NSG 3600 Exam 1 | NSG 3600 Children’s
Health | Questions & Answers with
Rationales 2026/2027 Update
QUESTION 1
A pediatric nurse is conducting an assessment on a 6-month-old infant. Which
gross motor milestone should the nurse expect the infant to demonstrate at this
age?
A) Sitting independently without any support
B) Rolling from back to front and front to back
C) Pulling up to a standing position on furniture
D) Walking while holding onto adult hands
Answer: B
Rationale: By 6 months of age, infants typically master rolling from back to front
and front to back. Sitting independently without support usually occurs around 7
to 8 months. Pulling up to stand occurs around 9 months, and supported walking
occurs around 10 to 12 months.
QUESTION 2
A nurse is evaluating the developmental progress of an 18-month-old toddler.
Which fine motor skill is considered an expected milestone for this age group?
A) Building a tower of three to four blocks
B) Copying a vertical line and a circle perfectly
C) Tying shoelaces without assistance
D) Cutting out complex paper shapes with scissors
Answer: A
,Rationale: An 18-month-old toddler should be able to stack 3 to 4 blocks and
scribble spontaneously. Copying vertical lines and circles occurs between 3 and 4
years of age. Tying shoelaces and cutting shapes are fine motor milestones typical
of school-age children.
QUESTION 3
A nurse is preparing to administer routine immunizations to a 2-month-old infant
during a well-child visit. Which set of vaccines should be administered according
to standard pediatric guidelines?
A) MMR, Varicella, and Hepatitis A
B) DTaP, Hib, IPV, PCV15, Rotavirus, and Hepatitis B
C) Tdap, HPV, and Meningococcal conjugate
D) Influenza and Varicella booster only
Answer: B
Rationale: At 2 months of age, infants routinely receive the second dose of
Hepatitis B (if first dose given at birth) along with the first doses of DTaP, Hib, IPV,
PCV15/PCV20, and Rotavirus. MMR, Varicella, and Hepatitis A are administered at
12 months or older.
QUESTION 4
A nurse is performing a physical exam on a 4-month-old infant. Which primitive
reflex should the nurse expect to still be present at this age?
A) Moro reflex
B) Babinski reflex
C) Palmar grasp reflex
D) Rooting reflex
Answer: B
Rationale: The Babinski reflex normally remains positive in infants until 12 to 24
months of age. The Moro reflex, palmar grasp, and rooting reflex typically fade or
integrate between 3 and 4 months of age as voluntary motor control develops.
,QUESTION 5
A pediatric nurse is assessing a preschooler using Erikson's theory of psychosocial
development. Which developmental stage and central task applies to this age
group?
A) Trust vs Mistrust
B) Autonomy vs Shame and Doubt
C) Initiative vs Guilt
D) Industry vs Inferiority
Answer: C
Rationale: Preschoolers (ages 3 to 5 years) are in Erikson's stage of Initiative vs
Guilt, where they explore their environment and initiate activities. Trust vs
Mistrust applies to infants, Autonomy vs Shame and Doubt to toddlers, and
Industry vs Inferiority to school-age children.
QUESTION 6
A nurse is teaching parents about foreign body aspiration prevention in toddlers.
Which food item poses the highest risk for choking and should be avoided or
modified?
A) Smooth applesauce
B) Whole hot dogs cut into round coin shapes
C) Pureed squash
D) Well-cooked oatmeal
Answer: B
Rationale: Firm, round, cylindrical foods like whole hot dogs cut into coins, whole
grapes, nuts, popcorn, and hard candies present severe choking hazards because
they can completely occlude a young child's airway. Hot dogs should be cut
lengthwise into thin strips if served.
QUESTION 7
, A 3-year-old child is brought to the clinic for a routine checkup. According to
Piaget's stages of cognitive development, which stage best describes the cognitive
processing of a preschooler?
A) Sensorimotor stage
B) Preoperational stage
C) Concrete operational stage
D) Formal operational stage
Answer: B
Rationale: Children aged 2 to 7 years are in Piaget's Preoperational stage,
characterized by egocentrism, magical thinking, and symbolic thought.
Sensorimotor applies to infants (0-2 years), concrete operational to school-age
children (7-11 years), and formal operational to adolescents.
QUESTION 8
A nurse is taking vital signs on a 12-month-old infant. Which resting heart rate
range is considered normal for a child at this age?
A) 60 to 80 beats per minute
B) 80 to 130 beats per minute
C) 140 to 180 beats per minute
D) 180 to 220 beats per minute
Answer: B
Rationale: Normal resting heart rate for an infant aged 1 to 2 years ranges
between 80 and 130 beats per minute. A rate of 60 to 80 bpm is normal for
adults, while rates above 140 bpm at rest in a calm 12-month-old indicate
tachycardia.
QUESTION 9
A nurse is assessing a 9-month-old infant during a health maintenance visit.
Which developmental game or play behavior is most appropriate for the nurse to
utilize to evaluate object permanence?
Health | Questions & Answers with
Rationales 2026/2027 Update
QUESTION 1
A pediatric nurse is conducting an assessment on a 6-month-old infant. Which
gross motor milestone should the nurse expect the infant to demonstrate at this
age?
A) Sitting independently without any support
B) Rolling from back to front and front to back
C) Pulling up to a standing position on furniture
D) Walking while holding onto adult hands
Answer: B
Rationale: By 6 months of age, infants typically master rolling from back to front
and front to back. Sitting independently without support usually occurs around 7
to 8 months. Pulling up to stand occurs around 9 months, and supported walking
occurs around 10 to 12 months.
QUESTION 2
A nurse is evaluating the developmental progress of an 18-month-old toddler.
Which fine motor skill is considered an expected milestone for this age group?
A) Building a tower of three to four blocks
B) Copying a vertical line and a circle perfectly
C) Tying shoelaces without assistance
D) Cutting out complex paper shapes with scissors
Answer: A
,Rationale: An 18-month-old toddler should be able to stack 3 to 4 blocks and
scribble spontaneously. Copying vertical lines and circles occurs between 3 and 4
years of age. Tying shoelaces and cutting shapes are fine motor milestones typical
of school-age children.
QUESTION 3
A nurse is preparing to administer routine immunizations to a 2-month-old infant
during a well-child visit. Which set of vaccines should be administered according
to standard pediatric guidelines?
A) MMR, Varicella, and Hepatitis A
B) DTaP, Hib, IPV, PCV15, Rotavirus, and Hepatitis B
C) Tdap, HPV, and Meningococcal conjugate
D) Influenza and Varicella booster only
Answer: B
Rationale: At 2 months of age, infants routinely receive the second dose of
Hepatitis B (if first dose given at birth) along with the first doses of DTaP, Hib, IPV,
PCV15/PCV20, and Rotavirus. MMR, Varicella, and Hepatitis A are administered at
12 months or older.
QUESTION 4
A nurse is performing a physical exam on a 4-month-old infant. Which primitive
reflex should the nurse expect to still be present at this age?
A) Moro reflex
B) Babinski reflex
C) Palmar grasp reflex
D) Rooting reflex
Answer: B
Rationale: The Babinski reflex normally remains positive in infants until 12 to 24
months of age. The Moro reflex, palmar grasp, and rooting reflex typically fade or
integrate between 3 and 4 months of age as voluntary motor control develops.
,QUESTION 5
A pediatric nurse is assessing a preschooler using Erikson's theory of psychosocial
development. Which developmental stage and central task applies to this age
group?
A) Trust vs Mistrust
B) Autonomy vs Shame and Doubt
C) Initiative vs Guilt
D) Industry vs Inferiority
Answer: C
Rationale: Preschoolers (ages 3 to 5 years) are in Erikson's stage of Initiative vs
Guilt, where they explore their environment and initiate activities. Trust vs
Mistrust applies to infants, Autonomy vs Shame and Doubt to toddlers, and
Industry vs Inferiority to school-age children.
QUESTION 6
A nurse is teaching parents about foreign body aspiration prevention in toddlers.
Which food item poses the highest risk for choking and should be avoided or
modified?
A) Smooth applesauce
B) Whole hot dogs cut into round coin shapes
C) Pureed squash
D) Well-cooked oatmeal
Answer: B
Rationale: Firm, round, cylindrical foods like whole hot dogs cut into coins, whole
grapes, nuts, popcorn, and hard candies present severe choking hazards because
they can completely occlude a young child's airway. Hot dogs should be cut
lengthwise into thin strips if served.
QUESTION 7
, A 3-year-old child is brought to the clinic for a routine checkup. According to
Piaget's stages of cognitive development, which stage best describes the cognitive
processing of a preschooler?
A) Sensorimotor stage
B) Preoperational stage
C) Concrete operational stage
D) Formal operational stage
Answer: B
Rationale: Children aged 2 to 7 years are in Piaget's Preoperational stage,
characterized by egocentrism, magical thinking, and symbolic thought.
Sensorimotor applies to infants (0-2 years), concrete operational to school-age
children (7-11 years), and formal operational to adolescents.
QUESTION 8
A nurse is taking vital signs on a 12-month-old infant. Which resting heart rate
range is considered normal for a child at this age?
A) 60 to 80 beats per minute
B) 80 to 130 beats per minute
C) 140 to 180 beats per minute
D) 180 to 220 beats per minute
Answer: B
Rationale: Normal resting heart rate for an infant aged 1 to 2 years ranges
between 80 and 130 beats per minute. A rate of 60 to 80 bpm is normal for
adults, while rates above 140 bpm at rest in a calm 12-month-old indicate
tachycardia.
QUESTION 9
A nurse is assessing a 9-month-old infant during a health maintenance visit.
Which developmental game or play behavior is most appropriate for the nurse to
utilize to evaluate object permanence?
