NSG 3600 EXAM 1/APPROVED NSG 3600 EXAM 1 AND STUDY GUIDE
LATEST 2026/2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+ |FULL REVISED EXAM |BRAND
NEW!
1. The pediatric nurse assesses the toddler's fine motor skills by observing which
task?
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: By age 15-18 months, toddlers can hold a spoon and feed themselves,
although they may still be messy. Buttoning a shirt and writing with a pencil are
fine motor skills developed in later childhood. The pincer grasp is an infant
milestone achieved around 9 months.
2. According to Piaget, an infant uses his or her senses to learn and explore the
environment. Which action is the 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 is the understanding that objects continue to exist
even when out of sight. Peek-a-boo is a classic game that demonstrates this
concept. In contrast, shaking a rattle demonstrates cause and effect, while the other
options do not specifically test for 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 in the teaching session?
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."
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. "Allow your baby to stay alone for short periods of time
to promote independence."
Rationale: An infant should never be left alone, especially in a bathtub or near
water, due to the risk of drowning. Supervision is critical for infant safety, while
the other options are appropriate safety teachings for a 10-month-old who is
becoming mobile.
4. The mother of a 26-month-old toddler tells the pediatric nurse that she is having
trouble disciplining her daughter. The mother 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. "A 2-minute time-out combined with praise for good
behavior is very effective for this age group."
Rationale: Time-out is an effective discipline technique for toddlers. The rule of
thumb is 1 minute per year of age (2 minutes for a 2-year-old), and it should be
combined with positive reinforcement for good behavior. The other options are
either authoritarian, shaming, or inappropriate for this developmental stage.
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 have a limited vocabulary and attention span. Short, simple
explanations provided immediately before a procedure are most effective. The
, other options are more appropriate for older children or are not the most effective
methods.
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 pediatric nurse 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, believing their thoughts or
actions can cause unrelated events. The child believes his argument caused his
friend's injury, leading to guilt and distress. This is a normal cognitive
developmental phenomenon.
7. 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: d. Ability to use logical thinking
Rationale: The ability to use logical thinking is more characteristic of the school-
age child (concrete operational stage), not necessarily a key aspect of the
LATEST 2026/2027 COMPLETE ACCURATE EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT DETAILED ANSWERS WITH RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) NEWEST UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+ |FULL REVISED EXAM |BRAND
NEW!
1. The pediatric nurse assesses the toddler's fine motor skills by observing which
task?
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: By age 15-18 months, toddlers can hold a spoon and feed themselves,
although they may still be messy. Buttoning a shirt and writing with a pencil are
fine motor skills developed in later childhood. The pincer grasp is an infant
milestone achieved around 9 months.
2. According to Piaget, an infant uses his or her senses to learn and explore the
environment. Which action is the 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 is the understanding that objects continue to exist
even when out of sight. Peek-a-boo is a classic game that demonstrates this
concept. In contrast, shaking a rattle demonstrates cause and effect, while the other
options do not specifically test for 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 in the teaching session?
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."
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. "Allow your baby to stay alone for short periods of time
to promote independence."
Rationale: An infant should never be left alone, especially in a bathtub or near
water, due to the risk of drowning. Supervision is critical for infant safety, while
the other options are appropriate safety teachings for a 10-month-old who is
becoming mobile.
4. The mother of a 26-month-old toddler tells the pediatric nurse that she is having
trouble disciplining her daughter. The mother 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. "A 2-minute time-out combined with praise for good
behavior is very effective for this age group."
Rationale: Time-out is an effective discipline technique for toddlers. The rule of
thumb is 1 minute per year of age (2 minutes for a 2-year-old), and it should be
combined with positive reinforcement for good behavior. The other options are
either authoritarian, shaming, or inappropriate for this developmental stage.
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 have a limited vocabulary and attention span. Short, simple
explanations provided immediately before a procedure are most effective. The
, other options are more appropriate for older children or are not the most effective
methods.
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 pediatric nurse 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, believing their thoughts or
actions can cause unrelated events. The child believes his argument caused his
friend's injury, leading to guilt and distress. This is a normal cognitive
developmental phenomenon.
7. 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: d. Ability to use logical thinking
Rationale: The ability to use logical thinking is more characteristic of the school-
age child (concrete operational stage), not necessarily a key aspect of the
