Edition) by Jean Foret Giddens –
EXAM STUDY GUIDE 2026/2027
COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
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VERSION
Description: This revision set covers key concepts from Giddens' Concepts for Nursing
Practice, 3rd Edition, spanning foundational nursing concepts including development,
functional ability, ethics, clinical judgment, and physiological regulation. Each question
includes the correct answer with a ✅ and a brief rationale to reinforce understanding.
Keywords: Giddens, nursing concepts, NCLEX review, concept-based nursing, test bank,
revision MCQs, Jean Foret Giddens, nursing fundamentals
Section 1: Development
Q1. The nurse manager of a pediatric clinic could confirm that a new nurse recognized
the purpose of the HEADSS Adolescent Risk Profile when the new nurse responds that it
is used to assess for needs related to:
A. Anticipatory guidance ✅
B. Low-risk adolescents
,C. Physical development
D. Sexual development
Rationale: The HEADSS Adolescent Risk Profile is a psychosocial screening tool
assessing Home, Education, Activities, Drugs, Sex, and Suicide for the purpose of
identifying high-risk adolescents and the need for anticipatory guidance .
Q2. The nurse preparing a teaching plan for a preschooler knows that, according to
Piaget, the expected stage of development for a preschooler is:
A. Concrete operational
B. Formal operational
C. Preoperational ✅
D. Sensorimotor
Rationale: The expected stage for a preschooler (3–4 years) is preoperational. Concrete
operational describes school-age children (7–11 years), formal operational describes
individuals after 11 years, and sensorimotor describes birth to 2 years .
Q3. The school nurse talking with a high school class about the difference between
growth and development would best describe growth as:
A. Processes by which early cells specialize
B. Psychosocial and cognitive changes
C. Qualitative changes associated with aging
D. Quantitative changes in size or weight ✅
Rationale: Growth is a quantitative change in which an increase in cell number and size
results in an increase in overall size or weight. Differentiation refers to cell specialization,
and development refers to psychosocial and cognitive changes .
Q4. The most appropriate response of the nurse when a mother asks what the Denver II
does is that it:
,A. Can diagnose developmental disabilities
B. Identifies a need for physical therapy
C. Is a developmental screening tool ✅
D. Provides a framework for health teaching
Rationale: The Denver II is the most commonly used developmental screening tool.
Screening tools do not provide a diagnosis; diagnosis requires thorough history and
physical examination .
Q5. A mother complains that her 4-year-old child always talks to toys and makes up
stories. The nurse's best initial response is to:
A. Refer the child to a psychologist immediately
B. Explain that playing make-believe is normal at this age ✅
C. Complete a developmental screening
D. Separate the child from the mother
Rationale: By the end of the fourth year, engaging in fantasy is expected and normal.
Referral would be premature; the nurse should first reassure the mother .
Q6. A 17-year-old girl hospitalized for appendicitis acts needy and childlike. The best
response of the nurse is that in the hospital, adolescents:
A. Have separation anxiety
B. Rebel against rules
C. Regress because of stress ✅
D. Want to know everything
Rationale: Regression to an earlier stage of development is a common response to
stress. Separation anxiety is most common in infants and toddlers .
Q7. To plan early intervention for an infant with Down syndrome, the nurse considers
knowledge of other physical development exemplars such as:
, A. Cerebral palsy
B. Failure to thrive
C. Fetal alcohol syndrome
D. Hydrocephaly ✅
Rationale: Hydrocephaly is a physical development exemplar. Cerebral palsy is an
adaptive developmental delay exemplar, failure to thrive is social/emotional, and fetal
alcohol syndrome is cognitive .
Q8. To plan early intervention for a child with developmental delay, the nurse considers
concepts most significantly impacted by development, including:
A. Culture
B. Environment
C. Functional status ✅
D. Nutrition
Rationale: Function is one of the concepts most significantly impacted by development.
Others include sensory-perceptual, cognition, mobility, reproduction, and sexuality .
Q9. A nurse is assessing a toddler's development. Which domain is primarily assessed?
A. Abstract reasoning
B. Gross motor and language skills ✅
C. Psychosexual maturity
D. Occupational achievement
Rationale: Toddlers demonstrate rapid gross motor and language development;
higher-level cognitive and occupational skills occur later .
Q10. Which statement best defines human development in nursing practice?
A. A fixed sequence of physical changes
B. A lifelong process influenced by multiple factors ✅