NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE
1. According to Erikson, what is the primary developmental task for an infant (birth to 1
year)?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Answer: D
Rationale: For infants, the central task is establishing trust in their caregivers and
environment, which forms the basis for future relationships.
2. A toddler is playing with blocks next to another child but not interacting with them. This
type of play is known as:
A. Solitary play
B. Onlooker play
C. Parallel play
D. Cooperative play
Answer: C
,Rationale: Parallel play is characteristic of toddlers, where they play beside others but not
with them.
3. Which pain scale is most appropriate for a non-verbal 2-year-old child?
A. FACES Scale
B. FLACC Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and
children who cannot yet communicate their pain level verbally.
4. At what age does the anterior fontanel typically close?
A. 2-4 months
B. 12-18 months
C. 6-9 months
D. 24-36 months
Answer: B
Rationale: The anterior fontanel usually closes between 12 and 18 months of age, while
the posterior fontanel closes by 2-3 months.
, 5. Which Piagetian stage is characterized by the development of object permanence?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
Answer: A
Rationale: Object permanence, the understanding that objects continue to exist even when
they cannot be seen, is a key milestone of the sensorimotor stage (birth to 2 years).
6. What is the preferred site for an intramuscular (IM) injection in an infant?
A. Deltoid
B. Vastus Lateralis
C. Dorsogluteal
D. Ventrogluteal
Answer: B
Rationale: The vastus lateralis (thigh) is the preferred IM site for infants because it is the
most developed muscle mass at that age.
7. A 4-year-old child is hospitalized and begins wetting the bed after being toilet trained for a
year. This is an example of:
A. Regression
1. According to Erikson, what is the primary developmental task for an infant (birth to 1
year)?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Answer: D
Rationale: For infants, the central task is establishing trust in their caregivers and
environment, which forms the basis for future relationships.
2. A toddler is playing with blocks next to another child but not interacting with them. This
type of play is known as:
A. Solitary play
B. Onlooker play
C. Parallel play
D. Cooperative play
Answer: C
,Rationale: Parallel play is characteristic of toddlers, where they play beside others but not
with them.
3. Which pain scale is most appropriate for a non-verbal 2-year-old child?
A. FACES Scale
B. FLACC Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and
children who cannot yet communicate their pain level verbally.
4. At what age does the anterior fontanel typically close?
A. 2-4 months
B. 12-18 months
C. 6-9 months
D. 24-36 months
Answer: B
Rationale: The anterior fontanel usually closes between 12 and 18 months of age, while
the posterior fontanel closes by 2-3 months.
, 5. Which Piagetian stage is characterized by the development of object permanence?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
Answer: A
Rationale: Object permanence, the understanding that objects continue to exist even when
they cannot be seen, is a key milestone of the sensorimotor stage (birth to 2 years).
6. What is the preferred site for an intramuscular (IM) injection in an infant?
A. Deltoid
B. Vastus Lateralis
C. Dorsogluteal
D. Ventrogluteal
Answer: B
Rationale: The vastus lateralis (thigh) is the preferred IM site for infants because it is the
most developed muscle mass at that age.
7. A 4-year-old child is hospitalized and begins wetting the bed after being toilet trained for a
year. This is an example of:
A. Regression
