,NUR 203 Final Exam | Pediatric Nursing (2026) Actual Q&A
PDF | Fortis College
1. A nurse is assessing a 5-year-old child for developmental milestones. According to
Erikson, which psychosocial stage is this child currently navigating?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Correct Answer: Initiative vs. Guilt
Rationale: According to Erikson, preschool-aged children (3 to 6 years) are in the
Initiative vs. Guilt stage. During this period, children assert power and control
through directing play and social interactions. If discouraged, they may develop guilt.
Trust vs. Mistrust is infancy, Industry vs. Inferiority is school-age, and Identity vs.
Role Confusion is adolescence.
2. Which behavior best demonstrates a preschooler’s understanding of initiative?
A) Crying when separated from a parent
B) Initiating a game with a sibling
C) Following strict rules during a board game
D) Asking for help with a puzzle
Correct Answer: Initiating a game with a sibling
Rationale: Initiative is demonstrated by a child’s willingness to plan and initiate
activities, such as starting a game. Separation anxiety is typical of
,infancy/toddlerhood, strict rule-following reflects industry, and asking for help is not a
primary indicator of initiative.
3. A 9-month-old infant is admitted for observation. Which gross motor milestone
should the nurse expect to be present?
A) Sitting without support and beginning to pull to stand
B) Walking independently without support
C) Skipping with alternating feet
D) Riding a bicycle
Correct Answer: Sitting without support and beginning to pull to stand
Rationale: By about 8 to 9 months, most infants sit steadily without support and
begin pulling to stand. Walking independently typically occurs around 12 months,
skipping with alternating feet around 4 to 5 years, and riding a bicycle around 5 to 6
years. Delays in these milestones warrant further evaluation.
4. A 6-month-old infant is brought to the clinic for a well-child visit. The nurse should
expect the infant's weight to have changed in what way since birth?
A) Tripled in weight
B) Doubled in weight
C) Increased by 5 pounds
D) Remained the same as the 4-month visit
Correct Answer: Doubled in weight
Rationale: In normal pediatric growth patterns, an infant usually doubles their birth
weight by the age of 5 to 6 months. By one year of age, the birth weight is typically
expected to triple. Monitoring weight gain is a critical indicator of nutritional status
and general health in the first year of life.
, 5. A 10-month-old infant is brought to the clinic for a well-child checkup. Which
developmental milestone should the nurse expect the infant to have achieved?
A) Using a neat pincer grasp
B) Walking without assistance
C) Speaking in 3-word sentences
D) Stacking a tower of six blocks
Correct Answer: Using a neat pincer grasp
Rationale: By 10 months of age, an infant typically demonstrates a neat pincer
grasp, which involves using the thumb and index finger to pick up small objects.
Walking independently is usually achieved around 12 to 15 months, and block
stacking of that complexity occurs much later in toddlerhood. Assessing fine motor
skills like the pincer grasp is essential to track neurological and physical maturation.
6. A 4-year-old is preparing for preschool. According to Erikson, the primary
psychosocial task of this age is:
A) Trust versus mistrust
B) Initiative versus guilt
C) Industry versus inferiority
D) Identity versus role confusion
Correct Answer: Initiative versus guilt
Rationale: Preschoolers (3–5 years) work on initiative versus guilt, exploring and
asserting control through play and social interaction. If they are discouraged from
doing so, they may develop a sense of guilt regarding their desires and actions.
PDF | Fortis College
1. A nurse is assessing a 5-year-old child for developmental milestones. According to
Erikson, which psychosocial stage is this child currently navigating?
A) Trust vs. Mistrust
B) Initiative vs. Guilt
C) Industry vs. Inferiority
D) Identity vs. Role Confusion
Correct Answer: Initiative vs. Guilt
Rationale: According to Erikson, preschool-aged children (3 to 6 years) are in the
Initiative vs. Guilt stage. During this period, children assert power and control
through directing play and social interactions. If discouraged, they may develop guilt.
Trust vs. Mistrust is infancy, Industry vs. Inferiority is school-age, and Identity vs.
Role Confusion is adolescence.
2. Which behavior best demonstrates a preschooler’s understanding of initiative?
A) Crying when separated from a parent
B) Initiating a game with a sibling
C) Following strict rules during a board game
D) Asking for help with a puzzle
Correct Answer: Initiating a game with a sibling
Rationale: Initiative is demonstrated by a child’s willingness to plan and initiate
activities, such as starting a game. Separation anxiety is typical of
,infancy/toddlerhood, strict rule-following reflects industry, and asking for help is not a
primary indicator of initiative.
3. A 9-month-old infant is admitted for observation. Which gross motor milestone
should the nurse expect to be present?
A) Sitting without support and beginning to pull to stand
B) Walking independently without support
C) Skipping with alternating feet
D) Riding a bicycle
Correct Answer: Sitting without support and beginning to pull to stand
Rationale: By about 8 to 9 months, most infants sit steadily without support and
begin pulling to stand. Walking independently typically occurs around 12 months,
skipping with alternating feet around 4 to 5 years, and riding a bicycle around 5 to 6
years. Delays in these milestones warrant further evaluation.
4. A 6-month-old infant is brought to the clinic for a well-child visit. The nurse should
expect the infant's weight to have changed in what way since birth?
A) Tripled in weight
B) Doubled in weight
C) Increased by 5 pounds
D) Remained the same as the 4-month visit
Correct Answer: Doubled in weight
Rationale: In normal pediatric growth patterns, an infant usually doubles their birth
weight by the age of 5 to 6 months. By one year of age, the birth weight is typically
expected to triple. Monitoring weight gain is a critical indicator of nutritional status
and general health in the first year of life.
, 5. A 10-month-old infant is brought to the clinic for a well-child checkup. Which
developmental milestone should the nurse expect the infant to have achieved?
A) Using a neat pincer grasp
B) Walking without assistance
C) Speaking in 3-word sentences
D) Stacking a tower of six blocks
Correct Answer: Using a neat pincer grasp
Rationale: By 10 months of age, an infant typically demonstrates a neat pincer
grasp, which involves using the thumb and index finger to pick up small objects.
Walking independently is usually achieved around 12 to 15 months, and block
stacking of that complexity occurs much later in toddlerhood. Assessing fine motor
skills like the pincer grasp is essential to track neurological and physical maturation.
6. A 4-year-old is preparing for preschool. According to Erikson, the primary
psychosocial task of this age is:
A) Trust versus mistrust
B) Initiative versus guilt
C) Industry versus inferiority
D) Identity versus role confusion
Correct Answer: Initiative versus guilt
Rationale: Preschoolers (3–5 years) work on initiative versus guilt, exploring and
asserting control through play and social interaction. If they are discouraged from
doing so, they may develop a sense of guilt regarding their desires and actions.
