Ch. 24- Practice Test

Question 1

1. The nurse tells a mother that the blueprint for all inherited traits, such as height, is found in which of the following?

a. Sperm
b. Ovary
c. Chromosomes
d. Nucleus of the cell

Answer 1

c. Chromosomes

Question 2

2. The nurse discovers during the intake assessment of a 5-year-old child that the child lives with his biological parents and siblings. How would the nurse categorize this family type?

a. Extended family
b. Blended family
c. Social family
d. Nuclear family

Answer 2

d. Nuclear family

Question 3

3. A newborn baby weighs 7lb at birth. What does the nurse anticipate the baby’s weight will be at 1 year of age?

a. 14lb
b. 17lb
c. 21lb
d. 25lb

Answer 3

c. 21lb

Question 4

4. The mother of a 5-month-old child is concerned because the child cannot sit by himself. The nurse explains that sitting alone is not expected until the baby reaches what age?

a. 6 months
b. 7 months
c. 8 months
d. 9 months

Answer 4

b. 7 months

Question 5

5. A young mother asks the nurse how long she should wait before introducing solid food to her infant. The nurse explains that breast milk will provide all the nutrition her infant needs for
   how many months?

a. 2 to 3 months
b. 4 to 6 months
c. 7 to 9 months
d. 10 to 12 months

Answer 5

b. 4 to 6 months

Question 6

6. When a mother asks the nurse about introducing solid foods into the child’s diet, which of the following would be the best answer?

a. “Introduce meat first.”
b. “Introduce one solid food at a time several days apart.”
c. “Introduce solid foods by mixing two or three foods together.”
d. “Introduce solid foods by adding strained food to the infant’s bottle.”

Answer 6

b. “Introduce one solid food at a time several days apart.”

Question 7

7. A baby’s muscular development progresses in what type of pattern?

a. Regressive
b. Erratic
c. Cephalocaudal
d. Unpredictable

Answer 7

c. Cephalocaudal

Question 8

8. At what age does a child typically possess the physiologic, neuromuscular, and psychological maturity necessary to master toilet training?

a. 6 to 10 months
b. 10 to 14 months
c. 14 to 18 months
d. 18 to 24 months

Answer 8

d. 18 to 24 months

Question 9

9. How can a family best assist a toddler who is attempting to feed himself?

a. Encourage the child to use a fork.
b. Feed the child themselves using a fork.
c. Encourage large portions for easier handling.
d. Offer the child finger foods.

Answer 9

d. Offer the child finger foods.

Question 10

10. A 5-year-old who has an imaginary friend with whom he converses frequently is displaying characteristics consistent with which of Piaget’s stages of cognitive
    development?

a. Operational stage
b. Preoperational stage
c. Formal operations stage
d. Concrete operations stage

Answer 10

b. Preoperational stage

Question 11

11. A 14-year-old male patient has undergone a leg amputation. What should be the primary focus of the patient’s care plan?

a. Nutritional status
b. Academic progress
c. Body image
d. Socialization needs

Answer 11

c. Body image

Question 12

12. According to Piaget, what is the cognitive developmental level of the adolescent?

a. Concrete operational stage
b. Sensorimotor stage
c. Preoperational stage
d. Formal operational stage

Answer 12

d. Formal operational stage

Question 13

13. The nurse performing a routine physical assessment on a 25-year-old understands that the patient is most likely experiencing which of the following?

a. A gradual decline in physical capabilities
b. Optimal level of functioning
c. Slight diminishing of visual acuity
d. Minimal hearing loss

Answer 13

b. Optimal level of functioning

Question 14

14. Erikson identifies intimacy as a developmental task of adulthood. What will occur if intimacy is not established?

a. Inferiority
b. Isolation
c. Mistrust
d. Guilt

Answer 14

b. Isolation

Question 15

15. What is the leading cause of death in young adults?

a. Diabetes
b. Accidents
c. Hypertension
d. Testicular cancer

Answer 15

b. Accidents

Question 16

16. A 53-year-old woman complains of night sweats and mood swings. The nurse recognizes that these symptoms most likely relate to which condition?

a. Menopause
b. Weight problems
c. Dietary problems
d. Thyroid problems

Answer 16

a. Menopause

Question 17

17. A 58-year-old male is concerned about some hearing loss he is experiencing. The nurse recognizes that this might be due to a sensory change of this age group known as which of the following?

a. Presbycusis
b. Otitis externa
c. Presbyopia
d. Otitis media

Answer 17

a. Presbycusis

Question 18

18. What is the correct term for prejudice against older adults?

a. Socialism
b. Sexism
c. Racism
d. Ageism

Answer 18

d. Ageism

Question 19

19. What theory claims that there is a hereditary basis for aging?

a. Activity theory
b. Physiologic theory
c. Disengagement theory
d. Biological programming theory

Answer 19

d. Biological programming theory

Question 20

20. The nurse reminds an older adult patient that the task for the older adult is to achieve ego integrity. Failure to achieve this task results in which of the following?

a. Failure
b. Despair
c. Reminiscing
d. Accomplishment

Answer 20

b. Despair

Question 21

21. When assessing the home for fall risks and increased safety for an 85-year-old, what should be a suggestion of the home health nurse?

a. Bright lights be kept on at all times.
b. Sponge baths be taken rather than showers.
c. Excess furniture be removed.
d. Loose, comfortable shoes be worn.

Answer 21

c. Excess furniture be removed.

Question 22

22. The home health nurse assesses an older adult’s respiratory function carefully because age- related changes in the respiratory system could result in which of the following?

a. Vital capacity
b. Susceptibility to respiratory infections
c. Expiratory capacity due to increased chest size
d. Oxygen and carbon dioxide exchange

Answer 22

b. Susceptibility to respiratory infections

Question 23

23. What is the family pattern in which the relationships are unequal and the parents attempt to control the children with strict, rigid rules and expectations?

a. Autocratic family pattern
b. Patriarchal family pattern
c. Matriarchal family pattern
d. Democratic family pattern

Answer 23

a. Autocratic family pattern

Question 24

24. Which family pattern is least open to outside influence?

a. Autocratic family pattern
b. Patriarchal family pattern
c. Matriarchal family pattern
d. Democratic family pattern

Answer 24

a. Autocratic family pattern

Question 25

25. What is the family pattern in which the male usually assumes the dominant role and functions in the work role, controls the finances, and makes most of the decisions? a. Autocratic family pattern b. Patriarchal family pattern c. Matriarchal family pattern d. Democratic family pattern

Answer 25

b. Patriarchal family pattern

Question 26

26. What is the family pattern in which the female assumes primary dominance in the areas of childcare and homemaking, as well as financial decision making? a. Autocratic family pattern b. Patriarchal family pattern c. Matriarchal family pattern d. Democratic family pattern

Answer 26

c. Matriarchal family pattern

Question 27

27. What is the family pattern in which the adult members function as equals? a. Autocratic family pattern b. Patriarchal family pattern c. Matriarchal family pattern d. Democratic family pattern

Answer 27

d. Democratic family pattern

Question 28

28. What is the stage of family development that begins when the couple acknowledges that they are considering marriage? a. Expectant stage b. Parenthood stage c. Establishment stage d. Engagement/commitment stage

Answer 28

d. Engagement/commitment stage

Question 29

29. What is the stage of family development that extends from the wedding until the birth of the first child? a. Expectant stage b. Parenthood stage c. Establishment stage d. Engagement/commitment stage

Answer 29

c. Establishment stage

Question 30

30. What is the stage of family development that begins when conception begins and continues through the pregnancy? a. Expectant stage b. Parenthood stage c. Establishment stage d. Engagement/commitment stage

Answer 30

a. Expectant stage

Question 31

31. What is the stage of family development that begins at the birth or adoption of the first child? a. Expectant stage b. Parenthood stage c. Establishment stage d. Engagement/commitment stage

Answer 31

b. Parenthood stage

Question 32

32. What stage of family development involves the grown children departing from home? a. Expectant stage b. Senescence stage c. Establishment stage d. Disengagement stage

Answer 32

d. Disengagement stage

Question 33

33. What is known as the last stage in the life cycle? a. Expectant stage b. Senescence stage c. Establishment stage d. Disengagement stage

Answer 33

b. Senescence stage

Question 34

34. The nurse recognizes that during the first 5 months of life, an infant is expected to gain approximately how many pounds per month? a. 0.5 b. 1 c. 1.5 d. 2

Answer 34

c. 1.5

Question 35

35. A nurse is caring for a neonate who weighs 7lb 3 oz at birth. What should the infant's weight be at 1 year? a. 10lb 3 oz b. 14lb 6 oz c. 21lb 9 oz d. 28lb 12 oz

Answer 35

c. 21lb 9 oz

Question 36

36. A nurse is caring for a neonate who is 22 in in height. What will the child's expected height be at 1 year? a. 29 in b. 33 in c. 44 in d. 56 in

Answer 36

b. 33 in

Question 37

37. What is the average apical heart rate for a 2-month-old infant? a. 80 beats/min b. 100 beats/min c. 120 beats/min d. 150 beats/min

Answer 37

c. 120 beats/min

Question 38

38. What is the average resting respiratory rate for a 12-month-old child? a. 15 breaths/min b. 20 breaths/min c. 30 breaths/min d. 50 breaths/min

Answer 38

c. 30 breaths/min

Question 39

39. A nurse assessing a 2-month-old infant would expect the infant to do which of the following? a. Crawl on the floor. b. Creep on the floor. c. Sit up steadily without support. d. Hold its head up while in the prone position.

Answer 39

d. Hold its head up while in the prone position.

Question 40

40. A nurse assessing a 4-month-old infant would expect the infant to do which of the following? a. Crawl up the stairs. b. Creep on the floor at least 30 ft. c. Walk upright with a waddling gait. d. Hold head at a 90-degree angle while prone.

Answer 40

d. Hold head at a 90-degree angle while prone.

Question 41

41. A nurse teaching the mother about infant oral hygiene instructs the mother to offer the infant sips of? a. cola. b. milk. c. juice. d. water

Answer 41

d. water

Question 42

42. A mother asks the nurse when she should introduce solid foods into her infant's diet. What would be the most correct response? a. Introduce fruits and vegetables first. b. Mix foods to allow the infant variety. c. Introduce only one new food at a time. d. Introduce new foods at 24-hour intervals.

Answer 42

c. Introduce only one new food at a time.

Question 43

43. What is the leading cause of injury and death among infants and young children? a. Accidents b. Child abuse c. Drug abused. d. Adolescent parents

Answer 43

a. Accidents

Question 44

44. A nurse assessing a toddler should consider which finding abnormal? a. Lumbar lordosis b. Cyanotic nail beds c. A protruding abdomen d. A convex lumbar curve

Answer 44

b. Cyanotic nail beds

Question 45

45. Which theory of aging suggests that the body becomes less able to tolerate the “self”? a. Free radical theory b. Autoimmunity theory c. Wear-and-tear theory d. Biological programming theory

Answer 45

b. Autoimmunity theory

Question 46

46. Which theory of aging suggests that there should be a natural withdrawal between the individual and society? a. Free radical theory b. Autoimmunity theory c. Wear-and-tear theory d. Disengagement theory

Answer 46

d. Disengagement theory

Question 47

47. Which theory of aging suggests that the older person who is more socially active is more likely to adjust well to aging? a. Activity theory b. Autoimmunity theory c. Wear-and-tear theory d. Disengagement theory

Answer 47

a. Activity theory

Question 48

48. Which theory of aging suggests that previously developed coping abilities and the ability to maintain previous roles and activities are critical to adjustment to old age? a. Continuity theory b. Autoimmunity theory c. Wear-and-tear theory d. Disengagement theory

Answer 48

a. Continuity theory

Question 49

49. Which of the following measures would be included in a teaching plan to instruct new parents on reducing the incidence of sudden infant death syndrome? a. Bottle-feed an infant at night. b. Place infants on their stomach to sleep. c. Keep an infant's room well ventilated. d. Place soft bedding and pillows in an infant's crib.

Answer 49

c. Keep an infant's room well ventilated.

Question 50

50. A nurse instructing a group of parents about safety rules for infants and young children should include which of the following measures in the teaching plan? a. Remove plants from the child's reach. b. Provide the infant with a pillow at night. c. Use a plastic covering on the infant's mattress. d. Keep the crib sides up and set the mattress at the highest setting.

Answer 50

a. Remove plants from the child's reach.

Question 51

51. A child who uses senses and motor abilities to understand the world is displaying characteristics consistent with which stage of Piaget's cognitive development? a. Sensorimotor stage of cognitive development b. Preoperational stage of cognitive development c. Formal operational stage of cognitive development d. Concrete operational stage of cognitive development

Answer 51

a. Sensorimotor stage of cognitive development

Question 52

52. A child who has just begun to demonstrate object permanence is in which of the Piaget's stages of cognitive development? a. Sensorimotor b. Preoperational thought c. Formal operational thought d. Concrete operational thought

Answer 52

a. Sensorimotor

Question 53

53. A child who has just begun to demonstrate egocentric thinking is in which of the Piaget's stages of cognitive development? a. Sensorimotor b. Preoperational thought c. Formal operational thought d. Concrete operational thought

Answer 53

b. Preoperational thought

Question 54

54. A child has just begun to demonstrate the ability to understand and apply logical operations to help interpret specific experiences or perceptions. Which of the following stages of Piaget's cognitive development is this describing? a. Sensorimotor b. Preoperational thought c. Formal operational thought d. Concrete operational thought

Answer 54

d. Concrete operational thought

Question 55

55. A child who is able to use a systematic, scientific problem-solving approach is in which of the Piaget's stages of cognitive development? a. Sensorimotor b. Preoperational thought c. Formal operational thought d. Concrete operational thought

Answer 55

c. Formal operational thought

Question 56

56. According to Erikson, an infant who was abandoned by his or her primary caregiver is at risk for developing which of the following? a. Guilt b. Mistrust c. Isolation d. Confusion

Answer 56

b. Mistrust

Question 57

1. Separation anxiety includes which stages? (Select all that apply.) a. Detachment b. Protest c. Anger d. Despair e. Withdrawal

Answer 57

a. Detachment b. Protest d. Despair

Question 58

2. The nurse informs a group of college students that young adults will face which challenges in this particular time of life? (Select all that apply.) a. Starting a family b. Selecting housing c. Job security d. Relations with extended family e. Establishing intimacy

Answer 58

a. Starting a family b. Selecting housing c. Job security d. Relations with extended family e. Establishing intimacy

Question 59

1. The process that refers to gradual change and differentiation is _________ .

Answer 59

development

Question 60

2. Any substance such as a drug, alcohol, or virus that interferes with fetal development is called a(n)_________ .

Answer 60

teratogen

Question 61

3. Growth and development that proceeds from the head toward the feet is known as __________.

Answer 61

cephalocaudal

Question 62

4. Growth and development that moves from the center toward the outside is known as __________.

Answer 62

proximodistal