NCLEX Pediatric Growth and Development Practice Test

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• Which stage of development is most unstable and challenging regarding development of personal identity?
• A mother calls about a colicky infant. Which measure is most helpful?
• A clinic nurse assesses a 5-month-old infant's language development. The infant's highest level of expected achievement is:
• What is a key aspect of adolescent social development?
• Which gross motor ability is typical of a healthy 3-year-old?
• Object permanence is the understanding that objects exist even when out of sight. When is this typically present?
• What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years?
• What is a major cause of poor growth velocity in chronic illness?
• By about 6 months, what gross motor milestone is typically achieved?
• By age 4, which gross motor skill is commonly achieved?
• Peer relationships become more important during adolescence because:
• A parent tells the nurse that a 4-year-old fears monsters in the bedroom. The best coping strategy is to
• BMI percentile for age and sex is used to assess what aspect of pediatric health?
• What gross motor skill best describes a 24-month-old child?
• During adolescence, what is the role of parents in personal and health-related decisions?
• In pediatric growth assessment, which is essential?
• A 16-year-old admitted for appendectomy; which nursing intervention best promotes normal growth and development?
• A mother of a 3-year-old reports temper tantrums. The nurse's best guidance is to:
• Which finding at 18 months is a red flag for language development?
• In the preschool years (3–5), what type of play is common?
• The Ages and Stages Questionnaires screen development from birth to what age?
• What is the primary purpose of growth and development assessment in pediatrics?
• Which of the following is a sign of cognitive development in school-age children?
• At the end of middle childhood, which sex tends to be taller and weigh more?
• Around what age should solid foods be introduced?
• The preschool years occur roughly during which ages?
• By what age is birth weight typically tripled?
• Around what ages does menarche most commonly occur?
• Which language screening instrument is used to assess early language development in infants?
• What milestone is typical for a 6-year-old child?
• Which fine motor milestone is expected for a 7-month-old infant?
• What symptom may prompt evaluation for ADHD in school-age children?
• In the typical pubertal sequence, which event follows thelarche?
• At roughly what age do infants usually begin drinking from a cup?
• What are common autism red flags in toddlers?
• An 18-month-old boy insists on saying no and shows rapid mood swings when scolded, then wants to be held. How should the nurse interpret this behavior?
• Which screening tool is specifically used to assess early language development in infants by querying parental observations?
• Secondary circular reactions last from about which ages?
• Which two growth measures are routinely tracked on pediatric growth charts?
• At approximately what age do children typically begin using two-word phrases?
• Which is the first pubertal change in girls?
• To help school-age children cope with fears, what is recommended?
• The most common cause of death in the adolescent age-group involves:
• What is the significance of growth velocity?
• What is the role of early intervention when developmental delays are suspected?
• Which of the following is a hallmark of social development in middle childhood?
• Which gross motor milestone is typically achieved first?
• Which Piaget stage is typical for school-age children (6-12 years)?
• Which tool is used to screen for autism risk in toddlers?
• Which factors influence growth and development?
• According to Erikson's theory, which statement best reflects the toddler's development during ages 1-3?
• Which guideline is recommended when introducing solid foods to an infant?
• Which is a red flag for language development in a 2-year-old?
• Language development in infancy—promoting actions
• Which charts are used for pediatric growth assessment?
• Which gross motor milestone is appropriate for a 5-month-old infant?
• For the first 6 months of life, which feeding approach is recommended if the infant is not breastfed?
• When is toilet training readiness typically observed?
• At about 20 months, which statement describes the development of object permanence?
• Which of the following best describes anticipatory guidance content for newborns?
• A group of boys ages 9 and 10 years forms a 'boys-only' club open to neighborhood and school friends who have skateboards. This should be interpreted:
• By around 9 months, which fine motor skill is typically present?
• Which readiness signs indicate a toddler is ready to start toilet training?
• Which type of play is most typical for toddlers?
• Which statement about toilet training is correct?
• Using Erikson's psychosocial development theory, which action by the nurse would best support the newborn's developing trust?
• By 18 months, which combination of motor abilities is typical?
• The second process of self-mobility is seen at the age of 9 months when the infant begins to ________.
• In cognitive development, what is a typical characteristic of a 5-year-old?
• Which chart is used to assess obesity risk in children?
• Puberty typically begins for boys in which age range?
• By age 2 years, what language development is typical?
• A parent is concerned because her 10-month-old is lethargic. What should the nurse advise?
• For an adolescent hospitalized for surgery, which intervention best supports growth and development?
• During the Sensorimotor stage, which concept develops?
• In middle childhood, weight tends to almost double.
• The Ages and Stages Questionnaires screens development from birth to age 5 years. What is the maximum age in years?
• Which is a common safety concern for adolescents?
• At what age do children typically start combining words into two-word phrases?
• A 10-month-old uses her index finger and thumb to pick up pieces of cereal. This is evidence of which grasp development?
• An adolescent boy tells the nurse that he has recently had homosexual feelings. The nurse's response should be based on knowledge that:
• Which tool is used to screen development from birth to age 5 years?
• What is a red flag for hearing impairment in infancy?
• What is a common cause of dehydration in children?
• By about 12 months, what gross motor achievement is common?
• A 5-year-old in traction following a femur fracture; which activity is most appropriate?
• How should new foods be introduced to an infant?
• Puberty typically begins for girls in which age range?
• What is a common developmental concern requiring early intervention?
• In Erikson's theory, which stage describes the toddler period?
• The term 'thelarche' refers to what physical change?
• A 3-month-old born at 38 weeks will hold a rattle if placed in her hands but will not voluntarily grasp it. The nurse should interpret this as:
• What sleep position is recommended to reduce the risk of SIDS?
• By 12 months, which grasp is well established?
• Which statement about growth charts is true?
• Around what age do most children begin walking independently?
• Thelarche is the first pubertal sign in girls; what is its typical age range?
• Which pain scale is commonly used for children who can report their pain verbally?
• Regression in toddlers is best understood as which of the following?
• What is the classic early adolescent cognitive change per Piaget?
• Sitting erect without support is usually achieved by about how many months?
• The mother of a toddler asks when it is safe to place the car safety seat in a forward-facing position. The best response is:
• Which cognitive framework applies to school-age children?
• Which statement about feeding is the recommended sequence to encourage a baby to try new foods?
• Which growth chart reference is commonly used for children 2 years and older?
• Which motor milestone appears first in infancy: rolling from tummy to back or rolling from back to tummy?
• For a 6-month-old, what is a normal weekly weight gain?
• Which statement about growth charts under age 5 is accurate?
• By approximately what age do healthy term infants triple their birth weight?
• When is toilet training typically expected to begin?
• At 7 months, the infant begins to crawl, using arms and dragging the trunk and legs. Which option best describes this milestone?
• By age 3, approximately how many blocks can a child stack?
• At about how many months can an infant sit steadily without support?
• Posterior fontanelle closes between 2 and 3 months of age. Which of the following is the correct range?
• By around 2 years, approximately how many words are in a toddler's vocabulary?
• Which statement indicates correct understanding of infant feeding?
• Which developmental domain is most affected by early neglect?
• Name two key toddler home safety measures.
• Which term describes the first physical sign of puberty in girls?
• The most appropriate activity to promote sensorimotor stimulation for a 1-year-old is to:
• Place these milestones in sequence from earliest to latest: rolling over, sitting without support, crawling, walking.
• By 18 months, which motor skill is typical?
• By 12 months, which gross motor milestone is typical?
• What is a red flag for gross motor development at 18 months?
• Which milestone is typically achieved around 12 months of age?
• In Piaget's theory, which stage covers infancy to about age 2?
• Tertiary circular reactions occur around which age?
• By about 6 months, an iron-rich formula should be offered because the infant has:
• A 14-month-old attempts to insert a paper clip into an electrical outlet after having been shocked. What is the best interpretation of this behavior?
• By age 3, what language pattern is typical?
• Which combination of early signs can indicate autism spectrum disorder in preschoolers?
• Which milestone appears earlier: social smile or pincer grasp?
• For infants, which growth measure replaces height-for-age?
• Which statement best describes the relationship between crawling and walking?
• When a toddler throws temper tantrums, which approach is most appropriate?
• Which psychosocial task is central during school-age years?
• By age 3, which fine motor skill is commonly demonstrated?
• Which statement best describes the play of school-age children?
• Which choking hazard should be avoided for toddlers?
• The first meaningful words (often 'mama' or 'dada') typically appear at what age?
• By what age range do autism red flags such as lack of pretend play and poor joint attention typically appear?
• A child around 18 months is most likely to begin which type of play?
• Which gross motor milestone is typical for a 5-year-old?
• What is the typical total daily sleep duration for school-age children (6-12 years)?
• When introducing solid foods, what should the initial amount be?
• By what age does an infant's birth weight usually triple?
• Hiding fears in school-age children may lead to phobias.
• A typical crawling pattern appears at which age range?
• Which type of play is most typical of the preschool period?
• How should crossing percentiles on a growth chart be interpreted?
• An adolescent girl tells the nurse that she is very suicidal. The nurse asks her if she has a specific plan. Asking this should be considered:
• At puberty onset, which physical change is commonly observed in Tanner stage II?
• How should clinicians approach puberty discussions with adolescents?
• What type of play is typical for a 2-year-old?
• Which Erikson stage is most relevant to school-age children?
• By what age is the pincer grasp well established?
• For infants younger than 1 year, which car seat practice is correct?
• Around 15 months, which developmental activity is expected?
• Which statement accurately describes physical development during the school-age years?
• For infants when exclusive breastfeeding is not possible, what is the recommended feeding option during the first 6 months?
• By approximately what age do most infants say their first meaningful word?
• Which growth chart reference is used for children under 2 years?
• What is the typical first sign of puberty in girls?
• By age 5, what is a typical achievement?
• When do infants usually begin to show pretend play?
• Which Tanner stage marks the onset of puberty changes?
• At what age do preschoolers typically begin cooperative play?
• Which statement best describes how growth velocity is used in pediatric care?
• Which teething symptom is most commonly observed?
• Which of the following best characterizes object permanence development?
• During which Erikson stage does teaching impulse control and cooperative behaviors typically occur?
• Routine health assessments of adolescents should include questions that assess the presence of suicidal ideation or intent.
• What is a common anticipatory guidance topic for newborns regarding safety?
• At approximately what age does an infant typically display a social smile in response to a caregiver?
• How can caregivers promote healthy development in infancy?
• Which statement best describes fear in school-age children?
• According to Erikson, the psychosocial task of adolescence is developing:
• By about 15 months, what language milestone is typical?
• Toilet training typically begins between which ages?
• In language development, what milestone is typically observed by 1 year?
• Which condition is most likely indicated by persistent inattention and hyperactivity in a child over several months?
• What is the overall aim of pediatric growth and development practice tests?
• Which parameter indicates how quickly a child is growing over a period of time?
• What is a common cause of failure to thrive in infancy?
• A 4-year-old hospitalized with a serious infection says he is sick because he was 'bad.' The nurse should recognize this as which of the following?
• In Erikson's psychosocial theory, what is the first stage called?
• Which stage of psychosocial development is most relevant to adolescents?
• Infants typically begin to fear strangers at what age?
• A 6-month-old infant's birth weight was 8 pounds 2 ounces. The nurse would expect the current weight to be at least how many pounds?
• What type of play emerges in the toddler years and involves imitation and pretend activities?
• What mental health screen is often recommended during adolescence?
• Which of the following is NOT a factor influencing growth and development?
• In Piaget's theory, which stage is a 17-month-old currently in?
• Generally the earliest age at which puberty begins is:
• Which Erikson stage describes the school-age child's development of competence?
• Which fontanelle closes earliest in infancy?
• In infancy, the psychosocial focus is on trust versus mistrust. Which statement best describes this focus?
• The Denver Developmental Screening Test assesses four domains. Which of the following lists all four domains?
• Which of the following is not an early indicator of autism in preschoolers?
• At about what age do infants usually sit without assistance?
• Which statement about infant fall precautions is incorrect?
• When does the pincer grasp typically appear?
• Which finding at 6 months would be considered abnormal during a growth and development assessment?
• How should growth be assessed in pediatric practice?
• What action is recommended when a 2-year-old shows delays in multiple developmental domains?
• What red flag in feeding behavior can indicate a problem?
• Which skill is typically first developed by a 4-month-old?
• Which screening tool is commonly used to screen development in infants and toddlers?
• Two-word phrases typically emerge around which age?
• During adolescence, the peer group serves as what function?
• A nurse is evaluating the developmental level of a 2-year-old. Which of the following would you expect to observe?
• Which milestone is typically achieved first?
• What is the purpose of the M-CHAT-R/F in pediatric screening?
• Which anthropometric measure is best for assessing body composition in children?
• When does conservation of volume typically become understood?
• When a 2-year-old begins using 'baby talk' after the arrival of a new baby, what should the nurse advise the parents to do?
• The role of the peer group in the life of school-age children is that it
• A child around 24 months is most likely to demonstrate which language milestone?
• Which pain scale is validated for nonverbal infants and young children?
• In school-age children (6–12), which Piaget stage describes their thinking?
• What are guidelines regarding screen time for young children?
• What is a normal psychosocial development trend in early childhood?
• If a child's growth velocity is slower than expected over several months, what might this indicate?
• For ADHD evaluation, symptoms must persist for how long?
• During middle childhood, how much weight do children typically gain per year?
• What is the role of anticipatory guidance in pediatrics?
• Which pubertal development sign is commonly the first in girls?
• Which statement best describes the cognitive skills expected in the concrete operational stage?
• Which developmental milestone would you expect to observe in a 9-month-old infant?
• If a child crosses two major percentile bands downward on a growth chart, what is most concerning?
• After creeping, the next self-mobility activity is cruising.
• Which statement indicates an unsafe behavior for a 9-month-old related to home safety?
• What is the typical sleep duration for a preschool-aged child (3–5 years)?
• What is the concept of growth velocity?
• When does the pincer grasp usually develop?
• The nurse should recognize that: When sex information is presented to school-age children, sex should be treated as a normal part of growth and development.
• What is the typical sequence of pubertal changes in girls?