Actual Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass
Guaranteed – A+ Graded
SECTION 1: Growth and Development (Infant through Adolescent)
(Questions 1–10)
Q1: At which age does an infant typically achieve the milestone of sitting without
support?
A. 3 months
B. 6 months [CORRECT]
C. 9 months
D. 12 months
Correct Answer: B
Rationale: Correct because most infants achieve independent sitting without support by
6 months of age as truncal tone and balance mature.
Q2: According to Erikson's stages of psychosocial development, the primary
developmental task of the toddler is:
A. Trust versus mistrust
B. Autonomy versus shame and doubt [CORRECT]
C. Initiative versus guilt
D. Industry versus inferiority
Correct Answer: B
Rationale: Correct because toddlers aged 1 to 3 years are in Erikson's stage of
autonomy versus shame and doubt, striving for independence in mobility and self-care.
,Q3: A nurse is teaching parents about introducing solid foods to their 6-month-old
infant. Which food should the nurse recommend as the first solid?
A. Whole cow's milk
B. Iron-fortified single-grain rice cereal [CORRECT]
C. Mixed vegetable puree
D. Honey on a pacifier
Correct Answer: B
Rationale: Correct because iron-fortified single-grain rice cereal is the recommended
first solid food due to its low allergenicity and supplemental iron content for breastfed
infants.
Q4: A nurse is assessing a 4-year-old using Piaget's theory of cognitive development.
The child demonstrates magical thinking and believes inanimate objects are alive. The
nurse recognizes this as characteristic of the:
A. Sensorimotor stage
B. Preoperational stage [CORRECT]
C. Concrete operational stage
D. Formal operational stage
Correct Answer: B
Rationale: Correct because children aged 2 to 7 years are in Piaget's preoperational
stage, characterized by egocentrism, magical thinking, and attributing life to inanimate
objects.
Q5: During a well-child visit, the nurse notes a 13-year-old has gained 15 pounds and
grown 3 inches in 6 months. The nurse recognizes this as:
A. Abnormal growth requiring endocrine workup
B. Expected adolescent growth spurt [CORRECT]
C. Evidence of obesity
D. Sign of precocious puberty
Correct Answer: B
Rationale: Correct because the adolescent growth spurt typically peaks around ages 12
to 15 in females and 14 to 17 in males, with rapid linear growth and weight gain.
Q6: A parent asks the nurse when their infant should sleep through the night. The nurse
should respond that most infants sleep 6 to 8 hours continuously by:
A. 1 month
, B. 3 months [CORRECT]
C. 6 months
D. 9 months
Correct Answer: B
Rationale: Correct because most infants develop circadian rhythms and sleep for 6 to 8
hours without feeding by approximately 3 months of age.
Q7: The nurse is counseling parents of a toddler about home safety. Which statement
by a parent indicates correct understanding?
A. "I should keep cleaning products under the kitchen sink for easy access."
B. "I will store medications in a locked cabinet out of reach." [CORRECT]
C. "My toddler understands not to touch the stove because I told him."
D. "I can leave my toddler unattended in the bathtub for a few minutes."
Correct Answer: B
Rationale: Correct because toddlers are curious and lack judgment; locking medications
and toxic substances away prevents accidental poisoning, the leading cause of injury in
this age group.
Q8: A school-age child is hospitalized for appendicitis. The nurse should recognize that
this child is likely in which Erikson stage?
A. Initiative versus guilt
B. Industry versus inferiority [CORRECT]
C. Identity versus role confusion
D. Intimacy versus isolation
Correct Answer: B
Rationale: Correct because school-age children (6 to 12 years) are in Erikson's industry
versus inferiority stage, focused on mastering tasks and developing competence.
Q9: The nurse is assessing an infant's primitive reflexes. The Moro reflex should
normally disappear by:
A. 2 months
B. 4 to 6 months [CORRECT]
C. 8 months
D. 12 months
Correct Answer: B