NSG 3600 Nursing Practice: Children’s Health Exam 2 Stu… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Nursing Practice: Children’s Health Exam
2 Study Guide 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 Nursing Practice: Children’s Health Exam 2 Stu… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Erikson’s stages of psychosocial development, which conflict is primary for a
child in the toddler stage (1-3 years)?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: C
Rationale: Toddlers are focused on developing a sense of personal control and independence, which
characterizes the Autonomy vs. Shame and Doubt stage. 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.
2. A 4-year-old child is expected to be in which of Piaget’s stages of cognitive development?
A. Sensorimotor
B. Formal Operational
C. Concrete Operational
D. Preoperational
Answer: D
Rationale: Children aged 2 to 7 years are in the preoperational stage, characterized by egocentrism and the
use of symbols. 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 (D)
requires understanding both the pathophysiology and the practical nursing implications.
3. Which of the following is a classic clinical manifestation of pyloric stenosis in an infant?
A. Currant jelly-like stools
B. Ribbon-like stools
C. Projectile non-bilious vomiting
D. Steatorrhea
Answer: C
Rationale: Hypertrophic pyloric stenosis causes an obstruction resulting in projectile, non- bilious vomiting
shortly after feeding. This is an important clinical concept because selecting the correct answer (C) 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.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Nursing Practice: Children’s Health Exam 2 Stu… 2026 Update • Verified Answers
4. When assessing a child for suspected epiglottitis, which action should the nurse avoid?
A. Assessing oxygen saturation
B. Using a tongue blade to visualize the throat
C. Allowing the child to remain in a tripod position
D. Preparing for emergency intubation
Answer: B
Rationale: Visualization of the throat with a tongue blade can cause laryngospasm and total airway obstruction
in a child with epiglottitis. 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.
5. Which heart defect is characterized by a narrowing of the aorta, leading to high blood
pressure in the arms and low blood pressure in the legs?
A. Patent Ductus Arteriosus (PDA)
B. Ventricular Septal Defect (VSD)
C. Tetralogy of Fallot
D. C. Tetralogy of Fallot
Answer: D
Rationale: Coarctation of the aorta is a localized narrowing of the lumen, causing increased pressure proximal
to the defect (arms) and decreased pressure distal (legs). 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.
6. What is the recommended age to introduce solid foods into an infant’s diet?
A. 2-3 months
B. 4-6 months
C. 8-10 months
D. 12 months
Answer: B
Rationale: Solid foods are typically introduced between 4 and 6 months of age when the infant shows
readiness and the extrusion reflex disappears. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Nursing Practice: Children’s Health Exam
2 Study Guide 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 Nursing Practice: Children’s Health Exam 2 Stu… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Erikson’s stages of psychosocial development, which conflict is primary for a
child in the toddler stage (1-3 years)?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: C
Rationale: Toddlers are focused on developing a sense of personal control and independence, which
characterizes the Autonomy vs. Shame and Doubt stage. 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.
2. A 4-year-old child is expected to be in which of Piaget’s stages of cognitive development?
A. Sensorimotor
B. Formal Operational
C. Concrete Operational
D. Preoperational
Answer: D
Rationale: Children aged 2 to 7 years are in the preoperational stage, characterized by egocentrism and the
use of symbols. 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 (D)
requires understanding both the pathophysiology and the practical nursing implications.
3. Which of the following is a classic clinical manifestation of pyloric stenosis in an infant?
A. Currant jelly-like stools
B. Ribbon-like stools
C. Projectile non-bilious vomiting
D. Steatorrhea
Answer: C
Rationale: Hypertrophic pyloric stenosis causes an obstruction resulting in projectile, non- bilious vomiting
shortly after feeding. This is an important clinical concept because selecting the correct answer (C) 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.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Nursing Practice: Children’s Health Exam 2 Stu… 2026 Update • Verified Answers
4. When assessing a child for suspected epiglottitis, which action should the nurse avoid?
A. Assessing oxygen saturation
B. Using a tongue blade to visualize the throat
C. Allowing the child to remain in a tripod position
D. Preparing for emergency intubation
Answer: B
Rationale: Visualization of the throat with a tongue blade can cause laryngospasm and total airway obstruction
in a child with epiglottitis. 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.
5. Which heart defect is characterized by a narrowing of the aorta, leading to high blood
pressure in the arms and low blood pressure in the legs?
A. Patent Ductus Arteriosus (PDA)
B. Ventricular Septal Defect (VSD)
C. Tetralogy of Fallot
D. C. Tetralogy of Fallot
Answer: D
Rationale: Coarctation of the aorta is a localized narrowing of the lumen, causing increased pressure proximal
to the defect (arms) and decreased pressure distal (legs). 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.
6. What is the recommended age to introduce solid foods into an infant’s diet?
A. 2-3 months
B. 4-6 months
C. 8-10 months
D. 12 months
Answer: B
Rationale: Solid foods are typically introduced between 4 and 6 months of age when the infant shows
readiness and the extrusion reflex disappears. 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.
Exam (Elaborations) • Actual Questions & Rationales Page 3
