NSG 3600 Exam 3 | Questions and Answers | 2025/2026 | Latest
Update
3, 4.
1. Children with myasthenia gravis should not
play strenuous sports. The increased stress from being in a competitive sport tends
The nurse judges teaching as successful
to negatively impact children, and they should learn strategies to decrease stress.
when the parent of a child with
2. It is important that children with myasthenia gravis have activities they
myasthenia gravis states which of the
can participate in without causing stress. Activities such as board games,
following? Select all that apply.
horseback riding, and hiking should be encouraged. Some children would
1. “My child should play on the
benefit from meditation but may take time to appreciate the results.
school’s basketball team.”
3. Children with myasthenia gravis can do many things other children do.
2. “My child should meditate every
day.” They should be advised not to play strenuous sports, and they should learn
3.“My child should be allowed to do how to control stress.
what other kids do.” 4. Children are watched for signs of illness because of the exacerbation of
4. “My child should be watched signs of myasthenia gravis.
carefully for signs of illness.” 5.It’s not recommended that children sleep in the same bedroom as their
5.“My child should sleep in my room parents unless it can’t be avoided.
so that I can watch him better.” TEST-TAKING HINT: The test taker must know the physiology of the illness and
consider that this is a chronic disease. The child is first a child, so he will have all
the growth and development issues children without a chronic disease have.
,The parent of a newborn asks, "Will my 1. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot
baby spit out the formula if it is too hot or voluntarily control swallowing.
too cold?" Which is the nurse's best 2. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot
response? voluntarily control swallowing.
1. "Babies have a tendency to 3. The infant is not capable of selectively rejecting fluid because swallowing
reject hot fluids but not cold fluids, is a reflex until 6 weeks.
which could result in abdominal 4. Swallowing is a reflex in infants younger than 6 weeks.
discomfort." TEST-TAKING HINT: Swallowing is a reflex that is present until the age of 6 weeks.
2. "Babies have a tendency to The test taker should eliminate answers 1, 2,and 3 because they suggest that the
reject cold fluids but not hot fluids, which infant is capable of selectively rejecting fluids.
could result in esophageal burns."
3."Your baby would most likely spit out
formula that was too hot, but your
baby could swallow some of it,
which could result in a burn."
4. "Your baby is too young to be physically
capable of spitting out fluids and will
automatically swallow anything."
The mother of a newborn asks the nurse 1. The caloric content of breast milk and formula tends to be similar.
why the infant has to nurse so frequently. 2. Peristalsis in infants is greater than in
Which is the best response? older children.
1. Formula tends to be more 3. The small-stomach capacity and rapid movement of fluid through the
calorically dense, and formula-fed digestive system account for the need for small, frequent feedings.
babies require fewer feedings than 4. Breastfed babies and formula-fed babies do not necessarily have a difference in
breastfed babies. feeding time.
2. The newborn's stomach capacity TEST-TAKING HINT: The test taker should eliminate answers 1 and 4 because they
is small, and peristalsis is slow. both form generalizations that are not supported by current literature.
3. The newborn's stomach capacity
is small, and peristalsis is more rapid
than in older children.
4. Breastfed babies tend to take longer
to complete a feeding than formula-
fed babies.
1. The information obtained from a urinalysis of an infant is not as helpful as
A 4-month-old has had vomiting and
serum electrolytes. The infant has limited ability to concentrate urine, so the
diarrhea for 24 hours. The infant is fussy,
specific gravity is not usually affected.
and the anterior fontanel is sunken. The
2. The information obtained from a urinalysis of an infant is not as helpful as
nurse notes the infant does not produce
serum electrolytes. The infant has limited ability to concentrate urine, so the
tears when crying. Which task will help
specific gravity is not usually affected. A urinalysis does not need to be obtained by
confirm the diagnosis of dehydration?
catheterization.
1. Urinalysis obtained by bagged
specimen. 3. The analysis of serum electrolytes offers the most information and assists
with the diagnosis of dehydration.
2. Urinalysis obtained
4.Although critical in diagnosing meningitis, a lumber puncture and analysis
by sterile catheterization.
of cerebrospinal fluid are not done to confirm dehydration.
3. Analysis of serum electrolytes.
TEST-TAKING HINT: Infants have limited ability to concentrate urine, so answers 1
4.Analysis of cerebrospinal fluid.
and 2 can be eliminated immediately.
,A 4-month-old is brought to the 1. Dehydration is corrected with the administration of an isotonic solution, such
emergency department with severe as normal saline or lactated Ringer solution.
dehydration. The heart rate is 198, and her 2. Solutions containing dextrose should never be administered in bolus form
blood pressure is 68/38. The infant's because they may result in cerebral edema.
anterior fontanel is sunken. The nurse 3.Solutions containing dextrose should never be administered in bolus form
notes that the infant does not cry when because they may result in cerebral edema.
the intravenous lineis inserted. The 4.Severe dehydration is not usually corrected with oral solutions; children
child's parents state that she has not with altered levels of consciousness should be kept NPO.
"held anything down" in 18 hours. The TEST-TAKING HINT: The test taker should immediately eliminate answers 2 and 3
nurse obtains a finger-stick blood sugar because they both suggest administering glucose in bolus form, which is always
of 94. contraindicated in pediatric clients. Answer 4 should be eliminated because
Which would the nurse expect to do the infant is severely dehydrated and not responding to painful stimulation, which
immediately? is suggested by the lack of a cry on intravenous insertion.
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal
saline with 5% dextrose added to the
solution.
4. Offer the child an oral
rehydrating solution such as
Pedialyte.
The nurse is caring for a 2-year-old 1. Fluid boluses of normal saline are administered according to the child’s
child who was admitted to the pediatric body weight. It is not unusual to have to repeat the bolus multiple times in order
unit for moderate dehydration due to to see an improvement in the child’s condition.
vomiting and diarrhea. The child is restless 2. It is important to monitor serum electrolytes frequently in the dehydrated child.
with periods of irritability. The child is 3. Potassium is contraindicated because the child has not yet urinated.
afebrile with a heart rate of 148 and a Potassium is not added to the maintenance fluid until kidney function has
blood pressure of 90/42. Baseline been verified.
laboratory tests reveal the following: Na 4.The child with dehydration secondary to vomiting and diarrhea is placed on
152, Cl 119, and glucose 115. The parents a clear liquid diet.
state that the child has not urinated in TEST-TAKING HINT: Be aware of the usual ways in which dehydration is treated.
12 hours. After establishing a saline Answer 3 should be selected because the description states that the child has not
lock, the nurse reviews the physician's urinated.
orders. Which order should the nurse
question?
1. Administer a saline bolus of
10 mL/kg, which may be repeated if
the child does not urinate.
2. Recheck serum electrolytes in 12
hours.
3. After the saline bolus, begin
maintenance fluids of D5 1⁄4 NS with 10
mEq KCl/L.
4. Give clear liquid diet as tolerated.
, The parent of a 5-year-old states that 1. When Pedialyte is not tolerated, it is usually recommended that clear
the child has been having diarrhea for sodas and juices be diluted. Diet beverages are not recommended because the
24 hours, vomited twice 2 hours ago, and sugar is needed to help the sodium be reabsorbed.
now claims to be thirsty. The parent asks 2. Pedialyte is the best choice. If the child is not encouraged to drink Pedialyte,
what to offer the child because the child is the child may become severely dehydrated. Other ways to encourage oral
refusing Pedialyte. Which is the nurse's rehydration need to be considered.
most appropriate response? 3.Pedialyte is the first choice, as recommended by the American Academy of
1. "You can offer clear diet Pediatrics. Offering the child appropriate choices may allow the child to feel
soda such as Sprite and ginger ale." empowered and less likely to refuse the Pedialyte. Small, frequent amounts are
2. "Pedialyte is really the best thing usually better tolerated.
for your child, who, if thirsty enough, will 4. Offering small amounts of liquids is important. The type of beverage does
eventually drink it." matter because many fluids may increase vomiting and diarrhea.
3."Pedialyte is really the best thing for TEST-TAKING HINT: The test taker should eliminate answer 2 because it offers an
your child. Allow your child some choice ultimatum to a child. The child is likely to refuse the Pedialyte, worsening the state
in the way to take it by offering small of dehydration.
amounts in a spoon, medicine cup, or
syringe."
4. "It really does not matter what your
child drinks as long as it is kept down.
Try offering small amounts of fluids in
medicine cups."
The nurse is caring for a 9-month-old with 1. Loperamide (Imodium) slows intestinal motility and allows overgrowth of
diarrhea secondary to rotavirus. The child organisms and should therefore be avoided.
has not vomited and is mildly dehydrated. 2. Bismuth subsalicylate (Kaopectate) slows intestinal motility and allows
Which is likely to be included in the overgrowth of organisms and should therefore be avoided.
discharge teaching? 3. Breastfeeding is usually well tolerated and helps prevent death of intestinal
1. Administer loperamide villi and malabsorption.
(Imodium) as needed. 4.Antibiotics are not effective in viruses. Children should not return to day care
2. Administer bismuth while they are still having diarrhea.
subsalicylate (Kaopectate) as TEST-TAKING HINT: The test taker can eliminate answer 4 because antibiotics are
needed. not effective with viruses such as rotavirus. Answers 1 and 2 can be eliminated
3.Continue breastfeeding per routine. because antidiarrheal agents are not recommended in the pediatric
4.The infant may return to day care population.
24 hours after antibiotics have been
started.
Which child can be discharged without 1. Diarrhea containing blood needs further evaluation to determine the source
further evaluation? of the blood, and the child’s blood counts and electrolyte balance need to be
1. A 2-year-old who has had 24 hours of tested.
watery diarrhea that has changed to 2. It is common for children to have a relapse of diarrhea after resuming a
bloody diarrhea in the past 12 hours. regular diet.
2. A 3-year-old who had a relapse of one 3.Children who have had vomiting and diarrhea for more than 2 days require
diarrhea episode after restarting a normal evaluation to determine whether IV rehydration and hospital admission are necessary.
diet. 4. Diarrhea following a camping trip needs further evaluation because it may
3. A 6-year-old who has been having be caused by bacteria or parasites.
vomiting and diarrhea for 2 days and has TEST-TAKING HINT: The test taker should eliminate answers 1 and 3 because they
decreased urine output. describe children who may have altered electrolytes and blood counts due to
4. A 10-year-old who has just returned from prolonged diarrhea.
a Scout camping trip and has had
several episodes of diarrhea.
Update
3, 4.
1. Children with myasthenia gravis should not
play strenuous sports. The increased stress from being in a competitive sport tends
The nurse judges teaching as successful
to negatively impact children, and they should learn strategies to decrease stress.
when the parent of a child with
2. It is important that children with myasthenia gravis have activities they
myasthenia gravis states which of the
can participate in without causing stress. Activities such as board games,
following? Select all that apply.
horseback riding, and hiking should be encouraged. Some children would
1. “My child should play on the
benefit from meditation but may take time to appreciate the results.
school’s basketball team.”
3. Children with myasthenia gravis can do many things other children do.
2. “My child should meditate every
day.” They should be advised not to play strenuous sports, and they should learn
3.“My child should be allowed to do how to control stress.
what other kids do.” 4. Children are watched for signs of illness because of the exacerbation of
4. “My child should be watched signs of myasthenia gravis.
carefully for signs of illness.” 5.It’s not recommended that children sleep in the same bedroom as their
5.“My child should sleep in my room parents unless it can’t be avoided.
so that I can watch him better.” TEST-TAKING HINT: The test taker must know the physiology of the illness and
consider that this is a chronic disease. The child is first a child, so he will have all
the growth and development issues children without a chronic disease have.
,The parent of a newborn asks, "Will my 1. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot
baby spit out the formula if it is too hot or voluntarily control swallowing.
too cold?" Which is the nurse's best 2. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot
response? voluntarily control swallowing.
1. "Babies have a tendency to 3. The infant is not capable of selectively rejecting fluid because swallowing
reject hot fluids but not cold fluids, is a reflex until 6 weeks.
which could result in abdominal 4. Swallowing is a reflex in infants younger than 6 weeks.
discomfort." TEST-TAKING HINT: Swallowing is a reflex that is present until the age of 6 weeks.
2. "Babies have a tendency to The test taker should eliminate answers 1, 2,and 3 because they suggest that the
reject cold fluids but not hot fluids, which infant is capable of selectively rejecting fluids.
could result in esophageal burns."
3."Your baby would most likely spit out
formula that was too hot, but your
baby could swallow some of it,
which could result in a burn."
4. "Your baby is too young to be physically
capable of spitting out fluids and will
automatically swallow anything."
The mother of a newborn asks the nurse 1. The caloric content of breast milk and formula tends to be similar.
why the infant has to nurse so frequently. 2. Peristalsis in infants is greater than in
Which is the best response? older children.
1. Formula tends to be more 3. The small-stomach capacity and rapid movement of fluid through the
calorically dense, and formula-fed digestive system account for the need for small, frequent feedings.
babies require fewer feedings than 4. Breastfed babies and formula-fed babies do not necessarily have a difference in
breastfed babies. feeding time.
2. The newborn's stomach capacity TEST-TAKING HINT: The test taker should eliminate answers 1 and 4 because they
is small, and peristalsis is slow. both form generalizations that are not supported by current literature.
3. The newborn's stomach capacity
is small, and peristalsis is more rapid
than in older children.
4. Breastfed babies tend to take longer
to complete a feeding than formula-
fed babies.
1. The information obtained from a urinalysis of an infant is not as helpful as
A 4-month-old has had vomiting and
serum electrolytes. The infant has limited ability to concentrate urine, so the
diarrhea for 24 hours. The infant is fussy,
specific gravity is not usually affected.
and the anterior fontanel is sunken. The
2. The information obtained from a urinalysis of an infant is not as helpful as
nurse notes the infant does not produce
serum electrolytes. The infant has limited ability to concentrate urine, so the
tears when crying. Which task will help
specific gravity is not usually affected. A urinalysis does not need to be obtained by
confirm the diagnosis of dehydration?
catheterization.
1. Urinalysis obtained by bagged
specimen. 3. The analysis of serum electrolytes offers the most information and assists
with the diagnosis of dehydration.
2. Urinalysis obtained
4.Although critical in diagnosing meningitis, a lumber puncture and analysis
by sterile catheterization.
of cerebrospinal fluid are not done to confirm dehydration.
3. Analysis of serum electrolytes.
TEST-TAKING HINT: Infants have limited ability to concentrate urine, so answers 1
4.Analysis of cerebrospinal fluid.
and 2 can be eliminated immediately.
,A 4-month-old is brought to the 1. Dehydration is corrected with the administration of an isotonic solution, such
emergency department with severe as normal saline or lactated Ringer solution.
dehydration. The heart rate is 198, and her 2. Solutions containing dextrose should never be administered in bolus form
blood pressure is 68/38. The infant's because they may result in cerebral edema.
anterior fontanel is sunken. The nurse 3.Solutions containing dextrose should never be administered in bolus form
notes that the infant does not cry when because they may result in cerebral edema.
the intravenous lineis inserted. The 4.Severe dehydration is not usually corrected with oral solutions; children
child's parents state that she has not with altered levels of consciousness should be kept NPO.
"held anything down" in 18 hours. The TEST-TAKING HINT: The test taker should immediately eliminate answers 2 and 3
nurse obtains a finger-stick blood sugar because they both suggest administering glucose in bolus form, which is always
of 94. contraindicated in pediatric clients. Answer 4 should be eliminated because
Which would the nurse expect to do the infant is severely dehydrated and not responding to painful stimulation, which
immediately? is suggested by the lack of a cry on intravenous insertion.
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal
saline with 5% dextrose added to the
solution.
4. Offer the child an oral
rehydrating solution such as
Pedialyte.
The nurse is caring for a 2-year-old 1. Fluid boluses of normal saline are administered according to the child’s
child who was admitted to the pediatric body weight. It is not unusual to have to repeat the bolus multiple times in order
unit for moderate dehydration due to to see an improvement in the child’s condition.
vomiting and diarrhea. The child is restless 2. It is important to monitor serum electrolytes frequently in the dehydrated child.
with periods of irritability. The child is 3. Potassium is contraindicated because the child has not yet urinated.
afebrile with a heart rate of 148 and a Potassium is not added to the maintenance fluid until kidney function has
blood pressure of 90/42. Baseline been verified.
laboratory tests reveal the following: Na 4.The child with dehydration secondary to vomiting and diarrhea is placed on
152, Cl 119, and glucose 115. The parents a clear liquid diet.
state that the child has not urinated in TEST-TAKING HINT: Be aware of the usual ways in which dehydration is treated.
12 hours. After establishing a saline Answer 3 should be selected because the description states that the child has not
lock, the nurse reviews the physician's urinated.
orders. Which order should the nurse
question?
1. Administer a saline bolus of
10 mL/kg, which may be repeated if
the child does not urinate.
2. Recheck serum electrolytes in 12
hours.
3. After the saline bolus, begin
maintenance fluids of D5 1⁄4 NS with 10
mEq KCl/L.
4. Give clear liquid diet as tolerated.
, The parent of a 5-year-old states that 1. When Pedialyte is not tolerated, it is usually recommended that clear
the child has been having diarrhea for sodas and juices be diluted. Diet beverages are not recommended because the
24 hours, vomited twice 2 hours ago, and sugar is needed to help the sodium be reabsorbed.
now claims to be thirsty. The parent asks 2. Pedialyte is the best choice. If the child is not encouraged to drink Pedialyte,
what to offer the child because the child is the child may become severely dehydrated. Other ways to encourage oral
refusing Pedialyte. Which is the nurse's rehydration need to be considered.
most appropriate response? 3.Pedialyte is the first choice, as recommended by the American Academy of
1. "You can offer clear diet Pediatrics. Offering the child appropriate choices may allow the child to feel
soda such as Sprite and ginger ale." empowered and less likely to refuse the Pedialyte. Small, frequent amounts are
2. "Pedialyte is really the best thing usually better tolerated.
for your child, who, if thirsty enough, will 4. Offering small amounts of liquids is important. The type of beverage does
eventually drink it." matter because many fluids may increase vomiting and diarrhea.
3."Pedialyte is really the best thing for TEST-TAKING HINT: The test taker should eliminate answer 2 because it offers an
your child. Allow your child some choice ultimatum to a child. The child is likely to refuse the Pedialyte, worsening the state
in the way to take it by offering small of dehydration.
amounts in a spoon, medicine cup, or
syringe."
4. "It really does not matter what your
child drinks as long as it is kept down.
Try offering small amounts of fluids in
medicine cups."
The nurse is caring for a 9-month-old with 1. Loperamide (Imodium) slows intestinal motility and allows overgrowth of
diarrhea secondary to rotavirus. The child organisms and should therefore be avoided.
has not vomited and is mildly dehydrated. 2. Bismuth subsalicylate (Kaopectate) slows intestinal motility and allows
Which is likely to be included in the overgrowth of organisms and should therefore be avoided.
discharge teaching? 3. Breastfeeding is usually well tolerated and helps prevent death of intestinal
1. Administer loperamide villi and malabsorption.
(Imodium) as needed. 4.Antibiotics are not effective in viruses. Children should not return to day care
2. Administer bismuth while they are still having diarrhea.
subsalicylate (Kaopectate) as TEST-TAKING HINT: The test taker can eliminate answer 4 because antibiotics are
needed. not effective with viruses such as rotavirus. Answers 1 and 2 can be eliminated
3.Continue breastfeeding per routine. because antidiarrheal agents are not recommended in the pediatric
4.The infant may return to day care population.
24 hours after antibiotics have been
started.
Which child can be discharged without 1. Diarrhea containing blood needs further evaluation to determine the source
further evaluation? of the blood, and the child’s blood counts and electrolyte balance need to be
1. A 2-year-old who has had 24 hours of tested.
watery diarrhea that has changed to 2. It is common for children to have a relapse of diarrhea after resuming a
bloody diarrhea in the past 12 hours. regular diet.
2. A 3-year-old who had a relapse of one 3.Children who have had vomiting and diarrhea for more than 2 days require
diarrhea episode after restarting a normal evaluation to determine whether IV rehydration and hospital admission are necessary.
diet. 4. Diarrhea following a camping trip needs further evaluation because it may
3. A 6-year-old who has been having be caused by bacteria or parasites.
vomiting and diarrhea for 2 days and has TEST-TAKING HINT: The test taker should eliminate answers 1 and 3 because they
decreased urine output. describe children who may have altered electrolytes and blood counts due to
4. A 10-year-old who has just returned from prolonged diarrhea.
a Scout camping trip and has had
several episodes of diarrhea.
