NSG 3600 Peds Exam 1 Questions and
Answers Latest 2025 - 2026| 100% Correct –
Galen College of Nursing With Past Papers
A pediatric nurse assesses fine motor development in a toddler. Which task best
demonstrates appropriate fine motor skills?
a. Buttoning a shirt
b. Writing with a pencil
c. Holding a spoon to eat
d. Using the pincer grasp
Answer: C
Rationale: A toddler (1–3 years) typically develops self-feeding skills such as using a spoon.
Buttoning and writing require preschool/school-age fine motor coordination. The pincer
grasp develops earlier in infancy and is not a task but a developmental milestone.
According to Piaget’s sensorimotor stage, which activity best demonstrates object
permanence in an infant?
a. Playing peek-a-boo
b. Shaking a rattle
c. Pushing a mobile button
d. Going for a stroller walk
Answer: A
Rationale: Peek-a-boo demonstrates understanding that objects/persons still exist when out
of sight, which reflects object permanence.
Which anticipatory guidance statement for a 10-month-old infant is inappropriate?
a. Remove small objects from the floor
b. Keep crib rails raised
c. Use cabinet safety locks
d. Allow the infant to stay alone briefly
Answer: D
,Rationale: Infants should never be left alone due to safety risks. The other options are
appropriate safety measures.
A mother of a 26-month-old reports difficulty with discipline. Which nursing response is
most appropriate?
a. “You must show her you are boss.”
b. “Punish her when she misbehaves.”
c. “Time-outs with positive reinforcement work well.”
d. “Take away her favorite toy for long periods.”
Answer: C
Rationale: Toddlers respond best to consistent, brief time-outs combined with positive
reinforcement.
What is the best way to prepare a toddler for a medical procedure?
a. No explanation is needed
b. Use short, simple explanations
c. Allow full exploration of procedure room
d. Provide detailed demonstrations
Answer: B
Rationale: Toddlers have limited comprehension and require simple, concrete explanations
shortly before procedures.
A preschool child cries after a friend is injured and expresses guilt about a prior argument.
What cognitive behavior is demonstrated?
a. Magical thinking
b. Inferiority
c. Guilt complex
d. Morality issue
Answer: A
Rationale: Preschoolers often engage in magical thinking, believing unrelated events may be
connected to their thoughts or actions.
Which adolescent developmental capability is NOT essential for decision-making?
, a. Abstract thinking
b. Deductive reasoning
c. Long-term planning
d. Pure logical thinking
Answer: D
Rationale: Adolescents are still developing consistent logical reasoning; abstract thinking,
planning, and deduction are more relevant.
In family development theory, family stages are based on:
a. Number of children
b. Oldest child’s age
c. Youngest child’s age
d. Years of marriage
Answer: B
Rationale: Duvall’s theory defines stages based on the age of the oldest child.
A preschool child with sleep difficulty is best assessed by:
a. Evaluating bedtime routine
b. Ignoring sleep-behavior link
c. Encouraging vigorous play before bed
d. Allowing sleep only when exhausted
Answer: A
Rationale: Sleep problems in children are often related to inconsistent routines.
What is the best discipline strategy for preschoolers?
a. Punishment without explanation
b. Natural consequences
c. Ignoring rules
d. Frequent removal of privileges
Answer: B
Rationale: Preschoolers learn best from natural consequences linked to behavior.
Answers Latest 2025 - 2026| 100% Correct –
Galen College of Nursing With Past Papers
A pediatric nurse assesses fine motor development in a toddler. Which task best
demonstrates appropriate fine motor skills?
a. Buttoning a shirt
b. Writing with a pencil
c. Holding a spoon to eat
d. Using the pincer grasp
Answer: C
Rationale: A toddler (1–3 years) typically develops self-feeding skills such as using a spoon.
Buttoning and writing require preschool/school-age fine motor coordination. The pincer
grasp develops earlier in infancy and is not a task but a developmental milestone.
According to Piaget’s sensorimotor stage, which activity best demonstrates object
permanence in an infant?
a. Playing peek-a-boo
b. Shaking a rattle
c. Pushing a mobile button
d. Going for a stroller walk
Answer: A
Rationale: Peek-a-boo demonstrates understanding that objects/persons still exist when out
of sight, which reflects object permanence.
Which anticipatory guidance statement for a 10-month-old infant is inappropriate?
a. Remove small objects from the floor
b. Keep crib rails raised
c. Use cabinet safety locks
d. Allow the infant to stay alone briefly
Answer: D
,Rationale: Infants should never be left alone due to safety risks. The other options are
appropriate safety measures.
A mother of a 26-month-old reports difficulty with discipline. Which nursing response is
most appropriate?
a. “You must show her you are boss.”
b. “Punish her when she misbehaves.”
c. “Time-outs with positive reinforcement work well.”
d. “Take away her favorite toy for long periods.”
Answer: C
Rationale: Toddlers respond best to consistent, brief time-outs combined with positive
reinforcement.
What is the best way to prepare a toddler for a medical procedure?
a. No explanation is needed
b. Use short, simple explanations
c. Allow full exploration of procedure room
d. Provide detailed demonstrations
Answer: B
Rationale: Toddlers have limited comprehension and require simple, concrete explanations
shortly before procedures.
A preschool child cries after a friend is injured and expresses guilt about a prior argument.
What cognitive behavior is demonstrated?
a. Magical thinking
b. Inferiority
c. Guilt complex
d. Morality issue
Answer: A
Rationale: Preschoolers often engage in magical thinking, believing unrelated events may be
connected to their thoughts or actions.
Which adolescent developmental capability is NOT essential for decision-making?
, a. Abstract thinking
b. Deductive reasoning
c. Long-term planning
d. Pure logical thinking
Answer: D
Rationale: Adolescents are still developing consistent logical reasoning; abstract thinking,
planning, and deduction are more relevant.
In family development theory, family stages are based on:
a. Number of children
b. Oldest child’s age
c. Youngest child’s age
d. Years of marriage
Answer: B
Rationale: Duvall’s theory defines stages based on the age of the oldest child.
A preschool child with sleep difficulty is best assessed by:
a. Evaluating bedtime routine
b. Ignoring sleep-behavior link
c. Encouraging vigorous play before bed
d. Allowing sleep only when exhausted
Answer: A
Rationale: Sleep problems in children are often related to inconsistent routines.
What is the best discipline strategy for preschoolers?
a. Punishment without explanation
b. Natural consequences
c. Ignoring rules
d. Frequent removal of privileges
Answer: B
Rationale: Preschoolers learn best from natural consequences linked to behavior.
