NSG 3600 Pediatrics Exam 3 Newest
Practice Test Bank with 250 Correctly
Answered Practice Questions/ Galen NSG
3600 Exam 3 Nursing Practice in
Children's Health Latest Practice Test
SECTION 1: GROWTH & DEVELOPMENT
Question 1
According to Erikson, what is the primary psychosocial task for a toddler (1-3 years)?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Rationale: Toddlers are in the Autonomy vs. Shame and Doubt stage, focusing on
developing a sense of personal control over physical skills and a sense of independence.
Trust vs. Mistrust is the infant stage (0-1 year). Initiative vs. Guilt is the preschool stage
(3-5 years). Industry vs. Inferiority is the school-age stage (6-12 years) .
Question 2
Which reflex is expected to disappear by 3 to 4 months of age?
A) Babinski reflex
B) Moro reflex
,C) Stepping reflex
D) Sucking reflex
Rationale: The Moro (startle) reflex typically disappears by 3 to 4 months of age. The
Babinski reflex can persist until 1 to 2 years. The stepping reflex disappears around 4
months. The sucking reflex persists longer .
Question 3
The nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A) Sitting without support
B) Rolling from front to back
C) Pincer grasp
D) Walking with assistance
Rationale: Rolling from front to back is typically achieved by 4-5 months of age. Sitting
without support occurs around 6-8 months. Pincer grasp develops around 9-10 months.
Walking with assistance occurs around 12 months .
Question 4
A nurse is teaching a parent about age-appropriate activities for a toddler (1-3 years).
Which activity should the nurse recommend?
A) Mobiles and rattles
B) Push-pull toys and toy telephones
C) Board games with rules
D) Video games
Rationale: Push-pull toys and toy telephones are appropriate activities for toddlers.
Mobiles and rattles are for infants. Board games with rules are for school-age children.
Video games are not recommended for toddlers .
,Question 5
Which finding is a potential "red flag" for autism spectrum disorder in a 3-year-old
child?
A) The child has a vocabulary of 50 words
B) The child does not make eye contact and does not respond to their name
C) The child engages in parallel play
D) The child has temper tantrums
Rationale: Lack of eye contact and response to their name are early social
communication deficits associated with ASD. A vocabulary of 50 words is expected at
this age. Parallel play is normal for toddlers. Temper tantrums are common in toddlers .
Question 6
What is the most appropriate pain scale for a 4-year-old child?
A) Numerical Rating Scale (0-10)
B) Visual Analog Scale
C) CRIES Scale
D) Wong-Baker FACES Scale
Rationale: The Wong-Baker FACES scale is ideal for children as young as 3 years old
who can point to a face that represents their pain level. The Numerical Rating Scale is
appropriate for children >8 years. The CRIES Scale is used for neonates .
Question 7
A nurse is providing discharge teaching to the parents of a hospitalized toddler. Which
statement by the parents indicates understanding of the child's emotional needs?
, A) "We will not bring toys from home to avoid distraction."
B) "We will explain to our child that we will be back after their nap."
C) "We will leave the hospital room without saying goodbye."
D) "We will not allow our child to have comfort items."
Rationale: Encouraging parents to explain their plans to the child ("I'll be back after
your nap") helps reduce separation anxiety. Security objects from home should be
encouraged. Saying goodbye is important; leaving without saying goodbye increases
anxiety .
Question 8
Which pain scale is most appropriate for a 4-year-old child?
A) Numerical Rating Scale (0-10)
B) Visual Analog Scale
C) CRIES Scale
D) Wong-Baker FACES Scale
Rationale: The Wong-Baker FACES scale is ideal for children as young as 3 years old
who can point to a face that represents their pain level. The Numerical Rating Scale is for
children >8 years, and the CRIES Scale is for neonates .
Question 9
The nurse is assessing a 3-year-old child. According to Erikson, the child is in which
stage of psychosocial development?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Practice Test Bank with 250 Correctly
Answered Practice Questions/ Galen NSG
3600 Exam 3 Nursing Practice in
Children's Health Latest Practice Test
SECTION 1: GROWTH & DEVELOPMENT
Question 1
According to Erikson, what is the primary psychosocial task for a toddler (1-3 years)?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Rationale: Toddlers are in the Autonomy vs. Shame and Doubt stage, focusing on
developing a sense of personal control over physical skills and a sense of independence.
Trust vs. Mistrust is the infant stage (0-1 year). Initiative vs. Guilt is the preschool stage
(3-5 years). Industry vs. Inferiority is the school-age stage (6-12 years) .
Question 2
Which reflex is expected to disappear by 3 to 4 months of age?
A) Babinski reflex
B) Moro reflex
,C) Stepping reflex
D) Sucking reflex
Rationale: The Moro (startle) reflex typically disappears by 3 to 4 months of age. The
Babinski reflex can persist until 1 to 2 years. The stepping reflex disappears around 4
months. The sucking reflex persists longer .
Question 3
The nurse is assessing a 4-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect the infant to have achieved?
A) Sitting without support
B) Rolling from front to back
C) Pincer grasp
D) Walking with assistance
Rationale: Rolling from front to back is typically achieved by 4-5 months of age. Sitting
without support occurs around 6-8 months. Pincer grasp develops around 9-10 months.
Walking with assistance occurs around 12 months .
Question 4
A nurse is teaching a parent about age-appropriate activities for a toddler (1-3 years).
Which activity should the nurse recommend?
A) Mobiles and rattles
B) Push-pull toys and toy telephones
C) Board games with rules
D) Video games
Rationale: Push-pull toys and toy telephones are appropriate activities for toddlers.
Mobiles and rattles are for infants. Board games with rules are for school-age children.
Video games are not recommended for toddlers .
,Question 5
Which finding is a potential "red flag" for autism spectrum disorder in a 3-year-old
child?
A) The child has a vocabulary of 50 words
B) The child does not make eye contact and does not respond to their name
C) The child engages in parallel play
D) The child has temper tantrums
Rationale: Lack of eye contact and response to their name are early social
communication deficits associated with ASD. A vocabulary of 50 words is expected at
this age. Parallel play is normal for toddlers. Temper tantrums are common in toddlers .
Question 6
What is the most appropriate pain scale for a 4-year-old child?
A) Numerical Rating Scale (0-10)
B) Visual Analog Scale
C) CRIES Scale
D) Wong-Baker FACES Scale
Rationale: The Wong-Baker FACES scale is ideal for children as young as 3 years old
who can point to a face that represents their pain level. The Numerical Rating Scale is
appropriate for children >8 years. The CRIES Scale is used for neonates .
Question 7
A nurse is providing discharge teaching to the parents of a hospitalized toddler. Which
statement by the parents indicates understanding of the child's emotional needs?
, A) "We will not bring toys from home to avoid distraction."
B) "We will explain to our child that we will be back after their nap."
C) "We will leave the hospital room without saying goodbye."
D) "We will not allow our child to have comfort items."
Rationale: Encouraging parents to explain their plans to the child ("I'll be back after
your nap") helps reduce separation anxiety. Security objects from home should be
encouraged. Saying goodbye is important; leaving without saying goodbye increases
anxiety .
Question 8
Which pain scale is most appropriate for a 4-year-old child?
A) Numerical Rating Scale (0-10)
B) Visual Analog Scale
C) CRIES Scale
D) Wong-Baker FACES Scale
Rationale: The Wong-Baker FACES scale is ideal for children as young as 3 years old
who can point to a face that represents their pain level. The Numerical Rating Scale is for
children >8 years, and the CRIES Scale is for neonates .
Question 9
The nurse is assessing a 3-year-old child. According to Erikson, the child is in which
stage of psychosocial development?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
