NSG 3600 Peds Exam 1 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF|| Galen
College of Nursing
1.
A nurse is assessing a 12-month-old child. Which milestone is expected?
A. Birth weight doubled
B. Walking independently
C. Speaking full sentences
D. Using a pincer grasp for the first time
Answer: B. Walking independently
Rationale:
By 12 months, many infants begin walking independently. Birth weight triples (not doubles),
pincer grasp develops earlier (~9 months), and full sentences occur later.
2.
Which is the priority intervention for a child in respiratory distress?
A. Start IV fluids
B. Administer antibiotics
C. Assess oxygen saturation
D. Obtain weight
Answer: C. Assess oxygen saturation
Rationale:
Airway and breathing are the priority (ABCs). Oxygenation must be assessed immediately.
,3.
Which statement by a parent indicates understanding of infant nutrition?
A. “I can give honey after 3 months.”
B. “I will introduce solids at 6 months.”
C. “Cow’s milk is fine at 4 months.”
D. “Juice is necessary daily.”
Answer: B. “I will introduce solids at 6 months.”
Rationale:
Solid foods are introduced around 6 months. Honey is avoided until 1 year due to botulism risk,
and cow’s milk is not recommended before 12 months.
4.
Which is a sign of dehydration in a toddler?
A. Increased tears
B. Sunken eyes
C. Moist mucous membranes
D. Increased urine output
Answer: B. Sunken eyes
Rationale:
Sunken eyes and decreased urine output are classic signs of dehydration.
5.
A nurse is caring for a preschooler. Which behavior is expected?
A. Parallel play
B. Cooperative play
C. Solitary play only
D. No social interaction
Answer: B. Cooperative play
Rationale:
Preschoolers engage in cooperative play, interacting with others and sharing roles.
,6.
Which immunization is given at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C. Hepatitis B
Rationale:
Hepatitis B vaccine is routinely administered at birth.
7.
Which action best prevents SIDS?
A. Side-lying sleep position
B. Prone sleeping
C. Supine sleeping
D. Soft bedding
Answer: C. Supine sleeping
Rationale:
Placing infants on their backs reduces the risk of SIDS.
8.
Which toy is appropriate for a 6-month-old infant?
A. Small beads
B. Soft rattle
C. Sharp puzzle pieces
D. Marbles
Answer: B. Soft rattle
, Rationale:
Infants need safe, soft toys without choking hazards.
9.
Which is the leading cause of death in children over 1 year?
A. Congenital disorders
B. Cancer
C. Infection
D. Unintentional injuries
Answer: D. Unintentional injuries
Rationale:
Accidents (e.g., car crashes, drowning) are the leading cause of death.
10.
Which stage is a toddler in according to Erikson?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Answer: B. Autonomy vs. shame and doubt
Rationale:
Toddlers seek independence and control over their environment.
11.
Which indicates effective communication with a toddler?
A. Using abstract explanations
B. Speaking quickly
C. Using simple words
D. Ignoring the child
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF|| Galen
College of Nursing
1.
A nurse is assessing a 12-month-old child. Which milestone is expected?
A. Birth weight doubled
B. Walking independently
C. Speaking full sentences
D. Using a pincer grasp for the first time
Answer: B. Walking independently
Rationale:
By 12 months, many infants begin walking independently. Birth weight triples (not doubles),
pincer grasp develops earlier (~9 months), and full sentences occur later.
2.
Which is the priority intervention for a child in respiratory distress?
A. Start IV fluids
B. Administer antibiotics
C. Assess oxygen saturation
D. Obtain weight
Answer: C. Assess oxygen saturation
Rationale:
Airway and breathing are the priority (ABCs). Oxygenation must be assessed immediately.
,3.
Which statement by a parent indicates understanding of infant nutrition?
A. “I can give honey after 3 months.”
B. “I will introduce solids at 6 months.”
C. “Cow’s milk is fine at 4 months.”
D. “Juice is necessary daily.”
Answer: B. “I will introduce solids at 6 months.”
Rationale:
Solid foods are introduced around 6 months. Honey is avoided until 1 year due to botulism risk,
and cow’s milk is not recommended before 12 months.
4.
Which is a sign of dehydration in a toddler?
A. Increased tears
B. Sunken eyes
C. Moist mucous membranes
D. Increased urine output
Answer: B. Sunken eyes
Rationale:
Sunken eyes and decreased urine output are classic signs of dehydration.
5.
A nurse is caring for a preschooler. Which behavior is expected?
A. Parallel play
B. Cooperative play
C. Solitary play only
D. No social interaction
Answer: B. Cooperative play
Rationale:
Preschoolers engage in cooperative play, interacting with others and sharing roles.
,6.
Which immunization is given at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C. Hepatitis B
Rationale:
Hepatitis B vaccine is routinely administered at birth.
7.
Which action best prevents SIDS?
A. Side-lying sleep position
B. Prone sleeping
C. Supine sleeping
D. Soft bedding
Answer: C. Supine sleeping
Rationale:
Placing infants on their backs reduces the risk of SIDS.
8.
Which toy is appropriate for a 6-month-old infant?
A. Small beads
B. Soft rattle
C. Sharp puzzle pieces
D. Marbles
Answer: B. Soft rattle
, Rationale:
Infants need safe, soft toys without choking hazards.
9.
Which is the leading cause of death in children over 1 year?
A. Congenital disorders
B. Cancer
C. Infection
D. Unintentional injuries
Answer: D. Unintentional injuries
Rationale:
Accidents (e.g., car crashes, drowning) are the leading cause of death.
10.
Which stage is a toddler in according to Erikson?
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Answer: B. Autonomy vs. shame and doubt
Rationale:
Toddlers seek independence and control over their environment.
11.
Which indicates effective communication with a toddler?
A. Using abstract explanations
B. Speaking quickly
C. Using simple words
D. Ignoring the child
