NSG3600 Exam 1 V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is assessing an 8-month-old infant. According to Erikson, which psychosocial
developmental stage should the nurse expect the infant to be in?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Answer: D
Rationale: The stage of Trust vs. Mistrust occurs from birth to approximately 1 year of age.
During this stage, infants learn to trust that their basic needs will be met by their
caregivers. If these needs are not consistently met, the infant may develop a sense of
mistrust toward the world.
2. When should the nurse advise a parent to introduce solid foods into an infant’s diet?
A. At 2 months of age
B. After 12 months of age
C. At 8 to 10 months of age
D. At 4 to 6 months of age
,Answer: D
Rationale: Solid foods are generally introduced between 4 and 6 months of age when the
infant shows readiness, such as being able to sit with support. Iron-fortified rice cereal is
typically the first food introduced because of its low allergenic potential. Introducing solids
too early can lead to food allergies and excessive calorie intake.
3. A mother brings her 12-month-old for a well-child checkup. Which vaccine should the nurse
prepare to administer?
A. Rotavirus (RV)
B. Measles, Mumps, Rubella (MMR)
C. Hepatitis B (HepB)
D. Human Papillomavirus (HPV)
Answer: B
Rationale: The first dose of the MMR vaccine is recommended for children between 12 and
15 months of age. This vaccine provides essential protection against three viral diseases
that can have serious complications. It is often administered concurrently with the
Varicella vaccine at this age visit.
4. By what age does an infant’s birth weight typically triple?
A. 12 months
B. 9 months
, C. 6 months
D. 18 months
Answer: A
Rationale: An infant’s birth weight typically doubles by 5 to 6 months and triples by 12
months. This rapid growth is a primary indicator of adequate nutrition and overall health
during the first year. Failure to reach these milestones may require further nutritional or
medical assessment.
5. When assessing a toddler, which behavior should the nurse identify as ‘parallel play’?
A. Playing with similar toys next to another child without interaction
B. Playing a board game with another child
C. Sharing toys and talking while playing together
D. Watching other children play without joining in
Answer: A
Rationale: Parallel play is a hallmark of the toddler years where children play side-by-side
with similar toys but do not interact with one another. This stage follows onlooker play and
precedes associative play in developmental sequence. It reflects the toddler’s growing
interest in others while still maintaining an egocentric focus.
6. At what age is it developmentally appropriate to use the FACES pain rating scale?
A. Preschoolers (3 years and older)
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is assessing an 8-month-old infant. According to Erikson, which psychosocial
developmental stage should the nurse expect the infant to be in?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Answer: D
Rationale: The stage of Trust vs. Mistrust occurs from birth to approximately 1 year of age.
During this stage, infants learn to trust that their basic needs will be met by their
caregivers. If these needs are not consistently met, the infant may develop a sense of
mistrust toward the world.
2. When should the nurse advise a parent to introduce solid foods into an infant’s diet?
A. At 2 months of age
B. After 12 months of age
C. At 8 to 10 months of age
D. At 4 to 6 months of age
,Answer: D
Rationale: Solid foods are generally introduced between 4 and 6 months of age when the
infant shows readiness, such as being able to sit with support. Iron-fortified rice cereal is
typically the first food introduced because of its low allergenic potential. Introducing solids
too early can lead to food allergies and excessive calorie intake.
3. A mother brings her 12-month-old for a well-child checkup. Which vaccine should the nurse
prepare to administer?
A. Rotavirus (RV)
B. Measles, Mumps, Rubella (MMR)
C. Hepatitis B (HepB)
D. Human Papillomavirus (HPV)
Answer: B
Rationale: The first dose of the MMR vaccine is recommended for children between 12 and
15 months of age. This vaccine provides essential protection against three viral diseases
that can have serious complications. It is often administered concurrently with the
Varicella vaccine at this age visit.
4. By what age does an infant’s birth weight typically triple?
A. 12 months
B. 9 months
, C. 6 months
D. 18 months
Answer: A
Rationale: An infant’s birth weight typically doubles by 5 to 6 months and triples by 12
months. This rapid growth is a primary indicator of adequate nutrition and overall health
during the first year. Failure to reach these milestones may require further nutritional or
medical assessment.
5. When assessing a toddler, which behavior should the nurse identify as ‘parallel play’?
A. Playing with similar toys next to another child without interaction
B. Playing a board game with another child
C. Sharing toys and talking while playing together
D. Watching other children play without joining in
Answer: A
Rationale: Parallel play is a hallmark of the toddler years where children play side-by-side
with similar toys but do not interact with one another. This stage follows onlooker play and
precedes associative play in developmental sequence. It reflects the toddler’s growing
interest in others while still maintaining an egocentric focus.
6. At what age is it developmentally appropriate to use the FACES pain rating scale?
A. Preschoolers (3 years and older)
