NSG 3600 PEDS EXAM 1,2 & 3 (ALL IN ONE DOCUMENT)
2026/2027 EACH EXAM CONTAINS COMPLETE ACCURATE
QUESTIONS WITH WELL ELABORATED ANSWERS WITH
DETAILED RATIONALES (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ (BRAND NEW!)
NSG 3600 Pads – Exam 1
1. A nurse is assessing a 2-week-old newborn. Which finding should be reported to the healthcare
provider immediately?
A. Heart rate of 140 beats/min while sleeping
B. Respiratory rate of 65 breaths/min with nasal flaring
C. Temperature of 37.2°C (99°F) axillary
D. Slight yellow discoloration of the sclera
Correct Answer: B. Respiratory rate of 65 breaths/min with nasal flaring
Rationale: A respiratory rate >60 breaths/min with nasal flaring indicates respiratory distress in a
newborn. Normal HR is 110–160, mild jaundice is common, and axillary temp up to 37.5°C is normal.
2. The nurse is teaching parents about sudden infant death syndrome (SIDS) prevention. Which
statement indicates correct understanding?
A. "We will place our baby on the stomach to sleep."
B. "We will use a firm mattress with no soft bedding."
C. "We will keep the room very warm to prevent chilling."
D. "We will place a soft bumper pad in the crib."
Correct Answer: B. We will use a firm mattress with no soft bedding
Rationale: SIDS prevention includes supine sleeping, firm mattress, no loose bedding, bumper pads, or
soft toys. Room should be cool, not warm.
,3. A 6-month-old infant is brought to the clinic for a well-child visit. Which reflex should have
disappeared by this age?
A. Babinski reflex
B. Moro reflex
C. Rooting reflex
D. Palmar grasp
Correct Answer: B. Moro reflex
Rationale: The Moro (startle) reflex typically disappears by 4–6 months. Babinski may persist up to 12
months, rooting up to 4 months, palmar grasp up to 5–6 months but often longer. However, Moro is
the most reliably gone by 6 months.
4. A nurse is providing anticipatory guidance to the parents of a 9-month-old infant. Which statement by
the parents indicates a need for further teaching?
A. "We will continue to use a rear-facing car seat in the back seat."
B. "We will give our baby whole grapes as a healthy snack."
C. "We will childproof the house, especially the kitchen and stairs."
D. "We will not leave the baby alone in the bathtub."
Correct Answer: B. We will give our baby whole grapes as a healthy snack
Rationale: Whole grapes are a choking hazard for infants and toddlers. They should be cut into small
pieces. The other statements are correct safety measures.
5. The nurse is assessing a toddler for fine motor development. Which task is expected for an 18-month-
old?
A. Building a tower of 4 cubes
B. Scribbling spontaneously
C. Using a spoon without spilling
D. Turning pages of a book one at a time
,Correct Answer: B. Scribbling spontaneously
Rationale: At 18 months, toddlers can scribble spontaneously. Building a tower of 4 cubes is a 24-
month skill. Using a spoon without spilling is 24–30 months. Turning pages one at a time is 24 months.
6. A 3-year-old child is hospitalized. The child’s parents are concerned about regression in toileting skills.
The nurse explains that regression is:
A. Always a sign of permanent developmental delay
B. A common response to stress in hospitalized preschoolers
C. Only seen in children with underlying neurologic disorders
D. An indication of child abuse
Correct Answer: B. A common response to stress in hospitalized preschoolers
Rationale: Regression (e.g., bedwetting, thumb sucking) is a normal coping mechanism for
preschoolers facing the stress of hospitalization. It is usually temporary.
7. According to Erikson, the primary psychosocial conflict of the preschooler (ages 3–6) is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: C. Initiative vs. guilt
Rationale: Preschoolers are in Erikson’s stage of initiative vs. guilt. They begin to assert control and
power over their environment. Trust is infancy, autonomy is toddler, industry is school age.
8. A nurse is assessing a school-age child for signs of developmental delay. Which finding is expected for
a 7-year-old?
A. Ability to tie shoelaces
B. Ability to understand conservation of mass
C. Ability to think abstractly
, D. Ability to solve complex hypothetical problems
Correct Answer: A. Ability to tie shoelaces
Rationale: By age 7, most children can tie shoelaces. Conservation of mass develops around age 7–11
but is more characteristic of concrete operational stage. Abstract thinking and hypothetical reasoning
occur in adolescence (formal operational stage).
9. The nurse is educating a group of parents about adolescent development. Which statement is true
regarding puberty in females?
A. Menarche typically occurs before breast development.
B. The first sign of puberty is usually thelarche (breast budding).
C. Pubic hair is the first sign of puberty in most girls.
D. Menarche occurs at the same time as the growth spurt.
Correct Answer: B. The first sign of puberty is usually thelarche (breast budding)
Rationale: In females, thelarche (breast development) is typically the first sign of puberty, followed by
pubic hair, growth spurt, then menarche (usually 2–3 years after thelarche).
10. A parent asks the nurse, "When should my child first see a dentist?" The nurse’s best response is:
A. "By age 1 year or within 6 months of the first tooth eruption."
B. "At age 3 years, when all primary teeth have erupted."
C. "When the child starts kindergarten."
D. "Only if there is a visible problem."
Correct Answer: A. By age 1 year or within 6 months of the first tooth eruption
Rationale: The American Academy of Pediatrics and American Dental Association recommend the first
dental visit by age 1 or within 6 months of the first tooth eruption.
11. A nurse is calculating the expected weight of a 2-year-old whose birth weight was 3.5 kg (7.7 lb.).
Which weight is most consistent with normal growth?
A. 7 kg (15.4 lb.)
2026/2027 EACH EXAM CONTAINS COMPLETE ACCURATE
QUESTIONS WITH WELL ELABORATED ANSWERS WITH
DETAILED RATIONALES (100% CORRECT VERIFIED
SOLUTIONS) LATEST UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ (BRAND NEW!)
NSG 3600 Pads – Exam 1
1. A nurse is assessing a 2-week-old newborn. Which finding should be reported to the healthcare
provider immediately?
A. Heart rate of 140 beats/min while sleeping
B. Respiratory rate of 65 breaths/min with nasal flaring
C. Temperature of 37.2°C (99°F) axillary
D. Slight yellow discoloration of the sclera
Correct Answer: B. Respiratory rate of 65 breaths/min with nasal flaring
Rationale: A respiratory rate >60 breaths/min with nasal flaring indicates respiratory distress in a
newborn. Normal HR is 110–160, mild jaundice is common, and axillary temp up to 37.5°C is normal.
2. The nurse is teaching parents about sudden infant death syndrome (SIDS) prevention. Which
statement indicates correct understanding?
A. "We will place our baby on the stomach to sleep."
B. "We will use a firm mattress with no soft bedding."
C. "We will keep the room very warm to prevent chilling."
D. "We will place a soft bumper pad in the crib."
Correct Answer: B. We will use a firm mattress with no soft bedding
Rationale: SIDS prevention includes supine sleeping, firm mattress, no loose bedding, bumper pads, or
soft toys. Room should be cool, not warm.
,3. A 6-month-old infant is brought to the clinic for a well-child visit. Which reflex should have
disappeared by this age?
A. Babinski reflex
B. Moro reflex
C. Rooting reflex
D. Palmar grasp
Correct Answer: B. Moro reflex
Rationale: The Moro (startle) reflex typically disappears by 4–6 months. Babinski may persist up to 12
months, rooting up to 4 months, palmar grasp up to 5–6 months but often longer. However, Moro is
the most reliably gone by 6 months.
4. A nurse is providing anticipatory guidance to the parents of a 9-month-old infant. Which statement by
the parents indicates a need for further teaching?
A. "We will continue to use a rear-facing car seat in the back seat."
B. "We will give our baby whole grapes as a healthy snack."
C. "We will childproof the house, especially the kitchen and stairs."
D. "We will not leave the baby alone in the bathtub."
Correct Answer: B. We will give our baby whole grapes as a healthy snack
Rationale: Whole grapes are a choking hazard for infants and toddlers. They should be cut into small
pieces. The other statements are correct safety measures.
5. The nurse is assessing a toddler for fine motor development. Which task is expected for an 18-month-
old?
A. Building a tower of 4 cubes
B. Scribbling spontaneously
C. Using a spoon without spilling
D. Turning pages of a book one at a time
,Correct Answer: B. Scribbling spontaneously
Rationale: At 18 months, toddlers can scribble spontaneously. Building a tower of 4 cubes is a 24-
month skill. Using a spoon without spilling is 24–30 months. Turning pages one at a time is 24 months.
6. A 3-year-old child is hospitalized. The child’s parents are concerned about regression in toileting skills.
The nurse explains that regression is:
A. Always a sign of permanent developmental delay
B. A common response to stress in hospitalized preschoolers
C. Only seen in children with underlying neurologic disorders
D. An indication of child abuse
Correct Answer: B. A common response to stress in hospitalized preschoolers
Rationale: Regression (e.g., bedwetting, thumb sucking) is a normal coping mechanism for
preschoolers facing the stress of hospitalization. It is usually temporary.
7. According to Erikson, the primary psychosocial conflict of the preschooler (ages 3–6) is:
A. Trust vs. mistrust
B. Autonomy vs. shame and doubt
C. Initiative vs. guilt
D. Industry vs. inferiority
Correct Answer: C. Initiative vs. guilt
Rationale: Preschoolers are in Erikson’s stage of initiative vs. guilt. They begin to assert control and
power over their environment. Trust is infancy, autonomy is toddler, industry is school age.
8. A nurse is assessing a school-age child for signs of developmental delay. Which finding is expected for
a 7-year-old?
A. Ability to tie shoelaces
B. Ability to understand conservation of mass
C. Ability to think abstractly
, D. Ability to solve complex hypothetical problems
Correct Answer: A. Ability to tie shoelaces
Rationale: By age 7, most children can tie shoelaces. Conservation of mass develops around age 7–11
but is more characteristic of concrete operational stage. Abstract thinking and hypothetical reasoning
occur in adolescence (formal operational stage).
9. The nurse is educating a group of parents about adolescent development. Which statement is true
regarding puberty in females?
A. Menarche typically occurs before breast development.
B. The first sign of puberty is usually thelarche (breast budding).
C. Pubic hair is the first sign of puberty in most girls.
D. Menarche occurs at the same time as the growth spurt.
Correct Answer: B. The first sign of puberty is usually thelarche (breast budding)
Rationale: In females, thelarche (breast development) is typically the first sign of puberty, followed by
pubic hair, growth spurt, then menarche (usually 2–3 years after thelarche).
10. A parent asks the nurse, "When should my child first see a dentist?" The nurse’s best response is:
A. "By age 1 year or within 6 months of the first tooth eruption."
B. "At age 3 years, when all primary teeth have erupted."
C. "When the child starts kindergarten."
D. "Only if there is a visible problem."
Correct Answer: A. By age 1 year or within 6 months of the first tooth eruption
Rationale: The American Academy of Pediatrics and American Dental Association recommend the first
dental visit by age 1 or within 6 months of the first tooth eruption.
11. A nurse is calculating the expected weight of a 2-year-old whose birth weight was 3.5 kg (7.7 lb.).
Which weight is most consistent with normal growth?
A. 7 kg (15.4 lb.)
