CPN Exam V3 Test bank | Questions and Verified
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2.1
Which is an example of cephalocaudal development?
A. A child crawls before he walks; walks before he runs; runs before he jumps
B. A child lifts his head before lifting his shoulders; sits with support before sitting without
support
C. A child rakes before developing pincer grasps; develops pincer grasps before feeding himself
with a spoon
D. A child first develops reflexive behaviors; then develops imitative behaviors
B. A child lifts his head before lifting his shoulders; sits with support before sitting without
support
Cephalocaudal development states that a child develops from head to toe
2.2
When assessing a school ages child's development, the nurse understands that a primary
developmental task of his group is:
A. Developing friends
B. Learning to read
C. Learning to trust others
D. Developing independence
A. Developing friends
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Erikson's stage of a school age child is industry vs. inferiority; the primary job of a school age
child is to develop competence through achievement in school and development of friendships;
important nursing assessment of children in this stage is adjustment and success in school setting
as well as the formation of friendships
2.3
Which nursing action would be most important in the psychosocial support of a 2 year old who is
having an invasive procedure performed?
A. Assuring her that it is not her fault
B. Providing for parental presence
C. Providing adequate pain control
D. Performing the procedure quickly
B. Providing for parental presence
2 year olds are in Erikson's stage of autonomy vs. shame and doubt and Piaget's sensorimotor
stage; toddlerhood is a time of heightened separation anxiety with fear of strangers; the most
appropriate psychosocial support is to promote presence of the primary caregiver
2.4
Which of the following would be most helpful when assessing a child's bone age?
A. Birth date
B. Body mass index
C. Blood test
D. X-rays
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D. X-rays
Bone age is preformed by taking an x-ray of the child's hands and wrists for comparison against
an atlas of standard x-rays categorized by age; the test predicts the remaining height growth
based on bone age; typically a child's bone age should match their chronological age
Delayed bone age: increased height growth prediction
advanced bone age: decreased height growth prediction
2.5
Which of the following assessments would be most concerning in a 3 month old?
A. Closed posterior fontanel
B. In ability to roll over
C. Failure to track object through visual fields
D. Failure to laugh
C. Failure to track object through visual fields
Infants develop the ability to track objects by 3 months
The posterior fontanel closes by 2-3 months
Infants do not roll over till 4 months
Laughing typically occurs at 4 months
2.6
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Which of the following developmental milestones of the 5 month old best reflects the principle
of proximodistal growth and development?
A. Babbling
B. Raking objects
C. Rolling over
D. Eating solid foods
B. Raking objects
Proximodistal growth and development states children develop from the trunk to the tips of the
extremities; raking objects develops at 4 months, pincer grasps develops at 9 months
2.7
You are the nurse at a community health clinic; the mother of a 2 year old male expresses
concern to you that her previously healthy child is nonverbal; which of the following responses
is most appropriate?
A "Try not to worry, language milestones vary, boys have tendency to lag behind girls"
B. "Given your son's age, we should probably test his hearing to be sure that is the source of his
delayed language skills"
C. "Autism is the most frequent reason why children as old as 2 years of age
B. "Given your son's age, we should probably test his hearing to be sure that is the source of his
delayed language skills"
2 year olds should be speaking 2-3 word sentences; hearing deficits are the most common cause
for failure to speech development
birth order does not affect failure to develop speech
Answers with Rationales| Latest 2025/ 2026 Update
|100% Correct Elaborations (verified Answers)
2.1
Which is an example of cephalocaudal development?
A. A child crawls before he walks; walks before he runs; runs before he jumps
B. A child lifts his head before lifting his shoulders; sits with support before sitting without
support
C. A child rakes before developing pincer grasps; develops pincer grasps before feeding himself
with a spoon
D. A child first develops reflexive behaviors; then develops imitative behaviors
B. A child lifts his head before lifting his shoulders; sits with support before sitting without
support
Cephalocaudal development states that a child develops from head to toe
2.2
When assessing a school ages child's development, the nurse understands that a primary
developmental task of his group is:
A. Developing friends
B. Learning to read
C. Learning to trust others
D. Developing independence
A. Developing friends
, CPN Exam V3 Test bank | Questions and Verified
Answers with Rationales| Latest 2025/ 2026 Update
|100% Correct Elaborations (verified Answers)
Erikson's stage of a school age child is industry vs. inferiority; the primary job of a school age
child is to develop competence through achievement in school and development of friendships;
important nursing assessment of children in this stage is adjustment and success in school setting
as well as the formation of friendships
2.3
Which nursing action would be most important in the psychosocial support of a 2 year old who is
having an invasive procedure performed?
A. Assuring her that it is not her fault
B. Providing for parental presence
C. Providing adequate pain control
D. Performing the procedure quickly
B. Providing for parental presence
2 year olds are in Erikson's stage of autonomy vs. shame and doubt and Piaget's sensorimotor
stage; toddlerhood is a time of heightened separation anxiety with fear of strangers; the most
appropriate psychosocial support is to promote presence of the primary caregiver
2.4
Which of the following would be most helpful when assessing a child's bone age?
A. Birth date
B. Body mass index
C. Blood test
D. X-rays
, CPN Exam V3 Test bank | Questions and Verified
Answers with Rationales| Latest 2025/ 2026 Update
|100% Correct Elaborations (verified Answers)
D. X-rays
Bone age is preformed by taking an x-ray of the child's hands and wrists for comparison against
an atlas of standard x-rays categorized by age; the test predicts the remaining height growth
based on bone age; typically a child's bone age should match their chronological age
Delayed bone age: increased height growth prediction
advanced bone age: decreased height growth prediction
2.5
Which of the following assessments would be most concerning in a 3 month old?
A. Closed posterior fontanel
B. In ability to roll over
C. Failure to track object through visual fields
D. Failure to laugh
C. Failure to track object through visual fields
Infants develop the ability to track objects by 3 months
The posterior fontanel closes by 2-3 months
Infants do not roll over till 4 months
Laughing typically occurs at 4 months
2.6
, CPN Exam V3 Test bank | Questions and Verified
Answers with Rationales| Latest 2025/ 2026 Update
|100% Correct Elaborations (verified Answers)
Which of the following developmental milestones of the 5 month old best reflects the principle
of proximodistal growth and development?
A. Babbling
B. Raking objects
C. Rolling over
D. Eating solid foods
B. Raking objects
Proximodistal growth and development states children develop from the trunk to the tips of the
extremities; raking objects develops at 4 months, pincer grasps develops at 9 months
2.7
You are the nurse at a community health clinic; the mother of a 2 year old male expresses
concern to you that her previously healthy child is nonverbal; which of the following responses
is most appropriate?
A "Try not to worry, language milestones vary, boys have tendency to lag behind girls"
B. "Given your son's age, we should probably test his hearing to be sure that is the source of his
delayed language skills"
C. "Autism is the most frequent reason why children as old as 2 years of age
B. "Given your son's age, we should probably test his hearing to be sure that is the source of his
delayed language skills"
2 year olds should be speaking 2-3 word sentences; hearing deficits are the most common cause
for failure to speech development
birth order does not affect failure to develop speech
