,NSG 3600 Exams 1-4 Package Deal Actual 2026/2027 –
Complete Exam-Style Questions | 100% Verified –
Pass Guaranteed – A+ Graded
Exam 1: Growth, Development, and Foundations
1. A 2-year-old child is brought to the clinic. The nurse expects the child to
have which gross motor skill?
o A) Jumping with both feet
o B) Riding a tricycle
o C) Walking up stairs with alternating feet
o D) Kicking a ball forward
o Rationale: A 2-year-old can kick a ball forward, run, and walk up
stairs with one hand held. Jumping with both feet occurs around 2.5–
3 years, and alternating feet on stairs is a 3-year skill.
2. A nurse is assessing a 6-month-old infant. Which finding would be a
concern for developmental delay?
o A) The infant rolls from back to front.
o B) The infant transfers a rattle from one hand to the other.
o C) The infant does not sit without support.
o D) The infant babbles “mama” and “dada” nonspecifically.
o Rationale: By 6 months, infants can sit with support. Sitting without
support is typically achieved by 8 months. Rolling, transferring
objects, and babbling are expected at 6 months.
3. The mother of a 4-month-old infant asks when to introduce solid foods.
What is the nurse’s best response?
o A) “You can start rice cereal at 2 months.”
, o B) “Solids should be introduced around 6 months of age when the
infant can sit with support and has lost the extrusion reflex.”
o C) “Start fruits and vegetables at 3 months to prevent allergies.”
o D) “Solid foods are not needed until 12 months.”
o Rationale: The AAP recommends exclusive breastfeeding or formula
until 6 months. Signs of readiness include head control, sitting with
support, loss of extrusion reflex, and interest in food.
4. The parents of a toddler ask how to handle temper tantrums. Which
recommendation is most appropriate?
o A) “Give the child a time-out of 15 minutes for each tantrum.”
o B) “Ignore the tantrum if it is not dangerous, and do not give in to
demands.”
o C) “Spank the child gently to stop the behavior.”
o D) “Offer a reward immediately to stop the tantrum.”
o Rationale: Tantrums are normal in toddlers. Ignoring the behavior (as
long as safe) and not reinforcing it with attention or rewards is
effective. Time-out should be 1 minute per year of age.
5. A nurse is educating parents about injury prevention for a 9-month-old.
Which statement indicates a need for further teaching?
o A) “We will use a rear-facing car seat in the back seat until age 2.”
o B) “We will put gates at the top and bottom of stairs.”
o C) “It’s okay to leave the baby on the changing table while we
answer the phone.”
o D) “We will keep small objects out of reach.”
o Rationale: Infants can roll and fall from elevated surfaces. Never
leave an infant unattended on a changing table.
6. A nurse is providing anticipatory guidance to parents of a 12-month-old.
Which statement about feeding is correct?
, o A) “Whole milk can be introduced at 12 months.”
o B) “Honey is safe to give now to help with cough.”
o C) “Juice should be offered in a bottle at bedtime.”
o D) “Low-fat milk (1%) is recommended at 12 months.”
o Rationale: Whole cow’s milk (vitamin D fortified) can be introduced
at 12 months. Honey is avoided until 12 months due to botulism risk.
Juice should be limited and never in a bottle at bedtime.
7. A nurse is assessing a 3-year-old child’s language development. Which
finding would be abnormal?
o A) The child speaks in 3- to 4-word sentences.
o B) The child asks “why” questions.
o C) The child stutters occasionally.
o D) The child has no intelligible words.
o Rationale: By 3 years, a child should have a vocabulary of 200+ words
and be understood by strangers about 75% of the time. No
intelligible words is a concern and warrants evaluation. Occasional
stuttering is normal in preschoolers.
8. A school nurse is teaching a class on bicycle safety. What is the most
important safety measure for children?
o A) Wearing a properly fitted helmet
o B) Using hand signals
o C) Riding on the sidewalk
o D) Wearing reflective clothing
o Rationale: Wearing a helmet is the single most effective intervention
to prevent traumatic brain injury in bicycle accidents.
Complete Exam-Style Questions | 100% Verified –
Pass Guaranteed – A+ Graded
Exam 1: Growth, Development, and Foundations
1. A 2-year-old child is brought to the clinic. The nurse expects the child to
have which gross motor skill?
o A) Jumping with both feet
o B) Riding a tricycle
o C) Walking up stairs with alternating feet
o D) Kicking a ball forward
o Rationale: A 2-year-old can kick a ball forward, run, and walk up
stairs with one hand held. Jumping with both feet occurs around 2.5–
3 years, and alternating feet on stairs is a 3-year skill.
2. A nurse is assessing a 6-month-old infant. Which finding would be a
concern for developmental delay?
o A) The infant rolls from back to front.
o B) The infant transfers a rattle from one hand to the other.
o C) The infant does not sit without support.
o D) The infant babbles “mama” and “dada” nonspecifically.
o Rationale: By 6 months, infants can sit with support. Sitting without
support is typically achieved by 8 months. Rolling, transferring
objects, and babbling are expected at 6 months.
3. The mother of a 4-month-old infant asks when to introduce solid foods.
What is the nurse’s best response?
o A) “You can start rice cereal at 2 months.”
, o B) “Solids should be introduced around 6 months of age when the
infant can sit with support and has lost the extrusion reflex.”
o C) “Start fruits and vegetables at 3 months to prevent allergies.”
o D) “Solid foods are not needed until 12 months.”
o Rationale: The AAP recommends exclusive breastfeeding or formula
until 6 months. Signs of readiness include head control, sitting with
support, loss of extrusion reflex, and interest in food.
4. The parents of a toddler ask how to handle temper tantrums. Which
recommendation is most appropriate?
o A) “Give the child a time-out of 15 minutes for each tantrum.”
o B) “Ignore the tantrum if it is not dangerous, and do not give in to
demands.”
o C) “Spank the child gently to stop the behavior.”
o D) “Offer a reward immediately to stop the tantrum.”
o Rationale: Tantrums are normal in toddlers. Ignoring the behavior (as
long as safe) and not reinforcing it with attention or rewards is
effective. Time-out should be 1 minute per year of age.
5. A nurse is educating parents about injury prevention for a 9-month-old.
Which statement indicates a need for further teaching?
o A) “We will use a rear-facing car seat in the back seat until age 2.”
o B) “We will put gates at the top and bottom of stairs.”
o C) “It’s okay to leave the baby on the changing table while we
answer the phone.”
o D) “We will keep small objects out of reach.”
o Rationale: Infants can roll and fall from elevated surfaces. Never
leave an infant unattended on a changing table.
6. A nurse is providing anticipatory guidance to parents of a 12-month-old.
Which statement about feeding is correct?
, o A) “Whole milk can be introduced at 12 months.”
o B) “Honey is safe to give now to help with cough.”
o C) “Juice should be offered in a bottle at bedtime.”
o D) “Low-fat milk (1%) is recommended at 12 months.”
o Rationale: Whole cow’s milk (vitamin D fortified) can be introduced
at 12 months. Honey is avoided until 12 months due to botulism risk.
Juice should be limited and never in a bottle at bedtime.
7. A nurse is assessing a 3-year-old child’s language development. Which
finding would be abnormal?
o A) The child speaks in 3- to 4-word sentences.
o B) The child asks “why” questions.
o C) The child stutters occasionally.
o D) The child has no intelligible words.
o Rationale: By 3 years, a child should have a vocabulary of 200+ words
and be understood by strangers about 75% of the time. No
intelligible words is a concern and warrants evaluation. Occasional
stuttering is normal in preschoolers.
8. A school nurse is teaching a class on bicycle safety. What is the most
important safety measure for children?
o A) Wearing a properly fitted helmet
o B) Using hand signals
o C) Riding on the sidewalk
o D) Wearing reflective clothing
o Rationale: Wearing a helmet is the single most effective intervention
to prevent traumatic brain injury in bicycle accidents.
