Exam 2: NSG 3600 / NSG3600 (Latest Update 2026/2027) Nursing Practice – Children's Health | Guide Questions and Answers | Grade A | 100% C
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
75 Questions Verified Answers Edition 2026/2027
Total Items 100% Correct Latest Update
TOPICS COVERED
• Growth & Development Milestones • Genitourinary Disorders
• Pediatric Pharmacology • Musculoskeletal Disorders
• Pain Management • Neurological Disorders
• Respiratory Disorders • Hematological Disorders
• Cardiovascular Disorders • Immunological Disorders
• Gastrointestinal Disorders
COVER PAGE - 1
,Section 1: Growth & Development
Q1.
A nurse is assessing a 6-month-old infant during a well-child visit. The mother reports the baby can sit
with support but cannot yet transfer objects from one hand to the other. The nurse recognizes this
developmental milestone is consistent with which theorist's framework?
A. Piaget's sensorimotor stage, substage 3
B. Erikson's autonomy versus shame and doubt
C. Freud's anal stage of psychosexual development
D. Kohlberg's preconventional level of moral reasoning
Correct Answer: A
Rationale: Piaget's sensorimotor stage substage 3 (4-8 months) involves secondary circular reactions and early object
manipulation. Sitting with support and beginning hand transfer align with this. Erikson's autonomy stage occurs at 1-3
years, Freud's anal stage at 1-3 years, and Kohlberg's theory applies to older children.
Q2.
During a routine checkup, a nurse measures the head circumference of a 4-month-old infant and notes it
has increased by 2 cm since birth. The parents express concern about the rapid growth. The nurse
should explain that this rate of head growth is expected because:
A. The brain grows faster than any other organ during the first year of life
B. Cranial sutures fuse prematurely in early infancy
C. Fontanelles typically close completely by 3 months of age
D. Head circumference should equal chest circumference at 4 months
Correct Answer: A
Rationale: Brain growth is most rapid in the first year, with head circumference increasing approximately 1.5-2 cm per
month during the first 6 months. Cranial sutures do not fuse prematurely (that would be craniosynostosis), fontanelles
close later (anterior by 12-18 months), and head equals chest circumference at approximately 1-2 years.
Q3.
A school nurse is evaluating a 5-year-old child who frequently sucks their thumb and carries a security
blanket. The child's teacher is concerned about these behaviors. Based on developmental theory, the
nurse should advise the teacher that:
A. These comfort behaviors are typical for this age and usually resolve spontaneously
B. Thumb sucking at this age indicates severe anxiety requiring immediate intervention
C. The child is regressing to an earlier developmental stage due to trauma
D. Security objects should be confiscated to promote independence
Correct Answer: A
Rationale: Thumb sucking and transitional objects are common in preschoolers and typically diminish as the child develops
coping skills. These behaviors do not indicate severe anxiety or regression unless accompanied by other concerning signs.
Removing security objects abruptly can increase anxiety.
, Q4.
A nurse is teaching a parent about appropriate toys for a 9-month-old infant. The parent asks which toy
would best support the infant's current developmental needs. The nurse should recommend:
A. A set of nesting cups that the infant can bang together and explore
B. A complex puzzle with small interlocking pieces
C. A board game that requires turn-taking with siblings
D. A detailed coloring book with fine-tip markers
Correct Answer: A
Rationale: At 9 months, infants engage in tertiary circular reactions and enjoy exploring object properties. Nesting cups
support this developmental need. Small puzzle pieces pose a choking hazard, board games require skills beyond this age,
and coloring books are appropriate for older preschoolers.
Q5.
During a developmental screening, a nurse observes that a 2-year-old child can build a tower of six
blocks, kick a ball forward, and use two-word phrases. The nurse recognizes these findings indicate:
A. Age-appropriate gross motor, fine motor, and language development
B. Delayed fine motor skills requiring occupational therapy referral
C. Advanced language development with potential giftedness
D. Regression in gross motor abilities from the 18-month level
Correct Answer: A
Rationale: By age 2, children typically build towers of 4-6 blocks, kick balls, and use two-word phrases (telegraphic
speech). These are all age-appropriate milestones. No delays or advanced skills are evident, and gross motor skills have
progressed normally from 18 months.
Q6.
A pediatric nurse is assessing a 12-year-old child who recently entered puberty. The child expresses
embarrassment about physical changes and avoids participating in gym class. The nurse should
prioritize which nursing intervention?
A. Provide private, age-appropriate education about normal pubertal changes
B. Require mandatory gym class participation without exception
C. Schedule a psychiatric evaluation for social anxiety disorder
D. Inform the child's parents about the refusal to participate immediately
Correct Answer: A
Rationale: Adolescents experiencing puberty often feel self-conscious about body changes. Providing private, factual
education normalizes the experience and builds confidence. Mandating participation without addressing concerns,
pathologizing normal behavior, or breaching confidentiality without cause are inappropriate.
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
75 Questions Verified Answers Edition 2026/2027
Total Items 100% Correct Latest Update
TOPICS COVERED
• Growth & Development Milestones • Genitourinary Disorders
• Pediatric Pharmacology • Musculoskeletal Disorders
• Pain Management • Neurological Disorders
• Respiratory Disorders • Hematological Disorders
• Cardiovascular Disorders • Immunological Disorders
• Gastrointestinal Disorders
COVER PAGE - 1
,Section 1: Growth & Development
Q1.
A nurse is assessing a 6-month-old infant during a well-child visit. The mother reports the baby can sit
with support but cannot yet transfer objects from one hand to the other. The nurse recognizes this
developmental milestone is consistent with which theorist's framework?
A. Piaget's sensorimotor stage, substage 3
B. Erikson's autonomy versus shame and doubt
C. Freud's anal stage of psychosexual development
D. Kohlberg's preconventional level of moral reasoning
Correct Answer: A
Rationale: Piaget's sensorimotor stage substage 3 (4-8 months) involves secondary circular reactions and early object
manipulation. Sitting with support and beginning hand transfer align with this. Erikson's autonomy stage occurs at 1-3
years, Freud's anal stage at 1-3 years, and Kohlberg's theory applies to older children.
Q2.
During a routine checkup, a nurse measures the head circumference of a 4-month-old infant and notes it
has increased by 2 cm since birth. The parents express concern about the rapid growth. The nurse
should explain that this rate of head growth is expected because:
A. The brain grows faster than any other organ during the first year of life
B. Cranial sutures fuse prematurely in early infancy
C. Fontanelles typically close completely by 3 months of age
D. Head circumference should equal chest circumference at 4 months
Correct Answer: A
Rationale: Brain growth is most rapid in the first year, with head circumference increasing approximately 1.5-2 cm per
month during the first 6 months. Cranial sutures do not fuse prematurely (that would be craniosynostosis), fontanelles
close later (anterior by 12-18 months), and head equals chest circumference at approximately 1-2 years.
Q3.
A school nurse is evaluating a 5-year-old child who frequently sucks their thumb and carries a security
blanket. The child's teacher is concerned about these behaviors. Based on developmental theory, the
nurse should advise the teacher that:
A. These comfort behaviors are typical for this age and usually resolve spontaneously
B. Thumb sucking at this age indicates severe anxiety requiring immediate intervention
C. The child is regressing to an earlier developmental stage due to trauma
D. Security objects should be confiscated to promote independence
Correct Answer: A
Rationale: Thumb sucking and transitional objects are common in preschoolers and typically diminish as the child develops
coping skills. These behaviors do not indicate severe anxiety or regression unless accompanied by other concerning signs.
Removing security objects abruptly can increase anxiety.
, Q4.
A nurse is teaching a parent about appropriate toys for a 9-month-old infant. The parent asks which toy
would best support the infant's current developmental needs. The nurse should recommend:
A. A set of nesting cups that the infant can bang together and explore
B. A complex puzzle with small interlocking pieces
C. A board game that requires turn-taking with siblings
D. A detailed coloring book with fine-tip markers
Correct Answer: A
Rationale: At 9 months, infants engage in tertiary circular reactions and enjoy exploring object properties. Nesting cups
support this developmental need. Small puzzle pieces pose a choking hazard, board games require skills beyond this age,
and coloring books are appropriate for older preschoolers.
Q5.
During a developmental screening, a nurse observes that a 2-year-old child can build a tower of six
blocks, kick a ball forward, and use two-word phrases. The nurse recognizes these findings indicate:
A. Age-appropriate gross motor, fine motor, and language development
B. Delayed fine motor skills requiring occupational therapy referral
C. Advanced language development with potential giftedness
D. Regression in gross motor abilities from the 18-month level
Correct Answer: A
Rationale: By age 2, children typically build towers of 4-6 blocks, kick balls, and use two-word phrases (telegraphic
speech). These are all age-appropriate milestones. No delays or advanced skills are evident, and gross motor skills have
progressed normally from 18 months.
Q6.
A pediatric nurse is assessing a 12-year-old child who recently entered puberty. The child expresses
embarrassment about physical changes and avoids participating in gym class. The nurse should
prioritize which nursing intervention?
A. Provide private, age-appropriate education about normal pubertal changes
B. Require mandatory gym class participation without exception
C. Schedule a psychiatric evaluation for social anxiety disorder
D. Inform the child's parents about the refusal to participate immediately
Correct Answer: A
Rationale: Adolescents experiencing puberty often feel self-conscious about body changes. Providing private, factual
education normalizes the experience and builds confidence. Mandating participation without addressing concerns,
pathologizing normal behavior, or breaching confidentiality without cause are inappropriate.
