NSG 3600 Exam 1 Nursing Practice in
Children's Health Latest Practice Test
with 100 Questions and Correct Answers/
Galen NSG 3600 Exam 1 Pediatrics
Practice Test ()
Section 1: Growth and Development (Questions 1-15)
Question 1
A 2-month-old infant is at the clinic for a well-child visit. Which developmental milestone should the
nurse expect to observe?
A) Sits with support
B) Cooing and smiling
C) Rolls over from front to back
D) Follows objects past the midline
Rationale: At 2 months, infants typically coo, smile socially, and demonstrate improved head control.
Rolling over occurs around 4-6 months, sitting with support at 4-5 months, and following objects past
midline at 3-4 months. Social smile is a critical milestone for assessing normal development .
Question 2
The nurse is assessing a 6-month-old infant during a well-child visit. Which finding indicates normal
growth and development?
A) The infant cannot sit without support
B) The infant can sit with support and transfers objects from hand to hand
C) The infant has no pincer grasp
D) The infant's anterior fontanel is closed
Rationale: At 6 months, infants can typically sit with support, transfer objects from hand to hand, and
begin to babble. Sitting without support occurs around 8 months, pincer grasp develops at 9-10 months,
and the anterior fontanel closes at 12-18 months .
Question 3
According to Erikson's theory, which developmental stage is an adolescent (12-18 years) expected to
achieve?
,A) Industry vs. Inferiority
B) Identity vs. Role Confusion
C) Intimacy vs. Isolation
D) Autonomy vs. Shame and Doubt
Rationale: According to Erikson, adolescents (12-18 years) are in the stage of Identity vs. Role Confusion,
where they explore their identity and sense of self. Industry vs. Inferiority occurs in school-age children
(6-12 years), Intimacy vs. Isolation occurs in young adulthood, and Autonomy vs. Shame and Doubt
occurs in toddlers (1-3 years) .
Question 4
A 3-year-old child is in the preoperational stage of cognitive development according to Piaget. Which
behavior would the nurse expect to observe?
A) The child understands conservation of mass
B) The child engages in magical thinking
C) The child can think abstractly
D) The child demonstrates logical reasoning
Rationale: In the preoperational stage (2-7 years), children engage in magical thinking and are
egocentric. Conservation (understanding that quantity remains the same despite changes in appearance)
develops in the concrete operational stage (7-11 years). Abstract thinking develops in the formal
operational stage (11+ years) .
Question 5
When does the posterior fontanel typically close?
A) 2-3 months
B) 6-8 weeks (2-3 months)
C) 12-18 months
D) 24 months
Rationale: The posterior fontanel typically closes by 2-3 months of age. The anterior fontanel closes
later, between 12-18 months. Delayed closure of the posterior fontanel may indicate conditions such as
hypothyroidism or increased intracranial pressure .
Question 6
A 10-month-old infant is being assessed. Which fine motor skill should the nurse expect the infant to
have developed?
A) Holds a crayon with a mature grasp
B) Uses a pincer grasp to pick up small objects
C) Builds a tower of 4 blocks
D) Scribbles spontaneously
, Rationale: The pincer grasp (using thumb and forefinger to pick up small objects) develops around 9-10
months. Holding a crayon with a mature grasp and building towers develop in toddlerhood. Scribbling
typically begins around 15-18 months .
Question 7
The nurse is teaching parents about toilet training readiness. Which sign indicates the child is
physiologically ready to begin toilet training?
A) The child asks to use the potty
B) The child can stay dry for 2 hours
C) The child is 18 months old
D) The child can undress independently
Rationale: The primary physiological indicator of toilet training readiness is the ability to stay dry for 2
hours, indicating bladder sphincter control. While interest in the toilet, age, and ability to undress are
supportive factors, bladder control is the key physiological readiness sign .
Question 8
What is the first sign of puberty in boys?
A) Pubic hair growth
B) Testicular enlargement
C) Voice deepening
D) Growth spurt
Rationale: Testicular enlargement (testicular volume >4 mL) is typically the first sign of puberty in boys,
occurring between ages 9-14. Pubic hair growth, voice deepening, and the growth spurt occur later in
the pubertal sequence. Precocious puberty is defined as onset before age 9 in boys .
Question 9
A 4-month-old infant is brought to the clinic. The parents report the infant has been drooling excessively
and putting everything in the mouth. The nurse explains this behavior is related to:
A) Teething
B) Normal oral exploration (sensorimotor development)
C) An oral infection
D) Hunger
Rationale: At 4 months, infants are in the oral stage of development and explore objects through
mouthing. This is normal sensorimotor development. While teething can cause increased drooling, the
primary reason for mouthing objects is sensory exploration .
Children's Health Latest Practice Test
with 100 Questions and Correct Answers/
Galen NSG 3600 Exam 1 Pediatrics
Practice Test ()
Section 1: Growth and Development (Questions 1-15)
Question 1
A 2-month-old infant is at the clinic for a well-child visit. Which developmental milestone should the
nurse expect to observe?
A) Sits with support
B) Cooing and smiling
C) Rolls over from front to back
D) Follows objects past the midline
Rationale: At 2 months, infants typically coo, smile socially, and demonstrate improved head control.
Rolling over occurs around 4-6 months, sitting with support at 4-5 months, and following objects past
midline at 3-4 months. Social smile is a critical milestone for assessing normal development .
Question 2
The nurse is assessing a 6-month-old infant during a well-child visit. Which finding indicates normal
growth and development?
A) The infant cannot sit without support
B) The infant can sit with support and transfers objects from hand to hand
C) The infant has no pincer grasp
D) The infant's anterior fontanel is closed
Rationale: At 6 months, infants can typically sit with support, transfer objects from hand to hand, and
begin to babble. Sitting without support occurs around 8 months, pincer grasp develops at 9-10 months,
and the anterior fontanel closes at 12-18 months .
Question 3
According to Erikson's theory, which developmental stage is an adolescent (12-18 years) expected to
achieve?
,A) Industry vs. Inferiority
B) Identity vs. Role Confusion
C) Intimacy vs. Isolation
D) Autonomy vs. Shame and Doubt
Rationale: According to Erikson, adolescents (12-18 years) are in the stage of Identity vs. Role Confusion,
where they explore their identity and sense of self. Industry vs. Inferiority occurs in school-age children
(6-12 years), Intimacy vs. Isolation occurs in young adulthood, and Autonomy vs. Shame and Doubt
occurs in toddlers (1-3 years) .
Question 4
A 3-year-old child is in the preoperational stage of cognitive development according to Piaget. Which
behavior would the nurse expect to observe?
A) The child understands conservation of mass
B) The child engages in magical thinking
C) The child can think abstractly
D) The child demonstrates logical reasoning
Rationale: In the preoperational stage (2-7 years), children engage in magical thinking and are
egocentric. Conservation (understanding that quantity remains the same despite changes in appearance)
develops in the concrete operational stage (7-11 years). Abstract thinking develops in the formal
operational stage (11+ years) .
Question 5
When does the posterior fontanel typically close?
A) 2-3 months
B) 6-8 weeks (2-3 months)
C) 12-18 months
D) 24 months
Rationale: The posterior fontanel typically closes by 2-3 months of age. The anterior fontanel closes
later, between 12-18 months. Delayed closure of the posterior fontanel may indicate conditions such as
hypothyroidism or increased intracranial pressure .
Question 6
A 10-month-old infant is being assessed. Which fine motor skill should the nurse expect the infant to
have developed?
A) Holds a crayon with a mature grasp
B) Uses a pincer grasp to pick up small objects
C) Builds a tower of 4 blocks
D) Scribbles spontaneously
, Rationale: The pincer grasp (using thumb and forefinger to pick up small objects) develops around 9-10
months. Holding a crayon with a mature grasp and building towers develop in toddlerhood. Scribbling
typically begins around 15-18 months .
Question 7
The nurse is teaching parents about toilet training readiness. Which sign indicates the child is
physiologically ready to begin toilet training?
A) The child asks to use the potty
B) The child can stay dry for 2 hours
C) The child is 18 months old
D) The child can undress independently
Rationale: The primary physiological indicator of toilet training readiness is the ability to stay dry for 2
hours, indicating bladder sphincter control. While interest in the toilet, age, and ability to undress are
supportive factors, bladder control is the key physiological readiness sign .
Question 8
What is the first sign of puberty in boys?
A) Pubic hair growth
B) Testicular enlargement
C) Voice deepening
D) Growth spurt
Rationale: Testicular enlargement (testicular volume >4 mL) is typically the first sign of puberty in boys,
occurring between ages 9-14. Pubic hair growth, voice deepening, and the growth spurt occur later in
the pubertal sequence. Precocious puberty is defined as onset before age 9 in boys .
Question 9
A 4-month-old infant is brought to the clinic. The parents report the infant has been drooling excessively
and putting everything in the mouth. The nurse explains this behavior is related to:
A) Teething
B) Normal oral exploration (sensorimotor development)
C) An oral infection
D) Hunger
Rationale: At 4 months, infants are in the oral stage of development and explore objects through
mouthing. This is normal sensorimotor development. While teething can cause increased drooling, the
primary reason for mouthing objects is sensory exploration .
