2020 NCLEX-RN TEST PREP: GROWTH AND DEVELOPMENT (STUDY MODE) PRACTICE QUESTIONS WITH: ANSWERS & EXPLANATIONS

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GROWTH AND DEVELOPMENT (TEST MODE) 1. Which of the following complications is associated with premature rupture of membranes in the pregnant client? a. Vaginal or cervical lacerations b. Sho... ulder dystocia c. Uterine rupture d. Chorioamnionitis 2. A nurse is caring for a child whose parents live in a home with several other unrelated children and adults. Some of the people who live in the home have visited and the nurse discovers that this group all shares finances and living conditions. What type of family is this most likely an example of? a. Blended family b. Communal family c. Foster family d. Extended family 3. A nurse is educating a female client about progesterone. Which of the following information is appropriate to include in this teaching? a. Progesterone helps the body to maintain pregnancy b. Progesterone stimulates the breasts to secrete milk c. Progesterone causes uterine contractions during delivery d. Progesterone causes development of masculine characteristics in women 4. A nurse is assisting with counseling for a pregnant client who has had genetic testing performed for her unborn child. The geneticist tells this mother that her baby has an extra copy of the 21st chromosome in every cell. Based on this information, the nurse knows that the baby will most likely be born with which condition? a. Turner syndrome b. Patau syndrome c. Down syndrome d. Edwards syndrome 5. A pregnant client who is at 38 weeks' gestation is seen for prenatal care at a community clinic. The nurse asks the client to lie down while waiting for the physician to arrive. After several minutes of lying on her back, the client becomes dizzy and lightheaded; she is agitated and states she feels she might faint. What is the next action of the nurse? a. Call the physician to check the client immediately b. Call 9-1-1 for an ambulance to transport the client to the labor and delivery unit of the hospital c. Check the client's blood pressure and temperature d. Assist the client to lie on her side 6. Which of the following symptoms is a presumptive indication of pregnancy? a. Auscultation of fetal heart tones b. A positive home pregnancy test c. Amenorrhea d. Ballottement 7. A client is being seen for confirmation of pregnancy. She states her last menstrual period was June 2nd. According to Naegele's rule, what is this client's estimated due date (EDD)? a. April 2 b. March 9 c. February 2 d. February 19 8. A nurse attends the delivery of a full-term infant. After the infant is delivered, she carries him to the warmer and dries him off. His heart rate is 120 bpm, his body is flexed with good muscle tone, his hands and feet are blue while the rest of his body is pink, and he starts to cry when stimulated. Which of the following is the most appropriate Apgar score for this infant? a. 10 b. 9 c. 6 d. 4 9. A nurse is caring for a woman who just had a baby 6 hours ago. The nurse is concerned because the mother seems more interested in letting her husband care for the baby. Which of Rubin's puerperal phases is this mother exhibiting? a. Taking-in phase b. Taking-hold phase c. Letting-go phase d. Handing-off phase 10. A nurse is performing a birth assessment on an infant who was born one hour ago. During her assessment, she strokes the sole of the infant's foot from the heel up toward the toes and notices that the toes flare as a response. Which test is this nurse performing? a. Tonic neck reflex b. Startle reflex c. Babinski reflex d. Moro reflex 11. A sexually active client asks the nurse for information about contraception. The client is interested in an intrauterine device as a form of birth control. Which of the following is an advantage of an intrauterine device? a. It protects against sexually transmitted infections b. It can be inserted several hours before intercourse c. It is acceptable to most religious backgrounds d. It remains in place at all times 12. Which of the following best describes the cognitive development of an 18- month old child? a. The child can follow one-part directions b. The child understands the concept of "forever" c. The child can name six body parts d. The child has an attention span of approximately 5 minutes 13. A nurse is caring for a 64-year old man whose lab work indicates he has decreased levels of vitamin K. Which of the following symptoms is most likely associated with this condition? a. Gingivitis b. Ecchymosis c. Cardiac arrhythmias d. Poor wound healing 14. A nurse is assessing pain response in a 9-month old child. She uses the CRIES scale to determine if he is having pain. The "I" in the CRIES scale stands for: a. Informal response b. Increased reflexes c. Immediate reaction d. Increased vital signs 15. A mother who has been breastfeeding her infant since birth wants to transition her baby to solid foods. The child is now 6 months old. Which of the following is the most appropriate response of the nurse? a. You should breastfeed exclusively until your baby is 12 months old." b. You can start solid foods and change to formula feeding." c. You can start with rice cereal and continue with breastfeeding." d. You can start with feeding meats and vegetables." 16. A mother brings her 6-year old daughter in to a clinic for a routine physical. The family follows a vegan diet and the child has only eaten grain or plant products since birth. Which of the following vitamin deficiencies is this child most likely at risk for? a. Vitamin C b. Vitamin B-6 c. Vitamin K d. Vitamin B-12 17. A nurse is caring for a 16-year old client who is seen for frequent vomiting and diarrhea. After taking a history, the nurse determines this teen has been inducing these symptoms after eating large amounts of food. What condition is most likely the cause of this situation? a. Anorexia b. Binge-eating disorder c. Adjustment disorder d. Bulimia 18. Which of the following is an example of a fine motor skill? a. Jumping on a trampoline b. Brushing hair c. Standing on one foot d. Climbing a ladder 19. A nurse is preparing to administer an oral glucose tolerance test to a woman who is 28 weeks' pregnant. What is the first step the nurse should perform to administer this test? a. Give the woman a sweetened drink that contains 75 g of glucose b. Check the fetal heart tones for the baby c. Check a fasting glucose on the mother d. Tell the mother to eat an 800-calorie meal and return for a glucose check 20. A nurse is examining a 36-hour old infant when she notices the child's skin has a yellowish tint. The yellow skin appears on the baby's face and chest but the skin on the feet and legs appears pink. What is the next action of the nurse? a. Check a stat bilirubin level b. Begin phototherapy with eye protection c. Monitor the condition and notify the physician during rounds d. Transfer the infant to the neonatal intensive care unit 21. A nurse is preparing to see a client who has brought her baby in because she believes the baby has thrush. Based on this information, the nurse would most likely expect to see: a. Pale skin with a red, lacy rash across the trunk b. Blue skin in the hands and feet c. Vomiting, diarrhea, and lethargy d. White patches in the mouth and a diaper rash 22. A nurse is seeing a client in an outpatient clinic for symptoms of depression. The client tells the nurse she has been taking St. John's wort to help her symptoms. Which of the following is the most appropriate response of the nurse? a. We'll make sure the physician knows this information in case he prescribes medication for you." b. You can either take herbal supplements or prescription medication for depression, but you must choose." c. St. John's wort is not actually used for depression; you should try anise seed." d. You should not be using any herbal supplements in your situation." 23. Which of the following is a true statement about Reye's syndrome? a. Reye's syndrome is caused by a viral infection from improper hand hygiene b. Protection from Reye's syndrome requires contact precautions c. Reye's syndrome occurs after giving aspirin to children d. Reye's syndrome can be confirmed by genetic testing 24. A nurse is preparing an initial hepatitis B vaccine for a child. Which of the following information must the nurse give to the parent as part of education about this vaccine? a. The hepatitis B vaccine is administered one time, typically right after birth b. The hepatitis B vaccine is only administered to children who are at high risk of contracting the disease c. The hepatitis B vaccine carries a risk of sepsis for the child after vaccination d. The hepatitis B vaccine must be repeated as part of a 3-part series of injections 25. A nurse is caring for an aging client who has developed sarcopenia. Which of the following symptoms would this nurse most likely see in this client? a. Loss of muscle mass b. Low oxygen saturations c. Decreased white blood cell count d. Diminished reflexes 26. Which of Erikson's stages of psychosocial development is associated with a preschool-aged child? a. Trust vs. Mistrust b. Industry vs. Inferiority c. Initiative vs. Guilt d. Identity vs. Role Confusion 27. Which of the following interventions can the nurse implement to promote a healthy self-concept for a client? a. Provide information about antidepressant medications b. Encourage the client to verbalize feelings about self, body image, and relationships c. Use absenteeism as a form of therapeutic communication d. Assist the client with asking others to tell him what they think of him 28. A 15-year old client is talking about her family with a nurse when she reveals that her parents are getting a divorce. The client suddenly becomes upset and starts to cry, saying, "They don't want to be together anymore!" What is the most appropriate response of the nurse? a. Don't worry, it will all work out in the end." b. I'm sorry this makes you angry. I'll ask the physician if he will speak with your parents." c. Will you have to decide which parent you will live with?" d. I'm sorry that you feel upset. Would you like to talk about it some more?" 29. Which of the following is a potential complication associated with precocious puberty? a. Low serum calcium levels b. Short stature c. Weakness and lethargy d. Anemia 30. A nurse is working with a client and her 9-month old son. The mother tells the nurse, "Sometimes, he is so naughty! I had to put him in time-out yesterday for throwing toys!" What is the most appropriate response of the nurse? a. Where do you put him when he goes to time-out?" b. Keep doing that to teach him the right way; eventually he will stop throwing toys." c. At this age, he should stay in time-out for nine minutes." d. Remind him not to throw toys but don't discipline him for this behavior." 31. A nurse is preparing immunizations for a 5-year old child who is starting kindergarten. Which statement by the parent indicates understanding of this process? a. Once he gets these shots, he'll never need to go through this again." b. This should be the third vaccine in the 3-part hepatitis A series." c. Most of the kids in his preschool have already had chicken pox. Why does he need a vaccine?" d. Last time we were here, he had a slight fever after the vaccines. Can I give him acetaminophen if it happens again?" 32. A client asks for assistance with correctly preparing bottles of formula for her baby. Which of the following statements should the nurse include as part of teaching? a. If commercial formula is unavailable, substitute one-half of the amount with cow or goat's milk. b. Formula must be sterilized before feeding. c. Never heat a bottle of formula in the microwave d. Always boil tap water before using it to mix formula 33. A client who has entered the hospital for surgery tells the nurse that he wants to try and quit smoking. What is the most appropriate action of the nurse? a. Ask the client if he would like more information about smoking cessation programs b. Assist the client with throwing out any cigarettes that he has with him c. Notify the physician that the client needs a nicotine patch d. Remind the client of the many negative impacts that smoking has on health 34. A nurse is providing care to a 7-year old child in the emergency room. Which of the following interventions may be most helpful in this situation? a. Distract the child with a toy that has flashing lights b. Provide treatments with the parents out of the room if possible c. Explain the process of treatment in simple terms d. Avoid talking about the child's concerns related to treatment 35. A client presents with several areas of blotchy skin that has decreased pigmentation when compared with the rest of his skin color. Which condition is this client most likely exhibiting? a. Erythema b. Carotenemia c. Vitiligo d. Nevi 36. Which of the following persons is at highest risk of developing type 2 diabetes? a. A 40-year old Caucasian man with a BMI of 27 b. A 48-year old Hispanic woman with low levels of HDL cholesterol c. A 39-year old Asian woman who recently had a baby weighing 8 lbs, 2 oz. d. A 50-year old Caucasian man with low levels of LDL cholesterol 37. In which of the following methods should a nurse assess for scoliosis in a child? a. The child should stand with both arms reaching forward while the nurse measures the difference in arm lengths b. The child should stand with her back against the wall while the nurse views her from the side c. The child should bend over at the waist while the nurse looks for asymmetry in the back d. The child should sit in a chair while the nurse checks for both feet to be flat on the floor 38. Which of the following is an example of a natural family planning method? a. Basal body temperature b. Intrauterine device c. Periodic abstinence d. All of the above e. Both a and c 39. A client who suffers from a neuromuscular disability wants to try Feldenkrais to increase some flexibility. Which of the following best describes this alternative healing method? a. The client uses mind/body exploration to increase awareness b. Fine needles are placed along certain points in the body to promote energy flow c. Intravenous injections of amino acids work to detoxify the body d. Magnets are applied to parts of the body that are causing the greatest issues 40. Which of the following is an example of a teratogen? a. Colace b. Diphenhydramine c. Warfarin d. Acetaminophen 41. In infants and children, most cardiac arrests result from: a. Ventricular fibrillation. b. Ventricular tachycardia. c. Respiratory failure or shock. d. None of the above 42. An 8-year-old child has been diagnosed with infectious conjunctivitis. Discharge instructions will include: a. Good hand hygiene is critical. b. The child should be kept home from school for a week. c. Antibiotic drops or ointments will not be effective. d. Eyes should be irrigated with sterile saline. 43. You have been caring for a 6-year-old patient who has been diagnosed with mild food poisoning. The child is alert, mucous membranes are moist, and skin turgor is within normal limits. He is being sent home with family. Instructions for this patient are likely to include all of the following EXCEPT: a. Stay hydrated by frequently drinking sips of clear liquids. b. Do not eat solid foods while nauseous or vomiting. c. Give over the counter medications to stop any diarrhea d. Begin a BRAT diet after all nausea and vomiting have passed. 44. A child is being discharged to home with a diagnosis of ringworm. Discharge instructions should include the information that: a. The infection is caused by a worm and cannot be passed from person to person. b. The infection is caused by a virus and can be passed from person to person. c. The infection is caused by a bacteria and cannot be passed from person to person. d. The infection is caused by a fungus and can be passed from person to person. 45. A child presented to the ED with itchy scalp, irritation of the scalp, and infected areas on the child's head. Assessment reveals lice and nits in the child's hair. Discharge instructions will include: a. Permethrin 10% applied to hair and body after shower and shampoo b. Manual removal of nits must be done for several days to ensure they do not hatch c. Washing sheets and towels in hot water d. Child should not return to school until all lice and nits are gone 46. Johnny Tate, a 2 year old boy, is hospitalized with pneumonia. This child will most likely . a. lie quietly as the nurse listens to his lung. b. ask many questions about what the nurse is doing c. fuss, cry and push the nurse away d. plays cheerfully with a stethoscope 47. At what age does a child begin to accept the fact that death is permanent? a. Less than 5 years old b. 5-9 years old c. 9-12 years old d. 12-18 years old 48. Identify the age group with the correct range of years. a. Infancy: Up to 6 months of age b. Pre-School Child: 3 to 6 years of age c. Adolescent: 13 to 18 years of age d. Elderly: Over 60 years of age 49. Identify the developmental task with the correct age group. a. Infancy: autonomy b. Toddler: initiative c. Pre-School Child: trust d. School age child: industry 50. Your 47 year old patient is concerned about guiding the next generation? What developmental task is this 47 year old patient addressing? a. Generativity b. Initiative c. Industry d. Ego integrity 51. Your 2 year old pediatric patient is always saying "No" to your requests. What should you do? a. Report this abnormal negatively to the nurse b. Scold that child and tell them that they must cooperate c. Tell the parents to discipline the child for this negativity d. Understand that the child is seeking autonomy which is normal 52. The gradual decrease of the body's temperature after death is called . a. rigor mortis b. algor mortis c. livor mortis d. shrouding 53. Rigor mortis occurs about hours after death. a. 0-1 b. 3-4 c. 5-7 d. 9-12 54. Some people have dyspnea at the end of life. Dyspnea is difficulty . a. walking b. breathing c. talking d. eating 55. At the end of life, many people have a fear of . a. insects b. rejection c. acceptance d. being alone 56. You are caring for Judy F. She is at the end of life. A lot of visitors are seeing her. You notice that she is giving things, like her jewelry, to her visitors. What should you do? a. Tell her to stop giving away her valuable jewelry. b. Take the jewelry away from the visitors. c. Understand that she is confused. d. Nothing. This is normal at the end of life. 57. Which fact about the end of life is true? a. All people at the end of life are religious. b. All people at the end of life are spiritual. c. Some people are not religious or spiritual. d. Family members do not have spiritual needs. 58. Many people at the end of life fear being alone. What can you, as the nurse, do to lessen this fear? a. Keep the patient in their bed at the nursing station. b. Require that the family stay with the patient 24/7. c. Ask a visitor from another room to visit with the patient. d. Sit and talk or listen to the patient as much as possible. 59. A "Living Will" is another term for . a. DNR b. advance directives c. NPO d. at the end of life 60. Another term for "health care proxy" is . a. medical power of attorney b. durable power of attorney c. limited power of attorney d. a living will 61. Of the following, which would be important to include as nursing interventions when caring for the patient with delayed growth and development? a. Assessment of baseline mental/emotional status b. Caregiver/parent input c. Assessment of baseline physical status/limitations d. All of the above 62. Geriatric failure to thrive (GFTT) has 4 major characteristics. Of the following, which is NOT one of them? a. Impaired physical function b. Malnutrition c. Cardiovascular disease d. Cognitive impairment 63. Your patient is concerned about their health insurance and the costs associated with their hospital care. Which of Maslow's needs is your patient expressing? a. Physical needs b. Security needs c. Self actualization d. Self esteem and the esteem of other 64. Verbal bullying, among school aged children, threatens which of Maslow's needs? a. Physical needs b. Self actualization needs c. Love and belonging needs d. Safety needs 65. Physical bullying, among school aged children, threatens which of Maslow's needs? a. Physical needs b. Love and belonging needs c. Safety needs d. All of the above 66. Your patient has had a very full and rewarding life. She has had a lot of success in her personal and professional life. She has achieved all of her goals and she has maximized her potential. This patient can be best described as a person who has achieved Maslow's . a. self actualization b. exploration c. closeness d. protection [Show More]

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