Galen NSG 3600 Exam 1 | Nursing Practice – Leadership (2026)
Actual Q&A PDF
1. A 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 back to front
C) Holding the head steady when upright
D) Crawling on hands and knees
Correct Answer: Holding the head steady when upright
Rationale: By 4 months of age, infants typically can hold their head steady when upright. Sitting
without support is expected around 8 months, rolling from back to front around 6 months, and
crawling around 8–10 months.
2. A mother asks the nurse when her infant will likely double their birth weight. Which response
by the nurse is most accurate?
A) "Most infants double their birth weight by 4 months."
B) "Most infants double their birth weight by 6 months."
C) "Most infants double their birth weight by 9 months."
D) "Most infants double their birth weight by 12 months."
Correct Answer: "Most infants double their birth weight by 6 months."
Rationale: Infants typically double their birth weight by 6 months of age and triple it by 12
months. This is a key growth milestone used to assess adequate nutrition and development.
,3. A nurse is providing education to parents about the importance of immunizations. Which
vaccine is recommended at the 2-month well-child visit?
A) MMR (measles, mumps, rubella)
B) DTaP (diphtheria, tetanus, pertussis)
C) Varicella (chickenpox)
D) Hepatitis A
Correct Answer: DTaP (diphtheria, tetanus, pertussis)
Rationale: The DTaP vaccine is part of the routine immunization schedule and is first
administered at 2 months of age. MMR and Varicella are given at 12-15 months, and Hepatitis A
is given at 12 months.
4. The nurse is assessing a 2-year-old child during a well-child visit. Which gross motor skill
should the nurse expect the child to have achieved?
A) Jumping with both feet
B) Riding a tricycle
C) Walking up stairs with alternating feet
D) Kicking a ball forward
Correct Answer: Kicking a ball forward
Rationale: A 2-year-old can kick a ball forward, run, and walk up stairs with one hand held.
Jumping with both feet occurs around 2.5–3 years. Tricycle riding and alternating feet on stairs
are 3-year skills.
5. A nurse is assessing a 6-month-old infant. Which finding would be a concern for
developmental delay?
,A) The infant rolls from back to front.
B) The infant transfers a rattle from one hand to the other.
C) The infant does not sit without support.
D) The infant babbles "mama" and "dada" nonspecifically.
Correct Answer: The infant does not sit without support.
Rationale: By 6 months, infants can sit with support and may sit briefly without support. Sitting
without support is typically achieved by 8 months. Rolling, transferring objects, and babbling
are expected at 6 months.
6. A mother of a 4-month-old infant asks when to introduce solid foods. What is the nurse's best
response?
A) "You can start rice cereal at 2 months if the infant is formula-fed."
B) "Solids should be introduced around 6 months of age when the infant can sit with support
and has lost the extrusion reflex."
C) "Start fruits and vegetables at 3 months to prevent allergies."
D) "Solid foods are not needed until 12 months."
Correct Answer: "Solids should be introduced around 6 months of age when the infant can sit
with support and has lost the extrusion reflex."
Rationale: The AAP recommends exclusive breastfeeding or formula until 6 months. Signs of
readiness include head control, sitting with support, loss of extrusion reflex, and interest in
food.
7. A nurse is caring for a hospitalized 9-month-old infant. The parents are concerned that the
infant is not interacting with them and seems withdrawn. The nurse understands that this
behavior is most likely due to:
, A) Cognitive regression related to the hospital environment
B) The infant's temperament
C) The infant's emerging sense of autonomy
D) A developmental delay that was previously undetected
Correct Answer: Cognitive regression related to the hospital environment
Rationale: During hospitalization, an infant's emerging skills may disappear, and the infant may
be inconsolable due to separation anxiety. Parents must be part of the infant's care, and the
nurse should respect the infant's schedule.
8. According to Erikson, a toddler (1-3 years) is in which psychosocial stage?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Autonomy vs. Shame and Doubt
Rationale: According to Erikson, toddlers (1-3 years) are in the stage of Autonomy vs. Shame
and Doubt. During this stage, children develop a sense of personal control and independence.
9. The mother of a 12-month-old asks the nurse about the child's expected weight. What is the
most appropriate response?
A) "Most infants triple their birth weight by 12 months."
B) "Most infants double their birth weight by 12 months."
C) "Most infants quadruple their birth weight by 12 months."
Actual Q&A PDF
1. A 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 back to front
C) Holding the head steady when upright
D) Crawling on hands and knees
Correct Answer: Holding the head steady when upright
Rationale: By 4 months of age, infants typically can hold their head steady when upright. Sitting
without support is expected around 8 months, rolling from back to front around 6 months, and
crawling around 8–10 months.
2. A mother asks the nurse when her infant will likely double their birth weight. Which response
by the nurse is most accurate?
A) "Most infants double their birth weight by 4 months."
B) "Most infants double their birth weight by 6 months."
C) "Most infants double their birth weight by 9 months."
D) "Most infants double their birth weight by 12 months."
Correct Answer: "Most infants double their birth weight by 6 months."
Rationale: Infants typically double their birth weight by 6 months of age and triple it by 12
months. This is a key growth milestone used to assess adequate nutrition and development.
,3. A nurse is providing education to parents about the importance of immunizations. Which
vaccine is recommended at the 2-month well-child visit?
A) MMR (measles, mumps, rubella)
B) DTaP (diphtheria, tetanus, pertussis)
C) Varicella (chickenpox)
D) Hepatitis A
Correct Answer: DTaP (diphtheria, tetanus, pertussis)
Rationale: The DTaP vaccine is part of the routine immunization schedule and is first
administered at 2 months of age. MMR and Varicella are given at 12-15 months, and Hepatitis A
is given at 12 months.
4. The nurse is assessing a 2-year-old child during a well-child visit. Which gross motor skill
should the nurse expect the child to have achieved?
A) Jumping with both feet
B) Riding a tricycle
C) Walking up stairs with alternating feet
D) Kicking a ball forward
Correct Answer: Kicking a ball forward
Rationale: A 2-year-old can kick a ball forward, run, and walk up stairs with one hand held.
Jumping with both feet occurs around 2.5–3 years. Tricycle riding and alternating feet on stairs
are 3-year skills.
5. A nurse is assessing a 6-month-old infant. Which finding would be a concern for
developmental delay?
,A) The infant rolls from back to front.
B) The infant transfers a rattle from one hand to the other.
C) The infant does not sit without support.
D) The infant babbles "mama" and "dada" nonspecifically.
Correct Answer: The infant does not sit without support.
Rationale: By 6 months, infants can sit with support and may sit briefly without support. Sitting
without support is typically achieved by 8 months. Rolling, transferring objects, and babbling
are expected at 6 months.
6. A mother of a 4-month-old infant asks when to introduce solid foods. What is the nurse's best
response?
A) "You can start rice cereal at 2 months if the infant is formula-fed."
B) "Solids should be introduced around 6 months of age when the infant can sit with support
and has lost the extrusion reflex."
C) "Start fruits and vegetables at 3 months to prevent allergies."
D) "Solid foods are not needed until 12 months."
Correct Answer: "Solids should be introduced around 6 months of age when the infant can sit
with support and has lost the extrusion reflex."
Rationale: The AAP recommends exclusive breastfeeding or formula until 6 months. Signs of
readiness include head control, sitting with support, loss of extrusion reflex, and interest in
food.
7. A nurse is caring for a hospitalized 9-month-old infant. The parents are concerned that the
infant is not interacting with them and seems withdrawn. The nurse understands that this
behavior is most likely due to:
, A) Cognitive regression related to the hospital environment
B) The infant's temperament
C) The infant's emerging sense of autonomy
D) A developmental delay that was previously undetected
Correct Answer: Cognitive regression related to the hospital environment
Rationale: During hospitalization, an infant's emerging skills may disappear, and the infant may
be inconsolable due to separation anxiety. Parents must be part of the infant's care, and the
nurse should respect the infant's schedule.
8. According to Erikson, a toddler (1-3 years) is in which psychosocial stage?
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Correct Answer: Autonomy vs. Shame and Doubt
Rationale: According to Erikson, toddlers (1-3 years) are in the stage of Autonomy vs. Shame
and Doubt. During this stage, children develop a sense of personal control and independence.
9. The mother of a 12-month-old asks the nurse about the child's expected weight. What is the
most appropriate response?
A) "Most infants triple their birth weight by 12 months."
B) "Most infants double their birth weight by 12 months."
C) "Most infants quadruple their birth weight by 12 months."
