Saunders Comprehensive Review for the NCLEX-PN®
Examination
9th Edition
Author(s)Linda Anne Silvestri; Angela Silvestri
TEST BANK
1) Growth & Development — Gross Motor Milestone
A 12-month-old infant is brought to the clinic. Which
milestone would the nurse expect the child to exhibit at this
age?
A. Sits unsupported and transfers objects hand to hand
B. Walks independently and uses a pincer grasp
C. Runs smoothly and pedals a tricycle
D. Uses full sentences and can jump with both feet
Correct: B
Rationales:
• B (Correct): Around 12 months many infants take first
independent steps (walks independently) and have refined
pincer grasp (able to pick up small objects with thumb and
forefinger). This answer aligns with expected gross and fine
motor development at ~12 months.
,• A (Incorrect): Sitting unsupported and transferring objects
is typical earlier (around 6–8 months). By 12 months the
child should have progressed beyond this.
• C (Incorrect): Running smoothly and pedaling a tricycle
emerge later (running ~18 months–2 years, tricycle ~3
years).
• D (Incorrect): Using full sentences and jumping are
language and motor skills of older toddlers/preschoolers
(2.5–4 years); not expected at 12 months.
2) Psychosocial Development — Erikson’s Stage
A toddler demonstrates frequent “no” responses and insists
on doing some tasks independently. According to Erikson,
which psychosocial task is the toddler most actively working
on?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
Correct: D
Rationales:
• D (Correct): Toddlers (approximately 1–3 years) are in the
Erikson stage of Autonomy vs. Shame and Doubt; they
, assert independence (e.g., saying “no,” dressing
themselves). Supporting autonomy fosters self-control.
• A (Incorrect): Trust vs. Mistrust is the infant stage (birth–1
year).
• B (Incorrect): Initiative vs. Guilt is preschool age (3–6
years).
• C (Incorrect): Industry vs. Inferiority is school-age (6–12
years).
3) Family-Centered Care — Involving the Family
A 4-year-old is admitted for tonsillectomy. The parents want
to stay with the child overnight. Which response by the nurse
best reflects family-centered care?
A. “Hospital policy allows only one parent in the room
overnight.”
B. “It’s best for your child to be alone so staff can monitor
closely.”
C. “You’re welcome to stay; your presence can reduce anxiety
and support recovery.”
D. “Parents are usually asked to leave during certain
procedures; come back after.”
Correct: C
Rationales:
, • C (Correct): Family-centered care supports parental
presence as it reduces child anxiety, improves cooperation,
and often improves outcomes. The nurse should facilitate
and encourage parental involvement when safe.
• A (Incorrect): Stating policy without exploring flexibility or
rationale is not family-centered and may increase parental
stress. If a restriction exists, nurse should explain and
explore alternatives.
• B (Incorrect): Suggesting the child be alone dismisses
family role and increases distress; not best practice.
• D (Incorrect): While parents may leave briefly for
procedures, phrasing it as “usually asked to leave” without
context is discouraging and lacks family-centered
approach; better to provide specific expectations and
support.
4) Communication Strategies — Preschooler
Which technique is most effective when preparing a 4-year-
old for a painful procedure?
A. Provide a detailed, technical explanation about the
procedure.
B. Use simple, concrete words and allow the child to play
with a doll to practice.
C. Offer the child an option to decline the procedure.
Examination
9th Edition
Author(s)Linda Anne Silvestri; Angela Silvestri
TEST BANK
1) Growth & Development — Gross Motor Milestone
A 12-month-old infant is brought to the clinic. Which
milestone would the nurse expect the child to exhibit at this
age?
A. Sits unsupported and transfers objects hand to hand
B. Walks independently and uses a pincer grasp
C. Runs smoothly and pedals a tricycle
D. Uses full sentences and can jump with both feet
Correct: B
Rationales:
• B (Correct): Around 12 months many infants take first
independent steps (walks independently) and have refined
pincer grasp (able to pick up small objects with thumb and
forefinger). This answer aligns with expected gross and fine
motor development at ~12 months.
,• A (Incorrect): Sitting unsupported and transferring objects
is typical earlier (around 6–8 months). By 12 months the
child should have progressed beyond this.
• C (Incorrect): Running smoothly and pedaling a tricycle
emerge later (running ~18 months–2 years, tricycle ~3
years).
• D (Incorrect): Using full sentences and jumping are
language and motor skills of older toddlers/preschoolers
(2.5–4 years); not expected at 12 months.
2) Psychosocial Development — Erikson’s Stage
A toddler demonstrates frequent “no” responses and insists
on doing some tasks independently. According to Erikson,
which psychosocial task is the toddler most actively working
on?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Autonomy vs. Shame and Doubt
Correct: D
Rationales:
• D (Correct): Toddlers (approximately 1–3 years) are in the
Erikson stage of Autonomy vs. Shame and Doubt; they
, assert independence (e.g., saying “no,” dressing
themselves). Supporting autonomy fosters self-control.
• A (Incorrect): Trust vs. Mistrust is the infant stage (birth–1
year).
• B (Incorrect): Initiative vs. Guilt is preschool age (3–6
years).
• C (Incorrect): Industry vs. Inferiority is school-age (6–12
years).
3) Family-Centered Care — Involving the Family
A 4-year-old is admitted for tonsillectomy. The parents want
to stay with the child overnight. Which response by the nurse
best reflects family-centered care?
A. “Hospital policy allows only one parent in the room
overnight.”
B. “It’s best for your child to be alone so staff can monitor
closely.”
C. “You’re welcome to stay; your presence can reduce anxiety
and support recovery.”
D. “Parents are usually asked to leave during certain
procedures; come back after.”
Correct: C
Rationales:
, • C (Correct): Family-centered care supports parental
presence as it reduces child anxiety, improves cooperation,
and often improves outcomes. The nurse should facilitate
and encourage parental involvement when safe.
• A (Incorrect): Stating policy without exploring flexibility or
rationale is not family-centered and may increase parental
stress. If a restriction exists, nurse should explain and
explore alternatives.
• B (Incorrect): Suggesting the child be alone dismisses
family role and increases distress; not best practice.
• D (Incorrect): While parents may leave briefly for
procedures, phrasing it as “usually asked to leave” without
context is discouraging and lacks family-centered
approach; better to provide specific expectations and
support.
4) Communication Strategies — Preschooler
Which technique is most effective when preparing a 4-year-
old for a painful procedure?
A. Provide a detailed, technical explanation about the
procedure.
B. Use simple, concrete words and allow the child to play
with a doll to practice.
C. Offer the child an option to decline the procedure.
