CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference
Ch. 1 — Development — Nursing Assessment & Clinical
Judgment
NCLEX-Level Question Stem
A nurse is performing a well-child visit for a 9-month-old infant.
The parent reports the infant is "always getting into things" and
recently started crawling. Which developmental milestone
,should the nurse most importantly assess for next during this
visit?
• A. Ability to say 3–5 words with meaning.
• B. Presence of a social smile.
• C. Ability to pull self to a standing position.
• D. Success with toilet training.
Options
• A. Ability to say 3–5 words with meaning.
• B. Presence of a social smile.
• C. Ability to pull self to a standing position.
• D. Success with toilet training.
Correct Answer
C. Ability to pull self to a standing position.
Rationales
• Correct Option C: Pulling to stand is a gross motor
milestone typically achieved between 8-10 months,
directly following the mastery of crawling. Assessing this
next sequential milestone helps evaluate typical physical
development. This aligns with the concept of
Development, which involves sequential, ordered
progression.
• Incorrect Option A: Saying words with meaning is a
language milestone typical of a 12-month-old, not a 9-
, month-old. Assessing for this now would be
developmentally inappropriate.
• Incorrect Option B: A social smile is a social/emotional
milestone typically present by 2-3 months of age. Its
absence at 9 months would indicate a significant
developmental delay.
• Incorrect Option D: Toilet training is a toddler/preschool
skill and is not developmentally expected until at least 18-
24 months of age.
Teaching Point
Motor development follows a cephalocaudal (head-to-toe) and
proximodistal (center-to-outward) pattern. After crawling, the
next major milestone is pulling to stand.
Question 2
Reference
Ch. 1 — Development — Health Promotion & Safety
NCLEX-Level Question Stem
A nurse is providing anticipatory guidance to the parents of a
14-month-old toddler who is newly walking. The parents have
placed a decorative, sweet-smelling liquid potpourri on a low
coffee table in the living room. Based on the child's
developmental stage, which instruction is the priority?
, • A. "Encourage your child to drink from a sippy cup instead
of a bottle to prevent dental caries."
• B. "Move all cleaning products and attractive liquids to a
high, locked cabinet immediately."
• C. "Limit screen time to less than one hour per day to
support language development."
• D. "Establish a consistent bedtime routine to ensure
adequate sleep."
Options
• A. "Encourage your child to drink from a sippy cup instead
of a bottle to prevent dental caries."
• B. "Move all cleaning products and attractive liquids to a
high, locked cabinet immediately."
• C. "Limit screen time to less than one hour per day to
support language development."
• D. "Establish a consistent bedtime routine to ensure
adequate sleep."
Correct Answer
B. "Move all cleaning products and attractive liquids to a high,
locked cabinet immediately."
Rationales
• Correct Option B: According to Piaget, toddlers are in the
sensorimotor stage, exploring the world through senses
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
Question 1
Reference
Ch. 1 — Development — Nursing Assessment & Clinical
Judgment
NCLEX-Level Question Stem
A nurse is performing a well-child visit for a 9-month-old infant.
The parent reports the infant is "always getting into things" and
recently started crawling. Which developmental milestone
,should the nurse most importantly assess for next during this
visit?
• A. Ability to say 3–5 words with meaning.
• B. Presence of a social smile.
• C. Ability to pull self to a standing position.
• D. Success with toilet training.
Options
• A. Ability to say 3–5 words with meaning.
• B. Presence of a social smile.
• C. Ability to pull self to a standing position.
• D. Success with toilet training.
Correct Answer
C. Ability to pull self to a standing position.
Rationales
• Correct Option C: Pulling to stand is a gross motor
milestone typically achieved between 8-10 months,
directly following the mastery of crawling. Assessing this
next sequential milestone helps evaluate typical physical
development. This aligns with the concept of
Development, which involves sequential, ordered
progression.
• Incorrect Option A: Saying words with meaning is a
language milestone typical of a 12-month-old, not a 9-
, month-old. Assessing for this now would be
developmentally inappropriate.
• Incorrect Option B: A social smile is a social/emotional
milestone typically present by 2-3 months of age. Its
absence at 9 months would indicate a significant
developmental delay.
• Incorrect Option D: Toilet training is a toddler/preschool
skill and is not developmentally expected until at least 18-
24 months of age.
Teaching Point
Motor development follows a cephalocaudal (head-to-toe) and
proximodistal (center-to-outward) pattern. After crawling, the
next major milestone is pulling to stand.
Question 2
Reference
Ch. 1 — Development — Health Promotion & Safety
NCLEX-Level Question Stem
A nurse is providing anticipatory guidance to the parents of a
14-month-old toddler who is newly walking. The parents have
placed a decorative, sweet-smelling liquid potpourri on a low
coffee table in the living room. Based on the child's
developmental stage, which instruction is the priority?
, • A. "Encourage your child to drink from a sippy cup instead
of a bottle to prevent dental caries."
• B. "Move all cleaning products and attractive liquids to a
high, locked cabinet immediately."
• C. "Limit screen time to less than one hour per day to
support language development."
• D. "Establish a consistent bedtime routine to ensure
adequate sleep."
Options
• A. "Encourage your child to drink from a sippy cup instead
of a bottle to prevent dental caries."
• B. "Move all cleaning products and attractive liquids to a
high, locked cabinet immediately."
• C. "Limit screen time to less than one hour per day to
support language development."
• D. "Establish a consistent bedtime routine to ensure
adequate sleep."
Correct Answer
B. "Move all cleaning products and attractive liquids to a high,
locked cabinet immediately."
Rationales
• Correct Option B: According to Piaget, toddlers are in the
sensorimotor stage, exploring the world through senses
