Saunders NCLEX Developmental Practice Test

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• Identify two modifiable fall risk factors for older adults.
• In pediatric palliative care, what is the primary goal?
• According to Erikson's psychosocial development theory, the nurse should advise the mother to:
• For a 15-year-old with a fractured jaw on a full liquid diet, which nursing action best promotes compliance and adequate nutrition?
• Which reflex typically disappears by 12-24 months?
• Older adults admitted with malnutrition: besides cognitive status, which factor is NOT a risk factor?
• At around age 2, a typical toddler's vocabulary size is about how many words?
• Which belief is NOT typically held by a 4-year-old in pain?
• What type of play is typical for toddlers?
• According to Erikson's theory, which development focus becomes prominent during the school-age years?
• Which statement describes Stage 2 (instrumental-relativist orientation) of Kohlberg's theory?
• What factor is most associated with positive psychosocial development in school-age children?
• How many hours of sleep does a 12-month-old typically need in a 24-hour period, including one nap?
• Which cognitive achievement is typical of the concrete operational stage?
• Which statement reflects a physical readiness sign for toilet training in toddlers?
• Which statement best demonstrates law and order orientation?
• Masturbation is most common in which pediatric age group?
• Body image concerns are most typical in which developmental stage?
• A mother of a 3-year-old asks about stopping nighttime bottle use. Which suggestion is most appropriate?
• With Crutchfield tongs traction, which action is inappropriate?
• The FLACC pain assessment is appropriate for which age range?
• A visiting nurse observes an elderly man confined to his room by his daughter-in-law. Which action is most appropriate?
• Which are signs of readiness for toilet training?
• A 2-month-old infant is seen for a well-child visit. The nurse asks about cognitive development. The infant is expected to be in which Piaget stage?
• What is the most common cause of respiratory distress syndrome in preterm infants?
• A nurse is caring for a 2½-year-old child in the hospital. Which Erikson stage should guide the plan of care?
• Denver Developmental Screening Test II assesses which domains?
• To promote dental health, which dietary habit is recommended for infants and toddlers?
• Which of the following pairs are among the early signs of autism spectrum disorder in toddlers?
• During an assessment of an older client's skin, which finding would most likely indicate a potential complication rather than a normal age-related change?
• Which of the following best describes common safety concerns addressed for toddlers?
• A 12-month-old infant with a respiratory infection has a respiratory rate of 35 breaths per minute. What action is most appropriate?
• At approximately what age does a child typically begin to sit unsupported?
• A 2-year-old hospitalized child does not readily approach the parents when they enter the playroom. Which interpretation is most accurate?
• Which item is unsafe to bring near an oxygen tent for a hospitalized child?
• An older adult is taking digoxin daily. Age-related changes such as decreased lean body mass and reduced glomerular filtration rate place this client at increased risk for which complication?
• What is a common newborn screening test used to detect metabolic disorders?
• In Kohlberg's law and order orientation, which statement demonstrates following rules to maintain social order?
• A 6-month-old infant weighs 14 pounds during a well-baby visit. Which statement by the mother indicates a need for further teaching?
• What is a classic early sign of iron-deficiency anemia in children?
• To promote compliance with a full liquid diet for a teenager, what approach is most effective?
• On palpation of the anterior fontanel of a 3-month-old, the fontanel is soft and flat. This indicates:
• Which memory change is typical in aging according to the material?
• Why is it important for hospitalized adolescents to interact with peers their own age?
• Besides cognitive impairment, which factor increases malnutrition risk in an older adult?
• During a well-baby clinic assessment of motor development at 24 months, which milestone is the highest-level expectation?
• According to Erikson, what practice helps a parent support a 2- to 3-year-old during temper tantrums?
• Name two benefits of early developmental screening in pediatrics.
• Which statement BEST describes Kohlberg's theory of moral development?
• Which statement best indicates the highest level of language development for a 5-month-old?
• Which approach is most effective to reduce a school-age child's feelings of isolation after school?
• What safety measure is essential when a child begins learning to ride a bicycle?
• Which of the following is listed as a live vaccine pair that is generally contraindicated in pregnancy?
• Which of the following is NOT a Denver Developmental Screening Test II domain?
• Which action by the nurse would best reduce a hospitalized toddler's anxiety during oxygen therapy?
• Which intervention most specifically supports visual development in an infant?
• In Erikson's Trust vs Mistrust, which statement reflects the infant's task?
• Which communication strategy is helpful when interacting with older adults with presbycusis?
• At a well-baby visit, what is the highest-level language milestone expected for a 4-month-old?
• Which statement characterizes Stage 2 (instrumental-relativist orientation) in Kohlberg's theory?
• A preschooler with a chronic illness may express which statement reflecting psychosocial development typical for this age?
• Around what age are infants typically ready to receive complementary foods?
• Which vitamin supplementation is recommended for exclusively breastfed infants?
• Which statement about Kohlberg's theory of moral development is accurate?
• A 14-year-old girl in Crutchfield tongs traction is having difficulty adjusting to hospitalization. Which nursing action is appropriate?
• Which pediatric pain assessment tool is used for nonverbal children ages 2 months to 7 years?
• Which Piaget stage describes school-age children?
• Which milestone is typically achieved first in infancy?
• Which statement by a parent regarding toilet training readiness indicates a need for further information?
• Which action most effectively promotes autonomy for an older client in a facility?
• If a newborn's signals are consistently ignored, what is the likely outcome according to Erikson?
• When a toddler throws frequent temper tantrums, which approach should the mother be advised to use?
• By age 3, what language milestone is typical?
• Which statement about infant weight gain is consistent with typical growth patterns?
• Which component is included in APGAR scoring?
• By what age does the rooting reflex typically disappear?
• Which statement aligns with law and order orientation by prioritizing the needs of the group and following rules?
• In Erikson’s psychosocial development, what is the primary task of infancy?
• A 10-month-old infant's mother is discussing dental care. Which statement indicates a need for further instruction?
• Which type of play is typical for preschool children and appropriate for hospital or home settings?
• Which Piaget stage represents infancy and toddlerhood?
• In a situation where a classmate breaks a minor rule, which response aligns with law and order orientation?
• What is the highest priority when caring for a hospitalized toddler?
• At around age 2, which language milestone is expected?
• Which of the following is listed as a live vaccine pair in the material?
• A clinic nurse provides dental care instructions to the mother of a 2-year-old. Which statement indicates a need for further instruction?
• Which statement correctly describes Freud's latency stage?
• Which play activity is most appropriate for an infant during hospitalization?
• For exclusively breastfed infants, which vitamin supplementation is routinely recommended?
• Which screening tool is commonly used at around 18-24 months to screen for autism spectrum disorder?
• If the water is not fluoridated and the infant does not receive adequate fluoride, fluoride supplements are usually started at which age?
• A 12-month-old is seen for a well-child visit. Which milestone is appropriate to expect?
• A 6-year-old child does not recognize that objects continue to exist when out of the visual field. What action should the nurse take?
• Which combination represents modifiable fall risk factors?
• One major benefit of exclusive breastfeeding for the first six months?
• During parental separation, which phase describes a toddler who, after the parents return, becomes more interested in the environment and in new people rather than the parents?
• When is the first-trimester period most sensitive to teratogens causing congenital anomalies?
• For a 10-year-old with type 1 diabetes who is active and often away from parents, what is the best focus of nurse teaching?
• A mother reports her toddler resists bedtime. Which measure is most appropriate for the nurse to suggest?
• By what age is a child typically expected to say a first meaningful word?
• Which action indicates the caregiver needs further instruction on the appropriate way to minimize misbehavior when a child is playing with an excessively noisy toy?
• Which measurement is NOT typically plotted on standard pediatric growth charts?
• Infants develop object permanence around which age range?
• In a 5-year-old, Piaget's animism concept: which statement indicates understanding?
• During a clinic visit, the mother asks which toy is safest and most appropriate for a 3-year-old.
• By what age does the Moro reflex typically disappear?
• Coating a pacifier with honey is discouraged because it is:
• Which statement best identifies a red flag for adolescent mental health?
• At around what age are complementary foods typically introduced?
• Which statement shows obedience to authority as a norm in law and order orientation?
• When using car seats for infants and toddlers, what is a key safety guideline?
• At approximately what age do children begin to use a fork in eating?
• Which approach best supports an adolescent's recovery after surgery?
• Which milestone is typically included on growth charts as the third parameter?
• When reprimanding a child, which statement indicates that additional teaching is needed?
• In Kohlberg's theory, Stage 2 occurs at which ages?
• Which statement best describes normal aging in memory?
• Growth charts are used to monitor which of the following?
• In nutrition guidance for a 1-month-old, which instruction is appropriate?
• A 5-year-old placed in traction after a femur fracture should engage in which activity as appropriate for this age group?
• Identify the key difference between delirium and dementia.
• Which play activity is most appropriate for a hospitalized toddler?
• A 10-month-old infant is hospitalized for a respiratory infection. Which plan of care is most appropriate?
• What should the nurse tell parents regarding regression in a hospitalized preschooler?
• Parallel play is most commonly observed in children aged which range?
• How many hours of sleep do most adolescents require per night?
• At what age does a child typically begin to walk without assistance?
• During a pediatric physical examination, if the child will not sit on the examining table, screams, and avoids eye contact, what is the most appropriate initial nursing action?
• Which concept best describes death understanding in a preschool-age child?
• Which pairing represents two early signs of autism in toddlers?
• Which Piaget stage is most representative of adolescence?
• Which statement describes a characteristic of the formal operations stage of Piaget's cognitive development theory?
• Which statement demonstrates adherence to rules to maintain fairness?
• Which statement shows obedience to rules even when not easy?
• Which of the following is a normal age-related change in older adults?
• When should an infant transition from a rear-facing to a forward-facing car seat?
• Which description best characterizes the autonomy versus shame and doubt stage in toddlers?
• Which of the following reflects typical total sleep for a 2-year-old?
• By age 3, vocabulary is approximately how many words?
• A parent brings a 2-year-old for a checkup. Which feeding skill is appropriate for a 2-year-old?
• Which represents a warning sign of depression or suicidality in adolescents?
• Which safety practice best reduces burn risk when a caregiver is cooking with a toddler nearby?
• In Freud's psychosexual stages, which characteristic relates to the anal stage?
• What is the purpose of the APGAR score, and when is it assessed?
• At about 9 months, which statement about the pincer grasp is accurate?
• What is the hallmark of secure attachment in infancy?
• In attachment theory, what caregiver behavior promotes secure attachment?
• PKU is detected through which type of newborn screening?
• A 2-year-old with pneumonia is placed in an oxygen tent. Which statement to the parents is appropriate?
• What is the difference between developmental surveillance and developmental screening?
• Freud's anal stage is best described by which characteristic?
• Babinski reflex disappears by what age?
• In Kohlberg's model, Stage 1 (Punishment-Obedience orientation) is typically associated with which type of reasoning?
• Which statement by the parents indicates an understanding of safety measures to prevent burns in the home for a toddler?
• Which statement reflects psychosocial development for a 2-year-old that a nurse would expect?
• Developmental screening is best described as which of the following?
• Which respiratory rate range is normal for a 12-month-old?
• A 4-year-old child is scheduled for a renal biopsy. Which developmental concern should the nurse consider?
• Which statement best reflects Kohlberg's law and order orientation in moral development?
• Which action aligns with maintaining class fairness by following rules?
• Which nursing intervention is most appropriate to facilitate normal growth and development in a 16-year-old admitted for appendectomy?
• Which statement best reflects following rules for social order, even when inconvenient?
• Which statement demonstrates following rules to maintain safety and order in class?
• For iron-deficiency anemia in children, which signs are classic?
• To reduce separation anxiety in a hospitalized preschooler, which action is best?
• Which of the following is the best example of a positive instruction when guiding a child's behavior?
• Which statement reflects seeking social approval within law and order orientation?
• A 9-month-old infant demonstrates several milestones. Which of the following is an appropriate milestone to expect at this age?
• What strategy helps manage toddler tantrums during autonomy development?
• For a 1-year-old with hypospadias, which factor should the nurse consider most?
• Which of the following are common home safety concerns for toddlers?
• What is the teach-back method and what is its purpose in pediatric education?
• An 8-year-old child appears more focused on friends than on adults. According to Erikson's psychosocial development theory, how should the nurse respond?
• During a discussion of Kohlberg's moral development, at the preconventional level, what primarily motivates good and bad actions?
• When instructing a caregiver about communication with older adults who have hearing loss, which statement is correct?
• Piaget's sensorimotor stage emphasizes learning through:
• In a group project, which action best demonstrates law and order orientation?
• Which statement best describes the teach-back method?
• When is the anterior fontanel typically closed?
• An older client reports difficulty sleeping. Which statement indicates a need for further teaching about sleep measures?
• In an educational session about abuse of the older client, which profile is most typical of an abuse victim?
• A mother asks about a 16-year-old's sleep pattern; most appropriate response?
• At what height is a booster seat typically no longer required, because the vehicle seat belt fits properly?
• In Kohlberg's theory of moral development, what motivates good and bad actions at the preconventional level?
• A mother of a hospitalized preschooler reports that thumb-sucking began 2 days after admission. Which nursing response is appropriate?
• Which statement about growth charts is true?
• What sleep duration is generally recommended for adolescents?
• Which statement best reflects law and order orientation?
• Which statement illustrates law and order orientation when disagreeing with a rule?
• A 4-year-old child hospitalized for chemotherapy is fearful. Which nursing intervention should be implemented to alleviate the child's fears?
• By around 12 months, a child is typically able to:
• Which car safety device should be used for an 8-year-old who is 4 feet tall?
• About how much daytime sleep (naps) does a 2-year-old typically require?
• Which Erikson stage corresponds to adolescence?
• Around age 2, which speech milestone is typically observed?