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NSG 3600 FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS DETAILED
RATIONALES GRADED A+
Section 1: Growth and Development (Questions 1-30)
1. A nurse is assessing a 4-month-old infant. Which developmental milestone
should the nurse expect to observe?
A. Rolling from back to side
B. Rolling from back to side
C. Pincer grasp
D. Saying two-word phrases
Rationale: A 4-month-old should be able to roll from back to side. Sitting without
support occurs at 6-8 months, pincer grasp at 9-12 months, and two-word phrases
at 18-24 months.
2. The mother of a 6-month-old infant asks when she should expect her baby to
double their birth weight. What is the nurse's best response?
A. "Most infants double their birth weight by 4 months."
B. "Most infants double their birth weight by 4-5 months."
C. "Most infants double their birth weight by 9 months."
D. "Most infants double their birth weight by 12 months."
Rationale: Most infants double their birth weight by 4-5 months and triple it by 12
months.
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3. A nurse is assessing a 2-year-old child. Which behavior indicates that the child
is in Erikson's stage of autonomy versus shame and doubt?
A. The child insists on doing things independently.
B. The child wants to play with other children.
C. The child follows rules without question.
D. The child is afraid of strangers.
Rationale: Erikson's stage of autonomy versus shame and doubt (18 months-3
years) is characterized by the child asserting independence and wanting to do
things themselves.
4. The parents of a 5-year-old ask when their child should be able to ride a
tricycle. What is the nurse's best response?
A. "Most children can ride a tricycle by 2 years."
B. "Most children can ride a tricycle by 3 years."
C. "Most children can ride a tricycle by 5 years."
D. "Most children can ride a tricycle by 7 years."
Rationale: Most children can ride a tricycle by 3 years of age.
5. A nurse is assessing a 9-month-old infant. Which fine motor skill should the
nurse expect to observe?
A. Transferring objects from hand to hand
B. Building a tower of 3 cubes
C. Drawing a circle
D. Using scissors
Rationale: A 9-month-old should be able to transfer objects from hand to hand.
Building a tower of 3 cubes occurs at 15 months, drawing a circle at 3 years, and
using scissors at 4 years.
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6. According to Piaget, a 4-year-old child is in which stage of cognitive
development?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Rationale: A 4-year-old is in the preoperational stage (2-7 years), characterized by
egocentric thinking and symbolic play.
7. A nurse is assessing a 12-month-old infant. Which language milestone should
the nurse expect?
A. Saying 2-3 words with meaning
B. Speaking in two-word phrases
C. Using pronouns correctly
D. Telling stories
Rationale: A 12-month-old should say 2-3 words with meaning. Two-word phrases
occur at 18-24 months, correct pronoun use at 3-4 years, and storytelling at 4-5
years.
8. The mother of a 3-month-old infant asks when she should introduce solid
foods. What is the nurse's best response?
A. "You can introduce solids at 2 months."
B. "You can introduce solids at 4 months."
C. "You can introduce solids at 6 months."
D. "You can introduce solids at 9 months."
Rationale: Solid foods should be introduced at approximately 6 months of age,
starting with iron-fortified cereals.
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9. A nurse is assessing a 15-month-old toddler. Which gross motor milestone
should the nurse expect?
A. Walking independently
B. Running
C. Hopping on one foot
D. Skipping
Rationale: A 15-month-old should be walking independently. Running occurs at
18-24 months, hopping at 4 years, and skipping at 5 years.
10. A nurse is assessing a 5-year-old child. Which developmental milestone
should the nurse expect?
A. Tying shoelaces
B. Riding a bicycle
C. Writing full sentences
D. Counting to 100
Rationale: A 5-year-old should be able to tie shoelaces. Riding a bicycle occurs at
5-6 years, writing full sentences at 6-7 years, and counting to 100 at 6 years.
11. A nurse is assessing a 7-month-old infant. Which gross motor milestone
should the nurse expect?
A. Sitting without support
B. Crawling on hands and knees
C. Pulling to stand
D. Walking independently
Rationale: A 7-month-old should be able to sit without support. Crawling occurs
at 9 months, pulling to stand at 9-10 months, and walking at 12-15 months.
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NSG 3600 FINAL EXAM QUESTIONS WITH VERIFIED ANSWERS DETAILED
RATIONALES GRADED A+
Section 1: Growth and Development (Questions 1-30)
1. A nurse is assessing a 4-month-old infant. Which developmental milestone
should the nurse expect to observe?
A. Rolling from back to side
B. Rolling from back to side
C. Pincer grasp
D. Saying two-word phrases
Rationale: A 4-month-old should be able to roll from back to side. Sitting without
support occurs at 6-8 months, pincer grasp at 9-12 months, and two-word phrases
at 18-24 months.
2. The mother of a 6-month-old infant asks when she should expect her baby to
double their birth weight. What is the nurse's best response?
A. "Most infants double their birth weight by 4 months."
B. "Most infants double their birth weight by 4-5 months."
C. "Most infants double their birth weight by 9 months."
D. "Most infants double their birth weight by 12 months."
Rationale: Most infants double their birth weight by 4-5 months and triple it by 12
months.
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3. A nurse is assessing a 2-year-old child. Which behavior indicates that the child
is in Erikson's stage of autonomy versus shame and doubt?
A. The child insists on doing things independently.
B. The child wants to play with other children.
C. The child follows rules without question.
D. The child is afraid of strangers.
Rationale: Erikson's stage of autonomy versus shame and doubt (18 months-3
years) is characterized by the child asserting independence and wanting to do
things themselves.
4. The parents of a 5-year-old ask when their child should be able to ride a
tricycle. What is the nurse's best response?
A. "Most children can ride a tricycle by 2 years."
B. "Most children can ride a tricycle by 3 years."
C. "Most children can ride a tricycle by 5 years."
D. "Most children can ride a tricycle by 7 years."
Rationale: Most children can ride a tricycle by 3 years of age.
5. A nurse is assessing a 9-month-old infant. Which fine motor skill should the
nurse expect to observe?
A. Transferring objects from hand to hand
B. Building a tower of 3 cubes
C. Drawing a circle
D. Using scissors
Rationale: A 9-month-old should be able to transfer objects from hand to hand.
Building a tower of 3 cubes occurs at 15 months, drawing a circle at 3 years, and
using scissors at 4 years.
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6. According to Piaget, a 4-year-old child is in which stage of cognitive
development?
A. Sensorimotor
B. Preoperational
C. Concrete operational
D. Formal operational
Rationale: A 4-year-old is in the preoperational stage (2-7 years), characterized by
egocentric thinking and symbolic play.
7. A nurse is assessing a 12-month-old infant. Which language milestone should
the nurse expect?
A. Saying 2-3 words with meaning
B. Speaking in two-word phrases
C. Using pronouns correctly
D. Telling stories
Rationale: A 12-month-old should say 2-3 words with meaning. Two-word phrases
occur at 18-24 months, correct pronoun use at 3-4 years, and storytelling at 4-5
years.
8. The mother of a 3-month-old infant asks when she should introduce solid
foods. What is the nurse's best response?
A. "You can introduce solids at 2 months."
B. "You can introduce solids at 4 months."
C. "You can introduce solids at 6 months."
D. "You can introduce solids at 9 months."
Rationale: Solid foods should be introduced at approximately 6 months of age,
starting with iron-fortified cereals.
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9. A nurse is assessing a 15-month-old toddler. Which gross motor milestone
should the nurse expect?
A. Walking independently
B. Running
C. Hopping on one foot
D. Skipping
Rationale: A 15-month-old should be walking independently. Running occurs at
18-24 months, hopping at 4 years, and skipping at 5 years.
10. A nurse is assessing a 5-year-old child. Which developmental milestone
should the nurse expect?
A. Tying shoelaces
B. Riding a bicycle
C. Writing full sentences
D. Counting to 100
Rationale: A 5-year-old should be able to tie shoelaces. Riding a bicycle occurs at
5-6 years, writing full sentences at 6-7 years, and counting to 100 at 6 years.
11. A nurse is assessing a 7-month-old infant. Which gross motor milestone
should the nurse expect?
A. Sitting without support
B. Crawling on hands and knees
C. Pulling to stand
D. Walking independently
Rationale: A 7-month-old should be able to sit without support. Crawling occurs
at 9 months, pulling to stand at 9-10 months, and walking at 12-15 months.
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