NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Erikson, what is the primary developmental task for an infant (birth to 1 year)?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Answer: D
Rationale: For infants, the central task is establishing trust in their caregivers and environment, which forms
the basis for future relationships. This is an important clinical concept because selecting the correct answer (D)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
2. A toddler is playing with blocks next to another child but not interacting with them. This type
of play is known as:
A. Solitary play
B. Onlooker play
C. Parallel play
D. Cooperative play
Answer: C
Rationale: Parallel play is characteristic of toddlers, where they play beside others but not with them.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
3. Which pain scale is most appropriate for a non-verbal 2-year-old child?
A. FACES Scale
B. FLACC Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and children who
cannot yet communicate their pain level verbally. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE 2026 Update • Verified Answers
4. At what age does the anterior fontanel typically close?
A. 2-4 months
B. 12-18 months
C. 6-9 months
D. 24-36 months
Answer: B
Rationale: The anterior fontanel usually closes between 12 and 18 months of age, while the posterior fontanel
closes by 2-3 months. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports
safe, evidence-based practice and improves patient outcomes.
5. Which Piagetian stage is characterized by the development of object permanence?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
Answer: A
Rationale: Object permanence, the understanding that objects continue to exist even when they cannot be
seen, is a key milestone of the sensorimotor stage (birth to 2 years). Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
6. What is the preferred site for an intramuscular (IM) injection in an infant?
A. Deltoid
B. Vastus Lateralis
C. Dorsogluteal
D. Ventrogluteal
Answer: B
Rationale: The vastus lateralis (thigh) is the preferred IM site for infants because it is the most developed
muscle mass at that age. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (B)
requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Erikson, what is the primary developmental task for an infant (birth to 1 year)?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Answer: D
Rationale: For infants, the central task is establishing trust in their caregivers and environment, which forms
the basis for future relationships. This is an important clinical concept because selecting the correct answer (D)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
2. A toddler is playing with blocks next to another child but not interacting with them. This type
of play is known as:
A. Solitary play
B. Onlooker play
C. Parallel play
D. Cooperative play
Answer: C
Rationale: Parallel play is characteristic of toddlers, where they play beside others but not with them.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
3. Which pain scale is most appropriate for a non-verbal 2-year-old child?
A. FACES Scale
B. FLACC Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and children who
cannot yet communicate their pain level verbally. Recognizing this principle allows the nurse to prioritize care,
anticipate complications, and provide accurate patient education. Exam questions often test the ability to
distinguish this concept from closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Exam 1 – Pediatric Nursing 2026 UPDATE 2026 Update • Verified Answers
4. At what age does the anterior fontanel typically close?
A. 2-4 months
B. 12-18 months
C. 6-9 months
D. 24-36 months
Answer: B
Rationale: The anterior fontanel usually closes between 12 and 18 months of age, while the posterior fontanel
closes by 2-3 months. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings supports
safe, evidence-based practice and improves patient outcomes.
5. Which Piagetian stage is characterized by the development of object permanence?
A. Sensorimotor
B. Preoperational
C. Concrete Operational
D. Formal Operational
Answer: A
Rationale: Object permanence, the understanding that objects continue to exist even when they cannot be
seen, is a key milestone of the sensorimotor stage (birth to 2 years). Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
6. What is the preferred site for an intramuscular (IM) injection in an infant?
A. Deltoid
B. Vastus Lateralis
C. Dorsogluteal
D. Ventrogluteal
Answer: B
Rationale: The vastus lateralis (thigh) is the preferred IM site for infants because it is the most developed
muscle mass at that age. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (B)
requires understanding both the pathophysiology and the practical nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
