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NSG 3600 (PEDS) EXAM 2 – COMPLETE
PRACTICE QUESTION BANK
250+ MULTIPLE-CHOICE QUESTIONS WITH
VERIFIED ANSWERS & DETAILED
RATIONALES
UPDATED FOR 2026–2027 ACADEMIC YEAR |
ALIGNED WITH LATEST CURRICULUM
GUIDELINES
# TABLE OF CONTENTS
| **Section 1** | Growth and Development – Infancy | 1–20 |
| **Section 2** | Growth and Development – Toddlerhood & Preschool | 21–40 |
| **Section 3** | Growth and Development – School-Age & Adolescence | 41–55 |
| **Section 4** | Pediatric Assessment – Vital Signs & Physical Exam | 56–75 |
| **Section 5** | Pediatric Medication Safety & Calculations | 76–95 |
| **Section 6** | Congenital Heart Defects – Acyanotic | 96–120 |
| **Section 7** | Congenital Heart Defects – Cyanotic | 121–140 |
| **Section 8** | Heart Failure & Kawasaki Disease | 141–160 |
| **Section 9** | Respiratory Disorders – Upper Airway | 161–180 |
| **Section 10** | Respiratory Disorders – Lower Airway | 181–205 |
| **Section 11** | Gastrointestinal Disorders | 206–230 |
| **Section 12** | Infectious Diseases & Immunizations | 231–250 |
| **Section 13** | Child Maltreatment & Emergency Prioritization | 251–265 |
| **Section 14** | Fluid & Electrolyte Balance | 266–280 |
,Page 2 of 159
# SECTION 1: GROWTH AND DEVELOPMENT – INFANCY
## Questions 1–20
**Question 1**
A nurse is assessing a 4-month-old infant during a well-child 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. Standing while holding onto furniture
**Correct Answer: B. Rolling from back to abdomen**
**Rationale:** By 4 months of age, infants typically can roll from back to abdomen. Sitting
without support occurs around 6–8 months, pincer grasp develops around 9–10 months, and
standing while holding onto furniture occurs around 9–12 months. The nurse should assess
rolling as an expected milestone at 4 months and document this finding as developmentally
appropriate.
---
**Question 2**
A 2-week-old infant is brought to the clinic for a follow-up visit. The parent asks when the infant
will be able to hold their head up while on their stomach. Which response by the nurse is most
accurate?
- A. "Most infants can do this by 1 month of age."
- B. "This typically occurs between 2 and 3 months of age."
- C. "Infants usually achieve this by 4 to 5 months."
- D. "Head control is usually established by 6 months."
,Page 3 of 159
**Correct Answer: B. "This typically occurs between 2 and 3 months of age."**
**Rationale:** Head lifting while prone typically develops between 2 and 3 months of age. At 1
month, infants can briefly lift their head but lack sustained control. By 4–5 months, head control
is well established, and by 6 months, infants have full head control. The nurse should provide
accurate developmental guidance to manage parental expectations appropriately.
---
**Question 3**
A nurse is performing a developmental screening on a 6-month-old infant. Which finding would
be a cause for concern and require further evaluation?
- A. The infant rolls from abdomen to back
- B. The infant transfers objects from one hand to the other
- C. The infant exhibits a strong Moro reflex
- D. The infant babbles single syllables such as "ba" and "da"
**Correct Answer: C. The infant exhibits a strong Moro reflex**
**Rationale:** The Moro (startle) reflex should disappear by 4–6 months of age. Persistence of
the Moro reflex beyond 6 months may indicate neurological impairment. Rolling, transferring
objects, and babbling are all expected developmental milestones at 6 months.
---
**Question 4**
The mother of a 9-month-old infant expresses concern that her baby is not yet walking. What is
the nurse's best response?
, Page 4 of 159
- A. "Your baby should be evaluated by a developmental specialist."
- B. "Walking typically begins between 12 and 15 months of age."
- C. "Most infants walk by 9 months, so this is delayed."
- D. "You should start physical therapy immediately."
**Correct Answer: B. "Walking typically begins between 12 and 15 months of age."**
**Rationale:** Independent walking typically develops between 12 and 15 months of age. At 9
months, infants are usually cruising (walking while holding onto furniture) but not yet walking
independently. The nurse should reassure the parent that the child's development is on track and
provide anticipatory guidance about expected milestones.
---
**Question 5**
A nurse is assessing a 12-month-old infant's fine motor skills. Which finding is developmentally
appropriate for this age?
- A. The infant uses a pincer grasp to pick up small objects
- B. The infant can draw a circle
- C. The infant can stack five blocks
- D. The infant can turn pages of a book one at a time
**Correct Answer: A. The infant uses a pincer grasp to pick up small objects**
**Rationale:** The pincer grasp (using the thumb and forefinger to pick up small objects)
develops around 9–10 months and is well established by 12 months. Drawing a circle and
stacking five blocks are skills expected at 3–4 years of age. Turning pages one at a time develops
around 18–24 months.
NSG 3600 (PEDS) EXAM 2 – COMPLETE
PRACTICE QUESTION BANK
250+ MULTIPLE-CHOICE QUESTIONS WITH
VERIFIED ANSWERS & DETAILED
RATIONALES
UPDATED FOR 2026–2027 ACADEMIC YEAR |
ALIGNED WITH LATEST CURRICULUM
GUIDELINES
# TABLE OF CONTENTS
| **Section 1** | Growth and Development – Infancy | 1–20 |
| **Section 2** | Growth and Development – Toddlerhood & Preschool | 21–40 |
| **Section 3** | Growth and Development – School-Age & Adolescence | 41–55 |
| **Section 4** | Pediatric Assessment – Vital Signs & Physical Exam | 56–75 |
| **Section 5** | Pediatric Medication Safety & Calculations | 76–95 |
| **Section 6** | Congenital Heart Defects – Acyanotic | 96–120 |
| **Section 7** | Congenital Heart Defects – Cyanotic | 121–140 |
| **Section 8** | Heart Failure & Kawasaki Disease | 141–160 |
| **Section 9** | Respiratory Disorders – Upper Airway | 161–180 |
| **Section 10** | Respiratory Disorders – Lower Airway | 181–205 |
| **Section 11** | Gastrointestinal Disorders | 206–230 |
| **Section 12** | Infectious Diseases & Immunizations | 231–250 |
| **Section 13** | Child Maltreatment & Emergency Prioritization | 251–265 |
| **Section 14** | Fluid & Electrolyte Balance | 266–280 |
,Page 2 of 159
# SECTION 1: GROWTH AND DEVELOPMENT – INFANCY
## Questions 1–20
**Question 1**
A nurse is assessing a 4-month-old infant during a well-child 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. Standing while holding onto furniture
**Correct Answer: B. Rolling from back to abdomen**
**Rationale:** By 4 months of age, infants typically can roll from back to abdomen. Sitting
without support occurs around 6–8 months, pincer grasp develops around 9–10 months, and
standing while holding onto furniture occurs around 9–12 months. The nurse should assess
rolling as an expected milestone at 4 months and document this finding as developmentally
appropriate.
---
**Question 2**
A 2-week-old infant is brought to the clinic for a follow-up visit. The parent asks when the infant
will be able to hold their head up while on their stomach. Which response by the nurse is most
accurate?
- A. "Most infants can do this by 1 month of age."
- B. "This typically occurs between 2 and 3 months of age."
- C. "Infants usually achieve this by 4 to 5 months."
- D. "Head control is usually established by 6 months."
,Page 3 of 159
**Correct Answer: B. "This typically occurs between 2 and 3 months of age."**
**Rationale:** Head lifting while prone typically develops between 2 and 3 months of age. At 1
month, infants can briefly lift their head but lack sustained control. By 4–5 months, head control
is well established, and by 6 months, infants have full head control. The nurse should provide
accurate developmental guidance to manage parental expectations appropriately.
---
**Question 3**
A nurse is performing a developmental screening on a 6-month-old infant. Which finding would
be a cause for concern and require further evaluation?
- A. The infant rolls from abdomen to back
- B. The infant transfers objects from one hand to the other
- C. The infant exhibits a strong Moro reflex
- D. The infant babbles single syllables such as "ba" and "da"
**Correct Answer: C. The infant exhibits a strong Moro reflex**
**Rationale:** The Moro (startle) reflex should disappear by 4–6 months of age. Persistence of
the Moro reflex beyond 6 months may indicate neurological impairment. Rolling, transferring
objects, and babbling are all expected developmental milestones at 6 months.
---
**Question 4**
The mother of a 9-month-old infant expresses concern that her baby is not yet walking. What is
the nurse's best response?
, Page 4 of 159
- A. "Your baby should be evaluated by a developmental specialist."
- B. "Walking typically begins between 12 and 15 months of age."
- C. "Most infants walk by 9 months, so this is delayed."
- D. "You should start physical therapy immediately."
**Correct Answer: B. "Walking typically begins between 12 and 15 months of age."**
**Rationale:** Independent walking typically develops between 12 and 15 months of age. At 9
months, infants are usually cruising (walking while holding onto furniture) but not yet walking
independently. The nurse should reassure the parent that the child's development is on track and
provide anticipatory guidance about expected milestones.
---
**Question 5**
A nurse is assessing a 12-month-old infant's fine motor skills. Which finding is developmentally
appropriate for this age?
- A. The infant uses a pincer grasp to pick up small objects
- B. The infant can draw a circle
- C. The infant can stack five blocks
- D. The infant can turn pages of a book one at a time
**Correct Answer: A. The infant uses a pincer grasp to pick up small objects**
**Rationale:** The pincer grasp (using the thumb and forefinger to pick up small objects)
develops around 9–10 months and is well established by 12 months. Drawing a circle and
stacking five blocks are skills expected at 3–4 years of age. Turning pages one at a time develops
around 18–24 months.
