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NCLEX Conception Through Adolescence Exam Questions and Answers

150+ Questions and Answers

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Understanding growth and development from conception through adolescence is essential for delivering age-appropriate, safe, and compassionate nursing care. This NCLEX Conception Through Adolescence Exam Questions and Answers resource is designed to help you master the physical, cognitive, emotional, and psychosocial milestones that shape care strategies for newborns, infants, children, and adolescents.

This comprehensive exam prep tool explores key developmental stages, emphasizing how nurses assess, plan, and implement care for individuals from prenatal life through the teenage years. You’ll engage with scenario-based questions that reflect real clinical situations—supporting your ability to recognize normal versus delayed development, provide family education, and implement interventions that promote healthy growth.

Core topics include prenatal care, fetal development, birth processes, neonatal assessments, infant nutrition, early childhood immunizations, pediatric safety, and adolescent mental health. The questions are structured to reinforce your understanding of age-specific communication, play therapy, disease prevention, and health promotion for pediatric populations.

You’ll also gain clarity on developmental theories such as those by Piaget, Erikson, and Freud, as well as how to apply them when evaluating behavior and planning interventions. Special emphasis is placed on family-centered care, injury prevention, anticipatory guidance, and recognizing signs of abuse, neglect, or behavioral disorders.

These NCLEX Conception Through Adolescence Exam Questions and Answers are crafted to strengthen your clinical judgment, critical thinking, and patient advocacy skills. You’ll practice prioritizing care, understanding legal and ethical considerations for minors, and supporting families through each developmental phase.

Whether you’re reviewing for the NCLEX or refining your pediatric nursing expertise, this resource provides the focused content and realistic practice needed to feel confident in caring for patients from the prenatal stage through adolescence.

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Sample Questions and Answers

  • At what stage does the zygote implant in the uterine wall?
    A. Fertilization
    B. Blastocyst
    C. Embryo
    D. Fetus
    Answer: B
  • Which of the following is the primary function of the placenta?
    A. Gas exchange between mother and fetus
    B. Waste elimination for the fetus
    C. Hormonal support for pregnancy
    D. All of the above
    Answer: D
  • When can fetal heart sounds typically be detected via Doppler?
    A. 4–6 weeks gestation
    B. 8–10 weeks gestation
    C. 12–14 weeks gestation
    D. 16–20 weeks gestation
    Answer: B
  • Which reflex is present at birth and disappears by 4 months of age?
    A. Babinski reflex
    B. Moro reflex
    C. Rooting reflex
    D. Palmar grasp
    Answer: B
  • A 2-year-old child should be able to:
    A. Skip and jump
    B. Say two-word phrases
    C. Walk up stairs unassisted
    D. Ride a tricycle
    Answer: B
  • The Apgar score assesses a newborn’s:
    A. Gestational age
    B. Physical health after birth
    C. Reflex development
    D. Nutritional status
    Answer: B
  • Which is the most common cause of death in adolescents?
    A. Drowning
    B. Motor vehicle accidents
    C. Suicide
    D. Cancer
    Answer: B
  • At what stage of development does puberty typically begin for females?
    A. Late childhood
    B. Early adolescence
    C. Middle adolescence
    D. Late adolescence
    Answer: B
  • Which milestone is expected at 9 months of age?
    A. Crawling
    B. Walking without assistance
    C. Speaking full sentences
    D. Drinking from a cup independently
    Answer: A
  • What is the primary focus during the school-age developmental stage?
    A. Initiative vs. guilt
    B. Industry vs. inferiority
    C. Identity vs. role confusion
    D. Autonomy vs. shame
    Answer: B
  • A 7-year-old should be able to:
    A. Write their full name
    B. Tie shoelaces
    C. Use scissors effectively
    D. All of the above
    Answer: D
  • Which of the following is a common nutritional concern during adolescence?
    A. Protein deficiency
    B. Iron deficiency
    C. Excessive sodium intake
    D. Calcium deficiency
    Answer: B
  • Which immunization is recommended during adolescence?
    A. Varicella
    B. HPV vaccine
    C. Rotavirus
    D. Hepatitis A
    Answer: B
  • A preschooler is at which stage of cognitive development according to Piaget?
    A. Sensorimotor
    B. Preoperational
    C. Concrete operational
    D. Formal operational
    Answer: B
  • Which action demonstrates the fine motor skills of a 5-year-old?
    A. Hopping on one foot
    B. Buttoning a shirt
    C. Drawing a triangle
    D. Both B and C
    Answer: D
  • What is a key concern for a child in middle adolescence?
    A. Autonomy
    B. Social acceptance
    C. Fine motor skill development
    D. Language acquisition
    Answer: B
  • Which activity is appropriate for a toddler?
    A. Playing board games
    B. Scribbling with crayons
    C. Riding a bicycle
    D. Completing puzzles
    Answer: B
  • Which assessment is most critical for a neonate within the first hour of life?
    A. Skin color
    B. Blood pressure
    C. Blood glucose level
    D. Respiratory function
    Answer: D
  • Which of the following is a developmental milestone for a 4-year-old?
    A. Naming primary colors
    B. Skipping with one leg
    C. Reading simple sentences
    D. Tying shoelaces
    Answer: A
  • Adolescents are at risk for which mental health condition?
    A. Anxiety disorders
    B. Depression
    C. Eating disorders
    D. All of the above
    Answer: D
  • Which condition is common in preterm neonates?
    A. Respiratory distress syndrome
    B. Jaundice
    C. Hypoglycemia
    D. All of the above
    Answer: D
  • The anterior fontanel typically closes by:
    A. 6 months
    B. 12 months
    C. 18 months
    D. 24 months
    Answer: C
  • At what age should a child be able to speak in full sentences?
    A. 2 years
    B. 3 years
    C. 4 years
    D. 5 years
    Answer: C
  • Which Erickson stage corresponds to infancy?
    A. Trust vs. mistrust
    B. Autonomy vs. shame
    C. Initiative vs. guilt
    D. Industry vs. inferiority
    Answer: A
  • At what age does stranger anxiety typically begin?
    A. 4–6 months
    B. 6–8 months
    C. 10–12 months
    D. 12–14 months
    Answer: B
  • Which intervention is appropriate for a child in the preoperational stage?
    A. Providing abstract reasoning problems
    B. Using concrete objects for learning
    C. Encouraging hypothetical thinking
    D. Emphasizing logical sequences
    Answer: B
  • A neonate is diagnosed with jaundice. What is the most common cause?
    A. Premature liver function
    B. Infection
    C. Genetic disorders
    D. Overproduction of bilirubin
    Answer: A
  • Which characteristic is typical of a school-age child?
    A. Egocentrism
    B. Logical thinking
    C. Abstract thinking
    D. Symbolic play
    Answer: B
  • What is a primary focus of adolescent health promotion?
    A. Encouraging social skills
    B. Addressing risky behaviors
    C. Enhancing motor development
    D. Increasing cognitive stimulation
    Answer: B
  • Which play activity is appropriate for an infant?
    A. Coloring
    B. Peek-a-boo
    C. Building blocks
    D. Playing with friends
    Answer: B

 

  • Which stage of prenatal development is most susceptible to teratogens?
    A. Germinal stage
    B. Embryonic stage
    C. Fetal stage
    D. Preconception
    Answer: B
  • What is the primary function of surfactant in the fetal lungs?
    A. Prevent infections
    B. Reduce surface tension
    C. Improve oxygenation
    D. Strengthen lung muscles
    Answer: B
  • Which reflex is tested by stroking the bottom of an infant’s foot?
    A. Moro reflex
    B. Babinski reflex
    C. Rooting reflex
    D. Palmar grasp reflex
    Answer: B
  • At what age does a child typically achieve complete bladder control during the daytime?
    A. 12 months
    B. 18 months
    C. 24 months
    D. 36 months
    Answer: D
  • Which of the following is a warning sign of delayed language development?
    A. Not saying any words by 12 months
    B. Using only one-word phrases at 18 months
    C. Limited vocabulary at 2 years
    D. All of the above
    Answer: D
  • What is the average weight gain for a child during the first year of life?
    A. 6–8 pounds
    B. 10–15 pounds
    C. 20–25 pounds
    D. 30–35 pounds
    Answer: B

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