NSG 434 Exam 1 Practice Questions | Latest Update 2026–
2027 | Verified Answers | Graded A+
1. A 6-month-old infant is receiving his immunizations. What needle length is the
most appropriate for the vaccines?
⅝" needle, 22-25 gauge
1"-1¼" needle, 22-25 gauge
1" needle, 22-25 gauge
2. What is one characteristic of Piaget's preoperational stage of cognitive
development?
Abstract reasoning
Egocentrism
Conservation
Logical thinking
3. What does the term 'proximaldistal' describe in the context of child
development?
Development from the head to the feet.
Development of fine motor skills before gross motor skills.
Development from the center of the body outward.
Development that occurs in a linear fashion.
4. If a child in the Preconventional Stage of moral development is faced with a
situation where they can either help a peer or avoid punishment, what is likely
to influence their decision?
Adherence to social norms
, Desire to help others
Understanding of fairness
Fear of punishment
5. If a nurse encounters a parent who is unsure about the vaccination schedule
for their child, what should the nurse do?
Tell the parent that vaccinations are not necessary for their child's age.
Suggest that the parent consult their family doctor for advice.
Advise the parent to skip vaccinations until they feel more informed.
Provide the parent with the latest vaccination schedule from the
CDC and discuss its importance.
6. A staff member at a child care center says to you, 'The children at our center
range in age from 6 weeks old to 5 years old. I often wonder when their
visual perception abilities become fully developed.' You can most accurately
respond by saying:
'They can see as well as you can within 24 hours after birth.'
'Visual perception isn't truly adultlike until age 3 or 4, when the
visual area of the cortex matures to an adultlike form.'
'Their visual acuity improves dramatically within the first t
7. Describe the role of genetic consultation in pediatric care.
Genetic consultation is only necessary for adults.
Genetic consultation focuses solely on vaccination schedules.
Genetic consultation is unrelated to developmental milestones.
, Genetic consultation helps identify genetic conditions and provides
guidance for management and family planning.
8. The nurse is preparing to administer the fourth Tdap (Tetanus, diphtheria,
pertussis) vaccine to a 15-month-old client. Which needle length will the
nurse choose to administer this injection into the anterolateral thigh muscle?
1 ½ inch
Half inch
5/8 inch
1 inch
9. If a nurse observes scaly patches on an infant's scalp during a routine check-
up, what would be the most appropriate nursing intervention?
Recommend immediate referral to a dermatologist.
Educate the parents on gentle cleansing and moisturizing of the
scalp.
Prescribe a topical steroid cream for inflammation.
Advise the parents to avoid bathing the infant until the condition
resolves.
10. What is the primary focus of Kohlberg's Preconventional Stage of moral
development?
Universal ethical principles
Social contract orientation
Obedience and punishment orientation
Interpersonal accord and conformity
, 11. Describe the typical post-vaccination symptoms that a nurse should inform
parents about.
Parents should prepare for their child to develop a chronic illness
after vaccination.
Parents should be told that no symptoms will occur after vaccination.
Parents should expect their child to have a severe allergic reaction
immediately after vaccination.
Parents should be informed that their child may experience mild
fever, soreness at the injection site, and irritability after vaccination.
12. What is a common nursing intervention for managing diaper dermatitis in
infants?
Restricting fluid intake
Applying topical antibiotics
Using scented wipes
Frequent diaper changes
13. If a child presents with a swollen, red area on their leg and a fever, what
nursing intervention should be prioritized?
Provide a topical moisturizer.
Schedule a follow-up appointment in a week.
Assess the affected area for signs of infection.
Administer an antihistamine.
14. Describe how seborrheic dermatitis typically presents in infants and the
areas it affects.
2027 | Verified Answers | Graded A+
1. A 6-month-old infant is receiving his immunizations. What needle length is the
most appropriate for the vaccines?
⅝" needle, 22-25 gauge
1"-1¼" needle, 22-25 gauge
1" needle, 22-25 gauge
2. What is one characteristic of Piaget's preoperational stage of cognitive
development?
Abstract reasoning
Egocentrism
Conservation
Logical thinking
3. What does the term 'proximaldistal' describe in the context of child
development?
Development from the head to the feet.
Development of fine motor skills before gross motor skills.
Development from the center of the body outward.
Development that occurs in a linear fashion.
4. If a child in the Preconventional Stage of moral development is faced with a
situation where they can either help a peer or avoid punishment, what is likely
to influence their decision?
Adherence to social norms
, Desire to help others
Understanding of fairness
Fear of punishment
5. If a nurse encounters a parent who is unsure about the vaccination schedule
for their child, what should the nurse do?
Tell the parent that vaccinations are not necessary for their child's age.
Suggest that the parent consult their family doctor for advice.
Advise the parent to skip vaccinations until they feel more informed.
Provide the parent with the latest vaccination schedule from the
CDC and discuss its importance.
6. A staff member at a child care center says to you, 'The children at our center
range in age from 6 weeks old to 5 years old. I often wonder when their
visual perception abilities become fully developed.' You can most accurately
respond by saying:
'They can see as well as you can within 24 hours after birth.'
'Visual perception isn't truly adultlike until age 3 or 4, when the
visual area of the cortex matures to an adultlike form.'
'Their visual acuity improves dramatically within the first t
7. Describe the role of genetic consultation in pediatric care.
Genetic consultation is only necessary for adults.
Genetic consultation focuses solely on vaccination schedules.
Genetic consultation is unrelated to developmental milestones.
, Genetic consultation helps identify genetic conditions and provides
guidance for management and family planning.
8. The nurse is preparing to administer the fourth Tdap (Tetanus, diphtheria,
pertussis) vaccine to a 15-month-old client. Which needle length will the
nurse choose to administer this injection into the anterolateral thigh muscle?
1 ½ inch
Half inch
5/8 inch
1 inch
9. If a nurse observes scaly patches on an infant's scalp during a routine check-
up, what would be the most appropriate nursing intervention?
Recommend immediate referral to a dermatologist.
Educate the parents on gentle cleansing and moisturizing of the
scalp.
Prescribe a topical steroid cream for inflammation.
Advise the parents to avoid bathing the infant until the condition
resolves.
10. What is the primary focus of Kohlberg's Preconventional Stage of moral
development?
Universal ethical principles
Social contract orientation
Obedience and punishment orientation
Interpersonal accord and conformity
, 11. Describe the typical post-vaccination symptoms that a nurse should inform
parents about.
Parents should prepare for their child to develop a chronic illness
after vaccination.
Parents should be told that no symptoms will occur after vaccination.
Parents should expect their child to have a severe allergic reaction
immediately after vaccination.
Parents should be informed that their child may experience mild
fever, soreness at the injection site, and irritability after vaccination.
12. What is a common nursing intervention for managing diaper dermatitis in
infants?
Restricting fluid intake
Applying topical antibiotics
Using scented wipes
Frequent diaper changes
13. If a child presents with a swollen, red area on their leg and a fever, what
nursing intervention should be prioritized?
Provide a topical moisturizer.
Schedule a follow-up appointment in a week.
Assess the affected area for signs of infection.
Administer an antihistamine.
14. Describe how seborrheic dermatitis typically presents in infants and the
areas it affects.
