NUR 1023 Module 1 and 2 Exam
Review
According to Piaget's theory of cognitive development, a person 11 years or older
begins to:
a. Use images and symbols to represent the world.
b. Think abstractly.
c. Explore the environment by using the senses.
d. Think that everyone sees the world exactly as he or she sees it. - CORRECT
ANSWER-b. Think abstractly.
Maria continues her assessment of the newborn girl. Which of the following is a
normal reflex found in newborns? (Select all that apply.)
-Blinking in response to bright lights
-Startling in response to sudden loud noises
-Performing sucking, rooting, and grasping movements
-Touching the nose on verbal command - CORRECT ANSWER-Blinking in
response to bright lights
Startling in response to sudden loud noises
Performing sucking, rooting, and grasping movements
A pregnant teenager asks the clinic nurse why she should not smoke during the
first trimester. The nurse's best response should be:
a. The distribution of body hair can be altered.
b. The sex of the baby is determined in the first 3 months.
c. Development of fingers and toes can be affected.
d. The organ systems are beginning to develop. - CORRECT ANSWER-d. The
organ systems are beginning to develop.
Maria is working with one of the neonatal nurses during her volunteer shift. Maria
assists the nurse with an assessment of a newborn girl. Maria palpates the
newborn's head and feels the fontanels. What should Maria do next?
-Alert the neonatal nurse that there is a problem with the newborn's head.
-Palpate harder to see if a dent can be made in the fontanels.
-Proceed with the assessment because palpable fontanels are a normal finding.
-Try to adjust the skull bones to move over the fontanel. - CORRECT ANSWER-
Proceed with the assessment because palpable fontanels are a normal finding.
You are caring for a 5-year-old who is hospitalized for stabilization of asthma. To
render age-specific care, an action you can take would be to:
-Allow the child to handle medical equipment.
-Respond immediately to the child's every need.
-Tell the child to be good.
,-Rationalize the child's complaint as part of the developmental stage - CORRECT
ANSWER-Allow the child to handle medical equipment.
Which of the following might be a cause of stress for young adults?
Activity
Being single
Career
Sexuality - CORRECT ANSWER-Being single
Sam notices that Mr. Calder's face is gaunt and drawn in appearance.
Sam knows that thinning of the face in the elderly is due to ____________ -
CORRECT ANSWER-Loss of subcutaneous fat and skin elasticity
Sam performs his assessment of Mr. Calder. What findings are considered
normal for a patient of Mr. Calder's age? (Select all that apply.)
A. Thin skin
B. Decreased saliva production
C. Decreased muscle strength
D. Whitening of the eye lens
E. Mr. Calder's blood pressure is 162 systolic/92 diastolic. - CORRECT ANSWER-
A. Thin skin
B. Decreased saliva production
C. Decreased muscle strength
A nurse who has recently graduated has been assigned to be a primary nurse on
a geriatric unit. After completing a review of development and aging, the nurse
recalls that changes for the older adult include:
-A transition from young adulthood.
-The ability of the older adult to achieve sexual arousal.
-A time when cognitive performance begins to peak.
-Adjusting to decreasing health and physical strength. - CORRECT ANSWER-
Adjusting to decreasing health and physical strength.
Which of the following might be a cause of stress for the older adult?
Financial security
-Planned retirement
-Maintaining satisfactory living environment
-Adjusting to decreasing health and physical strength - CORRECT ANSWER-
Adjusting to decreasing health and physical strength
Which milestones are true about development in infants? Select all that apply.
-12 months - Gets to sitting position without assistance
-4 to 6 months - Crawls on hands and knees
-Birth to 1 month - Complete head lag persists
-2 to 4 months - Can move from sitting to kneeling position
, -7 months - Sits with support and then without it - CORRECT ANSWER--12
months - Gets to sitting position without assistance
-Birth to 1 month - Complete head lag persists
-7 months - Sits with support and then without it
Infants have a gradual development of gross and fine motor skills. By 12 months,
the infant gets to the sitting position without assistance. Head lag persists from
birth until 1 year. By 7 months, the infant can sit with support and then without it.
The infant crawls forward on the belly using arms and legs to push at 12 months,
not 4 to 6 months. The infant cannot move from a sitting to kneeling position at 2
to 4 months.
According to Sigmund Freud's theory of development, at which stage does a
child start identifying with the parent of the same sex? - CORRECT ANSWER-
Stage 3
According to Freud, each person goes through five different stages of
psychosexual development, and each stage is characterized by pleasure in
different body parts. In the third stage (phallic stage), the focus of sexual
pleasure is in the genital organs. In this stage, the child fantasizes about the
parent of the opposite sex. By the end of this stage the child starts identifying
with the parent of the same sex. In stage 2, the focus of pleasure is in the anal
region, whereas in stage 1 the focus is in the oral region. In the final or fifth stage,
the focus of sexual pleasure is directed toward people outside the family circle.
A mother comments that her toddler eats little at mealtimes, only sits briefly at
the table, and wants snacks all the time. Which strategy would the nurse
recommend?
-Provide nutritious snacks.
-Offer rewards for eating at mealtimes.
-Avoid snacks so she is hungry at mealtime.
-Explain to her firmly why eating at mealtime is important - CORRECT ANSWER-
Provide nutritious snacks.
According to Freud's psychoanalytical model of personality development, in
which stage of development is a girl who fantasizes about her father as her love
interest?
-Anal
-Oral
-Genital
-Oedipal - CORRECT ANSWER-Oedipal
The nurse is participating in an immunization awareness program in the
community. Which government website should the nurse recommend as the best
source of immunization information for parents
-National Institutes of Health (NIH)
-Centers for Disease Control (CDC)
-Health Maintenance Organization (HMO)
Review
According to Piaget's theory of cognitive development, a person 11 years or older
begins to:
a. Use images and symbols to represent the world.
b. Think abstractly.
c. Explore the environment by using the senses.
d. Think that everyone sees the world exactly as he or she sees it. - CORRECT
ANSWER-b. Think abstractly.
Maria continues her assessment of the newborn girl. Which of the following is a
normal reflex found in newborns? (Select all that apply.)
-Blinking in response to bright lights
-Startling in response to sudden loud noises
-Performing sucking, rooting, and grasping movements
-Touching the nose on verbal command - CORRECT ANSWER-Blinking in
response to bright lights
Startling in response to sudden loud noises
Performing sucking, rooting, and grasping movements
A pregnant teenager asks the clinic nurse why she should not smoke during the
first trimester. The nurse's best response should be:
a. The distribution of body hair can be altered.
b. The sex of the baby is determined in the first 3 months.
c. Development of fingers and toes can be affected.
d. The organ systems are beginning to develop. - CORRECT ANSWER-d. The
organ systems are beginning to develop.
Maria is working with one of the neonatal nurses during her volunteer shift. Maria
assists the nurse with an assessment of a newborn girl. Maria palpates the
newborn's head and feels the fontanels. What should Maria do next?
-Alert the neonatal nurse that there is a problem with the newborn's head.
-Palpate harder to see if a dent can be made in the fontanels.
-Proceed with the assessment because palpable fontanels are a normal finding.
-Try to adjust the skull bones to move over the fontanel. - CORRECT ANSWER-
Proceed with the assessment because palpable fontanels are a normal finding.
You are caring for a 5-year-old who is hospitalized for stabilization of asthma. To
render age-specific care, an action you can take would be to:
-Allow the child to handle medical equipment.
-Respond immediately to the child's every need.
-Tell the child to be good.
,-Rationalize the child's complaint as part of the developmental stage - CORRECT
ANSWER-Allow the child to handle medical equipment.
Which of the following might be a cause of stress for young adults?
Activity
Being single
Career
Sexuality - CORRECT ANSWER-Being single
Sam notices that Mr. Calder's face is gaunt and drawn in appearance.
Sam knows that thinning of the face in the elderly is due to ____________ -
CORRECT ANSWER-Loss of subcutaneous fat and skin elasticity
Sam performs his assessment of Mr. Calder. What findings are considered
normal for a patient of Mr. Calder's age? (Select all that apply.)
A. Thin skin
B. Decreased saliva production
C. Decreased muscle strength
D. Whitening of the eye lens
E. Mr. Calder's blood pressure is 162 systolic/92 diastolic. - CORRECT ANSWER-
A. Thin skin
B. Decreased saliva production
C. Decreased muscle strength
A nurse who has recently graduated has been assigned to be a primary nurse on
a geriatric unit. After completing a review of development and aging, the nurse
recalls that changes for the older adult include:
-A transition from young adulthood.
-The ability of the older adult to achieve sexual arousal.
-A time when cognitive performance begins to peak.
-Adjusting to decreasing health and physical strength. - CORRECT ANSWER-
Adjusting to decreasing health and physical strength.
Which of the following might be a cause of stress for the older adult?
Financial security
-Planned retirement
-Maintaining satisfactory living environment
-Adjusting to decreasing health and physical strength - CORRECT ANSWER-
Adjusting to decreasing health and physical strength
Which milestones are true about development in infants? Select all that apply.
-12 months - Gets to sitting position without assistance
-4 to 6 months - Crawls on hands and knees
-Birth to 1 month - Complete head lag persists
-2 to 4 months - Can move from sitting to kneeling position
, -7 months - Sits with support and then without it - CORRECT ANSWER--12
months - Gets to sitting position without assistance
-Birth to 1 month - Complete head lag persists
-7 months - Sits with support and then without it
Infants have a gradual development of gross and fine motor skills. By 12 months,
the infant gets to the sitting position without assistance. Head lag persists from
birth until 1 year. By 7 months, the infant can sit with support and then without it.
The infant crawls forward on the belly using arms and legs to push at 12 months,
not 4 to 6 months. The infant cannot move from a sitting to kneeling position at 2
to 4 months.
According to Sigmund Freud's theory of development, at which stage does a
child start identifying with the parent of the same sex? - CORRECT ANSWER-
Stage 3
According to Freud, each person goes through five different stages of
psychosexual development, and each stage is characterized by pleasure in
different body parts. In the third stage (phallic stage), the focus of sexual
pleasure is in the genital organs. In this stage, the child fantasizes about the
parent of the opposite sex. By the end of this stage the child starts identifying
with the parent of the same sex. In stage 2, the focus of pleasure is in the anal
region, whereas in stage 1 the focus is in the oral region. In the final or fifth stage,
the focus of sexual pleasure is directed toward people outside the family circle.
A mother comments that her toddler eats little at mealtimes, only sits briefly at
the table, and wants snacks all the time. Which strategy would the nurse
recommend?
-Provide nutritious snacks.
-Offer rewards for eating at mealtimes.
-Avoid snacks so she is hungry at mealtime.
-Explain to her firmly why eating at mealtime is important - CORRECT ANSWER-
Provide nutritious snacks.
According to Freud's psychoanalytical model of personality development, in
which stage of development is a girl who fantasizes about her father as her love
interest?
-Anal
-Oral
-Genital
-Oedipal - CORRECT ANSWER-Oedipal
The nurse is participating in an immunization awareness program in the
community. Which government website should the nurse recommend as the best
source of immunization information for parents
-National Institutes of Health (NIH)
-Centers for Disease Control (CDC)
-Health Maintenance Organization (HMO)
