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NSG 3600 Exam 3 Children's Health Guide Galen
College of Nursing Actual Exam 2026/2027 Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Part I: Growth, Development & Health Promotion in Children (Questions 1–15)
Q1: A nurse is reviewing the immunization record of a healthy 6-month-old infant during a well-child
visit. According to the current CDC immunization schedule, which of the following vaccines should the
nurse anticipate administering at this visit?
A. MMR (measles, mumps, rubella) and varicella vaccines
B. DTaP, IPV, Hib, PCV13, and rotavirus vaccines
C. Hepatitis B vaccine series completion and meningococcal vaccine
D. HPV vaccine and Tdap booster
Correct Answer: B
Rationale: The best answer is B. At the 6-month well-child visit, infants routinely receive DTaP (dose 3),
IPV (dose 3), Hib (dose 3 or 4 depending on product), PCV13 (dose 3), and rotavirus (dose 3 if Rotarix,
dose 2 if RotaTeq). This aligns with the standard pediatric immunization schedule taught in the Galen
College NSG 3600 curriculum. The other options list vaccines given at much older ages—MMR and
varicella come at 12–15 months, while HPV and Tdap are adolescent vaccines.
Q2: During a developmental assessment, a nurse observes a 4-month-old infant. Which behavior would
the nurse document as meeting the expected developmental milestone for this age?
A. The infant sits independently without support and transfers objects hand to hand
B. The infant brings both hands to midline, bats at toys, and begins to laugh out loud
C. The infant pulls to stand, says "mama" or "dada" specifically, and waves bye-bye
D. The infant walks with one hand held, builds a tower of two cubes, and points to objects
Correct Answer: B
Rationale: The best answer is B. By 4 months, infants typically bring their hands to the midline, bat at
hanging toys, and laugh out loud—this is classic infant development. Sitting without support happens
closer to 6 months, pulling to stand and specific "mama/dada" around 9–12 months, and walking with
assistance and building towers are toddler skills. This matches the pediatric nursing principle that
developmental milestones follow a predictable sequence.
,2
Q3: A school nurse is planning anticipatory guidance for parents of a toddler who is 18 months old.
Which topic should the nurse prioritize in this discussion?
A. Teaching the child about stranger danger and ensuring they can recite their home address
B. Discussing toilet training readiness, temper tantrum management, and car seat safety in a forward-
facing seat
C. Reviewing puberty education, peer pressure resistance, and screen time limits of 2 hours daily
D. Explaining the importance of part-time employment, driver education preparation, and college
planning
Correct Answer: B
Rationale: The best answer is B. At 18 months, toddlers are often showing signs of toilet training
readiness, temper tantrums peak during this stage, and they should remain in a rear-facing car seat until
at least age 2 per AAP guidelines—though some parents prematurely turn them forward, making this an
important teaching point. Stranger danger and address memorization are preschool skills, puberty
education is for school-age/adolescents, and employment or college planning is completely
inappropriate for a toddler.
Q4: A pediatric nurse is caring for a 10-year-old child admitted for observation after a minor injury.
Using Erikson's stages of psychosocial development, the nurse recognizes that the primary
developmental task for this child is:
A. Trust versus mistrust, demonstrated by the child's ability to form secure attachments with caregivers
B. Autonomy versus shame and doubt, shown through the child's desire to do things independently
C. Initiative versus guilt, evidenced by the child's leadership in play activities and asking questions
D. Industry versus inferiority, reflected in the child's need to achieve competence in school and
friendships
Correct Answer: D
Rationale: The best answer is D. According to Erikson, school-age children (roughly 6–12 years) are in
the industry versus inferiority stage, where they focus on mastering skills, succeeding in school, and
forming peer relationships. Trust versus mistrust is infancy, autonomy versus shame and doubt is
toddlerhood, and initiative versus guilt is the preschool stage. This is a common exam pitfall—confusing
Erikson's stages with Piaget's cognitive stages or mixing up the age ranges.
Q5: A nurse is evaluating the growth chart of a 2-year-old child during a routine physical exam. The
child's weight plots at the 25th percentile, length at the 50th percentile, and head circumference at the
75th percentile. The child's measurements have followed these same percentiles since birth. Which
interpretation by the nurse is most appropriate?
A. The child has failure to thrive and requires immediate nutritional intervention
B. The child's growth pattern is consistent and follows a normal trajectory for this age
, 3
C. The discrepancy between percentiles indicates a possible genetic syndrome requiring referral
D. The child is at risk for obesity due to the head circumference being greater than the weight percentile
Correct Answer: B
Rationale: The best answer is B. When a child's growth measurements follow consistent percentiles over
time—what we call "tracking along their curve"—this indicates normal growth regardless of where the
percentiles fall. The 25th, 50th, and 75th percentiles are all within normal limits, and consistency is more
important than the actual number. Failure to thrive would show crossing down percentiles or falling
below the 3rd–5th percentile, and head circumference being higher than weight is not an obesity risk
indicator in a 2-year-old.
Q6: A nurse is teaching a new mother about infant sleep safety to reduce the risk of sudden infant death
syndrome (SIDS). Which statement by the mother indicates that additional teaching is needed?
A. "I will place my baby on his back to sleep for every sleep, both at night and for naps."
B. "I plan to use a firm sleep surface with a fitted sheet and keep soft objects out of the crib."
C. "I bought a cute bumper pad and matching blanket set to make the crib cozy for my baby."
D. "I will room-share with my baby for at least the first 6 months but keep him in his own sleep space."
Correct Answer: C
Rationale: The best answer is C. Crib bumper pads, loose blankets, and soft bedding are all associated
with increased SIDS risk and suffocation hazards—the AAP strongly recommends against them. The
mother's statement about making the crib "cozy" with these items indicates a misunderstanding of safe
sleep principles. Back-sleeping, firm surfaces, and room-sharing without bed-sharing are all correct safe
sleep practices that the other options describe.
Q7: During a well-child visit, a nurse assesses a 5-year-old using Piaget's theory of cognitive
development. The child is asked to pour water from a short, wide glass into a tall, narrow glass and is
then asked which glass has more water. The child responds that the tall glass has more. The nurse
recognizes this response as demonstrating:
A. Concrete operational thought, because the child can mentally manipulate the volume
B. Formal operational thought, because the child is using abstract reasoning about conservation
C. Preoperational thought, because the child focuses on the height of the water rather than the volume
D. Sensorimotor thought, because the child needs to physically handle the glasses to understand
Correct Answer: C
Rationale: The best answer is C. The child's focus on the height of the water while ignoring that the
volume remains the same demonstrates centration—a hallmark of Piaget's preoperational stage (ages
2–7). Children in this stage struggle with conservation tasks. Concrete operational thinkers (ages 7–11)
would recognize the volume is unchanged, formal operational thought involves abstract reasoning (ages
NSG 3600 Exam 3 Children's Health Guide Galen
College of Nursing Actual Exam 2026/2027 Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Part I: Growth, Development & Health Promotion in Children (Questions 1–15)
Q1: A nurse is reviewing the immunization record of a healthy 6-month-old infant during a well-child
visit. According to the current CDC immunization schedule, which of the following vaccines should the
nurse anticipate administering at this visit?
A. MMR (measles, mumps, rubella) and varicella vaccines
B. DTaP, IPV, Hib, PCV13, and rotavirus vaccines
C. Hepatitis B vaccine series completion and meningococcal vaccine
D. HPV vaccine and Tdap booster
Correct Answer: B
Rationale: The best answer is B. At the 6-month well-child visit, infants routinely receive DTaP (dose 3),
IPV (dose 3), Hib (dose 3 or 4 depending on product), PCV13 (dose 3), and rotavirus (dose 3 if Rotarix,
dose 2 if RotaTeq). This aligns with the standard pediatric immunization schedule taught in the Galen
College NSG 3600 curriculum. The other options list vaccines given at much older ages—MMR and
varicella come at 12–15 months, while HPV and Tdap are adolescent vaccines.
Q2: During a developmental assessment, a nurse observes a 4-month-old infant. Which behavior would
the nurse document as meeting the expected developmental milestone for this age?
A. The infant sits independently without support and transfers objects hand to hand
B. The infant brings both hands to midline, bats at toys, and begins to laugh out loud
C. The infant pulls to stand, says "mama" or "dada" specifically, and waves bye-bye
D. The infant walks with one hand held, builds a tower of two cubes, and points to objects
Correct Answer: B
Rationale: The best answer is B. By 4 months, infants typically bring their hands to the midline, bat at
hanging toys, and laugh out loud—this is classic infant development. Sitting without support happens
closer to 6 months, pulling to stand and specific "mama/dada" around 9–12 months, and walking with
assistance and building towers are toddler skills. This matches the pediatric nursing principle that
developmental milestones follow a predictable sequence.
,2
Q3: A school nurse is planning anticipatory guidance for parents of a toddler who is 18 months old.
Which topic should the nurse prioritize in this discussion?
A. Teaching the child about stranger danger and ensuring they can recite their home address
B. Discussing toilet training readiness, temper tantrum management, and car seat safety in a forward-
facing seat
C. Reviewing puberty education, peer pressure resistance, and screen time limits of 2 hours daily
D. Explaining the importance of part-time employment, driver education preparation, and college
planning
Correct Answer: B
Rationale: The best answer is B. At 18 months, toddlers are often showing signs of toilet training
readiness, temper tantrums peak during this stage, and they should remain in a rear-facing car seat until
at least age 2 per AAP guidelines—though some parents prematurely turn them forward, making this an
important teaching point. Stranger danger and address memorization are preschool skills, puberty
education is for school-age/adolescents, and employment or college planning is completely
inappropriate for a toddler.
Q4: A pediatric nurse is caring for a 10-year-old child admitted for observation after a minor injury.
Using Erikson's stages of psychosocial development, the nurse recognizes that the primary
developmental task for this child is:
A. Trust versus mistrust, demonstrated by the child's ability to form secure attachments with caregivers
B. Autonomy versus shame and doubt, shown through the child's desire to do things independently
C. Initiative versus guilt, evidenced by the child's leadership in play activities and asking questions
D. Industry versus inferiority, reflected in the child's need to achieve competence in school and
friendships
Correct Answer: D
Rationale: The best answer is D. According to Erikson, school-age children (roughly 6–12 years) are in
the industry versus inferiority stage, where they focus on mastering skills, succeeding in school, and
forming peer relationships. Trust versus mistrust is infancy, autonomy versus shame and doubt is
toddlerhood, and initiative versus guilt is the preschool stage. This is a common exam pitfall—confusing
Erikson's stages with Piaget's cognitive stages or mixing up the age ranges.
Q5: A nurse is evaluating the growth chart of a 2-year-old child during a routine physical exam. The
child's weight plots at the 25th percentile, length at the 50th percentile, and head circumference at the
75th percentile. The child's measurements have followed these same percentiles since birth. Which
interpretation by the nurse is most appropriate?
A. The child has failure to thrive and requires immediate nutritional intervention
B. The child's growth pattern is consistent and follows a normal trajectory for this age
, 3
C. The discrepancy between percentiles indicates a possible genetic syndrome requiring referral
D. The child is at risk for obesity due to the head circumference being greater than the weight percentile
Correct Answer: B
Rationale: The best answer is B. When a child's growth measurements follow consistent percentiles over
time—what we call "tracking along their curve"—this indicates normal growth regardless of where the
percentiles fall. The 25th, 50th, and 75th percentiles are all within normal limits, and consistency is more
important than the actual number. Failure to thrive would show crossing down percentiles or falling
below the 3rd–5th percentile, and head circumference being higher than weight is not an obesity risk
indicator in a 2-year-old.
Q6: A nurse is teaching a new mother about infant sleep safety to reduce the risk of sudden infant death
syndrome (SIDS). Which statement by the mother indicates that additional teaching is needed?
A. "I will place my baby on his back to sleep for every sleep, both at night and for naps."
B. "I plan to use a firm sleep surface with a fitted sheet and keep soft objects out of the crib."
C. "I bought a cute bumper pad and matching blanket set to make the crib cozy for my baby."
D. "I will room-share with my baby for at least the first 6 months but keep him in his own sleep space."
Correct Answer: C
Rationale: The best answer is C. Crib bumper pads, loose blankets, and soft bedding are all associated
with increased SIDS risk and suffocation hazards—the AAP strongly recommends against them. The
mother's statement about making the crib "cozy" with these items indicates a misunderstanding of safe
sleep principles. Back-sleeping, firm surfaces, and room-sharing without bed-sharing are all correct safe
sleep practices that the other options describe.
Q7: During a well-child visit, a nurse assesses a 5-year-old using Piaget's theory of cognitive
development. The child is asked to pour water from a short, wide glass into a tall, narrow glass and is
then asked which glass has more water. The child responds that the tall glass has more. The nurse
recognizes this response as demonstrating:
A. Concrete operational thought, because the child can mentally manipulate the volume
B. Formal operational thought, because the child is using abstract reasoning about conservation
C. Preoperational thought, because the child focuses on the height of the water rather than the volume
D. Sensorimotor thought, because the child needs to physically handle the glasses to understand
Correct Answer: C
Rationale: The best answer is C. The child's focus on the height of the water while ignoring that the
volume remains the same demonstrates centration—a hallmark of Piaget's preoperational stage (ages
2–7). Children in this stage struggle with conservation tasks. Concrete operational thinkers (ages 7–11)
would recognize the volume is unchanged, formal operational thought involves abstract reasoning (ages
