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NSG 3600 FINAL EXAM — COMPREHENSIVE —EXAM QUESTIONS LATEST
EDITION 2026 – 2027 VERSION SOLVED QUESTIONS & ANSWERS
1. When assessing a 6-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 stomach
C) Walking with one hand held
D) Building a tower of two cubes
Answer: B
Rationale: A 6-month-old infant typically has the strength and coordination to roll from
back to stomach, which is a key gross motor milestone for this age.
2. A nurse is teaching parents about expected developmental changes in their 2-
year-old child; which behavior should the nurse include as consistent with
Erikson's stage of autonomy versus shame and doubt?
A) The child insists on dressing themselves without help.
B) The child prefers to play quietly alone for long periods.
C) The child shows no interest in making choices.
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D) The child constantly seeks approval from parents.
Answer: A
Rationale: Toddlers in the autonomy stage assert independence by wanting to do things
for themselves, such as dressing, which supports their sense of control.
3. During a health supervision visit for a 4-year-old child, the nurse observes the
child's play and notes that the child is engaging in associative play; which
description best characterizes this type of play?
A) Playing alongside other children without interaction.
B) Organizing games with strict rules and teams.
C) Sharing toys and interacting with peers without a common goal.
D) Engaging in solitary fantasy play with imaginary friends.
Answer: C
Rationale: Associative play involves children playing together and sharing materials but
without a structured, common goal, which is typical for preschoolers.
4. A nurse is evaluating a 9-month-old infant's fine motor skills; which activity
should the nurse recognize as an appropriate expectation for this age?
A) Transferring a small object from one hand to the other.
B) Scribbling with a crayon on paper.
C) Turning pages of a book one at a time.
D) Using a spoon to feed themselves.
Answer: A
Rationale: The pincer grasp and ability to transfer objects between hands are fine
motor milestones that typically develop around 9 months of age.
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5. When providing anticipatory guidance to the parents of a 15-month-old toddler,
which safety intervention should the nurse prioritize based on the child's
developmental stage?
A) Installing gates at the top and bottom of stairs.
B) Teaching the child to swim.
C) Locking all kitchen cabinets containing cleaning supplies.
D) Removing small area rugs to prevent slipping.
Answer: A
Rationale: Toddlers are mobile and curious, making falls a major risk; stair gates are a
critical safety measure at this developmental stage.
6. A school nurse is assessing a 7-year-old child's cognitive development according
to Piaget; which behavior indicates the child is in the concrete operational stage?
A) Believing that a tall, thin glass holds more water than a short, wide glass.
B) Using logical thinking to solve problems about tangible objects.
C) Engaging in abstract reasoning about justice and fairness.
D) Pretending a cardboard box is a spaceship.
Answer: B
Rationale: The concrete operational stage (ages 7–11) is characterized by logical
thought applied to concrete, tangible information, such as conservation of volume.
7. A nurse is discussing the psychosocial development of a 16-year-old adolescent
with the parents; which task is most consistent with Erikson's stage of identity
versus role confusion?
A) Developing a sense of trust in caregivers.
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B) Exploring different roles and peer groups to form a self-identity.
C) Learning to initiate activities and assert control.
D) Seeking intimacy in a long-term romantic relationship.
Answer: B
Rationale: Adolescents in the identity versus role confusion stage explore various roles,
values, and peer groups to establish a coherent sense of self.
8. During a well-child exam, a nurse notes that a 3-year-old child has a vocabulary
of about 300 words; which statement by the nurse is most accurate regarding this
finding?
A) This is above expectations; the child is gifted.
B) This is below expectations; the child needs a speech referral.
C) This is within normal limits for a 3-year-old.
D) This suggests the child may have a hearing deficit.
Answer: C
Rationale: A 3-year-old typically has a vocabulary of 300–500 words and uses short
sentences, so this finding is developmentally appropriate.
9. A nurse is assessing a 5-year-old child's readiness for school; which
developmental skill is most important for the nurse to evaluate?
A) Ability to read simple words.
B) Ability to separate from parents without distress.
C) Ability to perform multiplication tables.
D) Ability to write in cursive.
Answer: B
NSG 3600 FINAL EXAM — COMPREHENSIVE —EXAM QUESTIONS LATEST
EDITION 2026 – 2027 VERSION SOLVED QUESTIONS & ANSWERS
1. When assessing a 6-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 stomach
C) Walking with one hand held
D) Building a tower of two cubes
Answer: B
Rationale: A 6-month-old infant typically has the strength and coordination to roll from
back to stomach, which is a key gross motor milestone for this age.
2. A nurse is teaching parents about expected developmental changes in their 2-
year-old child; which behavior should the nurse include as consistent with
Erikson's stage of autonomy versus shame and doubt?
A) The child insists on dressing themselves without help.
B) The child prefers to play quietly alone for long periods.
C) The child shows no interest in making choices.
, Page 2 of 106
D) The child constantly seeks approval from parents.
Answer: A
Rationale: Toddlers in the autonomy stage assert independence by wanting to do things
for themselves, such as dressing, which supports their sense of control.
3. During a health supervision visit for a 4-year-old child, the nurse observes the
child's play and notes that the child is engaging in associative play; which
description best characterizes this type of play?
A) Playing alongside other children without interaction.
B) Organizing games with strict rules and teams.
C) Sharing toys and interacting with peers without a common goal.
D) Engaging in solitary fantasy play with imaginary friends.
Answer: C
Rationale: Associative play involves children playing together and sharing materials but
without a structured, common goal, which is typical for preschoolers.
4. A nurse is evaluating a 9-month-old infant's fine motor skills; which activity
should the nurse recognize as an appropriate expectation for this age?
A) Transferring a small object from one hand to the other.
B) Scribbling with a crayon on paper.
C) Turning pages of a book one at a time.
D) Using a spoon to feed themselves.
Answer: A
Rationale: The pincer grasp and ability to transfer objects between hands are fine
motor milestones that typically develop around 9 months of age.
, Page 3 of 106
5. When providing anticipatory guidance to the parents of a 15-month-old toddler,
which safety intervention should the nurse prioritize based on the child's
developmental stage?
A) Installing gates at the top and bottom of stairs.
B) Teaching the child to swim.
C) Locking all kitchen cabinets containing cleaning supplies.
D) Removing small area rugs to prevent slipping.
Answer: A
Rationale: Toddlers are mobile and curious, making falls a major risk; stair gates are a
critical safety measure at this developmental stage.
6. A school nurse is assessing a 7-year-old child's cognitive development according
to Piaget; which behavior indicates the child is in the concrete operational stage?
A) Believing that a tall, thin glass holds more water than a short, wide glass.
B) Using logical thinking to solve problems about tangible objects.
C) Engaging in abstract reasoning about justice and fairness.
D) Pretending a cardboard box is a spaceship.
Answer: B
Rationale: The concrete operational stage (ages 7–11) is characterized by logical
thought applied to concrete, tangible information, such as conservation of volume.
7. A nurse is discussing the psychosocial development of a 16-year-old adolescent
with the parents; which task is most consistent with Erikson's stage of identity
versus role confusion?
A) Developing a sense of trust in caregivers.
, Page 4 of 106
B) Exploring different roles and peer groups to form a self-identity.
C) Learning to initiate activities and assert control.
D) Seeking intimacy in a long-term romantic relationship.
Answer: B
Rationale: Adolescents in the identity versus role confusion stage explore various roles,
values, and peer groups to establish a coherent sense of self.
8. During a well-child exam, a nurse notes that a 3-year-old child has a vocabulary
of about 300 words; which statement by the nurse is most accurate regarding this
finding?
A) This is above expectations; the child is gifted.
B) This is below expectations; the child needs a speech referral.
C) This is within normal limits for a 3-year-old.
D) This suggests the child may have a hearing deficit.
Answer: C
Rationale: A 3-year-old typically has a vocabulary of 300–500 words and uses short
sentences, so this finding is developmentally appropriate.
9. A nurse is assessing a 5-year-old child's readiness for school; which
developmental skill is most important for the nurse to evaluate?
A) Ability to read simple words.
B) Ability to separate from parents without distress.
C) Ability to perform multiplication tables.
D) Ability to write in cursive.
Answer: B
