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Final Exam NSG 3600 Peds Questions with Solutions
Newest Complete Questions And Correct Detailed
Answers| Already Graded A+
NSG 3600 Pediatric Nursing Final Examination Practice Exam
This 180-question examination is designed to assess your mastery of pediatric nursing concepts,
including growth and development, health promotion, acute and chronic pediatric conditions, and
family-centered care. Each question includes a verified answer and a detailed rationale to reinforce your
clinical judgment and prepare you for success on your final exam and the NCLEX.
SECTION 1: Growth and Development
This section covers developmental milestones, age-appropriate communication, and health promotion
across the pediatric age spectrum.
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings
should the nurse expect?
A. Sits without support
B. Rolls from back to abdomen
C. Uses a pincer grasp
D. Walks while holding onto furniture
Answer: B. Rolls from back to abdomen
Rationale: By 6 months of age, an infant should be able to roll from back to abdomen and from
abdomen to back. Sitting without support (A) is a milestone achieved around 8 months. A pincer grasp
using thumb and forefinger (C) develops around 9-10 months. Cruising or walking while holding onto
furniture (D) is a 10-12 month milestone.
2. A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which of the
following topics is most appropriate to discuss at this age?
A. Introduction of solid foods
B. Toilet training readiness
C. Stranger anxiety and separation anxiety
D. Sibling rivalry and discipline strategies
,2
Answer: A. Introduction of solid foods
Rationale: Solid foods are typically introduced around 4-6 months of age when the infant has good head
control, can sit with support, and shows interest in food. The nurse should discuss signs of readiness and
appropriate first foods (iron-fortified rice cereal, pureed vegetables and fruits). Toilet training (B) is a
toddler topic (18-36 months). Stranger anxiety (C) peaks around 8-10 months. Sibling rivalry (D) is more
relevant for preschoolers and school-age children.
3. A nurse is assessing a 2-year-old toddler during a well-child visit. The parent expresses concern that
the child only speaks in two-word sentences. Which of the following responses by the nurse is
appropriate?
A. "Your child should be speaking in full sentences by now. Let's refer you to a speech therapist."
B. "Two-word sentences are age-appropriate for a 2-year-old. Continue reading and talking with your
child."
C. "Try not to worry. Some children don't talk until they are 3 or 4 years old."
D. "Limit your child's screen time and they will start talking more."
Answer: B. "Two-word sentences are age-appropriate for a 2-year-old. Continue reading and talking
with your child."
Rationale: By age 2, a toddler typically has a vocabulary of 50-300 words and speaks in two-word
sentences (telegraphic speech). This is developmentally appropriate. Full sentences are expected closer
to age 3-4. The nurse should provide reassurance and encourage language development through
reading, singing, and conversation.
4. A nurse is planning a teaching session for the parents of a preschooler (ages 3-5). According to
Erikson's theory of psychosocial development, the preschooler is in which stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: C. Initiative vs. Guilt
Rationale: According to Erikson, preschoolers (ages 3-5) are in the stage of Initiative vs. Guilt. They are
eager to explore, try new things, and take on responsibilities. When encouraged, they develop a sense
of initiative. If criticized or controlled, they may develop guilt. Trust vs. Mistrust (A) is infancy. Autonomy
vs. Shame and Doubt (B) is toddlerhood. Industry vs. Inferiority (D) is school-age.
5. A nurse is assessing a 10-year-old child during a well-child visit. According to Piaget's theory of
cognitive development, the child should be in which stage?
,3
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Answer: C. Concrete operational
Rationale: According to Piaget, school-age children (ages 7-11) are in the concrete operational stage.
They can think logically about concrete objects and events, understand conservation (mass, volume,
number), and classify objects. They are not yet capable of abstract thinking (formal operational), which
begins around age 12.
6. A nurse is providing health promotion teaching to the parents of a 12-year-old adolescent. Which of
the following topics should be the priority for discussion?
A. Car seat safety
B. Stranger danger and abduction prevention
C. Pubertal changes and sexual health
D. Drowning prevention and water safety
Answer: C. Pubertal changes and sexual health
Rationale: Adolescence is marked by the onset of puberty and significant physical and emotional
changes. Health promotion for this age group should prioritize education about pubertal changes, sexual
health, healthy relationships, and risk-taking behaviors. Car seat safety (A) is for infants and toddlers.
Stranger danger (B) is for preschoolers and school-age children. Drowning prevention (D) is important
for all ages but is a higher priority for younger children.
7. A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following
techniques is most appropriate to minimize pain and anxiety?
A. Tell the child, "This won't hurt at all."
B. Ask the parent to leave the room to prevent distraction.
C. Allow the child to sit on the parent's lap and use distraction techniques.
D. Administer the injection quickly without warning the child.
Answer: C. Allow the child to sit on the parent's lap and use distraction techniques.
Rationale: For preschoolers, having a parent present provides comfort and security. Distraction
techniques such as blowing bubbles, singing, or using a tablet can effectively reduce pain perception and
anxiety. The nurse should be honest about the injection (e.g., "You will feel a quick pinch") rather than
saying it won't hurt (A). Parents should be encouraged to stay (B). The child should be prepared in
simple, honest terms (D).
, 4
8. A nurse is conducting a developmental screening on a 9-month-old infant. The nurse asks the
parent, "Does your baby play peek-a-boo?" This question is assessing the infant's development of:
A. Object permanence
B. Fine motor skills
C. Gross motor skills
D. Language skills
Answer: A. Object permanence
Rationale: Peek-a-boo is a classic game that demonstrates the infant's understanding of object
permanence—the concept that objects continue to exist even when they cannot be seen. This cognitive
milestone typically develops around 8-9 months of age.
9. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which of the
following safety topics is most important to emphasize?
A. Use of bicycle helmets
B. Water safety and drowning prevention
C. Poison prevention and safe storage of household chemicals
D. Firearm safety
Answer: C. Poison prevention and safe storage of household chemicals
Rationale: Toddlers are naturally curious and explore their environment by putting objects in their
mouths. Poisoning is a major safety concern for this age group. Parents should be educated about
storing all household chemicals, medications, and cleaning products in locked cabinets out of reach.
Bicycle helmet safety (A) is more relevant for preschoolers and school-age children. Water safety (B) is
important for all ages but particularly toddlers and preschoolers. Firearm safety (D) is more relevant for
school-age children and adolescents.
10. A nurse is assessing a 3-year-old child's fine motor skills. Which of the following tasks should the
child be able to perform?
A. Tie shoelaces
B. Copy a circle
C. Print their first name
D. Draw a person with six body parts
Answer: B. Copy a circle
Rationale: By age 3, a child should be able to copy a circle and build a tower of 9-10 blocks. Tying
shoelaces (A) is a skill acquired around age 5-6. Printing their first name (C) is a 4-5 year skill. Drawing a
person with six body parts (D) is a 5-year-old milestone.
Final Exam NSG 3600 Peds Questions with Solutions
Newest Complete Questions And Correct Detailed
Answers| Already Graded A+
NSG 3600 Pediatric Nursing Final Examination Practice Exam
This 180-question examination is designed to assess your mastery of pediatric nursing concepts,
including growth and development, health promotion, acute and chronic pediatric conditions, and
family-centered care. Each question includes a verified answer and a detailed rationale to reinforce your
clinical judgment and prepare you for success on your final exam and the NCLEX.
SECTION 1: Growth and Development
This section covers developmental milestones, age-appropriate communication, and health promotion
across the pediatric age spectrum.
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings
should the nurse expect?
A. Sits without support
B. Rolls from back to abdomen
C. Uses a pincer grasp
D. Walks while holding onto furniture
Answer: B. Rolls from back to abdomen
Rationale: By 6 months of age, an infant should be able to roll from back to abdomen and from
abdomen to back. Sitting without support (A) is a milestone achieved around 8 months. A pincer grasp
using thumb and forefinger (C) develops around 9-10 months. Cruising or walking while holding onto
furniture (D) is a 10-12 month milestone.
2. A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which of the
following topics is most appropriate to discuss at this age?
A. Introduction of solid foods
B. Toilet training readiness
C. Stranger anxiety and separation anxiety
D. Sibling rivalry and discipline strategies
,2
Answer: A. Introduction of solid foods
Rationale: Solid foods are typically introduced around 4-6 months of age when the infant has good head
control, can sit with support, and shows interest in food. The nurse should discuss signs of readiness and
appropriate first foods (iron-fortified rice cereal, pureed vegetables and fruits). Toilet training (B) is a
toddler topic (18-36 months). Stranger anxiety (C) peaks around 8-10 months. Sibling rivalry (D) is more
relevant for preschoolers and school-age children.
3. A nurse is assessing a 2-year-old toddler during a well-child visit. The parent expresses concern that
the child only speaks in two-word sentences. Which of the following responses by the nurse is
appropriate?
A. "Your child should be speaking in full sentences by now. Let's refer you to a speech therapist."
B. "Two-word sentences are age-appropriate for a 2-year-old. Continue reading and talking with your
child."
C. "Try not to worry. Some children don't talk until they are 3 or 4 years old."
D. "Limit your child's screen time and they will start talking more."
Answer: B. "Two-word sentences are age-appropriate for a 2-year-old. Continue reading and talking
with your child."
Rationale: By age 2, a toddler typically has a vocabulary of 50-300 words and speaks in two-word
sentences (telegraphic speech). This is developmentally appropriate. Full sentences are expected closer
to age 3-4. The nurse should provide reassurance and encourage language development through
reading, singing, and conversation.
4. A nurse is planning a teaching session for the parents of a preschooler (ages 3-5). According to
Erikson's theory of psychosocial development, the preschooler is in which stage?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: C. Initiative vs. Guilt
Rationale: According to Erikson, preschoolers (ages 3-5) are in the stage of Initiative vs. Guilt. They are
eager to explore, try new things, and take on responsibilities. When encouraged, they develop a sense
of initiative. If criticized or controlled, they may develop guilt. Trust vs. Mistrust (A) is infancy. Autonomy
vs. Shame and Doubt (B) is toddlerhood. Industry vs. Inferiority (D) is school-age.
5. A nurse is assessing a 10-year-old child during a well-child visit. According to Piaget's theory of
cognitive development, the child should be in which stage?
,3
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Answer: C. Concrete operational
Rationale: According to Piaget, school-age children (ages 7-11) are in the concrete operational stage.
They can think logically about concrete objects and events, understand conservation (mass, volume,
number), and classify objects. They are not yet capable of abstract thinking (formal operational), which
begins around age 12.
6. A nurse is providing health promotion teaching to the parents of a 12-year-old adolescent. Which of
the following topics should be the priority for discussion?
A. Car seat safety
B. Stranger danger and abduction prevention
C. Pubertal changes and sexual health
D. Drowning prevention and water safety
Answer: C. Pubertal changes and sexual health
Rationale: Adolescence is marked by the onset of puberty and significant physical and emotional
changes. Health promotion for this age group should prioritize education about pubertal changes, sexual
health, healthy relationships, and risk-taking behaviors. Car seat safety (A) is for infants and toddlers.
Stranger danger (B) is for preschoolers and school-age children. Drowning prevention (D) is important
for all ages but is a higher priority for younger children.
7. A nurse is preparing to administer an immunization to a 4-year-old child. Which of the following
techniques is most appropriate to minimize pain and anxiety?
A. Tell the child, "This won't hurt at all."
B. Ask the parent to leave the room to prevent distraction.
C. Allow the child to sit on the parent's lap and use distraction techniques.
D. Administer the injection quickly without warning the child.
Answer: C. Allow the child to sit on the parent's lap and use distraction techniques.
Rationale: For preschoolers, having a parent present provides comfort and security. Distraction
techniques such as blowing bubbles, singing, or using a tablet can effectively reduce pain perception and
anxiety. The nurse should be honest about the injection (e.g., "You will feel a quick pinch") rather than
saying it won't hurt (A). Parents should be encouraged to stay (B). The child should be prepared in
simple, honest terms (D).
, 4
8. A nurse is conducting a developmental screening on a 9-month-old infant. The nurse asks the
parent, "Does your baby play peek-a-boo?" This question is assessing the infant's development of:
A. Object permanence
B. Fine motor skills
C. Gross motor skills
D. Language skills
Answer: A. Object permanence
Rationale: Peek-a-boo is a classic game that demonstrates the infant's understanding of object
permanence—the concept that objects continue to exist even when they cannot be seen. This cognitive
milestone typically develops around 8-9 months of age.
9. A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler. Which of the
following safety topics is most important to emphasize?
A. Use of bicycle helmets
B. Water safety and drowning prevention
C. Poison prevention and safe storage of household chemicals
D. Firearm safety
Answer: C. Poison prevention and safe storage of household chemicals
Rationale: Toddlers are naturally curious and explore their environment by putting objects in their
mouths. Poisoning is a major safety concern for this age group. Parents should be educated about
storing all household chemicals, medications, and cleaning products in locked cabinets out of reach.
Bicycle helmet safety (A) is more relevant for preschoolers and school-age children. Water safety (B) is
important for all ages but particularly toddlers and preschoolers. Firearm safety (D) is more relevant for
school-age children and adolescents.
10. A nurse is assessing a 3-year-old child's fine motor skills. Which of the following tasks should the
child be able to perform?
A. Tie shoelaces
B. Copy a circle
C. Print their first name
D. Draw a person with six body parts
Answer: B. Copy a circle
Rationale: By age 3, a child should be able to copy a circle and build a tower of 9-10 blocks. Tying
shoelaces (A) is a skill acquired around age 5-6. Printing their first name (C) is a 4-5 year skill. Drawing a
person with six body parts (D) is a 5-year-old milestone.
