OBJECTIVE ASSESSMENT - EXAM
Exam 2: NSG 3600 / NSG3600
(Latest Update 2026/2027) Nursing
Practice – Children's Health |
Guide Questions and Answers |
Grade A | 100% Correct - Galen
2026/2027
QUESTIONS: 75 VERIFIED ANSWERS: 75 EDITION: 2026/2027 EditionPASSING: 8
TOPICS COVERED
• Growth & Development Milestones • Type 1 Diabetes & DKA
• Family-Centered Care Principles • Nephrotic Syndrome & UTIs
• Immunization Schedules & Safety • Seizure Disorders & Meningitis
• Asthma & Cystic Fibrosis Management • Cerebral Palsy & Hydrocephalus
• Congenital Heart Defects • Scoliosis & Juvenile Arthritis
• Sickle Cell Disease & Anemia • Burn Care & Eczema Management
• Pyloric Stenosis & Intussusception • Measles, Mumps & Varicella
• Celiac Disease & Crohn Disease • Pediatric Oncology & Emergency Care
COVER PAGE - 1
,Section 1: Growth & Development, Health Promotion & Family-Centered Care
Q1.
A nurse is conducting a well-child visit for a 6-month-old infant whose mother reports the baby can sit with
support and transfers objects between hands. The mother asks if these milestones are appropriate for the
baby's age.
A. These milestones are delayed; the infant should be sitting independently by 6 months.
B. These milestones are appropriate; sitting with support and transferring objects are expected at 6
months.
C. These milestones are advanced; transferring objects typically occurs at 9 months.
D. The infant should be evaluated for developmental delay since sitting without support is expected
now.
Correct Answer: B
Rationale:
At 6 months, infants typically sit with support and begin transferring objects between hands. Sitting independently usually
develops around 7-8 months. Option A incorrectly states independent sitting is expected at 6 months.
Q2.
During a preschool physical examination, a 4-year-old child draws a person with a head, body, arms, and
legs but no facial features. The parent expresses concern about the child's drawing ability.
A. The drawing indicates a significant cognitive delay requiring immediate referral.
B. The drawing is appropriate; a 4-year-old typically draws a person with 2-4 body parts.
C. The drawing is below average; a 4-year-old should include facial features and fingers.
D. The child should be tested for autism spectrum disorder based on this drawing.
Correct Answer: B
Rationale:
By age 4, children typically draw a person with 2-4 body parts. Adding facial features and fingers usually occurs closer to
age 5. Option A overreacts to normal development.
Q3.
A nurse is providing anticipatory guidance to parents of a 15-month-old toddler who has recently started
walking independently. The parents ask about appropriate safety measures for this developmental stage.
A. Install safety gates at the top and bottom of stairs and secure all cabinets with locks.
B. Allow the toddler to explore freely since falls at this age rarely cause serious injury.
C. Restrict the toddler to a playpen for most of the day to prevent accidents.
D. Toddlers at this age do not require additional safety measures beyond infant-proofing.
Correct Answer: A
Rationale:
Toddlers who walk independently are at high risk for falls, poisoning, and injuries. Safety gates and cabinet locks are
essential. Option B incorrectly minimizes injury risk.
, Exam 2: NSG 3600 / NSG3600 (Latest Update 2026/2027) Nursing Practice – Children's Health ...
Q4.
A school nurse is assessing a 7-year-old child who recently immigrated from a country with limited healthcare
access. The child is below the 5th percentile for height and weight.
A. The child likely has a genetic growth disorder and needs endocrine testing immediately.
B. The growth pattern may reflect prior malnutrition; a thorough dietary and social history is needed
first.
C. The child should be placed on high-calorie supplements without further assessment.
D. Being below the 5th percentile is normal for children from developing countries.
Correct Answer: B
Rationale:
Children who have experienced food insecurity or malnutrition may show growth faltering. A comprehensive history
should precede invasive testing. Option A jumps to conclusions without assessment.
Q5.
An adolescent patient, age 16, tells the school nurse they have been experimenting with vaping and wants to
quit. The adolescent expresses concern about peer pressure.
A. Tell the adolescent that vaping is harmless and they should focus on more serious risks.
B. Provide nonjudgmental counseling, discuss cessation strategies, and offer resources for peer
resistance.
C. Inform the parents immediately without the adolescent's consent.
D. Advise the adolescent to switch to nicotine gum instead of addressing the vaping behavior.
Correct Answer: B
Rationale:
Adolescents respond best to nonjudgmental, confidential counseling with practical cessation strategies. Option C violates
adolescent confidentiality principles in most jurisdictions.
Q6.
A nurse is working with a family whose 3-year-old child has been diagnosed with autism spectrum disorder.
The parents are struggling with the diagnosis and report feeling overwhelmed.
A. Tell the parents that autism is curable with intensive behavioral therapy.
B. Provide emotional support, connect the family with early intervention services, and encourage
parent support groups.
C. Advise the parents to avoid discussing the diagnosis with extended family to reduce stigma.
D. Suggest the parents focus only on medical treatments and avoid behavioral therapies.
Correct Answer: B
Rationale:
Family-centered care for autism includes emotional support, early intervention referrals, and connecting families with
resources. Option A is incorrect because autism is not curable.