NSG 3600/ NSG3600 Exam 3 – Children's Health Guide
Actual Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass Guaranteed –
A+ Graded
Q1: A 6-month-old infant should be able to perform which developmental milestone?
A. Sitting without support [CORRECT]
B. Walking independently
C. Speaking two-word phrases
D. Rolling from back to stomach
Correct Answer: A
Rationale: Correct because sitting without support is typically achieved by 6-8 months, reflecting
core strength and neurologic maturation.
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)---
Q2: According to Erikson, which psychosocial stage is an infant in?
A. Trust vs mistrust [CORRECT]
B. Autonomy vs shame
C. Initiative vs guilt
D. Industry vs inferiority
Correct Answer: A
Rationale: Correct because infancy (birth to 18 months) is characterized by the trust vs mistrust
stage, where consistent caregiving builds trust.
---
Q3: A 4-year-old child is in which Piaget stage of cognitive development?
A. Sensorimotor
B. Preoperational [CORRECT]
C. Concrete operational
D. Formal operational
Correct Answer: B
Rationale: Correct because the preoperational stage (2-7 years) is characterized by egocentric
thinking and magical reasoning.
,---
Q4: A nurse is assessing a 2-year-old's language development. Which finding indicates a
delay?
6A. Speaking in two-word phrases
B. Using 50 words
C. Not speaking any words [CORRECT]
D. Following simple instructions
Correct Answer: C
Rationale: Correct because a 2-year-old should have 50+ words and two-word phrases;
absence of speech indicates a developmental delay.
---
Q5: Which finding indicates an adolescent has achieved normal developmental milestones?
A. Dependence on parents for decisions
B. Development of abstract reasoning [CORRECT]
C. Inability to form peer relationships
D. Lack of interest in body image
Correct Answer: B
Rationale: Correct because formal operational thought, including abstract reasoning, develops
during adolescence.
---
Q6: A nurse is assessing an infant's fontanels. Which finding requires further evaluation?
A. Sunken anterior fontanel [CORRECT]
B. Flat anterior fontanel
C. Soft anterior fontanel
D. Closed posterior fontanel at 2 months
Correct Answer: A
Rationale: Correct because a sunken fontanel indicates dehydration and requires immediate
evaluation.
---
Q7: Which pediatric vital sign finding requires immediate intervention?
A. Infant heart rate of 130 bpm
B. Infant respiratory rate of 70 breaths per minute [CORRECT]
C. Toddler blood pressure of 90/60 mmHg
D. Preschool heart rate of 100 bpm
, Correct Answer: B
Rationale: Correct because a respiratory rate above 60 in infants indicates respiratory distress
requiring immediate assessment.
---
Q8: A nurse is calculating a pediatric dose. The child weighs 33 pounds. What is the weight in
kilograms?
A. 12 kg
B. 15 kg [CORRECT]
C. 18 kg
D. 20 kg
Correct Answer: B
Rationale: Correct because 33 pounds ÷ 2.2 = 15 kgGalen.
---
Q9: A 5-year-old is scheduled for immunizations. Which vaccine is contraindicated if the child is
severely immunocompromised?
A. MMR [CORRECT]
B. DTaP
C. Hepatitis B
D. Inactivated polio
Correct Answer: A
Rationale: Correct because MMR is a live attenuated vaccine; immunocompromised children
are at risk for vaccine-induced infection.
---
Q10: A nurse is teaching parents about car seat safety. Which instruction is correct?
A. "Keep your child rear-facing until at least age 2." [CORRECT]
B. "Place the car seat in the front seat."
C. "Use a booster seat for a 3-year-old."
D. "Install the car seat facing forward at 6 months."
Correct Answer: A
Rationale: Correct because rear-facing until age 2 provides optimal protection for the child's
head and spine in a crash.
---
Actual Exam 2026/2027 | Complete Exam-Style
Questions with Detailed Rationales | Pass Guaranteed –
A+ Graded
Q1: A 6-month-old infant should be able to perform which developmental milestone?
A. Sitting without support [CORRECT]
B. Walking independently
C. Speaking two-word phrases
D. Rolling from back to stomach
Correct Answer: A
Rationale: Correct because sitting without support is typically achieved by 6-8 months, reflecting
core strength and neurologic maturation.
---
)---
Q2: According to Erikson, which psychosocial stage is an infant in?
A. Trust vs mistrust [CORRECT]
B. Autonomy vs shame
C. Initiative vs guilt
D. Industry vs inferiority
Correct Answer: A
Rationale: Correct because infancy (birth to 18 months) is characterized by the trust vs mistrust
stage, where consistent caregiving builds trust.
---
Q3: A 4-year-old child is in which Piaget stage of cognitive development?
A. Sensorimotor
B. Preoperational [CORRECT]
C. Concrete operational
D. Formal operational
Correct Answer: B
Rationale: Correct because the preoperational stage (2-7 years) is characterized by egocentric
thinking and magical reasoning.
,---
Q4: A nurse is assessing a 2-year-old's language development. Which finding indicates a
delay?
6A. Speaking in two-word phrases
B. Using 50 words
C. Not speaking any words [CORRECT]
D. Following simple instructions
Correct Answer: C
Rationale: Correct because a 2-year-old should have 50+ words and two-word phrases;
absence of speech indicates a developmental delay.
---
Q5: Which finding indicates an adolescent has achieved normal developmental milestones?
A. Dependence on parents for decisions
B. Development of abstract reasoning [CORRECT]
C. Inability to form peer relationships
D. Lack of interest in body image
Correct Answer: B
Rationale: Correct because formal operational thought, including abstract reasoning, develops
during adolescence.
---
Q6: A nurse is assessing an infant's fontanels. Which finding requires further evaluation?
A. Sunken anterior fontanel [CORRECT]
B. Flat anterior fontanel
C. Soft anterior fontanel
D. Closed posterior fontanel at 2 months
Correct Answer: A
Rationale: Correct because a sunken fontanel indicates dehydration and requires immediate
evaluation.
---
Q7: Which pediatric vital sign finding requires immediate intervention?
A. Infant heart rate of 130 bpm
B. Infant respiratory rate of 70 breaths per minute [CORRECT]
C. Toddler blood pressure of 90/60 mmHg
D. Preschool heart rate of 100 bpm
, Correct Answer: B
Rationale: Correct because a respiratory rate above 60 in infants indicates respiratory distress
requiring immediate assessment.
---
Q8: A nurse is calculating a pediatric dose. The child weighs 33 pounds. What is the weight in
kilograms?
A. 12 kg
B. 15 kg [CORRECT]
C. 18 kg
D. 20 kg
Correct Answer: B
Rationale: Correct because 33 pounds ÷ 2.2 = 15 kgGalen.
---
Q9: A 5-year-old is scheduled for immunizations. Which vaccine is contraindicated if the child is
severely immunocompromised?
A. MMR [CORRECT]
B. DTaP
C. Hepatitis B
D. Inactivated polio
Correct Answer: A
Rationale: Correct because MMR is a live attenuated vaccine; immunocompromised children
are at risk for vaccine-induced infection.
---
Q10: A nurse is teaching parents about car seat safety. Which instruction is correct?
A. "Keep your child rear-facing until at least age 2." [CORRECT]
B. "Place the car seat in the front seat."
C. "Use a booster seat for a 3-year-old."
D. "Install the car seat facing forward at 6 months."
Correct Answer: A
Rationale: Correct because rear-facing until age 2 provides optimal protection for the child's
head and spine in a crash.
---
