WGU Pediatric Nursing Assessment QUESTIONS
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,Section 1: Growth and Development (Questions 1–15)
1. At what age does an infant typically first achieve a social smile?
- A) 2 weeks
- B) 6–8 weeks
- C) 4 months
- D) 6 months
Answer: B
Rationale: A social smile typically emerges at 6–8 weeks of age. It is an important milestone indicating neurological
development and social engagement. Smiling at 2 weeks is usually reflexive (gas), not social.
2. A nurse is assessing a 9-month-old infant. Which finding would require further evaluation?
- A) Pulling to stand
- B) Sitting without support
- C) Inability to roll over
- D) Pincer grasp emerging
,Answer: C
Rationale: Rolling over typically occurs by 5–6 months. Inability to roll over at 9 months is a red flag for developmental
delay. Sitting without support (by 8 months), pulling to stand (by 9 months), and pincer grasp (9–10 months) are all
expected.
3. According to Piaget, a 4-year-old is in which stage of cognitive development?
- A) Sensorimotor
- B) Preoperational
- C) Concrete operational
- D) Formal operational
Answer: B
Rationale: The preoperational stage (ages 2–7) is characterized by egocentrism, magical thinking, and symbolic play.
Sensorimotor is 0–2 years, concrete operational is 7–11 years, and formal operational is 11+ years.
, 4. Which immunization is contraindicated in a severely immunocompromised child?
- A) DTaP
- B) MMR
- C) Hepatitis B
- D) Inactivated poliovirus
Answer: B
Rationale: MMR is a live attenuated vaccine and is contraindicated in severely immunocompromised children due to the
risk of vaccine-induced infection. DTaP, Hep B, and IPV are inactivated/killed vaccines and are safe.
5. A 2-year-old's weight is approximately how many times their birth weight?
- A) 2 times
- B) 3 times
- C) 4 times
- D) 5 times
Answer: C
Rationale: By age 2, a child's weight is approximately 4 times the birth weight. By 6 months, it doubles; by 1 year, it triples.
AND ANSWERS GUARANTEED PASS | LATEST
EXAM UPDATE | STUVIA VERIFIED | EXAM PREP |
STUDY GUIDE | PRACTICE TEST
,Section 1: Growth and Development (Questions 1–15)
1. At what age does an infant typically first achieve a social smile?
- A) 2 weeks
- B) 6–8 weeks
- C) 4 months
- D) 6 months
Answer: B
Rationale: A social smile typically emerges at 6–8 weeks of age. It is an important milestone indicating neurological
development and social engagement. Smiling at 2 weeks is usually reflexive (gas), not social.
2. A nurse is assessing a 9-month-old infant. Which finding would require further evaluation?
- A) Pulling to stand
- B) Sitting without support
- C) Inability to roll over
- D) Pincer grasp emerging
,Answer: C
Rationale: Rolling over typically occurs by 5–6 months. Inability to roll over at 9 months is a red flag for developmental
delay. Sitting without support (by 8 months), pulling to stand (by 9 months), and pincer grasp (9–10 months) are all
expected.
3. According to Piaget, a 4-year-old is in which stage of cognitive development?
- A) Sensorimotor
- B) Preoperational
- C) Concrete operational
- D) Formal operational
Answer: B
Rationale: The preoperational stage (ages 2–7) is characterized by egocentrism, magical thinking, and symbolic play.
Sensorimotor is 0–2 years, concrete operational is 7–11 years, and formal operational is 11+ years.
, 4. Which immunization is contraindicated in a severely immunocompromised child?
- A) DTaP
- B) MMR
- C) Hepatitis B
- D) Inactivated poliovirus
Answer: B
Rationale: MMR is a live attenuated vaccine and is contraindicated in severely immunocompromised children due to the
risk of vaccine-induced infection. DTaP, Hep B, and IPV are inactivated/killed vaccines and are safe.
5. A 2-year-old's weight is approximately how many times their birth weight?
- A) 2 times
- B) 3 times
- C) 4 times
- D) 5 times
Answer: C
Rationale: By age 2, a child's weight is approximately 4 times the birth weight. By 6 months, it doubles; by 1 year, it triples.
