Certified Pediatric Nurse (CPN)Final EXAM WITH
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Growth and Development
,1. A nurse is assessing a 4-month-old infant. Which milestone should the nurse expect the infant to have recently
achieved?
A. Rolling from back to side
B. Sitting without support
C. Transferring objects between hands
D. Using a pincer grasp
Answer: A. Rolling from back to side
Rationale: Infants typically begin to roll over from back to side around 4 months. Sitting without support is expected closer
to 8 months, transferring objects around 7 months, and a pincer grasp develops around 9-10 months.
2. The mother of a 9-month-old is concerned because her child has a strong preference for her and cries when left with
the grandmother. The nurse’s best response is based on the understanding that:
A. This is a sign of an insecure attachment and needs further evaluation.
B. The child is likely developing stranger anxiety, a normal stage.
C. The grandmother should spend more time with the child to fix this.
D. The child is tired and overstimulated.
,Answer: B. The child is likely developing stranger anxiety, a normal stage.
Rationale: Stranger anxiety typically emerges around 8-9 months and is a normal part of cognitive and social-emotional
development, indicating the infant can distinguish familiar from unfamiliar people.
3. According to Erikson’s stages, a school-age child (6-12 years) is primarily focused on which developmental task?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: D. Industry vs. Inferiority
Rationale: The school-age child is in the stage of Industry vs. Inferiority, where they need to master new skills and feel a
sense of accomplishment. Success leads to a sense of competence.
4. A 15-year-old is hospitalized. Which nursing intervention best supports the adolescent’s developmental need for
identity formation?
A. Encouraging parents to stay at the bedside 24/7.
, B. Allowing the teen to wear their own clothes and decorate the room.
C. Discouraging questions about treatments to reduce anxiety.
D. Limiting peer visitation to prevent infection.
Answer: B. Allowing the teen to wear their own clothes and decorate the room.
Rationale: Adolescents are focused on identity and body image. Allowing personal belongings and control over their
environment supports their sense of self and individuality.
5. A toddler is observed engaging in parallel play. The nurse interprets this as:
A. A sign of delayed social development.
B. Typical play for this age group, where children play alongside but not with each other.
C. Aggressive, competitive play.
D. Advanced cooperative play for their age.
Answer: B. Typical play for this age group, where children play alongside but not with each other.
Rationale: Toddlers (1-3 years) typically engage in parallel play. Cooperative, interactive play develops later in the
preschool years.
CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+
Growth and Development
,1. A nurse is assessing a 4-month-old infant. Which milestone should the nurse expect the infant to have recently
achieved?
A. Rolling from back to side
B. Sitting without support
C. Transferring objects between hands
D. Using a pincer grasp
Answer: A. Rolling from back to side
Rationale: Infants typically begin to roll over from back to side around 4 months. Sitting without support is expected closer
to 8 months, transferring objects around 7 months, and a pincer grasp develops around 9-10 months.
2. The mother of a 9-month-old is concerned because her child has a strong preference for her and cries when left with
the grandmother. The nurse’s best response is based on the understanding that:
A. This is a sign of an insecure attachment and needs further evaluation.
B. The child is likely developing stranger anxiety, a normal stage.
C. The grandmother should spend more time with the child to fix this.
D. The child is tired and overstimulated.
,Answer: B. The child is likely developing stranger anxiety, a normal stage.
Rationale: Stranger anxiety typically emerges around 8-9 months and is a normal part of cognitive and social-emotional
development, indicating the infant can distinguish familiar from unfamiliar people.
3. According to Erikson’s stages, a school-age child (6-12 years) is primarily focused on which developmental task?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: D. Industry vs. Inferiority
Rationale: The school-age child is in the stage of Industry vs. Inferiority, where they need to master new skills and feel a
sense of accomplishment. Success leads to a sense of competence.
4. A 15-year-old is hospitalized. Which nursing intervention best supports the adolescent’s developmental need for
identity formation?
A. Encouraging parents to stay at the bedside 24/7.
, B. Allowing the teen to wear their own clothes and decorate the room.
C. Discouraging questions about treatments to reduce anxiety.
D. Limiting peer visitation to prevent infection.
Answer: B. Allowing the teen to wear their own clothes and decorate the room.
Rationale: Adolescents are focused on identity and body image. Allowing personal belongings and control over their
environment supports their sense of self and individuality.
5. A toddler is observed engaging in parallel play. The nurse interprets this as:
A. A sign of delayed social development.
B. Typical play for this age group, where children play alongside but not with each other.
C. Aggressive, competitive play.
D. Advanced cooperative play for their age.
Answer: B. Typical play for this age group, where children play alongside but not with each other.
Rationale: Toddlers (1-3 years) typically engage in parallel play. Cooperative, interactive play develops later in the
preschool years.
