NSG3600 Exam 1 V3 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This exam-style preparation material is designed to support students preparing for pediatric
nursing assessments involving child wellness care, developmental health management, and
safe pediatric nursing interventions. The material emphasizes evidence-based nursing care and
holistic support for pediatric patients and families.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning and pediatric nursing decision-making skills. Detailed expert explanations
are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Pediatric vital sign interpretation
• Child growth monitoring
• Developmental screening tools
• Pediatric nursing ethics
• Therapeutic play techniques
• Pediatric patient advocacy
• Community child health resources
• Nursing assessment in children
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1. When assessing a 6-month-old infant’s growth, which finding should the nurse identify as a
normal developmental milestone?
A. Birth weight has tripled.
B. Birth weight has doubled.
C. The infant can stand alone.
,D. The posterior fontanel is still open.
Correct Answer: B
Expert Explanation: Typically, an infant’s birth weight doubles by the age of 5 to 6
months. This is a critical metric for assessing nutritional status and overall growth. Tripling
the birth weight usually occurs by 12 months of age.
2. Which technique is most appropriate when measuring the blood pressure of a 4-year-old
child?
A. Using a cuff that covers 100% of the upper arm.
B. Positioning the arm above the level of the heart.
C. Using a cuff with a bladder width that is 40% of the arm circumference.
D. Measuring blood pressure only when the child is crying.
Correct Answer: C
Expert Explanation: The correct cuff size is essential for accurate blood pressure
measurement in pediatric patients. The bladder width should be approximately 40% of the
arm circumference at the midpoint between the olecranon and the acromion. An
inappropriately sized cuff can lead to false readings, which may impact clinical decisions.
3. What is the most effective way to approach a physical assessment of a toddler?
A. Perform the assessment from head to toe in a strict sequence.
B. Perform invasive procedures like ear exams first.
, C. Allow the child to sit on the parent’s lap during the exam.
D. Ask the child for permission before every single touch.
Correct Answer: C
Expert Explanation: Toddlers often experience stranger anxiety and fear of separation.
Allowing them to remain on a parent’s lap provides comfort and increases the likelihood of
cooperation. The nurse should follow a least-to-most invasive sequence rather than a strict
head-to-toe approach.
4. A nurse is teaching a parent about therapeutic play for a hospitalized preschooler. Which
statement by the parent indicates a need for further teaching?
A. I should let my child play with a needleless syringe and a doll.
B. Play will help my child feel more in control of the situation.
C. Therapeutic play is only for children with mental health issues.
D. Drawing pictures can help my child express their feelings about being sick.
Correct Answer: C
Expert Explanation: Therapeutic play is a standard intervention for all hospitalized
children to help them cope with the stress of illness and treatment. It allows children to
express fears and master their environment through familiar activities. Education should
emphasize that play is the work of childhood and is vital for emotional health.
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This exam-style preparation material is designed to support students preparing for pediatric
nursing assessments involving child wellness care, developmental health management, and
safe pediatric nursing interventions. The material emphasizes evidence-based nursing care and
holistic support for pediatric patients and families.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning and pediatric nursing decision-making skills. Detailed expert explanations
are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Pediatric vital sign interpretation
• Child growth monitoring
• Developmental screening tools
• Pediatric nursing ethics
• Therapeutic play techniques
• Pediatric patient advocacy
• Community child health resources
• Nursing assessment in children
════════════════════════════════════
1. When assessing a 6-month-old infant’s growth, which finding should the nurse identify as a
normal developmental milestone?
A. Birth weight has tripled.
B. Birth weight has doubled.
C. The infant can stand alone.
,D. The posterior fontanel is still open.
Correct Answer: B
Expert Explanation: Typically, an infant’s birth weight doubles by the age of 5 to 6
months. This is a critical metric for assessing nutritional status and overall growth. Tripling
the birth weight usually occurs by 12 months of age.
2. Which technique is most appropriate when measuring the blood pressure of a 4-year-old
child?
A. Using a cuff that covers 100% of the upper arm.
B. Positioning the arm above the level of the heart.
C. Using a cuff with a bladder width that is 40% of the arm circumference.
D. Measuring blood pressure only when the child is crying.
Correct Answer: C
Expert Explanation: The correct cuff size is essential for accurate blood pressure
measurement in pediatric patients. The bladder width should be approximately 40% of the
arm circumference at the midpoint between the olecranon and the acromion. An
inappropriately sized cuff can lead to false readings, which may impact clinical decisions.
3. What is the most effective way to approach a physical assessment of a toddler?
A. Perform the assessment from head to toe in a strict sequence.
B. Perform invasive procedures like ear exams first.
, C. Allow the child to sit on the parent’s lap during the exam.
D. Ask the child for permission before every single touch.
Correct Answer: C
Expert Explanation: Toddlers often experience stranger anxiety and fear of separation.
Allowing them to remain on a parent’s lap provides comfort and increases the likelihood of
cooperation. The nurse should follow a least-to-most invasive sequence rather than a strict
head-to-toe approach.
4. A nurse is teaching a parent about therapeutic play for a hospitalized preschooler. Which
statement by the parent indicates a need for further teaching?
A. I should let my child play with a needleless syringe and a doll.
B. Play will help my child feel more in control of the situation.
C. Therapeutic play is only for children with mental health issues.
D. Drawing pictures can help my child express their feelings about being sick.
Correct Answer: C
Expert Explanation: Therapeutic play is a standard intervention for all hospitalized
children to help them cope with the stress of illness and treatment. It allows children to
express fears and master their environment through familiar activities. Education should
emphasize that play is the work of childhood and is vital for emotional health.
