Growth and Development NCLEX Questions and Answers, Exams of Advanced Education

A series of multiple-choice questions and answers related to child growth and development, focusing on various aspects of physical, cognitive, and psychosocial development. It covers topics such as infant care, toddler behavior, preschooler development, and adolescent growth, providing insights into common developmental milestones and challenges. The questions are designed to test understanding of key concepts in child development and can be useful for students preparing for nclex exams or those interested in learning more about child development.

Typology: Exams

2024/2025

Available from 11/13/2024

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GROWTH AND DEVELOPMENT NCLEX
QUESTIONS AND ANSWERS
A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy.
The child is fearful of the hospitalization. Which nursing intervention would be
most appropriate to alleviate the child's fears?
1. Encourage the child's parents to stay with the child
2. Encourage play with other children of the same age
3. Advise the family to visit only during the scheduled visiting hours
4. Provide a private room, allowing the child to bring favorite toys from home -
-1. Encourage the child's parents to stay with the child.
A 16-year-old is admitted to the hospital for acute appendicitis and an
appendectomy is performed. Which nursing intervention is appropriate to
facilitate normal growth and development postoperatively?
1. Encourage the child to rest and read.
2. Encourage the parents to room in with the child.
3. Allow the child to interact with others in his or her same age group.
4. Allow the family to bring in the child's favorite computer games. - -3. Allow
the child to interact with others in his or her same age group.
A nurse prepares to administer digoxin (Lanoxin) to a 3-year-old child with a
diagnosis of congestive heart failure and notes that the apical heart rate is 110
beats/min. Based on this finding, which nursing action is appropriate?
1. Hold the medication.
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GROWTH AND DEVELOPMENT NCLEX

QUESTIONS AND ANSWERS

A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention would be most appropriate to alleviate the child's fears?

  1. Encourage the child's parents to stay with the child
  2. Encourage play with other children of the same age
  3. Advise the family to visit only during the scheduled visiting hours
  4. Provide a private room, allowing the child to bring favorite toys from home - -1. Encourage the child's parents to stay with the child. A 16-year-old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is appropriate to facilitate normal growth and development postoperatively?
  5. Encourage the child to rest and read.
  6. Encourage the parents to room in with the child.
  7. Allow the child to interact with others in his or her same age group.
  8. Allow the family to bring in the child's favorite computer games. - -3. Allow the child to interact with others in his or her same age group. A nurse prepares to administer digoxin (Lanoxin) to a 3-year-old child with a diagnosis of congestive heart failure and notes that the apical heart rate is 110 beats/min. Based on this finding, which nursing action is appropriate?
  9. Hold the medication.
  1. Notify the physician.
  2. Administer the digoxin.
  3. Recheck the apical rate in 15 minutes. - -3. Administer the digoxin Which of the following care safety devices should be used for a child who is 8 years old and is 4 feet tall?
  4. Seat belt
  5. Booster seat
  6. Rear-facing convertible seat
  7. Front-facing convertible seat - -2. Booster seat A nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/min. Based on this finding, which action is appropriate?
  8. Administer oxygen.
  9. Notify the physician.
  10. Document the findings.
  11. Reassess the respiratory rate in 15 minutes. - -3. Document the findings A nurse is monitoring a 3-month-old infant for signs of increased intracranial pressure. On palpation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. Based on this finding, which nursing action is appropriate?
  12. Increase oral fluids.
  13. Notify the physician.
  1. Avoid a nap during the day.
  2. Allow the child to set bedtime limits.
  3. Allow the child to have temper tantrums.
  4. Inform the child of bedtime a few minutes before it is time for bed. - -4. Inform the child of bedtime a few minutes before it is time for bed. A mother of a 3-year-old asks a clinic nurse about appropriate and safe toys for the child. The nurse tells the mother that the most appropriate toy for a 3-year- old is which of the following?
  5. A wagon
  6. A golf set
  7. A farm set
  8. A jack set with marbles - -1. A wagon The mother of a 3-year-old is concerned because her child still is insisting on a bottle at nap time and at bedtime. Which of the following is the appropriate suggestion to the mother?
  9. Allow the bottle if it contains juice.
  10. Allow the bottle if it contains water.
  11. Do not allow the child to have the bottle.
  12. Allow the bottle during naps but not at bedtime. - -2. Allow the bottle if it contains water. A nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which of the following is the most appropriate activity for this child?
  1. A radio
  2. A sports video
  3. Large picture books
  4. Crayon and a coloring book - -4. Crayon and a coloring book Which interventions are appropriate for the care of an infant? Select all that apply.
  5. Provide swaddling.
  6. Talk in a loud voice.
  7. Provide the infant with a bottle of juice at nap time.
  8. Hang mobiles with black and white contrast designs.
  9. Caress the infant while bathing or during diaper changes.
  10. Allow the infant to cry for at least 10 minutes before responding. - -1. Provide swaddling.
  11. Hang mobiles with black and white contrast designs.
  12. Caress the infant while bathing or during diaper changes. Various children are being seen in the clinic for various well-baby checks. By what age should a nurse expect a child to begin to use simple words to communicate needs?
  13. Age 10-12 months
  14. Age 1-2 years
  15. Age 6-9 months
  16. Age 2-3 years - -1. Age 10-12 months

held by her mother. A nurse wants to provide appropriate care based on Erikson's developmental stages. In which stage is this baby, according to Erikson's theory?

  1. Punishment versus obedience orientation
  2. Oral stage
  3. Initiative versus guilt
  4. Trust versus mistrust - -4. Trust versus mistrust A nurse is caring for a 3-month-old infant. Based on the developmental age of the child, which motor skill should the nurse expect to see during an assessment?
  5. Bangs objects held in hand
  6. Begins to grab objects using a pincer grasp
  7. Grabs objects using a palmar grasp
  8. Looks and plays with his own fingers - -4. Looks and plays with his own fingers A 10-month-old child reaches the 9-12 month developmental stage. Which nursing action is most appropriate for providing tactile stimulation for this child?
  9. Caress the child while diaper changing
  10. Give the child a soft squeeze toy
  11. Swaddle the child at nap time
  12. Let the child squash and mash food while sitting in a high chair - -4. Let the child squash and mash food while sitting in a high chair

A clinic nurse is meeting with a mother and her 3-year-old son. The toddler is acting out, and the mother asks what a good form of discipline would be for her son. The nurse recommends a "time-out" for the child. Which statement regarding a time-out is most accurate?

  1. The child should sit still for as many minutes as he misbehaved
  2. The child should sit still at a time-out for as many minutes as his age in years
  3. The child should be able to read a book during time-out
  4. Children should not be expected to sit still until they are in school - -2. The child should sit still at a time-out for as many minutes as his age in years A clinic nurse is caring for a 2-year-old client. During the examination the child's parents ask the nurse when their toddler should be toilet trained. Which response by the nurse is most appropriate?
  5. "Children should be placed on the potty chair often so they get used to the task and should be rewarded immediately for staying on the potty chair."
  6. "Children need sphincter control, cognitive understanding of the task, and the ability to delay immediate gratification."
  7. "Children should be ready toilet train at about 2 years old."
  8. "First put training pants on your child so the child gets used to not wearing a diaper." - -2. "Children need sphincter control, cognitive understanding of the task, and the ability to delay immediate gratification." A nurse is preparing a 4-year-old boy for surgery. Which nursing action is appropriate for preoperative teaching based on Erikson's developmental stages?
  9. Allowing the child to make a project related to the surgery
  10. Having the child put a surgical mask on a doll
  1. "The average age for a girl to experience menarche is 12.5 years. That means some girls will be younger and some will be older than 12.5 years."
  2. "Don't worry about it; your period will come."
  3. "I can see why you are concerned, since some girls get their period when they are 10 years old."
  4. "I can refer you to a specialist who can answer your questions." - -1. "The average age for a girl to experience menarche is 12.5 years. That means some girls will be younger and some will be older than 12.5 years." A nurse in a clinic is asked to teach a 13-year-old boy diagnosed with asthma. The nurse assesses that the child is developmentally on task. Which consideration should the nurse include when teaching this client?
  5. The client is unable to differentiate cause and effect, so keep it simple.
  6. The client is discovering new properties of objects and events, so expect many questions.
  7. The client is not developmentally able to remember information, so handouts are necessary.
  8. The client needs explanations of the physiology of asthma and demonstrations of appropriate interventions. - -4. The client needs explanations of the physiology of asthma and demonstrations of appropriate interventions. A nurse is planning to use the Denver Articulation Screening Examination (DASE) for a 4-year-old child. To properly use the DASE, the nurse should plan to ask the child to:
  9. Read a favorite book at the child's developmental level.
  10. Read a phrase and tell the nurse the meaning of the phrase.
  1. Repeat familiar words that are read to the child.
  2. Ask the child to state the letters of the alphabet. - -3. Repeat familiar words that are read to the child. Which result should a nurse expect if a 4-year-old child's visual acuity test is normal for the child's developmental age?
  3. 10/
  4. 20/
  5. 20/
  6. 40/40 - -3. 20/ When taking a infant's blood pressure, which points are important for a nurse to remember? Select all that apply.
  7. It is best to use an infant cuff on an infant.
  8. The cuff used should be no more than two-thirds of the length of the upper arm.
  9. The cuff used can be a doppler ultrasound device.
  10. The reading of the upper arm should be higher than the thigh.
  11. A similar reading on the arm and the thigh could indicate coarctation of the aorta. - -1. It is best to use an infant cuff on an infant.
  12. The cuff used should be no more than two-thirds of the length of the upper arm.
  13. The cuff used can be a doppler ultrasound device. A 22-month-old toddler is walking into the examination room independently in front of the toddler's mother. Which method should the nurse plan to use to weigh the child?
  1. "Give your baby to strangers while you are present, so your baby gets used to strangers."
  2. "Your mother-in-law is correct; you need to include her more in your baby's needs."
  3. "Separation anxiety is an important component of a parent-child attachment."
  4. " Just let your baby cry for a while; your baby will get used to being separated from you." - -3. "Separation anxiety is an important component of a parent-child attachment." A nurse is assessing the nutritional needs of a 1-year-old client. According to recommendations for introducing milk products, which type of milk should a 1- year-old child be drinking?
  5. 2% milk beginning at the age of 1
  6. 1% milk
  7. Whole milk until the age of 2 years
  8. Skim milk - -3. Whole milk until the age of 2 years A nurse is teaching the parents of children between the ages of 2 and 3 years old about nutritional intake. The nurse should teach the parents that the percentage of the daily total intake of fat should be no more than which percentage?
  9. 20% to 25%
  10. 50%
  11. 30%
  12. 10% to 20% - -3. 30%

A mother brings her 5-month-old to the clinic for a well-child appointment. A nurse is doing an assessment when the mother asks when she can give her baby solid foods. What response is most appropriate?

  1. Inquire if the baby can sit well with support and if the baby's tongue thrust has decreased.
  2. Ask the mother is she feels the baby is ready for solids.
  3. Ask the mother if the baby seems hungry after bottle feeding.
  4. Tell the mother to ask the pediatrician. - -1. Inquire if the baby can sit well with support and if the baby's tongue thrust has decreased. A school nurse is concerned about the lack of physical activity in the high school. The nurse has gathered data related to appropriate activity from the document Healthy People 2010: Understanding and Improving Health. Which recommendation for physical activity should the school nurse recommend for this age group?
  5. Adolescents should get at least 60 minutes of physical activity daily.
  6. High school students should be required to participate in physical education classes.
  7. Teenagers should be exercising at least 30 minutes three to five times per week.
  8. Adolescents should be exercising every day for at least 15 minutes - -1. Adolescents should get at least 60 minutes of physical activity daily. A school nurse is teaching adolescents about oral care. Which point should the nurse address with the students?
  9. The adolescent should floss daily, brush teeth twice a day, and see the dentist two times per year.
  1. HPV is contracted through vaginal sex.
  2. HPV is contracted through anal sex.
  3. Condom use can fully protect against contracting the HPV virus. - -1. HPV can be contracted by oral sex.
  4. HPV is contracted through vaginal sex.
  5. HPV is contracted through anal sex. A school nurse is presenting the latest information related to driving under the influence (DUI) of alcohol to high school students. The nurse informs the students that all 50 states and the District of Columbia have laws defining it as a crime to drive with a blood alcohol concentration (BAC) at or above a prescribed level of:
  6. 0.1%.
  7. 1.0%
  8. 0.08%
  9. 0.8% - -3. 0.08% The American Academy of Pediatrics lists safety tips for adolescents who drive a motor vehicle. When teaching a group of parents with teenagers, which statement should a nurse include in the teaching?
  10. Nighttime driving is okay as long as the teenager is not fatigues.
  11. A lack of experience will motivate the teenager to want to practice driving longer.
  12. Transportation of other teenagers by a teenage driver should be avoided.
  13. Although teenagers tend to use safety belts, reminders are always important. - -3. Transportation of other teenagers by a teenage driver should be avoided.

A 4-year-old child is hospitalized with a high fever. While the child is in bed, the child comforts himself by sucking the thumb. The mother of the child becomes concerned because her child has not sucked his thumb for 6 months. Which nursing response to the mother's concerns is most appropriate?

  1. "I don't know why he is sucking his thumb; maybe your child just needs more attention."
  2. "This is a form of developmental regression and can be a normal response for a child who is hospitalized. Continue to love and support your child."
  3. "Is there anything else going on in your family right now that may be causing your child to feel anxious?"
  4. "Where is the child's father? Maybe the child wants his father?" - -2. "This is a form of developmental regression and can be a normal response for a child who is hospitalized. Continue to love and support your child." A pediatric nurse is to perform a head-to-toe assessment on a toddler who is admitted to the hospital for nausea and vomiting. Which is most important for the nurse to consider before beginning the examination?
  5. Making sure the parents are present.
  6. Using a firm tone to settle the child down for the examination
  7. Waiting until the child is ready to cooperate
  8. Preparing for a physical examination based on the child's developmental age
  • -4. Preparing for a physical examination based on the child's developmental age A nurse is assessing an infant for attachment behavior with a parent. Which observations are important in assessing this relationship? Select all that apply.
  1. This mother may be at risk for abandoning her baby.
  2. An intervention could be providing information for the nearest safe house for the baby.
  3. The mother should have been taught how to deal with this situation in prenatal classes.
  4. The mother should be encouraged to give up the infant for adoption. - -1. There may be a concern for postpartum depression.
  5. This mother may be at risk for abandoning her baby.
  6. An intervention could be providing information for the nearest safe house for the baby.