Galen NUR 230 NCLEX PEDS Exam 1 | Latest Update
2026/2027 | 200 Practice Questions & Detailed Answers |
OB/Peds Nursing Review | A+ Graded
1. A nurse is assessing a 4monthold infant at a wellchild visit. Which developmental milestone should
the nurse expect the infant to have achieved?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Transferring objects from one hand to the other
Answer: B) Rolling from back to abdomen
Explanation: By 4 months of age, infants typically can roll from back to abdomen. Sitting without support
occurs around 68 months, pincer grasp develops around 910 months, and transferring objects between
hands occurs around 7 months.
2. The mother of a 2yearold child asks the nurse about appropriate play activities. Which response by
the nurse is most appropriate?
A) "Your child will enjoy playing board games with other children."
B) "Your child will likely engage in parallel play alongside other children."
C) "Your child should be playing cooperatively with peers."
D) "Your child will prefer solitary play only."
Answer: B) "Your child will likely engage in parallel play alongside other children."
Explanation: Toddlers (ages 13) engage in parallel play, where they play independently but alongside
other children. This is the expected developmental play pattern for this age group.
,3. A nurse is caring for a 6yearold child hospitalized after a bicycle accident. What is the most
appropriate nursing intervention to prevent future injury?
A) Provide a soft toy for distraction
B) Encourage use of a helmet when outdoors
C) Allow unsupervised activity to promote independence
D) Delay discharge teaching until pain resolves
Answer: B) Encourage use of a helmet when outdoors
Explanation: Helmets significantly reduce the risk of head injury in bicycle accidents. Safety education is
essential for schoolage children, who are at increased risk for injuries due to their developing
independence and risktaking behaviors.
4. According to Piaget, what cognitive characteristic is expected in a 4yearold child?
A) Abstract thinking
B) Egocentrism
C) Logical reasoning
D) Causeandeffect understanding
Answer: B) Egocentrism
Explanation: Children ages 27 are in the preoperational stage of Piaget's cognitive development and
demonstrate egocentrism—the inability to see the world from any perspective other than their own.
,5. A toddler is hospitalized with burns. Based on Erikson's theory of psychosocial development, what
should the nurse focus on during care?
A) Building trust
B) Promoting autonomy
C) Encouraging industry
D) Supporting identity
Answer: B) Promoting autonomy
Explanation: Toddlers (ages 13 years) are in Erikson's stage of autonomy versus shame and doubt.
Encouraging independence and allowing the child to make simple choices supports healthy psychosocial
development.
6. The nurse is performing an assessment on an adolescent client. Which behavior suggests appropriate
psychosocial development?
A) Gets along well with others at home
B) Conformity with the peer group increases
C) Navigates away from peers and enjoys spending time with family
D) Seeks validation for socially acceptable behavior from older adults
Answer: B) Conformity with the peer group increases
Explanation: During adolescence, peer relationships become increasingly important. Conformity with
the peer group is a normal and expected aspect of psychosocial development during this stage.
, 7. A nurse is assessing a 3yearold toddler at a wellchild visit. Which finding should the nurse report to
the healthcare provider?
A) Blood pressure 90/50 mm Hg
B) Respiratory rate 45/min
C) Weight 14.5 kg (32 lb)
D) Heart rate 110/min
Answer: B) Respiratory rate 45/min
Explanation: A respiratory rate of 45/min is above the expected reference range for a 3yearold (typically
2030 breaths/min) and may indicate respiratory distress. This finding requires immediate reporting to
the provider.
8. Which child is at greatest risk for aspiration?
A) A 4yearold with ADHD
B) A 9monthold crawling infant
C) A 2yearold with autism
D) A newborn in the NICU
Answer: B) A 9monthold crawling infant
Explanation: Crawling infants explore their environment by putting objects in their mouths, which
significantly increases their risk of aspiration. This is a normal developmental behavior but requires close
supervision.
9. The nurse is educating new parents about immunizations. Which statement by a parent indicates the
need for additional teaching?
2026/2027 | 200 Practice Questions & Detailed Answers |
OB/Peds Nursing Review | A+ Graded
1. A nurse is assessing a 4monthold infant at a wellchild visit. Which developmental milestone should
the nurse expect the infant to have achieved?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Transferring objects from one hand to the other
Answer: B) Rolling from back to abdomen
Explanation: By 4 months of age, infants typically can roll from back to abdomen. Sitting without support
occurs around 68 months, pincer grasp develops around 910 months, and transferring objects between
hands occurs around 7 months.
2. The mother of a 2yearold child asks the nurse about appropriate play activities. Which response by
the nurse is most appropriate?
A) "Your child will enjoy playing board games with other children."
B) "Your child will likely engage in parallel play alongside other children."
C) "Your child should be playing cooperatively with peers."
D) "Your child will prefer solitary play only."
Answer: B) "Your child will likely engage in parallel play alongside other children."
Explanation: Toddlers (ages 13) engage in parallel play, where they play independently but alongside
other children. This is the expected developmental play pattern for this age group.
,3. A nurse is caring for a 6yearold child hospitalized after a bicycle accident. What is the most
appropriate nursing intervention to prevent future injury?
A) Provide a soft toy for distraction
B) Encourage use of a helmet when outdoors
C) Allow unsupervised activity to promote independence
D) Delay discharge teaching until pain resolves
Answer: B) Encourage use of a helmet when outdoors
Explanation: Helmets significantly reduce the risk of head injury in bicycle accidents. Safety education is
essential for schoolage children, who are at increased risk for injuries due to their developing
independence and risktaking behaviors.
4. According to Piaget, what cognitive characteristic is expected in a 4yearold child?
A) Abstract thinking
B) Egocentrism
C) Logical reasoning
D) Causeandeffect understanding
Answer: B) Egocentrism
Explanation: Children ages 27 are in the preoperational stage of Piaget's cognitive development and
demonstrate egocentrism—the inability to see the world from any perspective other than their own.
,5. A toddler is hospitalized with burns. Based on Erikson's theory of psychosocial development, what
should the nurse focus on during care?
A) Building trust
B) Promoting autonomy
C) Encouraging industry
D) Supporting identity
Answer: B) Promoting autonomy
Explanation: Toddlers (ages 13 years) are in Erikson's stage of autonomy versus shame and doubt.
Encouraging independence and allowing the child to make simple choices supports healthy psychosocial
development.
6. The nurse is performing an assessment on an adolescent client. Which behavior suggests appropriate
psychosocial development?
A) Gets along well with others at home
B) Conformity with the peer group increases
C) Navigates away from peers and enjoys spending time with family
D) Seeks validation for socially acceptable behavior from older adults
Answer: B) Conformity with the peer group increases
Explanation: During adolescence, peer relationships become increasingly important. Conformity with
the peer group is a normal and expected aspect of psychosocial development during this stage.
, 7. A nurse is assessing a 3yearold toddler at a wellchild visit. Which finding should the nurse report to
the healthcare provider?
A) Blood pressure 90/50 mm Hg
B) Respiratory rate 45/min
C) Weight 14.5 kg (32 lb)
D) Heart rate 110/min
Answer: B) Respiratory rate 45/min
Explanation: A respiratory rate of 45/min is above the expected reference range for a 3yearold (typically
2030 breaths/min) and may indicate respiratory distress. This finding requires immediate reporting to
the provider.
8. Which child is at greatest risk for aspiration?
A) A 4yearold with ADHD
B) A 9monthold crawling infant
C) A 2yearold with autism
D) A newborn in the NICU
Answer: B) A 9monthold crawling infant
Explanation: Crawling infants explore their environment by putting objects in their mouths, which
significantly increases their risk of aspiration. This is a normal developmental behavior but requires close
supervision.
9. The nurse is educating new parents about immunizations. Which statement by a parent indicates the
need for additional teaching?
