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NSG 3600 – NURSING PRACTICE: CHILDREN'S
HEALTH COMPREHENSIVE EXAM 1 PREP ALL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
Question 1
The pediatric nurse assesses the toddler's fine motor skills by observing
which task?
A. Buttoning a shirt
B. Writing with a pencil
C. Holding a spoon to eat
D. Tying shoelaces
Rationale: Fine motor skills in toddlers (ages 1-3) include the ability to
hold and use utensils such as a spoon. Buttoning a shirt (A) and tying
shoelaces (D) are fine motor skills expected of a school-age child.
Writing with a pencil (B) is a fine motor skill expected of a
preschooler. The toddler is developing the pincer grasp and beginning
to use utensils independently.
Question 2
A nurse is providing anticipatory guidance to the parents of a 2-year-old
child. Which developmental milestone is most appropriate to discuss?
A. The child will begin to ride a tricycle
B. The child will be able to button their own clothes
C. The child will begin to use two- to three-word phrases
D. The child will be able to tie their shoes
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Rationale: At 2 years of age, a child typically begins to use two- to
three-word phrases. Riding a tricycle (A) is a milestone for a
preschooler (3-5 years). Buttoning clothes (B) is a fine motor skill
expected of a school-age child (5-12 years). Tying shoes (D) is a fine
motor skill expected of a school-age child (6-7 years).
Question 3
A nurse is assessing the growth and development of a 4-year-old child.
Which of the following fine motor skills would the nurse expect the
child to have achieved?
A. Tying shoelaces
B. Drawing a circle
C. Cutting with scissors on a line
D. Writing their first name
Rationale: A 4-year-old child can typically draw a circle and a square.
Tying shoelaces (A) is a fine motor skill expected of a 6- to 7-year-old
child. Cutting with scissors on a line (C) is a fine motor skill expected
of a 5-year-old child. Writing their first name (D) is a fine motor skill
expected of a 5- to 6-year-old child.
Question 4
The nurse is assessing a 6-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect the infant to
have achieved?
A. Sitting independently
B. Rolling from back to front
C. Crawling
D. Pulling to stand
Rationale: Rolling from back to front is a gross motor milestone
typically achieved by 6 months of age. Sitting independently (A) is
usually achieved by 7-8 months. Crawling (C) is usually achieved by 7-
10 months. Pulling to stand (D) is usually achieved by 9-12 months.
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Question 5
A parent asks the nurse when their infant will be able to hold a rattle.
Which response by the nurse is most accurate?
A. "At birth, infants have a strong grasp reflex."
B. "Infants typically begin to voluntarily grasp objects around 4
months of age."
C. "Infants typically begin to voluntarily grasp objects around 7 months
of age."
D. "Infants typically begin to voluntarily grasp objects around 10
months of age."
Rationale: Infants begin to voluntarily grasp objects around 4 months
of age. The palmar grasp reflex is present at birth but is involuntary.
By 4 months, infants begin to intentionally reach for and grasp objects
with a palmar grasp. At 7 months, they develop a radial-palmar grasp.
At 10 months, they develop a pincer grasp.
Question 6
The nurse is providing anticipatory guidance to the parents of a 9-
month-old infant. Which of the following instructions is most important
regarding injury prevention?
A. "Keep all medications in a locked cabinet."
B. "Turn the water heater temperature down to 120°F."
C. "Use the car seat in the rear-facing position in the back seat."
D. "Put the baby to sleep on their back."
Rationale: At 9 months of age, the infant is becoming more mobile
and may be crawling or cruising. The most important injury
prevention measure at this age is proper car seat use. Rear-facing car
seats in the back seat are essential for preventing injury in a motor
vehicle accident. All of the options are important injury prevention
measures, but car seat safety is the priority for a 9-month-old.
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Question 7
A nurse is providing education to a group of parents regarding the
immunization schedule for children. According to the CDC
recommended schedule, which vaccine is administered at birth?
A. DTaP (diphtheria, tetanus, pertussis)
B. Hepatitis B
C. IPV (inactivated polio vaccine)
D. MMR (measles, mumps, rubella)
Rationale: The hepatitis B vaccine is typically administered at birth,
followed by additional doses at 1-2 months and 6-18 months. DTaP (A)
is administered at 2, 4, 6, 15-18 months, and 4-6 years. IPV (C) is
administered at 2, 4, 6-18 months, and 4-6 years. MMR (D) is
administered at 12-15 months and 4-6 years.
Question 8
A nurse is teaching a group of parents about the recommended
immunization schedule for children. Which of the following vaccines is
administered at 2 months of age?
A. MMR
B. Varicella
C. DTaP
D. Hepatitis A
Rationale: The DTaP vaccine is administered at 2 months of age.
MMR (A) is administered at 12-15 months and 4-6 years. Varicella (B)
is administered at 12-15 months and 4-6 years. Hepatitis A (D) is
administered at 12-23 months. The 2-month visit typically includes
DTaP, IPV, Hib, PCV, and RV.
Question 9
A parent asks the nurse about the recommended age for the first MMR
vaccine. What is the nurse's best response?
NSG 3600 – NURSING PRACTICE: CHILDREN'S
HEALTH COMPREHENSIVE EXAM 1 PREP ALL
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES ALREADY A GRADED WITH
EXPERT FEEDBACK |NEW AND REVISED
Question 1
The pediatric nurse assesses the toddler's fine motor skills by observing
which task?
A. Buttoning a shirt
B. Writing with a pencil
C. Holding a spoon to eat
D. Tying shoelaces
Rationale: Fine motor skills in toddlers (ages 1-3) include the ability to
hold and use utensils such as a spoon. Buttoning a shirt (A) and tying
shoelaces (D) are fine motor skills expected of a school-age child.
Writing with a pencil (B) is a fine motor skill expected of a
preschooler. The toddler is developing the pincer grasp and beginning
to use utensils independently.
Question 2
A nurse is providing anticipatory guidance to the parents of a 2-year-old
child. Which developmental milestone is most appropriate to discuss?
A. The child will begin to ride a tricycle
B. The child will be able to button their own clothes
C. The child will begin to use two- to three-word phrases
D. The child will be able to tie their shoes
,2|Page
Rationale: At 2 years of age, a child typically begins to use two- to
three-word phrases. Riding a tricycle (A) is a milestone for a
preschooler (3-5 years). Buttoning clothes (B) is a fine motor skill
expected of a school-age child (5-12 years). Tying shoes (D) is a fine
motor skill expected of a school-age child (6-7 years).
Question 3
A nurse is assessing the growth and development of a 4-year-old child.
Which of the following fine motor skills would the nurse expect the
child to have achieved?
A. Tying shoelaces
B. Drawing a circle
C. Cutting with scissors on a line
D. Writing their first name
Rationale: A 4-year-old child can typically draw a circle and a square.
Tying shoelaces (A) is a fine motor skill expected of a 6- to 7-year-old
child. Cutting with scissors on a line (C) is a fine motor skill expected
of a 5-year-old child. Writing their first name (D) is a fine motor skill
expected of a 5- to 6-year-old child.
Question 4
The nurse is assessing a 6-month-old infant during a well-child visit.
Which developmental milestone should the nurse expect the infant to
have achieved?
A. Sitting independently
B. Rolling from back to front
C. Crawling
D. Pulling to stand
Rationale: Rolling from back to front is a gross motor milestone
typically achieved by 6 months of age. Sitting independently (A) is
usually achieved by 7-8 months. Crawling (C) is usually achieved by 7-
10 months. Pulling to stand (D) is usually achieved by 9-12 months.
,3|Page
Question 5
A parent asks the nurse when their infant will be able to hold a rattle.
Which response by the nurse is most accurate?
A. "At birth, infants have a strong grasp reflex."
B. "Infants typically begin to voluntarily grasp objects around 4
months of age."
C. "Infants typically begin to voluntarily grasp objects around 7 months
of age."
D. "Infants typically begin to voluntarily grasp objects around 10
months of age."
Rationale: Infants begin to voluntarily grasp objects around 4 months
of age. The palmar grasp reflex is present at birth but is involuntary.
By 4 months, infants begin to intentionally reach for and grasp objects
with a palmar grasp. At 7 months, they develop a radial-palmar grasp.
At 10 months, they develop a pincer grasp.
Question 6
The nurse is providing anticipatory guidance to the parents of a 9-
month-old infant. Which of the following instructions is most important
regarding injury prevention?
A. "Keep all medications in a locked cabinet."
B. "Turn the water heater temperature down to 120°F."
C. "Use the car seat in the rear-facing position in the back seat."
D. "Put the baby to sleep on their back."
Rationale: At 9 months of age, the infant is becoming more mobile
and may be crawling or cruising. The most important injury
prevention measure at this age is proper car seat use. Rear-facing car
seats in the back seat are essential for preventing injury in a motor
vehicle accident. All of the options are important injury prevention
measures, but car seat safety is the priority for a 9-month-old.
, 4|Page
Question 7
A nurse is providing education to a group of parents regarding the
immunization schedule for children. According to the CDC
recommended schedule, which vaccine is administered at birth?
A. DTaP (diphtheria, tetanus, pertussis)
B. Hepatitis B
C. IPV (inactivated polio vaccine)
D. MMR (measles, mumps, rubella)
Rationale: The hepatitis B vaccine is typically administered at birth,
followed by additional doses at 1-2 months and 6-18 months. DTaP (A)
is administered at 2, 4, 6, 15-18 months, and 4-6 years. IPV (C) is
administered at 2, 4, 6-18 months, and 4-6 years. MMR (D) is
administered at 12-15 months and 4-6 years.
Question 8
A nurse is teaching a group of parents about the recommended
immunization schedule for children. Which of the following vaccines is
administered at 2 months of age?
A. MMR
B. Varicella
C. DTaP
D. Hepatitis A
Rationale: The DTaP vaccine is administered at 2 months of age.
MMR (A) is administered at 12-15 months and 4-6 years. Varicella (B)
is administered at 12-15 months and 4-6 years. Hepatitis A (D) is
administered at 12-23 months. The 2-month visit typically includes
DTaP, IPV, Hib, PCV, and RV.
Question 9
A parent asks the nurse about the recommended age for the first MMR
vaccine. What is the nurse's best response?
