NSG 3600 PEDIATRICS EXAM 1
1. Slipped Capital Femoral Epiphysis (SCFE)
Question/Topic: Slipped capital femoral epiphysis is most commonly associated with which age group?
A. Less than 2 years
B. 2–5 years
C. 6–10 years
D. Adolescence
Correct Answer: D. Adolescence
Expert Rationale: SCFE most commonly occurs during the adolescent growth spurt. The condition
involves displacement of the femoral head through the growth plate and requires prompt orthopedic
evaluation.
2. Anterior Cruciate Ligament (ACL) Injury
Question/Topic: What are common manifestations of an ACL injury?
A. Painless joint swelling
B. Pain and instability
C. Severe abdominal pain
D. Muscle rigidity
Correct Answer: B. Pain and instability
Expert Rationale: ACL injuries commonly cause knee pain, swelling, a feeling of instability or “giving
way,” and difficulty bearing weight or participating in sports.
3. Erikson — Adolescent Development
,Question: The nurse is discussing Erikson's stages of development with the parents of a 16-year-old
child. Which stage does the nurse recognize the child is attempting to master?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Industry vs. inferiority
D. Identity vs. role confusion
Correct Answer: D. Identity vs. role confusion
Expert Rationale: Adolescents are developing a stable sense of identity, including personal values, goals,
relationships, and future roles. Successful resolution results in a stronger sense of identity.
4. Piaget — Concrete Operational Stage
Question: The nurse is caring for a child in the concrete operational stage of Piaget's cognitive
development. Which behavior should the nurse expect?
A. Uses magical thinking
B. Understands space and can solve logical problems
C. Demonstrates abstract reasoning
D. Uses primarily sensory exploration
Correct Answer: B. Understands space and can solve logical problems
Expert Rationale: The concrete operational stage occurs approximately from ages 7–11 years. Children
develop logical thinking, conservation, classification, and an improved understanding of spatial
relationships.
5. Infant Language Development
Question: The nurse is educating the parents of an 11-month-old infant about language ability. Which
statement indicates effective teaching?
A. “Our infant should only communicate through crying.”
B. “Our infant can say simple words such as dada.”
C. “Our infant should speak in complete sentences.”
,D. “Our infant should have a vocabulary of 50 words.”
Correct Answer: B. “Our infant can say simple words such as dada.”
Expert Rationale: By approximately 9–12 months, infants commonly babble, imitate sounds, and may
say simple words such as “mama” or “dada.”
6. Toddler Language Development
Question: The nurse is talking with a parent of a 2-year-old about language development. The parent
states, “I can't always understand what my child is saying. My friend's toddler speaks very clearly.”
Which response is appropriate?
A. “Your child should already be speaking clearly.”
B. “You should have your child evaluated immediately.”
C. “What the child understands is more important than the words that are used.”
D. “You should correct every word your child pronounces incorrectly.”
Correct Answer: C. “What the child understands is more important than the words that are used.”
Expert Rationale: Receptive language generally develops before expressive language. Individual variation
in speech clarity is common during toddlerhood.
7. Newborn Babinski Reflex
Question: The nurse is assessing the reflexes of a newborn. Which finding should be immediately
reported to the primary health-care provider?
A. Toes fan outward when the sole is stimulated
B. Toes curl inward when the sole is stimulated
C. The infant grasps the nurse's finger
D. The infant turns toward cheek stimulation
Correct Answer: B. Toes curl inward when the sole is stimulated
Expert Rationale: A normal newborn Babinski response is extension of the great toe with fanning of the
other toes. An abnormal response should be reported and further evaluated.
, 8. Discipline for Adolescents
Question: The nurse is discussing appropriate discipline with parents of an adolescent. Which
intervention is appropriate?
A. Corporal punishment
B. Grounding/removing privileges
C. Ignoring all inappropriate behavior
D. Using physical restraint
Correct Answer: B. Grounding/removing privileges
Expert Rationale: Appropriate adolescent discipline involves reasonable, consistent consequences such
as removal of privileges or grounding while maintaining communication and respect.
9. Toddler Home Safety
Question: The nurse is assessing the home environment of parents who have a toddler. Which
information should the nurse assess?
A. Whether the child has access to household medications
B. Whether parents allow unlimited independence
C. Whether the parents provide close supervision and make the environment safe from poisons and
electrical hazards
D. Whether the child sleeps independently every night
Correct Answer: C. Whether the parents provide close supervision and make the environment safe from
poisons and electrical hazards
Expert Rationale: Toddlers are highly mobile and curious. Poisoning, burns, falls, drowning, and electrical
injuries can be prevented through close supervision and environmental safety measures.
10. Toddler Play
Question: The nurse is caring for a group of toddlers and is developing a plan for age-appropriate play
activities during hospitalization. Which activity should the nurse include?
A. Competitive team sports
1. Slipped Capital Femoral Epiphysis (SCFE)
Question/Topic: Slipped capital femoral epiphysis is most commonly associated with which age group?
A. Less than 2 years
B. 2–5 years
C. 6–10 years
D. Adolescence
Correct Answer: D. Adolescence
Expert Rationale: SCFE most commonly occurs during the adolescent growth spurt. The condition
involves displacement of the femoral head through the growth plate and requires prompt orthopedic
evaluation.
2. Anterior Cruciate Ligament (ACL) Injury
Question/Topic: What are common manifestations of an ACL injury?
A. Painless joint swelling
B. Pain and instability
C. Severe abdominal pain
D. Muscle rigidity
Correct Answer: B. Pain and instability
Expert Rationale: ACL injuries commonly cause knee pain, swelling, a feeling of instability or “giving
way,” and difficulty bearing weight or participating in sports.
3. Erikson — Adolescent Development
,Question: The nurse is discussing Erikson's stages of development with the parents of a 16-year-old
child. Which stage does the nurse recognize the child is attempting to master?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Industry vs. inferiority
D. Identity vs. role confusion
Correct Answer: D. Identity vs. role confusion
Expert Rationale: Adolescents are developing a stable sense of identity, including personal values, goals,
relationships, and future roles. Successful resolution results in a stronger sense of identity.
4. Piaget — Concrete Operational Stage
Question: The nurse is caring for a child in the concrete operational stage of Piaget's cognitive
development. Which behavior should the nurse expect?
A. Uses magical thinking
B. Understands space and can solve logical problems
C. Demonstrates abstract reasoning
D. Uses primarily sensory exploration
Correct Answer: B. Understands space and can solve logical problems
Expert Rationale: The concrete operational stage occurs approximately from ages 7–11 years. Children
develop logical thinking, conservation, classification, and an improved understanding of spatial
relationships.
5. Infant Language Development
Question: The nurse is educating the parents of an 11-month-old infant about language ability. Which
statement indicates effective teaching?
A. “Our infant should only communicate through crying.”
B. “Our infant can say simple words such as dada.”
C. “Our infant should speak in complete sentences.”
,D. “Our infant should have a vocabulary of 50 words.”
Correct Answer: B. “Our infant can say simple words such as dada.”
Expert Rationale: By approximately 9–12 months, infants commonly babble, imitate sounds, and may
say simple words such as “mama” or “dada.”
6. Toddler Language Development
Question: The nurse is talking with a parent of a 2-year-old about language development. The parent
states, “I can't always understand what my child is saying. My friend's toddler speaks very clearly.”
Which response is appropriate?
A. “Your child should already be speaking clearly.”
B. “You should have your child evaluated immediately.”
C. “What the child understands is more important than the words that are used.”
D. “You should correct every word your child pronounces incorrectly.”
Correct Answer: C. “What the child understands is more important than the words that are used.”
Expert Rationale: Receptive language generally develops before expressive language. Individual variation
in speech clarity is common during toddlerhood.
7. Newborn Babinski Reflex
Question: The nurse is assessing the reflexes of a newborn. Which finding should be immediately
reported to the primary health-care provider?
A. Toes fan outward when the sole is stimulated
B. Toes curl inward when the sole is stimulated
C. The infant grasps the nurse's finger
D. The infant turns toward cheek stimulation
Correct Answer: B. Toes curl inward when the sole is stimulated
Expert Rationale: A normal newborn Babinski response is extension of the great toe with fanning of the
other toes. An abnormal response should be reported and further evaluated.
, 8. Discipline for Adolescents
Question: The nurse is discussing appropriate discipline with parents of an adolescent. Which
intervention is appropriate?
A. Corporal punishment
B. Grounding/removing privileges
C. Ignoring all inappropriate behavior
D. Using physical restraint
Correct Answer: B. Grounding/removing privileges
Expert Rationale: Appropriate adolescent discipline involves reasonable, consistent consequences such
as removal of privileges or grounding while maintaining communication and respect.
9. Toddler Home Safety
Question: The nurse is assessing the home environment of parents who have a toddler. Which
information should the nurse assess?
A. Whether the child has access to household medications
B. Whether parents allow unlimited independence
C. Whether the parents provide close supervision and make the environment safe from poisons and
electrical hazards
D. Whether the child sleeps independently every night
Correct Answer: C. Whether the parents provide close supervision and make the environment safe from
poisons and electrical hazards
Expert Rationale: Toddlers are highly mobile and curious. Poisoning, burns, falls, drowning, and electrical
injuries can be prevented through close supervision and environmental safety measures.
10. Toddler Play
Question: The nurse is caring for a group of toddlers and is developing a plan for age-appropriate play
activities during hospitalization. Which activity should the nurse include?
A. Competitive team sports
