriate for the nurse to suggest to these parents?
B B B B B B B B B B B B B
1. Soft, fluid-filled ring that can be chilled in the refrigerator
B B B B B B B B B B
2. Colorful rattle
B B
3. Jack-in-the-box toy
B B
4. Push-and-pull toy - ANSWER-
B 1. Soft, fluid- B B B B B
filled ring that can be chilled in the refrigerator
B B B B B B B B
Rationale: 1. Teething toys would be appropriate for this age. The rattle might be better enjoy
B B B B B B B B B B B B B B B
ed by a 3- to 6-month-old infant, and the jack-in-the-box and push-and-
B B B B B B B B B B B
pull toys are better suited for a 9- to 12-month-old child.
B B B B B B B B B B
A nurse is assessing language development in all the infants presenting at the doctor's office f
B B B B B B B B B B B B B B B
or well- B
child visits. At which age range would the nurse expect a child to verbalize the words "dada" a
B B B B B B B B B B B B B B B B B
nd "mama"? B B
1. 3 and 5 months
B B B B
2. 6 and 8 months
B B B B
3. 9 and 12 months
B B B B
2
Wicky
,4. 13 and 18 months - ANSWER-
B B B B B B 3. 9 and 12 months
B B B B
The parents of an 8-year-
B B B B
old state that their son seems very interested in trying new activities. When the parents ask fo
B B B B B B B B B B B B B B B B
r suggested activities for this age child, the nurse recommends scouts as an activity that will fo
B B B B B B B B B B B B B B B B
ster growth and development. In which stage of Erikson's "psychosocial stages of developmen
B B B B B B B B B B B B
t" is this child?
B B B
1. Trust versus mistrust
B B B
2. Initiative versus guilt
B B B
3. Industry versus inferiority
B B B
4. Identity versus role confusion - ANSWER-
B B B B B B 3. Industry versus inferiority
B B B
Two 3-year- B
olds are playing in a hospital playroom together. One is working on a puzzle while the other is s
B B B B B B B B B B B B B B B B B B
tacking blocks. Which type of play are these children exhibiting?
B B B B B B B B B B
1. Cooperative play
B B
2. Associative play
B B
3. Parallel play
B B
4. Solitary play - ANSWER-
B B B B 3. Parallel play
B B
Rationale: Parallel play describes when two or more children play together, each engaging in t
B B B B B B B B B B B B B B
heir own activities. Cooperative play happens when children demonstrate the ability to coope
B B B B B B B B B B B B
rate with others and play a part in order to contribute to a unified whole. Associative play is ch
B B B B B B B B B B B B B B B B B B
aracterized by children interacting in groups and participating in similar activities. In solitary pl
B B B B B B B B B B B B B
ay, a child plays alone.
B B B B
The nurse, talking with the parents of a toddler who is struggling with toilet training, reassures
B B B B B B B B B B B B B B B
them that their child is demonstrating a typical developmental stage. According to Erikson, w
B B B B B B B B B B B B B B
hich developmental stage will the nurse document in the medical record for this toddler?
B B B B B B B B B B B B B B
1. Trust versus mistrust
B B B
2. Autonomy versus shame and doubt
B B B B B
3. Initiative versus guilt
B B B
3
Wicky
, 4. Industry versus inferiority - ANSWER-
B B B B B 2. Autonomy versus shame and doubt
B B B B B
A new parent group inquires about the stages through which their children will progress as th
B B B B B B B B B B B B B B B
ey grow older. The nurse is discussing Piaget's developmental stages. In what order would the
B B B B B B B B B B B B B B B
nurse expect the child to progress through Piaget's stages of development?
B B B B B B B B B B
1. Sensorimotor
B
2. Formal operational
B B
3. Preoperational
B
4. Concrete operational - ANSWER-
B B B B Answer: 1, 3, 4, 2 B B B B
While trying to inform a young school-
B B B B B B
age client about what will occur during an upcoming CT scan, the nurse notices that the child i
B B B B B B B B B B B B B B B B B
s engaged in a collective monologue, talking about a new puppy. Which response by the nurse
B B B B B B B B B B B B B B B B
is the most appropriate in this situation?
B B B B B B B
1. "Please stop talking about your puppy. I need to tell you about your CT scan."
B B B B B B B B B B B B B B B
2. Ignore the child's responses and continue discussing the procedure.
B B B B B B B B B
3. "I'll come back when you are ready to talk with me more about your CT scan."
B B B B B B B B B B B B B B B B
4. "You must be so excited to have a new puppy! They are so much fun. Now, let me tell you ag
B B B B B B B B B B B B B B B B B B B B B
ain about going downstairs in a wheelchair to a special room." - ANSWER-
B B B B B B B B B B B B
4. "You must be so excited to have a new puppy! They are so much fun. Now, let me tell
B B B B B B B B B B B B B B B B B B B B
you again about going downstairs in a wheelchair to a special room."
B B B B B B B B B B B
An adolescent client with cystic fibrosis suddenly becomes noncompliant with the medication
B B B B B B B B B B B B
regime. Which intervention by the nurse will most likely improve compliance for this client?
B B B B B B B B B B B B B B
1. Give the child a computer-
B B B B B
animated game that presents information on the management of cystic fibrosis.
B B B B B B B B B B
2. Arrange for the physician to sit down and talk to the child about the risks related to noncom
B B B B B B B B B B B B B B B B B B
pliance with medications. B B
3. Set up a meeting with some older teens with cystic fibrosis who have been managing their d
B B B B B B B B B B B B B B B B B
isease effectively. B
4
Wicky
