1
Exam 1 NSG 3600 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Infant & Toddler Development
1. The pediatric nurse is assessing a toddler's fine motor skills. Which task should the nurse observe
the toddler performing?
A. Buttoning a shirt
B. Writing with a pencil
C. Holding a spoon to eat
D. Using the pincer grasp
Correct Answer: C. Holding a spoon to eat
Rationale: Toddlers (1-3 years) are developing self-feeding skills and can hold a spoon. Buttoning a shirt
is a more advanced fine motor skill typically mastered by preschool age. A pincer grasp is an infant
milestone (9-12 months). Writing with a pencil is a school-age skill.
2. According to Piaget, an infant uses his or her senses to learn and explore the environment. Which
action is most appropriate for the nurse to implement to determine object permanence?
A. Playing the game of peek-a-boo
B. Encouraging the infant to shake a rattle
C. Pushing a button on an overhead mobile
D. Placing the child in a stroller and going for a walk
Correct Answer: A. Playing the game of peek-a-boo
Rationale: Object permanence—the understanding that objects continue to exist even when they
cannot be seen—develops during Piaget's sensorimotor stage (birth to 2 years). Peek-a-boo is the classic
activity to assess this milestone. Shaking a rattle or pushing a button on a mobile demonstrates
cause-and-effect, not object permanence.
3. The pediatric nurse is promoting anticipatory guidance about safety to the mother of a
10-month-old infant. Which statement is NOT appropriate for the nurse to include?
A. "Do not leave small objects on the floor because your baby will be crawling soon."
B. "Keep the side rails up to prevent your baby from falling out of the crib."
pg. 1
,2
C. "Put safety locks on all cabinets to prevent accidents."
D. "Allow your baby to stay alone for short periods of time to promote independence."
Correct Answer: D
Rationale: Infants should never be left alone, even for short periods. Promoting independence is
developmentally appropriate for toddlers, not infants. All other statements are appropriate safety
guidance for this age group.
4. The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble
disciplining her daughter. She states, "She really knows how to put me to my limit. I don't know what
to do with her!" Which response by the nurse is the most therapeutic?
A. "The terrible twos are a difficult time. You have to show her that you are boss!"
B. "When she does something wrong, tell her she is a bad girl and has to be punished for her actions."
C. "A 2-minute time-out combined with praise for good behavior is very effective for this age group."
D. "Take away her favorite doll and tell her that she cannot have it back until she changes her behavior."
Correct Answer: C
Rationale: Toddlers respond well to consistent, brief consequences (e.g., 2-minute time-out) paired with
positive reinforcement for desired behaviors. Labeling the child as "bad" damages self-esteem. Taking
away a favorite object for an extended period is not developmentally appropriate for a toddler's
understanding of time and cause-and-effect.
5. The parents of a toddler ask the nurse how to best prepare the toddler for a planned medical
procedure. What should the nurse recognize when answering the toddler's parents?
A. The toddler is too young to understand what will happen and does not need an explanation.
B. The use of short explanations can best help the toddler understand the planned procedure.
C. Allowing the toddler to explore the procedure room may be helpful.
D. It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler.
Correct Answer: B. The use of short explanations can best help the toddler understand the planned
procedure
Rationale: Toddlers benefit from simple, concrete explanations given just before the procedure. Long
explanations increase anxiety. Allowing exploration may be appropriate for preschoolers, not toddlers.
Demonstrating on a doll is more appropriate for preschool-age children.
Preschool & School-Age Development
6. The father of a 4-year-old is concerned about his son's reaction to an injury of his friend. He told the
nurse that the child stayed in his room over the weekend and cried himself to sleep. When the nurse
pg. 2
,3
questioned the child, he described an argument that he and his friend had about a week prior to his
friend's injury. Based on the assessment, what is this preschool child exhibiting?
A. Magical thinking
B. Inferiority
C. Guilt complex
D. A morality issue
Correct Answer: A. Magical thinking
Rationale: Preschoolers engage in magical thinking—the belief that their thoughts, words, or actions
can cause real-world events. The child believes his argument caused his friend's injury. Inferiority is
Erikson's school-age stage. Guilt complex is not a developmental term for this age.
7. The parents of a school-age child ask the nurse about the child's participation in sports. Which
statement by the nurse is most appropriate?
A. "School-age children should avoid contact sports until adolescence."
B. "Sports participation helps develop motor skills, teamwork, and self-esteem."
C. "Competitive sports are too stressful for school-age children."
D. "You should choose the sport for your child to ensure safety."
Correct Answer: B. "Sports participation helps develop motor skills, teamwork, and self-esteem."
Rationale: School-age children (Erikson's Industry vs. Inferiority) benefit from opportunities to master
new skills and receive recognition. Sports participation supports physical development, social skills, and
a sense of competence.
Adolescent Development
8. What is NOT a key aspect in a teen's environment that helps when making good decisions?
A. Ability to think abstractly
B. Ability to use deductive reasoning
C. Ability to make long-term plans
D. Ability to use logical thinking
Correct Answer: C. Ability to make long-term plans
Rationale: Adolescents are developing formal operational thought (abstract reasoning, deductive
reasoning, logical thinking), but the ability to make long-term plans is a later developmental
achievement. The prefrontal cortex, responsible for planning and impulse control, is not fully developed
until the mid-20s.
pg. 3
, 4
9. The nurse is providing anticipatory guidance to the parents of a 14-year-old. Which statement is
most important to include?
A. "Your teen will likely experience rapid physical growth and may feel self-conscious."
B. "You should monitor all of your teen's social media accounts."
C. "Your teen should not be allowed to spend time alone with friends."
D. "Academic performance is the only important focus at this age."
Correct Answer: A. "Your teen will likely experience rapid physical growth and may feel
self-conscious."
Rationale: Adolescence is characterized by rapid physical changes, hormonal shifts, and heightened
self-consciousness. Parents should provide support and understanding. Monitoring all social media is
unrealistic and may damage trust. Teens need autonomy and peer relationships to develop identity
(Erikson's Identity vs. Role Confusion).
Pediatric Principles & Family-Centered Care
10. The goal of providing atraumatic care is "first, do no harm." Which three principles help achieve
this goal? (Select all that apply.)
A. Prevent separation
B. Promote sense of control
C. Minimize bodily injury
D. Encourage independence
E. Limit parental involvement
Correct Answers: A, B, C
Rationale: The three principles of atraumatic care are: (1) prevent or minimize separation from family,
(2) promote a sense of control, and (3) prevent or minimize bodily injury and pain. Encouraging
independence is appropriate for some ages but is not one of the three core principles. Parental
involvement should be encouraged, not limited.
11. A nursing faculty member is explaining the pediatric immune system to students. Which
statement is correct?
A. Children are born with intact immune systems.
B. Children's immune systems develop over 1 year.
C. Immunity isn't functional until about 6 months.
D. Mother's immunity is the baby's primary line of defense.
Correct Answer: A. Children are born with intact immune systems
Rationale: Newborns have all the components of an immune system present at birth, though it is
immature and relies on maternal antibodies (passive immunity) for initial protection. The system is
functional but develops further over time.
pg. 4
Exam 1 NSG 3600 ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!
Infant & Toddler Development
1. The pediatric nurse is assessing a toddler's fine motor skills. Which task should the nurse observe
the toddler performing?
A. Buttoning a shirt
B. Writing with a pencil
C. Holding a spoon to eat
D. Using the pincer grasp
Correct Answer: C. Holding a spoon to eat
Rationale: Toddlers (1-3 years) are developing self-feeding skills and can hold a spoon. Buttoning a shirt
is a more advanced fine motor skill typically mastered by preschool age. A pincer grasp is an infant
milestone (9-12 months). Writing with a pencil is a school-age skill.
2. According to Piaget, an infant uses his or her senses to learn and explore the environment. Which
action is most appropriate for the nurse to implement to determine object permanence?
A. Playing the game of peek-a-boo
B. Encouraging the infant to shake a rattle
C. Pushing a button on an overhead mobile
D. Placing the child in a stroller and going for a walk
Correct Answer: A. Playing the game of peek-a-boo
Rationale: Object permanence—the understanding that objects continue to exist even when they
cannot be seen—develops during Piaget's sensorimotor stage (birth to 2 years). Peek-a-boo is the classic
activity to assess this milestone. Shaking a rattle or pushing a button on a mobile demonstrates
cause-and-effect, not object permanence.
3. The pediatric nurse is promoting anticipatory guidance about safety to the mother of a
10-month-old infant. Which statement is NOT appropriate for the nurse to include?
A. "Do not leave small objects on the floor because your baby will be crawling soon."
B. "Keep the side rails up to prevent your baby from falling out of the crib."
pg. 1
,2
C. "Put safety locks on all cabinets to prevent accidents."
D. "Allow your baby to stay alone for short periods of time to promote independence."
Correct Answer: D
Rationale: Infants should never be left alone, even for short periods. Promoting independence is
developmentally appropriate for toddlers, not infants. All other statements are appropriate safety
guidance for this age group.
4. The mother of a 26-month-old toddler tells the pediatric nurse that she is having trouble
disciplining her daughter. She states, "She really knows how to put me to my limit. I don't know what
to do with her!" Which response by the nurse is the most therapeutic?
A. "The terrible twos are a difficult time. You have to show her that you are boss!"
B. "When she does something wrong, tell her she is a bad girl and has to be punished for her actions."
C. "A 2-minute time-out combined with praise for good behavior is very effective for this age group."
D. "Take away her favorite doll and tell her that she cannot have it back until she changes her behavior."
Correct Answer: C
Rationale: Toddlers respond well to consistent, brief consequences (e.g., 2-minute time-out) paired with
positive reinforcement for desired behaviors. Labeling the child as "bad" damages self-esteem. Taking
away a favorite object for an extended period is not developmentally appropriate for a toddler's
understanding of time and cause-and-effect.
5. The parents of a toddler ask the nurse how to best prepare the toddler for a planned medical
procedure. What should the nurse recognize when answering the toddler's parents?
A. The toddler is too young to understand what will happen and does not need an explanation.
B. The use of short explanations can best help the toddler understand the planned procedure.
C. Allowing the toddler to explore the procedure room may be helpful.
D. It is beneficial for the nurse to demonstrate the upcoming procedure to the toddler.
Correct Answer: B. The use of short explanations can best help the toddler understand the planned
procedure
Rationale: Toddlers benefit from simple, concrete explanations given just before the procedure. Long
explanations increase anxiety. Allowing exploration may be appropriate for preschoolers, not toddlers.
Demonstrating on a doll is more appropriate for preschool-age children.
Preschool & School-Age Development
6. The father of a 4-year-old is concerned about his son's reaction to an injury of his friend. He told the
nurse that the child stayed in his room over the weekend and cried himself to sleep. When the nurse
pg. 2
,3
questioned the child, he described an argument that he and his friend had about a week prior to his
friend's injury. Based on the assessment, what is this preschool child exhibiting?
A. Magical thinking
B. Inferiority
C. Guilt complex
D. A morality issue
Correct Answer: A. Magical thinking
Rationale: Preschoolers engage in magical thinking—the belief that their thoughts, words, or actions
can cause real-world events. The child believes his argument caused his friend's injury. Inferiority is
Erikson's school-age stage. Guilt complex is not a developmental term for this age.
7. The parents of a school-age child ask the nurse about the child's participation in sports. Which
statement by the nurse is most appropriate?
A. "School-age children should avoid contact sports until adolescence."
B. "Sports participation helps develop motor skills, teamwork, and self-esteem."
C. "Competitive sports are too stressful for school-age children."
D. "You should choose the sport for your child to ensure safety."
Correct Answer: B. "Sports participation helps develop motor skills, teamwork, and self-esteem."
Rationale: School-age children (Erikson's Industry vs. Inferiority) benefit from opportunities to master
new skills and receive recognition. Sports participation supports physical development, social skills, and
a sense of competence.
Adolescent Development
8. What is NOT a key aspect in a teen's environment that helps when making good decisions?
A. Ability to think abstractly
B. Ability to use deductive reasoning
C. Ability to make long-term plans
D. Ability to use logical thinking
Correct Answer: C. Ability to make long-term plans
Rationale: Adolescents are developing formal operational thought (abstract reasoning, deductive
reasoning, logical thinking), but the ability to make long-term plans is a later developmental
achievement. The prefrontal cortex, responsible for planning and impulse control, is not fully developed
until the mid-20s.
pg. 3
, 4
9. The nurse is providing anticipatory guidance to the parents of a 14-year-old. Which statement is
most important to include?
A. "Your teen will likely experience rapid physical growth and may feel self-conscious."
B. "You should monitor all of your teen's social media accounts."
C. "Your teen should not be allowed to spend time alone with friends."
D. "Academic performance is the only important focus at this age."
Correct Answer: A. "Your teen will likely experience rapid physical growth and may feel
self-conscious."
Rationale: Adolescence is characterized by rapid physical changes, hormonal shifts, and heightened
self-consciousness. Parents should provide support and understanding. Monitoring all social media is
unrealistic and may damage trust. Teens need autonomy and peer relationships to develop identity
(Erikson's Identity vs. Role Confusion).
Pediatric Principles & Family-Centered Care
10. The goal of providing atraumatic care is "first, do no harm." Which three principles help achieve
this goal? (Select all that apply.)
A. Prevent separation
B. Promote sense of control
C. Minimize bodily injury
D. Encourage independence
E. Limit parental involvement
Correct Answers: A, B, C
Rationale: The three principles of atraumatic care are: (1) prevent or minimize separation from family,
(2) promote a sense of control, and (3) prevent or minimize bodily injury and pain. Encouraging
independence is appropriate for some ages but is not one of the three core principles. Parental
involvement should be encouraged, not limited.
11. A nursing faculty member is explaining the pediatric immune system to students. Which
statement is correct?
A. Children are born with intact immune systems.
B. Children's immune systems develop over 1 year.
C. Immunity isn't functional until about 6 months.
D. Mother's immunity is the baby's primary line of defense.
Correct Answer: A. Children are born with intact immune systems
Rationale: Newborns have all the components of an immune system present at birth, though it is
immature and relies on maternal antibodies (passive immunity) for initial protection. The system is
functional but develops further over time.
pg. 4
