ACTUAL FINAL EXAM 2026/2027 ACCURATE EXAM APPROVED
QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS) CURRENTLY UPDATED VERSION 2026
|GUARANTEED PASS A+ (BRAND NEW!) FULL REVISED NSG 3600
PEDS FINAL EXAM
1. A nurse is assessing the vital signs of a 2-year-old child during a well-child visit.
Which finding would be considered within the normal range for this age group?
A. Heart rate of 140 bpm and respiratory rate of 40 breaths/min
B. Heart rate of 110 bpm and respiratory rate of 28 breaths/min (CORRECT
ANSWER)
C. Heart rate of 80 bpm and respiratory rate of 20 breaths/min
D. Heart rate of 150 bpm and respiratory rate of 60 breaths/min
2. A 9-month-old infant is brought to the clinic for a routine well-baby check.
Which developmental milestone should the nurse expect to observe?
A. Walking independently
B. Building a tower of two blocks
C. Sitting steadily without support (CORRECT ANSWER)
D. Saying "mama" and "dada" specifically
3. The parents of a 4-year-old are concerned because their child has started
referring to genitals as "funny names" and has been touching themselves while
watching television. What is the nurse's best response?
A. "You should discourage this behavior immediately as it is inappropriate."
B. "This is a normal part of preschooler development and curiosity about their
bodies." (CORRECT ANSWER)
,C. "This could be a sign of sexual abuse and requires further investigation."
D. "Ignore the behavior, and it will likely stop on its own."
4. A nurse is providing anticipatory guidance to the parents of a toddler about
preventing temper tantrums. Which strategy is most effective?
A. Giving in to the child's demands to avoid a tantrum
B. Providing a structured routine and limited choices (CORRECT ANSWER)
C. Punishing the child for any display of anger
D. Ignoring the child completely until they are calm
5. According to Erickson's theory of psychosocial development, the primary task
of an adolescent is to:
A. Develop a sense of initiative
B. Achieve industry and competence
C. Establish a personal identity (CORRECT ANSWER)
D. Form trusting relationships
6. A nurse is teaching a parent about car seat safety for a 2-year-old child who
weighs 30 pounds. Which instruction is correct?
A. The child is ready for a booster seat with a lap and shoulder belt.
B. The child should remain in a forward-facing car seat with a harness. (CORRECT
ANSWER)
C. The child should be in a rear-facing car seat until age 4.
D. A seat belt alone is sufficient if the child is over 25 pounds.
, 7. A 15-year-old adolescent tells the school nurse, "My friends are more
important to me than my family right now." This statement reflects:
A. A sign of family dysfunction
B. The normal developmental task of forming an identity separate from parents
(CORRECT ANSWER)
C. Early signs of oppositional defiant disorder
D. A need for increased parental control
8. The nurse is calculating the safe dosage range for a child who weighs 20 kg. The
medication's safe range is 5-10 mg/kg/day divided every 6 hours. What is the
maximum single dose the nurse should administer?
A. 25 mg
B. 50 mg
C. 100 mg (CORRECT ANSWER)
D. 200 mg
9. A 6-month-old infant is exhibiting signs of dehydration. Which assessment
finding is the MOST reliable indicator of dehydration in an infant?
A. Absence of tears
B. Sunken anterior fontanel (CORRECT ANSWER)
C. Dry mucous membranes
D. Decreased skin turgor
10. When performing a physical assessment on a newborn, the nurse notes a soft,
flat, bluish discoloration on the sacral area. The nurse documents this finding as:
A. A hemangioma