NSG3600 Exam 1 V3 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. When conducting a physical assessment on a 10-month-old infant, which vital sign should
the nurse measure last?
A. Heart rate
B. Temperature
C. Respiratory rate
D. Oxygen saturation
Answer: B
Rationale: In pediatric nursing, invasive or distressing procedures like taking a
temperature should be performed last to maintain the child’s cooperation. Measuring the
respiratory rate first while the child is calm provides the most accurate data. This sequence
helps minimize the impact of crying on physiological parameters.
2. A nurse is assessing a 4-year-old child using the Denver II Developmental Screening Tool.
What is the primary purpose of this assessment?
A. To determine the child’s intelligence quotient (IQ)
B. To evaluate the child’s academic readiness for school
C. To diagnose specific neurological disorders
,D. To identify children who are falling behind developmental milestones
Answer: D
Rationale: The Denver II is a standardized tool used to monitor a child’s progress across
four functional domains: personal-social, fine motor-adaptive, language, and gross motor. It
is a screening tool designed for early identification of potential developmental delays. It
does not provide a medical diagnosis or measure cognitive intelligence.
3. According to Erikson’s stages of psychosocial development, which task is central to the
toddler stage (1 to 3 years)?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: Toddlers focus on achieving a sense of independence and self-control over
physical skills. During this stage, children often use the word ‘no’ to assert their autonomy
and individuality. Success in this stage leads to feelings of self-confidence and adequacy.
4. A 2-year-old is hospitalized for a respiratory infection. The nurse observes the child playing
with blocks alongside another child but not interacting with them. How should the nurse
document this?
A. Solitary play
, B. Cooperative play
C. Associative play
D. Parallel play
Answer: D
Rationale: Parallel play is characteristic of toddlers who play near other children with
similar toys but do not engage in mutual play. This behavior is a normal developmental
milestone as social skills evolve. Understanding play types allows nurses to provide age-
appropriate developmental support during hospitalization.
5. Which heart rate range is considered normal for a resting 6-month-old infant?
A. 100-160 bpm
B. 60-100 bpm
C. 120-180 bpm
D. 80-120 bpm
Answer: A
Rationale: Infants typically have a much faster resting heart rate than adults due to their
high metabolic rate and smaller stroke volume. A range of 100 to 160 beats per minute is
generally considered standard for an infant under one year of age. Nurses must compare
findings against these age-specific norms to identify tachycardia or bradycardia.
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. When conducting a physical assessment on a 10-month-old infant, which vital sign should
the nurse measure last?
A. Heart rate
B. Temperature
C. Respiratory rate
D. Oxygen saturation
Answer: B
Rationale: In pediatric nursing, invasive or distressing procedures like taking a
temperature should be performed last to maintain the child’s cooperation. Measuring the
respiratory rate first while the child is calm provides the most accurate data. This sequence
helps minimize the impact of crying on physiological parameters.
2. A nurse is assessing a 4-year-old child using the Denver II Developmental Screening Tool.
What is the primary purpose of this assessment?
A. To determine the child’s intelligence quotient (IQ)
B. To evaluate the child’s academic readiness for school
C. To diagnose specific neurological disorders
,D. To identify children who are falling behind developmental milestones
Answer: D
Rationale: The Denver II is a standardized tool used to monitor a child’s progress across
four functional domains: personal-social, fine motor-adaptive, language, and gross motor. It
is a screening tool designed for early identification of potential developmental delays. It
does not provide a medical diagnosis or measure cognitive intelligence.
3. According to Erikson’s stages of psychosocial development, which task is central to the
toddler stage (1 to 3 years)?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: B
Rationale: Toddlers focus on achieving a sense of independence and self-control over
physical skills. During this stage, children often use the word ‘no’ to assert their autonomy
and individuality. Success in this stage leads to feelings of self-confidence and adequacy.
4. A 2-year-old is hospitalized for a respiratory infection. The nurse observes the child playing
with blocks alongside another child but not interacting with them. How should the nurse
document this?
A. Solitary play
, B. Cooperative play
C. Associative play
D. Parallel play
Answer: D
Rationale: Parallel play is characteristic of toddlers who play near other children with
similar toys but do not engage in mutual play. This behavior is a normal developmental
milestone as social skills evolve. Understanding play types allows nurses to provide age-
appropriate developmental support during hospitalization.
5. Which heart rate range is considered normal for a resting 6-month-old infant?
A. 100-160 bpm
B. 60-100 bpm
C. 120-180 bpm
D. 80-120 bpm
Answer: A
Rationale: Infants typically have a much faster resting heart rate than adults due to their
high metabolic rate and smaller stroke volume. A range of 100 to 160 beats per minute is
generally considered standard for an infant under one year of age. Nurses must compare
findings against these age-specific norms to identify tachycardia or bradycardia.
