NSG 3600 Exam 1 Pediatrics Practice Test 2026-180 QUESTIONS AND ANSWERS
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NSG 3600 Exam 1 Pediatrics Practice Test 2026
180 Multiple Choice Questions with Answers and Rationales
Section 1: Growth and Development (Questions 1-35)
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A) Pincer grasp
B) Social smile
C) Sitting without support
D) Transferring objects hand-to-hand
Answer: B) Social smile
Rationale: A social smile typically appears at 6-8 weeks (approximately 2 months)
of age. This is a key social developmental milestone. The pincer grasp develops at
9-10 months, sitting without support occurs at 6-8 months, and transferring
objects hand-to-hand occurs around 6 months .
,Question 2
At what age does the anterior fontanel typically close?
A) 2-3 months
B) 6-8 months
C) 12-18 months
D) 24 months
Answer: C) 12-18 months
Rationale: The anterior fontanel normally closes between 12 and 18 months of
age. The posterior fontanel closes earlier, at 2-3 months. Delayed closure may
indicate conditions such as hypothyroidism or increased intracranial pressure .
Question 3
A parent asks the nurse when their infant should begin brushing teeth. What is
the nurse's best response?
A) "Start brushing when the first tooth erupts using a soft toothbrush and water."
,B) "Wait until all primary teeth are in at age 2."
C) "Use fluoride toothpaste in a pea-sized amount as soon as teeth appear."
D) "Start brushing at 12 months with a washcloth."
Answer: A) "Start brushing when the first tooth erupts using a soft toothbrush and
water."
Rationale: Dental care should begin as soon as the first tooth erupts (around 6
months). Parents should use a soft toothbrush with water. For children under 3
years, a smear or rice-sized amount of fluoride toothpaste can be used; for
children 3-6 years, a pea-sized amount is appropriate .
Question 4
A 9-month-old infant makes sounds like "mama," "baba," and "dada." The parent
expresses concern about language development. What is the nurse's best
response?
A) "This is delayed language development for a 9-month-old."
B) "This is typical language development for a 9-month-old."
C) "The infant should be speaking in two-word phrases."
D) "The infant should be evaluated for a hearing impairment."
, Answer: B) "This is typical language development for a 9-month-old."
Rationale: At 9 months, infants typically engage in babbling and make sounds like
"mama," "baba," and "dada." These sounds represent normal expressive language
development. While not used meaningfully yet, they are expected at this age.
Specific use of these words develops around 12 months .
Question 5
According to Erikson, the primary psychosocial task of the toddler (1-3 years) is:
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Answer: B) Autonomy vs. Shame and Doubt
Rationale: Toddlers strive for independence and autonomy. Allowing appropriate
choices fosters autonomy, while overcontrol can lead to shame and doubt. Trust
ALREADY GRADED A+. 100% Verified Solutions Updated Per Latest Guidelines
Graded A+..
NSG 3600 Exam 1 Pediatrics Practice Test 2026
180 Multiple Choice Questions with Answers and Rationales
Section 1: Growth and Development (Questions 1-35)
Question 1
A nurse is assessing a 2-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A) Pincer grasp
B) Social smile
C) Sitting without support
D) Transferring objects hand-to-hand
Answer: B) Social smile
Rationale: A social smile typically appears at 6-8 weeks (approximately 2 months)
of age. This is a key social developmental milestone. The pincer grasp develops at
9-10 months, sitting without support occurs at 6-8 months, and transferring
objects hand-to-hand occurs around 6 months .
,Question 2
At what age does the anterior fontanel typically close?
A) 2-3 months
B) 6-8 months
C) 12-18 months
D) 24 months
Answer: C) 12-18 months
Rationale: The anterior fontanel normally closes between 12 and 18 months of
age. The posterior fontanel closes earlier, at 2-3 months. Delayed closure may
indicate conditions such as hypothyroidism or increased intracranial pressure .
Question 3
A parent asks the nurse when their infant should begin brushing teeth. What is
the nurse's best response?
A) "Start brushing when the first tooth erupts using a soft toothbrush and water."
,B) "Wait until all primary teeth are in at age 2."
C) "Use fluoride toothpaste in a pea-sized amount as soon as teeth appear."
D) "Start brushing at 12 months with a washcloth."
Answer: A) "Start brushing when the first tooth erupts using a soft toothbrush and
water."
Rationale: Dental care should begin as soon as the first tooth erupts (around 6
months). Parents should use a soft toothbrush with water. For children under 3
years, a smear or rice-sized amount of fluoride toothpaste can be used; for
children 3-6 years, a pea-sized amount is appropriate .
Question 4
A 9-month-old infant makes sounds like "mama," "baba," and "dada." The parent
expresses concern about language development. What is the nurse's best
response?
A) "This is delayed language development for a 9-month-old."
B) "This is typical language development for a 9-month-old."
C) "The infant should be speaking in two-word phrases."
D) "The infant should be evaluated for a hearing impairment."
, Answer: B) "This is typical language development for a 9-month-old."
Rationale: At 9 months, infants typically engage in babbling and make sounds like
"mama," "baba," and "dada." These sounds represent normal expressive language
development. While not used meaningfully yet, they are expected at this age.
Specific use of these words develops around 12 months .
Question 5
According to Erikson, the primary psychosocial task of the toddler (1-3 years) is:
A) Trust vs. Mistrust
B) Autonomy vs. Shame and Doubt
C) Initiative vs. Guilt
D) Industry vs. Inferiority
Answer: B) Autonomy vs. Shame and Doubt
Rationale: Toddlers strive for independence and autonomy. Allowing appropriate
choices fosters autonomy, while overcontrol can lead to shame and doubt. Trust
