CONCEPTS FOR NURSING
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
NCLEX-RN–Style Questions: Concept of Development
Question 1
• Reference: Ch. X — Development — Definition & Scope
• Stem: During a well-child visit, the nurse observes a 6-
month-old infant. Which assessment finding is most
indicative of a potential deviation from expected
developmental scope, warranting further evaluation?
,• Options:
A. The infant displays a strong Moro reflex when startled.
B. The infant consistently turns their head to the sound of
a parent's voice.
C. The infant has a closed anterior fontanelle.
D. The infant does not roll from back to front.
• Correct Answer: C
• Rationales:
o Correct (C): The anterior fontanelle typically closes
between 12-18 months. Closure at 6 months is
outside the normal scope of development and
requires investigation for conditions like
craniosynostosis.
o Incorrect (A): The Moro reflex is expected at 6
months and usually integrates by 4-6 months. Its
presence is not an immediate concern.
o Incorrect (B): Turning to a familiar voice is an
expected auditory and social milestone for a 6-month-
old.
o Incorrect (D): Rolling from back to front often
emerges between 5-6 months. Not achieving it yet
may be typical variation unless other delays are
present.
• Teaching Point: Know key anatomical developmental
norms; early fontanelle closure can restrict brain growth.
, • Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter X.
Question 2
• Reference: Ch. X — Development — Attributes & Criteria
(Physical Milestones)
• Stem: A nurse is assessing a 12-month-old. Which finding
best demonstrates the child has achieved the expected
gross motor skill attribute for this age?
• Options:
A. Walking while holding onto furniture (cruising).
B. Building a tower of two cubes.
C. Drinking from a cup with minimal spilling.
D. Saying three specific words besides "mama/dada."
• Correct Answer: A
• Rationales:
o Correct (A): Cruising is a key gross motor attribute
and criterion for a 12-month-old, occurring just
before independent walking.
o Incorrect (B): Building a tower is a fine motor skill,
typically achieved closer to 15-18 months.
o Incorrect (C): This is a self-help skill, and minimal
spilling is often a later achievement.
, o Incorrect (D): This is a language milestone; while
some words are expected, three specific words is a
variable criterion.
• Teaching Point: Prioritize assessing gross motor milestones
as key attributes of physical development in infants.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter X.
Question 3
• Reference: Ch. X — Development — Attributes & Criteria
(Psychosocial)
• Stem: The parents of a 4-year-old express concern that
their child tells elaborate, fantastical stories about their
day at preschool. What is the nurse's best interpretation of
this behavior based on developmental attributes?
• Options:
A. It is a sign of early creativity and should be
enthusiastically encouraged.
B. It indicates intentional deception and requires
immediate correction.
C. It is a normative expression of magical thinking and
should not be labeled as lying.
D. It suggests difficulty distinguishing reality from fantasy,
requiring a mental health referral.
• Correct Answer: C
PRACTICE
4TH EDITION
• AUTHOR(S)JEAN FORET
GIDDENS
TEST BANK
NCLEX-RN–Style Questions: Concept of Development
Question 1
• Reference: Ch. X — Development — Definition & Scope
• Stem: During a well-child visit, the nurse observes a 6-
month-old infant. Which assessment finding is most
indicative of a potential deviation from expected
developmental scope, warranting further evaluation?
,• Options:
A. The infant displays a strong Moro reflex when startled.
B. The infant consistently turns their head to the sound of
a parent's voice.
C. The infant has a closed anterior fontanelle.
D. The infant does not roll from back to front.
• Correct Answer: C
• Rationales:
o Correct (C): The anterior fontanelle typically closes
between 12-18 months. Closure at 6 months is
outside the normal scope of development and
requires investigation for conditions like
craniosynostosis.
o Incorrect (A): The Moro reflex is expected at 6
months and usually integrates by 4-6 months. Its
presence is not an immediate concern.
o Incorrect (B): Turning to a familiar voice is an
expected auditory and social milestone for a 6-month-
old.
o Incorrect (D): Rolling from back to front often
emerges between 5-6 months. Not achieving it yet
may be typical variation unless other delays are
present.
• Teaching Point: Know key anatomical developmental
norms; early fontanelle closure can restrict brain growth.
, • Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter X.
Question 2
• Reference: Ch. X — Development — Attributes & Criteria
(Physical Milestones)
• Stem: A nurse is assessing a 12-month-old. Which finding
best demonstrates the child has achieved the expected
gross motor skill attribute for this age?
• Options:
A. Walking while holding onto furniture (cruising).
B. Building a tower of two cubes.
C. Drinking from a cup with minimal spilling.
D. Saying three specific words besides "mama/dada."
• Correct Answer: A
• Rationales:
o Correct (A): Cruising is a key gross motor attribute
and criterion for a 12-month-old, occurring just
before independent walking.
o Incorrect (B): Building a tower is a fine motor skill,
typically achieved closer to 15-18 months.
o Incorrect (C): This is a self-help skill, and minimal
spilling is often a later achievement.
, o Incorrect (D): This is a language milestone; while
some words are expected, three specific words is a
variable criterion.
• Teaching Point: Prioritize assessing gross motor milestones
as key attributes of physical development in infants.
• Citation: Giddens, J. F. (2025). Concepts for Nursing
Practice (4th ed.). Chapter X.
Question 3
• Reference: Ch. X — Development — Attributes & Criteria
(Psychosocial)
• Stem: The parents of a 4-year-old express concern that
their child tells elaborate, fantastical stories about their
day at preschool. What is the nurse's best interpretation of
this behavior based on developmental attributes?
• Options:
A. It is a sign of early creativity and should be
enthusiastically encouraged.
B. It indicates intentional deception and requires
immediate correction.
C. It is a normative expression of magical thinking and
should not be labeled as lying.
D. It suggests difficulty distinguishing reality from fantasy,
requiring a mental health referral.
• Correct Answer: C
