1|Page
NSG 3600 (PEDS) EXAM 1 NURSING
PRACTICE – CHILDREN’S HEALTH
ACTUAL EXAM PREP 2026 |QUESTIONS
AND VERIFIED ANSWERS |RATED A+
|NEW AND REVISED
A mother is complaining to the nurse that her 3 y/o child often has
difficulty falling and staying asleep. The following day, the child is
cranky and uncooperative. Which action by the nurse is the most
appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related
c. Encourage active play before bedtime
d. Have mom put the child to bed only when sleepy - ANSWER- A
A nurse is providing anticipatory guidance to the parents of a preschool-
aged child regarding discipline. Which information is most beneficial?
a. Children at this age lie frequently and without reason
b. consequences should be natural and fit the behavior
c. explaining the rules is not as important as discipline
d. taking away privileges is a powerful tool for this age group -
ANSWER- B
,2|Page
A pediatric nurse examines a 7 y/o at a well-child visit. Based on
Erikson's theory, which basic task does the nurse anticipate for this
child?
a. balance independence and self-sufficiency against uncertainty and
misgiving
b. develop a sense of confidence through mastery of different tasks
c. develop resourcefulness to achieve and learn new things without self-
reproach
d. recognize there are people in his or her life who can be trusted to take
care of needs - ANSWER- B
A 10 y/o child who has been hospitalized frequently and for long periods
of time has the nursing diagnosis of delayed growth and development.
Which action by the child would demonstrate that outcomes for this
diagnosis have been met?
a. able to play harmoniously with peers
b. does own homework independently
c. seeks out parental approval for activities
d. selects age-appropriate games and toys - ANSWER- B
A home health-care nurse sees several pediatric patients who have the
nursing diagnosis of delayed growth and development. Which action by
a child would indicated that outcomes have been met?
a. a 3 y/o child walks backward
b. a 4 y/o plays video games
c. a 5 y/o child can unscrew items
,3|Page
d. a 7 y/o child uses scissors to cut an outline figure - ANSWER- A
A nurse is assessing several children during a shift at the well-child
clinic. Which child demonstrates successful resolution fo the Erikson
stage of autonomy versus shame and doubt?
a. a 15 month old playing one the floor with supervision
b. an 18 month old being consistently consoled by her father
c. a 20 month old using building blocks with her grandfather
d. a 24 month old being allowed to independently dress himself -
ANSWER- D
The nurse is preparing to educate the parents of an 8 y/o child about
normal growth and development. Which info should the nurse include?
(Select all that apply)
a. boys and girls play equally w/ each other
b. children frequently have best friends at this age
c. peer approval is not yet important, but will be for teens
d. puberty changes should be discussed before they occur
e. typical weight gain is 4-6 lbs/year - ANSWER- B, D, E
The nurse is preparing to provide info to the parents of a 14 y/o who is
within normal limits for growth and development. What info is
appropriate for the nurse to include? (select all that apply)
a. children of this age can anticipate long-term consequences of choices
b. growth, although slowed, can still be significant
, 4|Page
c. the child of this age may be able to give informed consent in some
situations
d. the child of this age is not normally worries about sexual identity
e. peer group influence is often stronger than family influence -
ANSWER- A, B, C, E
When preparing a 4 y/o child for a procedure, the pediatric nurse must
be aware of the child's developmental status. Which nursing action
demonstrates awareness of the child's developmental status?
a. demonstrating the procedure on the child's teddy bear
b. providing a peer video of the procedure for the child to view
c. explaining the procedure to the child the day before the actual
procedure occurs
d. discussing the procedure at the length with the child - ANSWER- A
The 10 y/o child is receiving preoperative teaching prior to a
tonsillectomy. Which response by the nurse uses a developmentally
appropriate explanation of the operation?
a. "don't worry, the doctor will cut your tonsils out while you're asleep."
b. "the shot that you will receive in your arm will only help the pain a
little bit"
c. "Don't worry about the operation, it is really not a big deal."
d. "the doctor will give you special sleeping medicine before she
operates" - ANSWER- D
NSG 3600 (PEDS) EXAM 1 NURSING
PRACTICE – CHILDREN’S HEALTH
ACTUAL EXAM PREP 2026 |QUESTIONS
AND VERIFIED ANSWERS |RATED A+
|NEW AND REVISED
A mother is complaining to the nurse that her 3 y/o child often has
difficulty falling and staying asleep. The following day, the child is
cranky and uncooperative. Which action by the nurse is the most
appropriate?
a. asses the child's usual nighttime routine
b. Assure mom that sleep and behavior are not related
c. Encourage active play before bedtime
d. Have mom put the child to bed only when sleepy - ANSWER- A
A nurse is providing anticipatory guidance to the parents of a preschool-
aged child regarding discipline. Which information is most beneficial?
a. Children at this age lie frequently and without reason
b. consequences should be natural and fit the behavior
c. explaining the rules is not as important as discipline
d. taking away privileges is a powerful tool for this age group -
ANSWER- B
,2|Page
A pediatric nurse examines a 7 y/o at a well-child visit. Based on
Erikson's theory, which basic task does the nurse anticipate for this
child?
a. balance independence and self-sufficiency against uncertainty and
misgiving
b. develop a sense of confidence through mastery of different tasks
c. develop resourcefulness to achieve and learn new things without self-
reproach
d. recognize there are people in his or her life who can be trusted to take
care of needs - ANSWER- B
A 10 y/o child who has been hospitalized frequently and for long periods
of time has the nursing diagnosis of delayed growth and development.
Which action by the child would demonstrate that outcomes for this
diagnosis have been met?
a. able to play harmoniously with peers
b. does own homework independently
c. seeks out parental approval for activities
d. selects age-appropriate games and toys - ANSWER- B
A home health-care nurse sees several pediatric patients who have the
nursing diagnosis of delayed growth and development. Which action by
a child would indicated that outcomes have been met?
a. a 3 y/o child walks backward
b. a 4 y/o plays video games
c. a 5 y/o child can unscrew items
,3|Page
d. a 7 y/o child uses scissors to cut an outline figure - ANSWER- A
A nurse is assessing several children during a shift at the well-child
clinic. Which child demonstrates successful resolution fo the Erikson
stage of autonomy versus shame and doubt?
a. a 15 month old playing one the floor with supervision
b. an 18 month old being consistently consoled by her father
c. a 20 month old using building blocks with her grandfather
d. a 24 month old being allowed to independently dress himself -
ANSWER- D
The nurse is preparing to educate the parents of an 8 y/o child about
normal growth and development. Which info should the nurse include?
(Select all that apply)
a. boys and girls play equally w/ each other
b. children frequently have best friends at this age
c. peer approval is not yet important, but will be for teens
d. puberty changes should be discussed before they occur
e. typical weight gain is 4-6 lbs/year - ANSWER- B, D, E
The nurse is preparing to provide info to the parents of a 14 y/o who is
within normal limits for growth and development. What info is
appropriate for the nurse to include? (select all that apply)
a. children of this age can anticipate long-term consequences of choices
b. growth, although slowed, can still be significant
, 4|Page
c. the child of this age may be able to give informed consent in some
situations
d. the child of this age is not normally worries about sexual identity
e. peer group influence is often stronger than family influence -
ANSWER- A, B, C, E
When preparing a 4 y/o child for a procedure, the pediatric nurse must
be aware of the child's developmental status. Which nursing action
demonstrates awareness of the child's developmental status?
a. demonstrating the procedure on the child's teddy bear
b. providing a peer video of the procedure for the child to view
c. explaining the procedure to the child the day before the actual
procedure occurs
d. discussing the procedure at the length with the child - ANSWER- A
The 10 y/o child is receiving preoperative teaching prior to a
tonsillectomy. Which response by the nurse uses a developmentally
appropriate explanation of the operation?
a. "don't worry, the doctor will cut your tonsils out while you're asleep."
b. "the shot that you will receive in your arm will only help the pain a
little bit"
c. "Don't worry about the operation, it is really not a big deal."
d. "the doctor will give you special sleeping medicine before she
operates" - ANSWER- D
