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NSG 3600 Exam 1 Pediatrics Practice Newest Exam
Preparation With Complete Questions And Correct
Answers With Rationales Already Graded A+Brand
New Version!!
1. A 4-year-old child is hospitalized. The parents are concerned because
the child has started bedwetting again. The nurse explains that this is
most likely due to which of the following?
A. A urinary tract infection
B. A developmental regression related to stress
C. The child's defiance of potty training rules
D. A side effect of the child's medication
Answer: B. Developmental regression is a common coping mechanism
for preschool-aged children during hospitalization. The stress of illness
and hospitalization can cause a child to revert to an earlier stage of
development, such as enuresis.
2. A nurse is assessing a 2-month-old infant during a well-child visit.
Which finding should the nurse report to the healthcare provider?
A. The infant's anterior fontanel is open and soft.
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B. The infant's head lags when pulled to a sitting position.
C. The infant exhibits a startle reflex in response to a loud noise.
D. The infant does not visually track a moving object.
Answer: D. By 2 months of age, an infant should visually track objects
and follow faces. Failure to do so may indicate visual impairment or
neurological delay. Head lag, an open fontanel, and the startle reflex
are all normal at 2 months.
3. According to Erikson's theory of psychosocial development, a
preschool-aged child is in which developmental stage, and what is the
primary task?
A. Trust versus mistrust; developing a sense of security
B. Initiative versus guilt; developing a sense of purpose and the ability
to initiate activities
C. Industry versus inferiority; mastering skills and tasks
D. Autonomy versus shame and doubt; developing independence
Answer: B. The preschool period, ages 3 to 5, is characterized by
initiative versus guilt. Children at this stage assert power and control
over their environment through directing play and social interaction.
4. A nurse is providing anticipatory guidance to the parents of a 12-
month-old infant. Which gross motor skill should the nurse expect the
infant to have achieved?
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A. Walks independently without support
B. Stands independently for a few seconds
C. Sits down from a standing position without assistance
D. Crawls up stairs
Answer: C. By 12 months, most infants can sit down from a standing
position without help. Walking independently typically occurs around 15
months, though some walk at 12 months. Standing independently
usually occurs at 11 months, and crawling up stairs is typical for a 9-
month-old.
5. A school-age child is hospitalized for a chronic illness. The child's
parents express concern that the child is not completing homework
assignments. What is the best nursing intervention?
A. Assure the parents that homework is not a priority during
hospitalization.
B. Collaborate with the hospital teacher and the child's school to
maintain educational continuity.
C. Encourage the parents to postpone all academic work until
discharge.
D. Tell the child to focus only on rest and recovery.
Answer: B. School-age children value industry and achievement.
Maintaining educational continuity through collaboration with hospital
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school programs and the child's regular school helps preserve the child's
sense of accomplishment and normalcy during hospitalization.
6. A nurse is assessing the fine motor skills of a 5-year-old child. Which
finding is developmentally appropriate?
A. The child can tie their shoelaces.
B. The child can copy a square.
C. The child can draw a stick figure with six body parts.
D. The child can print their first name.
Answer: C. A 5-year-old typically draws a stick figure with
approximately six body parts (head, arms, legs, body). Tying shoelaces is
a 6-year-old skill. Copying a square is a 4-year-old skill, and printing a
first name is usually achieved around 6 years.
7. The mother of an 8-month-old infant asks the nurse about
introducing table foods. Which instruction is most appropriate?
A. Introduce honey as a natural sweetener for fruits.
B. Offer whole grapes and hot dog pieces for finger foods.
C. Introduce one new single-ingredient food every 3 to 5 days.
D. Begin with complex mixed dinners like casseroles.
Answer: C. Introducing one new single-ingredient food every 3 to 5 days
allows for the identification of any allergic reactions. Honey is
NSG 3600 Exam 1 Pediatrics Practice Newest Exam
Preparation With Complete Questions And Correct
Answers With Rationales Already Graded A+Brand
New Version!!
1. A 4-year-old child is hospitalized. The parents are concerned because
the child has started bedwetting again. The nurse explains that this is
most likely due to which of the following?
A. A urinary tract infection
B. A developmental regression related to stress
C. The child's defiance of potty training rules
D. A side effect of the child's medication
Answer: B. Developmental regression is a common coping mechanism
for preschool-aged children during hospitalization. The stress of illness
and hospitalization can cause a child to revert to an earlier stage of
development, such as enuresis.
2. A nurse is assessing a 2-month-old infant during a well-child visit.
Which finding should the nurse report to the healthcare provider?
A. The infant's anterior fontanel is open and soft.
,2|Page
B. The infant's head lags when pulled to a sitting position.
C. The infant exhibits a startle reflex in response to a loud noise.
D. The infant does not visually track a moving object.
Answer: D. By 2 months of age, an infant should visually track objects
and follow faces. Failure to do so may indicate visual impairment or
neurological delay. Head lag, an open fontanel, and the startle reflex
are all normal at 2 months.
3. According to Erikson's theory of psychosocial development, a
preschool-aged child is in which developmental stage, and what is the
primary task?
A. Trust versus mistrust; developing a sense of security
B. Initiative versus guilt; developing a sense of purpose and the ability
to initiate activities
C. Industry versus inferiority; mastering skills and tasks
D. Autonomy versus shame and doubt; developing independence
Answer: B. The preschool period, ages 3 to 5, is characterized by
initiative versus guilt. Children at this stage assert power and control
over their environment through directing play and social interaction.
4. A nurse is providing anticipatory guidance to the parents of a 12-
month-old infant. Which gross motor skill should the nurse expect the
infant to have achieved?
,3|Page
A. Walks independently without support
B. Stands independently for a few seconds
C. Sits down from a standing position without assistance
D. Crawls up stairs
Answer: C. By 12 months, most infants can sit down from a standing
position without help. Walking independently typically occurs around 15
months, though some walk at 12 months. Standing independently
usually occurs at 11 months, and crawling up stairs is typical for a 9-
month-old.
5. A school-age child is hospitalized for a chronic illness. The child's
parents express concern that the child is not completing homework
assignments. What is the best nursing intervention?
A. Assure the parents that homework is not a priority during
hospitalization.
B. Collaborate with the hospital teacher and the child's school to
maintain educational continuity.
C. Encourage the parents to postpone all academic work until
discharge.
D. Tell the child to focus only on rest and recovery.
Answer: B. School-age children value industry and achievement.
Maintaining educational continuity through collaboration with hospital
, 4|Page
school programs and the child's regular school helps preserve the child's
sense of accomplishment and normalcy during hospitalization.
6. A nurse is assessing the fine motor skills of a 5-year-old child. Which
finding is developmentally appropriate?
A. The child can tie their shoelaces.
B. The child can copy a square.
C. The child can draw a stick figure with six body parts.
D. The child can print their first name.
Answer: C. A 5-year-old typically draws a stick figure with
approximately six body parts (head, arms, legs, body). Tying shoelaces is
a 6-year-old skill. Copying a square is a 4-year-old skill, and printing a
first name is usually achieved around 6 years.
7. The mother of an 8-month-old infant asks the nurse about
introducing table foods. Which instruction is most appropriate?
A. Introduce honey as a natural sweetener for fruits.
B. Offer whole grapes and hot dog pieces for finger foods.
C. Introduce one new single-ingredient food every 3 to 5 days.
D. Begin with complex mixed dinners like casseroles.
Answer: C. Introducing one new single-ingredient food every 3 to 5 days
allows for the identification of any allergic reactions. Honey is
