Approved Galen College Of Nursing NUR 230 Nclex Peds Exam 1 Test Bank
Actual 2026/2027 Practice Questions And Study Guide Accurate Exam Complete
Real Questions And Correct Detailed Answers With Rationales (100% Correct
Verified Solutions)
1. The nurse is assessing a 2-month-old infant at a well-child visit. Which
finding indicates normal development for this age?
A. Rolls from back to front
B. Holds head up 45 degrees when prone
C. Sits with minimal support
D. Follows objects past the midline
Correct Answer: B. Holds head up 45 degrees when prone
Rationale: By 2 months of age, infants can lift their head approximately 45
degrees when in the prone position. Rolling from back to front typically
occurs around 4-6 months, sitting with support occurs around 4-5 months, and
following objects past the midline is expected by 3 months.
2. The mother of a child who is 2 years 6 months old has arranged a play date
with a neighbor and her child who is 2 years 9 months old. During the play
date, the two mothers should expect that the children will do which of the
following?
, A. Play with one another with little or no conflict
B. Share and trade their toys while playing
C. Play alongside one another but not actively with one another
D. Only play with one or two items, ignoring most of the other toys
Correct Answer: C. Play alongside one another but not actively with one
another
Rationale: Toddlers engage in parallel play—playing independently but next
to other children. This is the expected play pattern for children 1–3 years of
age. Cooperative play with sharing and trading is not typically seen until the
preschool years.
3. A 6-year-old child is hospitalized after a bicycle accident. What is the most
appropriate nursing intervention to prevent further injury?
A. Provide a soft toy for distraction
B. Encourage use of helmet when outdoors
C. Allow unsupervised activity
D. Delay discharge teaching until pain resolves
Correct Answer: B. Encourage use of helmet when outdoors
Rationale: Helmets significantly reduce the risk of head injury in bicycle
accidents. Safety education is essential for school-age children, who are
increasingly independent and engage in activities that carry injury risk.
4. According to Piaget, what cognitive characteristic is expected in a 4-year-
old child?
, A. Abstract thinking
B. Egocentrism
C. Logical reasoning
D. Cause-and-effect understanding
Correct Answer: B. Egocentrism
Rationale: Children aged 2–7 years are in the preoperational stage of
cognitive development and are egocentric, meaning they see the world only
from their own perspective. Abstract thinking and logical reasoning develop
during the formal operational stage (age 11+), and cause-and-effect
understanding develops during the concrete operational stage (age 7–11).
5. A toddler is hospitalized with burns. Based on Erikson's theory, what
should the nurse focus on during care?
A. Building trust
B. Promoting autonomy
C. Encouraging industry
D. Supporting identity
Correct Answer: B. Promoting autonomy
Rationale: Toddlers (ages 1–3 years) are in Erikson's autonomy versus shame
and doubt stage. Encouraging independence through choices and self-care
activities supports healthy psychosocial development. Trust is the focus of
infancy (0–1 year), industry is the focus of school-age children (6–12 years),
and identity is the focus of adolescence (12–18 years).
, 6. Which child is at greatest risk for aspiration?
A. 4-year-old with ADHD
B. 9-month-old crawling infant
C. 2-year-old with autism
D. Newborn in the NICU
Correct Answer: B. 9-month-old crawling infant
Rationale: Crawling infants explore their environment by putting objects in
their mouths, significantly increasing the risk of aspiration.
7. A nurse is assessing a 6-month-old infant during a routine visit. Which
finding is most consistent with expected development?
A. Uses a neat pincer grasp
B. Walks while holding furniture
C. Sits briefly without support
D. Speaks in two-word phrases
Correct Answer: C. Sits briefly without support
Rationale: By about 6 months, many infants can sit briefly without support. A
mature pincer grasp, cruising, and two-word phrases develop later.
8. The nurse observes a 15-month-old child during a developmental
assessment. Which finding is expected?
A. Walks independently and uses several meaningful words
B. Hops on one foot and uses sentences
Actual 2026/2027 Practice Questions And Study Guide Accurate Exam Complete
Real Questions And Correct Detailed Answers With Rationales (100% Correct
Verified Solutions)
1. The nurse is assessing a 2-month-old infant at a well-child visit. Which
finding indicates normal development for this age?
A. Rolls from back to front
B. Holds head up 45 degrees when prone
C. Sits with minimal support
D. Follows objects past the midline
Correct Answer: B. Holds head up 45 degrees when prone
Rationale: By 2 months of age, infants can lift their head approximately 45
degrees when in the prone position. Rolling from back to front typically
occurs around 4-6 months, sitting with support occurs around 4-5 months, and
following objects past the midline is expected by 3 months.
2. The mother of a child who is 2 years 6 months old has arranged a play date
with a neighbor and her child who is 2 years 9 months old. During the play
date, the two mothers should expect that the children will do which of the
following?
, A. Play with one another with little or no conflict
B. Share and trade their toys while playing
C. Play alongside one another but not actively with one another
D. Only play with one or two items, ignoring most of the other toys
Correct Answer: C. Play alongside one another but not actively with one
another
Rationale: Toddlers engage in parallel play—playing independently but next
to other children. This is the expected play pattern for children 1–3 years of
age. Cooperative play with sharing and trading is not typically seen until the
preschool years.
3. A 6-year-old child is hospitalized after a bicycle accident. What is the most
appropriate nursing intervention to prevent further injury?
A. Provide a soft toy for distraction
B. Encourage use of helmet when outdoors
C. Allow unsupervised activity
D. Delay discharge teaching until pain resolves
Correct Answer: B. Encourage use of helmet when outdoors
Rationale: Helmets significantly reduce the risk of head injury in bicycle
accidents. Safety education is essential for school-age children, who are
increasingly independent and engage in activities that carry injury risk.
4. According to Piaget, what cognitive characteristic is expected in a 4-year-
old child?
, A. Abstract thinking
B. Egocentrism
C. Logical reasoning
D. Cause-and-effect understanding
Correct Answer: B. Egocentrism
Rationale: Children aged 2–7 years are in the preoperational stage of
cognitive development and are egocentric, meaning they see the world only
from their own perspective. Abstract thinking and logical reasoning develop
during the formal operational stage (age 11+), and cause-and-effect
understanding develops during the concrete operational stage (age 7–11).
5. A toddler is hospitalized with burns. Based on Erikson's theory, what
should the nurse focus on during care?
A. Building trust
B. Promoting autonomy
C. Encouraging industry
D. Supporting identity
Correct Answer: B. Promoting autonomy
Rationale: Toddlers (ages 1–3 years) are in Erikson's autonomy versus shame
and doubt stage. Encouraging independence through choices and self-care
activities supports healthy psychosocial development. Trust is the focus of
infancy (0–1 year), industry is the focus of school-age children (6–12 years),
and identity is the focus of adolescence (12–18 years).
, 6. Which child is at greatest risk for aspiration?
A. 4-year-old with ADHD
B. 9-month-old crawling infant
C. 2-year-old with autism
D. Newborn in the NICU
Correct Answer: B. 9-month-old crawling infant
Rationale: Crawling infants explore their environment by putting objects in
their mouths, significantly increasing the risk of aspiration.
7. A nurse is assessing a 6-month-old infant during a routine visit. Which
finding is most consistent with expected development?
A. Uses a neat pincer grasp
B. Walks while holding furniture
C. Sits briefly without support
D. Speaks in two-word phrases
Correct Answer: C. Sits briefly without support
Rationale: By about 6 months, many infants can sit briefly without support. A
mature pincer grasp, cruising, and two-word phrases develop later.
8. The nurse observes a 15-month-old child during a developmental
assessment. Which finding is expected?
A. Walks independently and uses several meaningful words
B. Hops on one foot and uses sentences
