Test-Taking Tip

The approach for the developmental assessment is similar to that of a physical assessment. A nurse should first address the caregiver, and then use a transition object such as a toy for interaction with the child, speaking directly to the child only after trust has been established.

Content Area: Child Health, Growth and Development; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Developmental Stages and Transitions

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Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]

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Answer 4. Advising the caregiver is first because the nurse should begin by providing information about this assessment tool. Answer 2. Asking the caregiver about use of spoon and fork is next because the nurse should attempt to score items that can be determined through interview, before asking the child to perform tasks. Answer 3. Asking the child to build a tower is next because the nurse can provide the child with blocks while talking with the caregiver; the child may spontaneously build a tower without prompting. If the nurse has to prompt the child to build a tower, this is best done after the child is given an opportunity to "warm up" during the dialogue between the nurse and caregiver. Answer 1. Asking the child to name body parts is next because language items are best administered following fine motor activities when the child is more comfortable with the nurse. Answer 5. Having the child kick a ball is the last step because gross motor activities should be assessed at the end. Administering gross motor items earlier may be a distraction. The child may then be unwilling to return to the table to perform fine motor activities or engage in an interview.

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