VERIFIED QUESTIONS AND ANSWERS||
LATEST VERSION 2026
SECTION 1: GROWTH & DEVELOPMENT (Questions 1-35)
1. A nurse is assessing a 6-month-old infant at a well-child visit. Which of
the following developmental milestones should the nurse expect the infant
to have achieved?
Answer: The infant should be able to sit with support, roll from back to
abdomen, and transfer objects from one hand to the other.
2. By what age should the anterior fontanel typically close?
Answer: The anterior fontanel typically closes by 12 to 18 months of
age.
3. A parent of a toddler asks why their child's abdomen sticks out. Which
response should the nurse provide?
Answer: "Toddlers do not have well-developed abdominal muscles."
4. A nurse is teaching parents about play activities for a preschooler.
Which activity should the nurse recommend?
Answer: Playing dress-up, as it promotes social, mental, and physical
development.
5. A nurse is caring for a 4-year-old child whose mother left 2 hours ago.
The child is experiencing the separation anxiety stage of despair. Which
finding should the nurse expect?
Answer: The child may appear withdrawn, quiet, and uninterested in the
environment.
6. What is the expected heart rate range for a newborn (birth to 1 week)?
Answer: 100-160 beats per minute, with brief fluctuations above and
below depending on sleep or crying.
,7. A nurse is assessing a 2-year-old child during a well-child visit. Which
gross motor skill should the nurse expect?
Answer: The child should be able to kick a ball, run, and walk up and
down stairs with assistance.
8. At what age should an infant be able to sit without support?
Answer: Approximately 8 months of age.
9. A nurse is providing teaching to parents of a toddler about growth and
development. Which statement indicates understanding?
Answer: The toddler's abdomen protrudes due to weak abdominal
muscles and a developing spine.
10. What developmental stage is characterized by magical thinking and
viewing death as temporary?
Answer: Preschool age (3-6 years).
11. How should a nurse explain a surgical procedure to a 5-year-old child?
Answer: Use sensory experiences—explain what they will feel, see, hear,
and taste.
12. What is the expected respiratory rate for a newborn?
Answer: 30-60 breaths per minute.
13. A nurse is assessing an 8-month-old infant. Which finding indicates
normal development?
Answer: The infant plays peek-a-boo and demonstrates object
permanence.
14. At what age should an infant's posterior fontanel close?
Answer: By 2 to 3 months of age.
15. A nurse is providing anticipatory guidance to parents of a 15-month-old
toddler. What should the nurse include?
Answer: The toddler should have 8-10 teeth, walk independently, and
use a few words.
16. What is a characteristic behavior of toddlers regarding eating?
Answer: Toddlers often exhibit food jags (eating only one food
repeatedly) and are picky eaters.
, 17. A nurse is assessing a school-age child's development. Which activity is
appropriate for this age group?
Answer: School-age children enjoy rule-based games, collecting items,
and group activities.
18. What is the expected weight gain pattern for a 1-year-old infant?
Answer: Infants typically triple their birth weight by 12 months of age.
19. A nurse is teaching parents about dental care for a preschooler. What
should the nurse include?
Answer: Parents should assist with brushing and use a pea-sized amount
of fluoride toothpaste.
20. At what age should a child be able to draw a circle?
Answer: By approximately 3 years of age.
21. A nurse is assessing an adolescent for developmental milestones. Which
finding is expected?
Answer: Adolescents develop abstract thinking, concern about body
image, and peer relationships become important.
22. What is the best approach for a nurse to foster rapport with a school-
age child?
Answer: Ask open-ended questions such as "Tell me about your favorite
video game."
23. A toddler is in the hospital. What should the nurse expect regarding the
child's response to hospitalization?
Answer: Toddlers may exhibit regression, such as loss of bladder control
or thumb-sucking.
24. At what age should a child be able to hop on one foot?
Answer: By 4 to 5 years of age.
25. A nurse is assessing an infant's fine motor skills. Which finding at 10
months is expected?
Answer: The infant should be able to use a pincer grasp (thumb and
forefinger) to pick up small objects.
26. What is the best way to prepare a preschooler for a procedure?