,Galen NSG 3600 Exam 1 – Children's Health
(2026) Actual Q&A PDF
1. The nurse is teaching a parent about the principle of family‑centered care. Which statement by the
parent indicates understanding?
A) “The healthcare team makes all decisions for my child.”
B) “Our family is the constant in our child’s life, and we are partners in care.”
C) “Family involvement is limited to visiting hours.”
D) “Parents should not be present during procedures.”
Correct Answer: “Our family is the constant in our child’s life, and we are partners in care.”
Rationale: Family‑centered care recognizes the family as the constant in the child’s life. Families are
empowered to participate in decisions and care. The healthcare team collaborates with, not dictates
to, the family. Limiting involvement contradicts the model.
2. A 4‑month‑old infant is brought to the clinic for a well‑child visit. Which gross motor milestone
should the nurse expect to observe?
A) Sitting independently without support
B) Rolling from front to back
C) Crawling on hands and knees
D) Pulling to stand
Correct Answer: Rolling from front to back
Rationale: Infants typically roll from front to back around 4 months. Sitting independently occurs at
about 6‑8 months, crawling at 6‑10 months, and pulling to stand at 9‑12 months. Motor milestones
progress in a predictable cephalocaudal pattern.
3. According to Erikson’s psychosocial theory, a toddler is in which stage of development?
,A) Trust vs. mistrust
B) Autonomy vs. shame and doubt
C) Initiative vs. guilt
D) Industry vs. inferiority
Correct Answer: Autonomy vs. shame and doubt
Rationale: Toddlers (1‑3 years) are in the autonomy vs. shame and doubt stage, where they develop
independence by making choices and learning self‑care. Trust vs. mistrust is infancy; initiative vs. guilt
is preschool; industry vs. inferiority is school‑age.
4. The nurse is implementing atraumatic care for a 4‑year‑old undergoing venipuncture. Which action
best exemplifies promoting a sense of control?
A) Telling the child the procedure will not hurt
B) Allowing the child to choose which arm to use for the IV
C) Performing the procedure quickly without explanation
D) Asking the parents to wait outside
Correct Answer: Allowing the child to choose which arm to use for the IV
Rationale: Offering developmentally appropriate choices gives the child a sense of control and
reduces psychological distress. False reassurance, lack of preparation, and parental separation are not
atraumatic and can increase anxiety.
5. A parent asks when the anterior fontanelle will close. The nurse responds that closure normally
occurs by:
A) 2 months
B) 6 months
C) 12‑18 months
D) 2 years
, Correct Answer: 12‑18 months
Rationale: The anterior fontanelle is diamond‑shaped and normally closes between 12 and 18 months.
The posterior fontanelle closes by 2‑3 months. Delayed closure may indicate hypothyroidism or
increased intracranial pressure.
6. The nurse is assessing a 6‑month‑old infant. Which finding would the nurse expect?
A) Sitting without support
B) Rolling from back to front and transferring objects between hands
C) Using a pincer grasp
D) Walking with assistance
Correct Answer: Rolling from back to front and transferring objects between hands
Rationale: At 6 months, infants can roll in both directions and transfer objects. Sitting without support
is expected around 8 months, pincer grasp at 9‑10 months, and walking with assistance closer to
10‑12 months.
7. A mother of a 2‑year‑old reports that the child often says “no” and has temper tantrums. The nurse
explains that this behavior:
A) Indicates a behavioral disorder
B) Is normal for toddlers developing autonomy
C) Reflects poor parenting
D) Suggests the child is in pain
Correct Answer: Is normal for toddlers developing autonomy
Rationale: Negativism and tantrums are typical in toddlers as they assert independence, reflecting
Erikson’s autonomy vs. shame and doubt stage. This is not pathological or a result of parenting;
offering limited choices helps the child feel in control.
(2026) Actual Q&A PDF
1. The nurse is teaching a parent about the principle of family‑centered care. Which statement by the
parent indicates understanding?
A) “The healthcare team makes all decisions for my child.”
B) “Our family is the constant in our child’s life, and we are partners in care.”
C) “Family involvement is limited to visiting hours.”
D) “Parents should not be present during procedures.”
Correct Answer: “Our family is the constant in our child’s life, and we are partners in care.”
Rationale: Family‑centered care recognizes the family as the constant in the child’s life. Families are
empowered to participate in decisions and care. The healthcare team collaborates with, not dictates
to, the family. Limiting involvement contradicts the model.
2. A 4‑month‑old infant is brought to the clinic for a well‑child visit. Which gross motor milestone
should the nurse expect to observe?
A) Sitting independently without support
B) Rolling from front to back
C) Crawling on hands and knees
D) Pulling to stand
Correct Answer: Rolling from front to back
Rationale: Infants typically roll from front to back around 4 months. Sitting independently occurs at
about 6‑8 months, crawling at 6‑10 months, and pulling to stand at 9‑12 months. Motor milestones
progress in a predictable cephalocaudal pattern.
3. According to Erikson’s psychosocial theory, a toddler is in which stage of development?
,A) Trust vs. mistrust
B) Autonomy vs. shame and doubt
C) Initiative vs. guilt
D) Industry vs. inferiority
Correct Answer: Autonomy vs. shame and doubt
Rationale: Toddlers (1‑3 years) are in the autonomy vs. shame and doubt stage, where they develop
independence by making choices and learning self‑care. Trust vs. mistrust is infancy; initiative vs. guilt
is preschool; industry vs. inferiority is school‑age.
4. The nurse is implementing atraumatic care for a 4‑year‑old undergoing venipuncture. Which action
best exemplifies promoting a sense of control?
A) Telling the child the procedure will not hurt
B) Allowing the child to choose which arm to use for the IV
C) Performing the procedure quickly without explanation
D) Asking the parents to wait outside
Correct Answer: Allowing the child to choose which arm to use for the IV
Rationale: Offering developmentally appropriate choices gives the child a sense of control and
reduces psychological distress. False reassurance, lack of preparation, and parental separation are not
atraumatic and can increase anxiety.
5. A parent asks when the anterior fontanelle will close. The nurse responds that closure normally
occurs by:
A) 2 months
B) 6 months
C) 12‑18 months
D) 2 years
, Correct Answer: 12‑18 months
Rationale: The anterior fontanelle is diamond‑shaped and normally closes between 12 and 18 months.
The posterior fontanelle closes by 2‑3 months. Delayed closure may indicate hypothyroidism or
increased intracranial pressure.
6. The nurse is assessing a 6‑month‑old infant. Which finding would the nurse expect?
A) Sitting without support
B) Rolling from back to front and transferring objects between hands
C) Using a pincer grasp
D) Walking with assistance
Correct Answer: Rolling from back to front and transferring objects between hands
Rationale: At 6 months, infants can roll in both directions and transfer objects. Sitting without support
is expected around 8 months, pincer grasp at 9‑10 months, and walking with assistance closer to
10‑12 months.
7. A mother of a 2‑year‑old reports that the child often says “no” and has temper tantrums. The nurse
explains that this behavior:
A) Indicates a behavioral disorder
B) Is normal for toddlers developing autonomy
C) Reflects poor parenting
D) Suggests the child is in pain
Correct Answer: Is normal for toddlers developing autonomy
Rationale: Negativism and tantrums are typical in toddlers as they assert independence, reflecting
Erikson’s autonomy vs. shame and doubt stage. This is not pathological or a result of parenting;
offering limited choices helps the child feel in control.
