NSG3600 Exam 4 V1 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This exam preparation resource focuses on advanced concepts related to pediatric emergencies,
specialized child healthcare, and complex nursing interventions for children and
adolescents. The material is designed to strengthen understanding of critical pediatric conditions
and evidence-based nursing management strategies.
The questions included in this version closely mirror the style and complexity of actual pediatric
nursing exams. Detailed expert explanations are included to improve analytical reasoning,
patient advocacy, and pediatric nursing care planning.
════════════════════════════════════
The Exam Covers:
• Pediatric emergency nursing
• Shock and dehydration in children
• Pediatric trauma care
• Childhood cancer nursing care
• Pediatric intensive care concepts
• Ethical issues in pediatric nursing
• Family crisis intervention
• Pediatric patient safety initiatives
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1. A 5-year-old child is brought to the emergency department with suspected hypovolemic
shock due to severe vomiting and diarrhea. Which assessment finding is most indicative of
the ‘compensated’ stage of shock?
A. Tachycardia and prolonged capillary refill
B. Significant hypotension
,C. Decreased level of consciousness
D. Bradycardia and irregular respirations
Correct Answer: A
Expert Explanation: In the compensated stage of shock, the body attempts to maintain
cardiac output and blood pressure through compensatory mechanisms. Tachycardia is one
of the earliest signs as the heart beats faster to circulate blood. Delayed capillary refill and
cool extremities indicate peripheral vasoconstriction to divert blood to vital organs.
2. When administering a fluid bolus to a child in hypovolemic shock, what is the standard
recommended volume for the initial isotonic crystalloid infusion?
A. 5 mL/kg
B. 20 mL/kg
C. 10 mL/kg
D. 50 mL/kg
Correct Answer: B
Expert Explanation: The standard initial bolus for a pediatric patient in shock is 20 mL/kg
of an isotonic solution like Normal Saline. This volume is intended to rapidly expand the
intravascular space. The nurse must monitor the child’s response closely after each bolus to
determine if further volume is required.
, 3. A nurse is caring for a child with a suspected Wilms tumor. Which action is most important
for the nurse to avoid during the physical assessment?
A. Measuring head circumference
B. Auscultating bowel sounds
C. Palpating the abdomen
D. Checking the blood pressure
Correct Answer: C
Expert Explanation: Palpation of the abdomen must be avoided in children with Wilms
tumor to prevent the rupture of the tumor capsule. Rupture can cause the seeding of cancer
cells into the peritoneal cavity. A sign should be placed over the bed to alert all staff not to
palpate the abdomen.
4. A child is undergoing chemotherapy and develops stomatitis. Which nursing intervention
should be prioritized to promote comfort and healing?
A. Encouraging the use of a firm toothbrush
B. Providing frequent mouth rinses with normal saline
C. Offering acidic juices like orange juice
D. Applying lidocaine gel to the entire oral mucosa every hour
Correct Answer: B
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This exam preparation resource focuses on advanced concepts related to pediatric emergencies,
specialized child healthcare, and complex nursing interventions for children and
adolescents. The material is designed to strengthen understanding of critical pediatric conditions
and evidence-based nursing management strategies.
The questions included in this version closely mirror the style and complexity of actual pediatric
nursing exams. Detailed expert explanations are included to improve analytical reasoning,
patient advocacy, and pediatric nursing care planning.
════════════════════════════════════
The Exam Covers:
• Pediatric emergency nursing
• Shock and dehydration in children
• Pediatric trauma care
• Childhood cancer nursing care
• Pediatric intensive care concepts
• Ethical issues in pediatric nursing
• Family crisis intervention
• Pediatric patient safety initiatives
════════════════════════════════════
1. A 5-year-old child is brought to the emergency department with suspected hypovolemic
shock due to severe vomiting and diarrhea. Which assessment finding is most indicative of
the ‘compensated’ stage of shock?
A. Tachycardia and prolonged capillary refill
B. Significant hypotension
,C. Decreased level of consciousness
D. Bradycardia and irregular respirations
Correct Answer: A
Expert Explanation: In the compensated stage of shock, the body attempts to maintain
cardiac output and blood pressure through compensatory mechanisms. Tachycardia is one
of the earliest signs as the heart beats faster to circulate blood. Delayed capillary refill and
cool extremities indicate peripheral vasoconstriction to divert blood to vital organs.
2. When administering a fluid bolus to a child in hypovolemic shock, what is the standard
recommended volume for the initial isotonic crystalloid infusion?
A. 5 mL/kg
B. 20 mL/kg
C. 10 mL/kg
D. 50 mL/kg
Correct Answer: B
Expert Explanation: The standard initial bolus for a pediatric patient in shock is 20 mL/kg
of an isotonic solution like Normal Saline. This volume is intended to rapidly expand the
intravascular space. The nurse must monitor the child’s response closely after each bolus to
determine if further volume is required.
, 3. A nurse is caring for a child with a suspected Wilms tumor. Which action is most important
for the nurse to avoid during the physical assessment?
A. Measuring head circumference
B. Auscultating bowel sounds
C. Palpating the abdomen
D. Checking the blood pressure
Correct Answer: C
Expert Explanation: Palpation of the abdomen must be avoided in children with Wilms
tumor to prevent the rupture of the tumor capsule. Rupture can cause the seeding of cancer
cells into the peritoneal cavity. A sign should be placed over the bed to alert all staff not to
palpate the abdomen.
4. A child is undergoing chemotherapy and develops stomatitis. Which nursing intervention
should be prioritized to promote comfort and healing?
A. Encouraging the use of a firm toothbrush
B. Providing frequent mouth rinses with normal saline
C. Offering acidic juices like orange juice
D. Applying lidocaine gel to the entire oral mucosa every hour
Correct Answer: B
