NSG 3600 Final Exam Prep 2026- 200 Practice Questions & Detailed
Answers | Nursing Comprehensive Review | Verified Solutions | Pass
with Confidence
1. A nurse is assessing a 2yearold child during a wellchild visit. According to Erikson's theory of
psychosocial development, which task should the nurse expect this child to be working on?
A) Trust vs. mistrust
B) Autonomy vs. shame and doubt
C) Initiative vs. guilt
D) Industry vs. inferiority
Correct Answer: B
Rationale: According to Erikson, the toddler stage (ages 1–3) is characterized by the psychosocial crisis of
autonomy versus shame and doubt. The child is developing independence and selfcontrol. Trust vs.
mistrust is the infant stage (birth to 1 year), initiative vs. guilt is the preschool stage (3–6 years), and
industry vs. inferiority is the schoolage stage (6–12 years).
2. A nurse is teaching a parent about the developmental milestones of a 4monthold infant. Which
milestone should the nurse include?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Stranger anxiety
Correct Answer: B
,Rationale: At 4 months of age, infants typically can roll from back to abdomen. Sitting without support
occurs around 6–8 months. Pincer grasp develops around 9–10 months. Stranger anxiety typically begins
around 6–8 months.
3. A nurse is assessing a schoolage child for signs of developmental delay. Which finding would be a
concern for a 7yearold child?
A) Ability to tie shoelaces
B) Reading simple words
C) Difficulty with basic arithmetic
D) Inability to ride a twowheeled bicycle
Correct Answer: C
Rationale: By age 7, children should be able to perform basic arithmetic. Difficulty with basic arithmetic
at this age may indicate a developmental delay or learning disability. Tying shoelaces, reading simple
words, and riding a bicycle are typically achieved by this age but may vary. A significant delay in
academic skills warrants further evaluation.
4. A nurse is providing anticipatory guidance to parents of a 6monthold infant. Which statement by the
parent indicates a need for further teaching?
A) "I will start introducing solid foods at 6 months."
B) "I will place my baby on the back to sleep."
C) "I will keep small objects out of my baby's reach."
D) "I will use a rearfacing car seat in the front seat with an active airbag."
Correct Answer: D
,Rationale: Infants should never be placed in the front seat of a vehicle with an active airbag. The safest
position is in the back seat, in a rearfacing car seat. Solid foods can be introduced around 6 months,
placing infants on their backs to sleep reduces the risk of SIDS, and keeping small objects out of reach
prevents choking.
5. A nurse is caring for a child with a diagnosis of gastroenteritis who is exhibiting signs of dehydration.
Which finding is an early sign of dehydration?
A) Decreased urine output
B) Sunken fontanels
C) Tachycardia
D) Dry mucous membranes
Correct Answer: C
Rationale: Tachycardia is an early compensatory sign of dehydration in children as the body attempts to
maintain cardiac output. Dry mucous membranes and decreased urine output are later signs. Sunken
fontanels are a late sign of severe dehydration in infants.
6. A nurse is administering immunizations to a 2monthold infant. Which vaccines should the nurse
expect to administer at this visit?
A) DTaP, IPV, Hib, PCV, and HepB
B) DTaP, IPV, MMR, and Varicella
C) MMR, Varicella, and HepA
D) DTaP, IPV, and HPV
Correct Answer: A
, Rationale: According to the CDC immunization schedule, at 2 months of age, infants should receive DTaP
(diphtheria, tetanus, pertussis), IPV (inactivated poliovirus), Hib (Haemophilus influenzae type b), PCV
(pneumococcal conjugate), and HepB (hepatitis B). MMR and varicella are given at 12–15 months, and
HPV is given at 11–12 years.
7. A nurse is assessing a child with suspected appendicitis. Which assessment finding is a classic sign of
appendicitis?
A) Pain that improves with movement
B) Pain in the left lower quadrant
C) Pain that is relieved by lying still
D) Pain that starts periumbilically and moves to the right lower quadrant
Correct Answer: D
Rationale: Classic signs of appendicitis include pain that starts periumbilically and migrates to the right
lower quadrant (McBurney's point). Pain typically worsens with movement and is not relieved by lying
still. The pain is localized to the right lower quadrant.
8. A nurse is caring for a child with a diagnosis of acute asthma exacerbation. Which medication should
the nurse administer first?
A) Inhaled corticosteroids
B) Inhaled albuterol
C) Oral prednisone
D) Leukotriene receptor antagonist
Correct Answer: B
Answers | Nursing Comprehensive Review | Verified Solutions | Pass
with Confidence
1. A nurse is assessing a 2yearold child during a wellchild visit. According to Erikson's theory of
psychosocial development, which task should the nurse expect this child to be working on?
A) Trust vs. mistrust
B) Autonomy vs. shame and doubt
C) Initiative vs. guilt
D) Industry vs. inferiority
Correct Answer: B
Rationale: According to Erikson, the toddler stage (ages 1–3) is characterized by the psychosocial crisis of
autonomy versus shame and doubt. The child is developing independence and selfcontrol. Trust vs.
mistrust is the infant stage (birth to 1 year), initiative vs. guilt is the preschool stage (3–6 years), and
industry vs. inferiority is the schoolage stage (6–12 years).
2. A nurse is teaching a parent about the developmental milestones of a 4monthold infant. Which
milestone should the nurse include?
A) Sitting without support
B) Rolling from back to abdomen
C) Pincer grasp
D) Stranger anxiety
Correct Answer: B
,Rationale: At 4 months of age, infants typically can roll from back to abdomen. Sitting without support
occurs around 6–8 months. Pincer grasp develops around 9–10 months. Stranger anxiety typically begins
around 6–8 months.
3. A nurse is assessing a schoolage child for signs of developmental delay. Which finding would be a
concern for a 7yearold child?
A) Ability to tie shoelaces
B) Reading simple words
C) Difficulty with basic arithmetic
D) Inability to ride a twowheeled bicycle
Correct Answer: C
Rationale: By age 7, children should be able to perform basic arithmetic. Difficulty with basic arithmetic
at this age may indicate a developmental delay or learning disability. Tying shoelaces, reading simple
words, and riding a bicycle are typically achieved by this age but may vary. A significant delay in
academic skills warrants further evaluation.
4. A nurse is providing anticipatory guidance to parents of a 6monthold infant. Which statement by the
parent indicates a need for further teaching?
A) "I will start introducing solid foods at 6 months."
B) "I will place my baby on the back to sleep."
C) "I will keep small objects out of my baby's reach."
D) "I will use a rearfacing car seat in the front seat with an active airbag."
Correct Answer: D
,Rationale: Infants should never be placed in the front seat of a vehicle with an active airbag. The safest
position is in the back seat, in a rearfacing car seat. Solid foods can be introduced around 6 months,
placing infants on their backs to sleep reduces the risk of SIDS, and keeping small objects out of reach
prevents choking.
5. A nurse is caring for a child with a diagnosis of gastroenteritis who is exhibiting signs of dehydration.
Which finding is an early sign of dehydration?
A) Decreased urine output
B) Sunken fontanels
C) Tachycardia
D) Dry mucous membranes
Correct Answer: C
Rationale: Tachycardia is an early compensatory sign of dehydration in children as the body attempts to
maintain cardiac output. Dry mucous membranes and decreased urine output are later signs. Sunken
fontanels are a late sign of severe dehydration in infants.
6. A nurse is administering immunizations to a 2monthold infant. Which vaccines should the nurse
expect to administer at this visit?
A) DTaP, IPV, Hib, PCV, and HepB
B) DTaP, IPV, MMR, and Varicella
C) MMR, Varicella, and HepA
D) DTaP, IPV, and HPV
Correct Answer: A
, Rationale: According to the CDC immunization schedule, at 2 months of age, infants should receive DTaP
(diphtheria, tetanus, pertussis), IPV (inactivated poliovirus), Hib (Haemophilus influenzae type b), PCV
(pneumococcal conjugate), and HepB (hepatitis B). MMR and varicella are given at 12–15 months, and
HPV is given at 11–12 years.
7. A nurse is assessing a child with suspected appendicitis. Which assessment finding is a classic sign of
appendicitis?
A) Pain that improves with movement
B) Pain in the left lower quadrant
C) Pain that is relieved by lying still
D) Pain that starts periumbilically and moves to the right lower quadrant
Correct Answer: D
Rationale: Classic signs of appendicitis include pain that starts periumbilically and migrates to the right
lower quadrant (McBurney's point). Pain typically worsens with movement and is not relieved by lying
still. The pain is localized to the right lower quadrant.
8. A nurse is caring for a child with a diagnosis of acute asthma exacerbation. Which medication should
the nurse administer first?
A) Inhaled corticosteroids
B) Inhaled albuterol
C) Oral prednisone
D) Leukotriene receptor antagonist
Correct Answer: B
