NSG 3600 EXAMS 1-4 PEDIATRIC NURSING
(LATEST 2026/2027) ACTUAL QUESTIONS &
ANSWERS WITH RATIONALES - GALEN
COLLEGE OF NURSING QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Growth and Development
Health Promotion and Immunizations
Pediatric Respiratory Disorders
Pediatric Cardiac Disorders
Pediatric Gastrointestinal and Renal Disorders
Pediatric Neurological and Endocrine Disorders
Medication Administration and Dosage Calculations
Safety, Infection Control, and Injury Prevention
Family-Centered Care and Psychosocial Support
Ethical and Legal Considerations in Pediatric Nursing
Introduction
The NSG 3600 Pediatric Nursing Exams 1-4 assess the nursing student's ability
to apply evidence-based pediatric nursing concepts across the lifespan from
infancy through adolescence. The exams evaluate knowledge of growth and
development, health promotion, acute and chronic illness management,
medication administration, safety, and family-centered care. Multiple-choice
and scenario-based questions emphasize clinical judgment, prioritization, and
decision-making. Mastery of these domains ensures the provision of safe,
,developmentally appropriate, and family-centered nursing care to pediatric
populations in diverse healthcare settings.
Section One: Questions 1–100
1. A nurse is assessing a 4-month-old infant. Which milestone would
the nurse expect to observe?
A. Sitting independently without support
B. Rolling from front to back
C. Crawling
D. Pulling to stand
Correct answer: B
RATIONALE: At 4 months, infants typically can roll from front to back.
Sitting independently occurs around 6-8 months, crawling at 8-10 months,
and pulling to stand at 9-12 months.
2. A nurse is assessing a 1-month-old infant at a well-child visit. Which
developmental milestone should the nurse expect?
A. Social smile
B. Lifts head when prone
C. Follows objects past midline
D. Cooing
Correct answer: B
RATIONALE: At 1 month, infants can lift their head briefly when prone.
Social smile and cooing occur at 2 months. Following objects past midline
occurs at 3-4 months.
3. According to Piaget, a 6-month-old infant is in which stage of
cognitive development?
A. Preoperational
B. Sensorimotor
,C. Concrete Operational
D. Formal Operational
Correct answer: B
RATIONALE: The sensorimotor stage (birth to 2 years) is characterized by
learning through sensory experiences and motor actions. Object permanence
develops around 9 months.
4. A toddler is in the "autonomy vs. shame and doubt" stage according
to Erikson. Which behavior supports this stage?
A. The child wants to feed themselves
B. The child says "no" frequently
C. The child wants to dress independently
D. All of the above
Correct answer: D
RATIONALE: All of these behaviors support the autonomy vs. shame and
doubt stage (1-3 years). Toddlers assert their independence through
negativism ("no"), self-feeding, and dressing themselves.
5. At what age does an infant typically develop a pincer grasp?
A. 4-5 months
B. 6-7 months
C. 9-10 months
D. 12 months
Correct answer: C
RATIONALE: The pincer grasp (using thumb and forefinger) develops
around 9-10 months. This fine motor skill allows infants to pick up small
objects. The palmar grasp is present at birth and disappears around 4-6
months.
, 6. A 15-month-old toddler is being assessed. Which gross motor skill
should the nurse expect?
A. Walks up stairs with alternating feet
B. Walks independently
C. Runs
D. Kicks a ball
Correct answer: B
RATIONALE: By 15 months, most toddlers walk independently. Walking
up stairs with alternating feet occurs at 3 years, running at 18-24 months, and
kicking a ball at 18 months.
7. The anterior fontanel typically closes by which age?
A. 6-8 months
B. 12-18 months
C. 18-24 months
D. 24-36 months
Correct answer: B
RATIONALE: The anterior fontanel typically closes between 12-18
months. Delayed closure may indicate hydrocephalus, hypothyroidism, or
Down syndrome. The posterior fontanel closes by 2-3 months.
8. A preschooler (age 4) is in which stage of Erikson's psychosocial
development?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Identity vs. Role Confusion
Correct answer: B
(LATEST 2026/2027) ACTUAL QUESTIONS &
ANSWERS WITH RATIONALES - GALEN
COLLEGE OF NURSING QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
Growth and Development
Health Promotion and Immunizations
Pediatric Respiratory Disorders
Pediatric Cardiac Disorders
Pediatric Gastrointestinal and Renal Disorders
Pediatric Neurological and Endocrine Disorders
Medication Administration and Dosage Calculations
Safety, Infection Control, and Injury Prevention
Family-Centered Care and Psychosocial Support
Ethical and Legal Considerations in Pediatric Nursing
Introduction
The NSG 3600 Pediatric Nursing Exams 1-4 assess the nursing student's ability
to apply evidence-based pediatric nursing concepts across the lifespan from
infancy through adolescence. The exams evaluate knowledge of growth and
development, health promotion, acute and chronic illness management,
medication administration, safety, and family-centered care. Multiple-choice
and scenario-based questions emphasize clinical judgment, prioritization, and
decision-making. Mastery of these domains ensures the provision of safe,
,developmentally appropriate, and family-centered nursing care to pediatric
populations in diverse healthcare settings.
Section One: Questions 1–100
1. A nurse is assessing a 4-month-old infant. Which milestone would
the nurse expect to observe?
A. Sitting independently without support
B. Rolling from front to back
C. Crawling
D. Pulling to stand
Correct answer: B
RATIONALE: At 4 months, infants typically can roll from front to back.
Sitting independently occurs around 6-8 months, crawling at 8-10 months,
and pulling to stand at 9-12 months.
2. A nurse is assessing a 1-month-old infant at a well-child visit. Which
developmental milestone should the nurse expect?
A. Social smile
B. Lifts head when prone
C. Follows objects past midline
D. Cooing
Correct answer: B
RATIONALE: At 1 month, infants can lift their head briefly when prone.
Social smile and cooing occur at 2 months. Following objects past midline
occurs at 3-4 months.
3. According to Piaget, a 6-month-old infant is in which stage of
cognitive development?
A. Preoperational
B. Sensorimotor
,C. Concrete Operational
D. Formal Operational
Correct answer: B
RATIONALE: The sensorimotor stage (birth to 2 years) is characterized by
learning through sensory experiences and motor actions. Object permanence
develops around 9 months.
4. A toddler is in the "autonomy vs. shame and doubt" stage according
to Erikson. Which behavior supports this stage?
A. The child wants to feed themselves
B. The child says "no" frequently
C. The child wants to dress independently
D. All of the above
Correct answer: D
RATIONALE: All of these behaviors support the autonomy vs. shame and
doubt stage (1-3 years). Toddlers assert their independence through
negativism ("no"), self-feeding, and dressing themselves.
5. At what age does an infant typically develop a pincer grasp?
A. 4-5 months
B. 6-7 months
C. 9-10 months
D. 12 months
Correct answer: C
RATIONALE: The pincer grasp (using thumb and forefinger) develops
around 9-10 months. This fine motor skill allows infants to pick up small
objects. The palmar grasp is present at birth and disappears around 4-6
months.
, 6. A 15-month-old toddler is being assessed. Which gross motor skill
should the nurse expect?
A. Walks up stairs with alternating feet
B. Walks independently
C. Runs
D. Kicks a ball
Correct answer: B
RATIONALE: By 15 months, most toddlers walk independently. Walking
up stairs with alternating feet occurs at 3 years, running at 18-24 months, and
kicking a ball at 18 months.
7. The anterior fontanel typically closes by which age?
A. 6-8 months
B. 12-18 months
C. 18-24 months
D. 24-36 months
Correct answer: B
RATIONALE: The anterior fontanel typically closes between 12-18
months. Delayed closure may indicate hydrocephalus, hypothyroidism, or
Down syndrome. The posterior fontanel closes by 2-3 months.
8. A preschooler (age 4) is in which stage of Erikson's psychosocial
development?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Identity vs. Role Confusion
Correct answer: B
