Galen NSG 3600 Exam 2 Nursing Practice
in Children's Health Latest Practice Test
with 200+ Questions and Correct
Answers/ NSG 3600 Exam 2 Pediatrics
Practice Test ()
Section 1: Growth and Development
Question 1
A 4-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse expect to observe?
A) Sits without support
B) Rolls over in both directions (front to back, back to front)
C) Walks independently
D) Uses a pincer grasp
Rationale: By 6 months of age, infants typically roll over in both directions, sit with
support, and begin to pass objects from one hand to another. Sitting without support
occurs around 8 months, walking independently around 12 months, and pincer grasp
develops around 9-10 months .
Question 2
The nurse is assessing a 12-month-old infant. Which finding indicates normal
developmental progression?
,A) Cannot take steps without holding on
B) Can take steps without holding on and responds to simple spoken requests
C) Has not developed stranger anxiety
D) Does not use gestures such as waving "bye-bye"
Rationale: By 12 months, infants can typically take steps without holding on, respond to
simple spoken requests, use simple gestures like shaking head "no" or waving "bye-
bye," and try to say words the parent says. Stranger anxiety typically develops around 9
months, so absence at 12 months would warrant further evaluation .
Question 3
An 18-month-old toddler is being evaluated. The parent reports the child is having
temper tantrums and is very clingy with familiar adults. What is the best interpretation
of these behaviors?
A) These behaviors indicate a developmental delay
B) These behaviors are typical for an 18-month-old
C) The child is showing signs of autism spectrum disorder
D) The child needs immediate behavioral intervention
Rationale: Temper tantrums are common in toddlers around 18 months as they
develop autonomy but lack the language skills to fully express needs. Clinging to
familiar adults is also developmentally appropriate at this age. These behaviors are not
necessarily indicative of a delay or disorder .
Question 4
According to Erikson's theory of psychosocial development, which developmental task is
the school-age child (6-12 years) expected to achieve?
A) Trust vs. Mistrust
B) Industry vs. Inferiority
C) Initiative vs. Guilt
D) Identity vs. Role Confusion
Rationale: According to Erikson, school-age children (6-12 years) are in the stage of
Industry vs. Inferiority, where they develop a sense of competence and mastery through
,learning new skills and completing tasks. Trust vs. Mistrust occurs in infancy, Initiative vs.
Guilt occurs in preschool years, and Identity vs. Role Confusion occurs during
adolescence .
Question 5
A nurse is teaching parents about toilet training readiness. Which finding indicates the
child is ready to begin toilet training?
A) Child is 24 months old
B) Child can stay dry for 2 hours
C) Child can undress independently
D) Child expresses interest in the toilet
Rationale: The best indicator of toilet training readiness is the ability to stay dry for 2
hours, indicating physiological bladder control and sphincter maturity. While age,
interest in the toilet, and ability to undress are supportive factors, they are not the most
accurate indicators of readiness .
Question 6
At what age should the anterior fontanel typically close?
A) 4-6 months
B) 12-18 months
C) 24-36 months
D) 6-12 months
Rationale: The anterior fontanel typically closes between 12-18 months of age. Delayed
closure beyond 18 months may indicate conditions such as hydrocephalus, Down
syndrome, or hypothyroidism. The posterior fontanel closes by 2-3 months .
, Question 7
A nurse is assessing a 9-month-old infant. Which milestone indicates normal cognitive
development?
A) The infant does not respond to "no"
B) The infant looks for things that are hidden (object permanence)
C) The infant does not babble
D) The infant cannot sit without support
Rationale: Object permanence (understanding that objects continue to exist when out
of sight) develops around 9 months. This is a key cognitive milestone. Infants at this age
should also respond to "no," babble, and sit without support. Absence of these
milestones may indicate developmental concerns .
Question 8
According to Piaget's theory of cognitive development, which stage is a preschool-aged
child (3-5 years) in?
A) Sensorimotor Stage
B) Preoperational Stage
C) Concrete Operational Stage
D) Formal Operational Stage
Rationale: According to Piaget, preschool-aged children (3-5 years) are in the
Preoperational Stage, characterized by egocentrism, magical thinking, and developing
language skills. The Sensorimotor Stage is infancy (0-2 years), Concrete Operational
Stage is school-age (7-11 years), and Formal Operational Stage is adolescence .
Question 9
The nurse is assessing a 2-year-old child's gross motor development. Which skill should
the nurse expect the child to have?
A) Can walk up and down stairs with alternating feet
B) Can jump with both feet off the ground
C) Can hop on one foot
D) Can skip
in Children's Health Latest Practice Test
with 200+ Questions and Correct
Answers/ NSG 3600 Exam 2 Pediatrics
Practice Test ()
Section 1: Growth and Development
Question 1
A 4-month-old infant is brought to the clinic for a well-child visit. Which developmental
milestone should the nurse expect to observe?
A) Sits without support
B) Rolls over in both directions (front to back, back to front)
C) Walks independently
D) Uses a pincer grasp
Rationale: By 6 months of age, infants typically roll over in both directions, sit with
support, and begin to pass objects from one hand to another. Sitting without support
occurs around 8 months, walking independently around 12 months, and pincer grasp
develops around 9-10 months .
Question 2
The nurse is assessing a 12-month-old infant. Which finding indicates normal
developmental progression?
,A) Cannot take steps without holding on
B) Can take steps without holding on and responds to simple spoken requests
C) Has not developed stranger anxiety
D) Does not use gestures such as waving "bye-bye"
Rationale: By 12 months, infants can typically take steps without holding on, respond to
simple spoken requests, use simple gestures like shaking head "no" or waving "bye-
bye," and try to say words the parent says. Stranger anxiety typically develops around 9
months, so absence at 12 months would warrant further evaluation .
Question 3
An 18-month-old toddler is being evaluated. The parent reports the child is having
temper tantrums and is very clingy with familiar adults. What is the best interpretation
of these behaviors?
A) These behaviors indicate a developmental delay
B) These behaviors are typical for an 18-month-old
C) The child is showing signs of autism spectrum disorder
D) The child needs immediate behavioral intervention
Rationale: Temper tantrums are common in toddlers around 18 months as they
develop autonomy but lack the language skills to fully express needs. Clinging to
familiar adults is also developmentally appropriate at this age. These behaviors are not
necessarily indicative of a delay or disorder .
Question 4
According to Erikson's theory of psychosocial development, which developmental task is
the school-age child (6-12 years) expected to achieve?
A) Trust vs. Mistrust
B) Industry vs. Inferiority
C) Initiative vs. Guilt
D) Identity vs. Role Confusion
Rationale: According to Erikson, school-age children (6-12 years) are in the stage of
Industry vs. Inferiority, where they develop a sense of competence and mastery through
,learning new skills and completing tasks. Trust vs. Mistrust occurs in infancy, Initiative vs.
Guilt occurs in preschool years, and Identity vs. Role Confusion occurs during
adolescence .
Question 5
A nurse is teaching parents about toilet training readiness. Which finding indicates the
child is ready to begin toilet training?
A) Child is 24 months old
B) Child can stay dry for 2 hours
C) Child can undress independently
D) Child expresses interest in the toilet
Rationale: The best indicator of toilet training readiness is the ability to stay dry for 2
hours, indicating physiological bladder control and sphincter maturity. While age,
interest in the toilet, and ability to undress are supportive factors, they are not the most
accurate indicators of readiness .
Question 6
At what age should the anterior fontanel typically close?
A) 4-6 months
B) 12-18 months
C) 24-36 months
D) 6-12 months
Rationale: The anterior fontanel typically closes between 12-18 months of age. Delayed
closure beyond 18 months may indicate conditions such as hydrocephalus, Down
syndrome, or hypothyroidism. The posterior fontanel closes by 2-3 months .
, Question 7
A nurse is assessing a 9-month-old infant. Which milestone indicates normal cognitive
development?
A) The infant does not respond to "no"
B) The infant looks for things that are hidden (object permanence)
C) The infant does not babble
D) The infant cannot sit without support
Rationale: Object permanence (understanding that objects continue to exist when out
of sight) develops around 9 months. This is a key cognitive milestone. Infants at this age
should also respond to "no," babble, and sit without support. Absence of these
milestones may indicate developmental concerns .
Question 8
According to Piaget's theory of cognitive development, which stage is a preschool-aged
child (3-5 years) in?
A) Sensorimotor Stage
B) Preoperational Stage
C) Concrete Operational Stage
D) Formal Operational Stage
Rationale: According to Piaget, preschool-aged children (3-5 years) are in the
Preoperational Stage, characterized by egocentrism, magical thinking, and developing
language skills. The Sensorimotor Stage is infancy (0-2 years), Concrete Operational
Stage is school-age (7-11 years), and Formal Operational Stage is adolescence .
Question 9
The nurse is assessing a 2-year-old child's gross motor development. Which skill should
the nurse expect the child to have?
A) Can walk up and down stairs with alternating feet
B) Can jump with both feet off the ground
C) Can hop on one foot
D) Can skip
