NSG 434 (Exams 1–3) Complete Full Course Study
Bundle
=== START OF STUDY BUNDLE ===
NSG 434 NURSING CARE OF CHILDREN
EXAMS 1–3 COMPLETE STUDY BUNDLE
Grand Canyon University College of Nursing and Health Care Professions
Updated for 2026/2027 Academic Year
Verified Questions & Answers with Rationales
EXAM 1: FOUNDATIONS OF PEDIATRIC NURSING
Topics: Growth & Development, Family-Centered Care, Pediatric Assessment,
Safety,
Immunizations, Pain Management, Communication
1. The nurse is assessing a 6-month-old infant who smiles, coos, and has a strong
head
lag. What would the nurse recognize about the child?
a) Development is normal for age
1
, b) Needs more tummy time only
c) Developmental/neurologic evaluation is needed
d) Social stimulation is inadequate
Correct Answer: c) Developmental/neurologic evaluation is needed
Rationale: Head lag should diminish by 4 months of age. Persistent strong head
lag at
6 months suggests possible neuromuscular or developmental delay requiring
further
evaluation [citation:8].
2. When completing the health assessment for a 2-year-old child, what type of play
would the nurse expect to observe?
a) Cooperative play
b) Solitary play
c) Engage in parallel play
d) Formal games with rules
Correct Answer: c) Engage in parallel play
Rationale: Toddlers typically play alongside, but not directly with, their peers.
Recognizing parallel play as normal helps guide parent counseling about
developmental
expectations [citation:8].
2
, 3. A parent tells the nurse, "I am worried about my 13-year-old son. He has not
started
puberty, and my daughter did when she was 11 years of age." What would be the
best
response?
a) "This is abnormal and needs immediate testing."
b) "Boys always start puberty at age 10."
c) "This is normal because the onset of pubescence is usually earlier in girls than
it
is in boys."
d) "Your son will not go through puberty."
Correct Answer: c) "This is normal because the onset of pubescence is
usually earlier in girls
than it is in boys."
Rationale: Girls typically begin puberty between ages 8-13, while boys begin
between
9-14. It is normal for girls to start earlier than boys. Reassurance is appropriate
[citation:8].
4. An adolescent asks the nurse, "How will I know if I am going through puberty?"
What
physical change would the nurse explain should occur first in puberty for boys?
a) Facial hair growth
b) Voice deepening
3
Bundle
=== START OF STUDY BUNDLE ===
NSG 434 NURSING CARE OF CHILDREN
EXAMS 1–3 COMPLETE STUDY BUNDLE
Grand Canyon University College of Nursing and Health Care Professions
Updated for 2026/2027 Academic Year
Verified Questions & Answers with Rationales
EXAM 1: FOUNDATIONS OF PEDIATRIC NURSING
Topics: Growth & Development, Family-Centered Care, Pediatric Assessment,
Safety,
Immunizations, Pain Management, Communication
1. The nurse is assessing a 6-month-old infant who smiles, coos, and has a strong
head
lag. What would the nurse recognize about the child?
a) Development is normal for age
1
, b) Needs more tummy time only
c) Developmental/neurologic evaluation is needed
d) Social stimulation is inadequate
Correct Answer: c) Developmental/neurologic evaluation is needed
Rationale: Head lag should diminish by 4 months of age. Persistent strong head
lag at
6 months suggests possible neuromuscular or developmental delay requiring
further
evaluation [citation:8].
2. When completing the health assessment for a 2-year-old child, what type of play
would the nurse expect to observe?
a) Cooperative play
b) Solitary play
c) Engage in parallel play
d) Formal games with rules
Correct Answer: c) Engage in parallel play
Rationale: Toddlers typically play alongside, but not directly with, their peers.
Recognizing parallel play as normal helps guide parent counseling about
developmental
expectations [citation:8].
2
, 3. A parent tells the nurse, "I am worried about my 13-year-old son. He has not
started
puberty, and my daughter did when she was 11 years of age." What would be the
best
response?
a) "This is abnormal and needs immediate testing."
b) "Boys always start puberty at age 10."
c) "This is normal because the onset of pubescence is usually earlier in girls than
it
is in boys."
d) "Your son will not go through puberty."
Correct Answer: c) "This is normal because the onset of pubescence is
usually earlier in girls
than it is in boys."
Rationale: Girls typically begin puberty between ages 8-13, while boys begin
between
9-14. It is normal for girls to start earlier than boys. Reassurance is appropriate
[citation:8].
4. An adolescent asks the nurse, "How will I know if I am going through puberty?"
What
physical change would the nurse explain should occur first in puberty for boys?
a) Facial hair growth
b) Voice deepening
3
