NSG 3600 Children's Health Guide Exam 3 Actual Exam
2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
Section 1: Growth & Development (Infancy through Adolescence) (12
Questions)
Q1: According to Erikson's theory of psychosocial development, which developmental
task should the nurse expect a toddler to master?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt [CORRECT]
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: Correct because toddlers aged 1 to 3 years are in Erikson's stage of
autonomy vs. shame and doubt, focusing on developing independence in activities such
as feeding and toileting.
Q2: A 4-month-old infant is seen for a well-child visit. Which developmental milestone is
most appropriate for this age?
A. Walking with support
B. Using two-word phrases
C. Rolling from front to back and bringing hands to midline [CORRECT]
D. Drawing a circle
Correct Answer: C
Rationale: Correct because by 4 months infants typically roll front to back, bring hands
to the midline, and demonstrate social smiling, whereas walking and two-word phrases
are later milestones.
Q3: Data question: A 2-year-old boy is at the 50th percentile for weight and 25th
percentile for height. His head circumference is at the 75th percentile. Which
interpretation by the nurse is most appropriate?
A. The child is failing to thrive
B. The child has disproportionate growth requiring immediate endocrine referral
,C. The growth pattern is within acceptable limits with normal variation [CORRECT]
D. The child requires caloric supplementation for height
Correct Answer: C
Rationale: Correct because growth parameters that track along percentiles without
crossing multiple lines, even when discordant, can represent normal variation; isolated
discrepancies without other concerns do not indicate pathology.
Q4: The nurse is teaching parents about introducing solid foods to their 6-month-old
infant. Which food should be recommended as the first solid?
A. Whole cow's milk
B. Iron-fortified rice cereal [CORRECT]
C. Honey on a pacifier
D. Egg whites
Correct Answer: B
Rationale: Correct because iron-fortified single-grain cereal is the recommended first
solid food for infants around 6 months due to supplemental iron needs and low
allergenic potential.
Q5: Which safety measure is most important for parents of a toddler to prevent
accidental poisoning?
A. Keeping medications in a locked cabinet out of reach [CORRECT]
B. Teaching the child not to touch dangerous items
C. Storing cleaning products under the kitchen sink
D. Relying on child-resistant caps as the primary prevention
Correct Answer: A
Rationale: Correct because toddlers lack the cognitive ability to consistently avoid
poisons; storing all hazardous substances in a locked cabinet out of reach is the most
reliable prevention strategy.
Q6: A nurse is assessing a 9-month-old infant. Which fine motor skill is expected at this
age?
A. Using a pincer grasp to pick up small objects [CORRECT]
B. Copying a square
C. Building a tower of two blocks
D. Buttoning a shirt
Correct Answer: A
, Rationale: Correct because the pincer grasp using the thumb and forefinger typically
emerges around 9 months of age, allowing infants to pick up small objects.
Q7: According to Piaget's theory, which characteristic describes the thinking of a
preschool-aged child?
A. Logical reasoning about abstract concepts
B. Egocentrism and magical thinking [CORRECT]
C. Systematic scientific hypothesis testing
D. Formal operational thought
Correct Answer: B
Rationale: Correct because preschoolers in the preoperational stage demonstrate
egocentrism and magical thinking, believing that their thoughts can cause events and
struggling to see perspectives other than their own.
Q8: A school-age child is admitted to the hospital. Based on Erikson's developmental
stage, which nursing intervention best supports this child's psychosocial needs?
A. Providing consistent caregivers to build trust
B. Encouraging participation in schoolwork and allowing choices to promote industry
[CORRECT]
C. Offering opportunities for independent decision-making without limits
D. Facilitating peer group activities focused on identity exploration
Correct Answer: B
Rationale: Correct because school-age children are in the industry vs. inferiority stage;
supporting accomplishment through schoolwork and appropriate choices fosters
competence and self-esteem.
Q9: Which play activity is most characteristic of a 3-year-old child?
A. Solitary play with minimal interaction
B. Parallel play alongside peers without interaction
C. Associative play with shared toys but no formal rules [CORRECT]
D. Cooperative play with organized teams and rules
Correct Answer: C
Rationale: Correct because preschoolers engage in associative play where they interact
and share toys but lack formal organization or rules, unlike the parallel play of toddlers
or cooperative play of older children.
2026/2027 | Complete Exam-Style Questions with
Detailed Rationales | Pass Guaranteed – A+ Graded
Section 1: Growth & Development (Infancy through Adolescence) (12
Questions)
Q1: According to Erikson's theory of psychosocial development, which developmental
task should the nurse expect a toddler to master?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt [CORRECT]
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Rationale: Correct because toddlers aged 1 to 3 years are in Erikson's stage of
autonomy vs. shame and doubt, focusing on developing independence in activities such
as feeding and toileting.
Q2: A 4-month-old infant is seen for a well-child visit. Which developmental milestone is
most appropriate for this age?
A. Walking with support
B. Using two-word phrases
C. Rolling from front to back and bringing hands to midline [CORRECT]
D. Drawing a circle
Correct Answer: C
Rationale: Correct because by 4 months infants typically roll front to back, bring hands
to the midline, and demonstrate social smiling, whereas walking and two-word phrases
are later milestones.
Q3: Data question: A 2-year-old boy is at the 50th percentile for weight and 25th
percentile for height. His head circumference is at the 75th percentile. Which
interpretation by the nurse is most appropriate?
A. The child is failing to thrive
B. The child has disproportionate growth requiring immediate endocrine referral
,C. The growth pattern is within acceptable limits with normal variation [CORRECT]
D. The child requires caloric supplementation for height
Correct Answer: C
Rationale: Correct because growth parameters that track along percentiles without
crossing multiple lines, even when discordant, can represent normal variation; isolated
discrepancies without other concerns do not indicate pathology.
Q4: The nurse is teaching parents about introducing solid foods to their 6-month-old
infant. Which food should be recommended as the first solid?
A. Whole cow's milk
B. Iron-fortified rice cereal [CORRECT]
C. Honey on a pacifier
D. Egg whites
Correct Answer: B
Rationale: Correct because iron-fortified single-grain cereal is the recommended first
solid food for infants around 6 months due to supplemental iron needs and low
allergenic potential.
Q5: Which safety measure is most important for parents of a toddler to prevent
accidental poisoning?
A. Keeping medications in a locked cabinet out of reach [CORRECT]
B. Teaching the child not to touch dangerous items
C. Storing cleaning products under the kitchen sink
D. Relying on child-resistant caps as the primary prevention
Correct Answer: A
Rationale: Correct because toddlers lack the cognitive ability to consistently avoid
poisons; storing all hazardous substances in a locked cabinet out of reach is the most
reliable prevention strategy.
Q6: A nurse is assessing a 9-month-old infant. Which fine motor skill is expected at this
age?
A. Using a pincer grasp to pick up small objects [CORRECT]
B. Copying a square
C. Building a tower of two blocks
D. Buttoning a shirt
Correct Answer: A
, Rationale: Correct because the pincer grasp using the thumb and forefinger typically
emerges around 9 months of age, allowing infants to pick up small objects.
Q7: According to Piaget's theory, which characteristic describes the thinking of a
preschool-aged child?
A. Logical reasoning about abstract concepts
B. Egocentrism and magical thinking [CORRECT]
C. Systematic scientific hypothesis testing
D. Formal operational thought
Correct Answer: B
Rationale: Correct because preschoolers in the preoperational stage demonstrate
egocentrism and magical thinking, believing that their thoughts can cause events and
struggling to see perspectives other than their own.
Q8: A school-age child is admitted to the hospital. Based on Erikson's developmental
stage, which nursing intervention best supports this child's psychosocial needs?
A. Providing consistent caregivers to build trust
B. Encouraging participation in schoolwork and allowing choices to promote industry
[CORRECT]
C. Offering opportunities for independent decision-making without limits
D. Facilitating peer group activities focused on identity exploration
Correct Answer: B
Rationale: Correct because school-age children are in the industry vs. inferiority stage;
supporting accomplishment through schoolwork and appropriate choices fosters
competence and self-esteem.
Q9: Which play activity is most characteristic of a 3-year-old child?
A. Solitary play with minimal interaction
B. Parallel play alongside peers without interaction
C. Associative play with shared toys but no formal rules [CORRECT]
D. Cooperative play with organized teams and rules
Correct Answer: C
Rationale: Correct because preschoolers engage in associative play where they interact
and share toys but lack formal organization or rules, unlike the parallel play of toddlers
or cooperative play of older children.
