NSG3600 Exam 3 V3 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This comprehensive exam-style resource is designed to prepare students for pediatric nursing
assessments focused on complex pediatric conditions, advanced child healthcare
management, and family-centered nursing interventions. The material emphasizes safe
pediatric nursing practices and evidence-based patient care strategies.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, pediatric prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Pediatric chronic illness management
• Childhood developmental disorders
• Pediatric cardiac nursing care
• Seizure precautions in children
• Family-centered pediatric advocacy
• Pediatric nutrition support
• Community resources for children
• Pediatric care coordination
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1. A nurse is caring for an infant with Congestive Heart Failure. Which of the following
assessment findings would be the most significant indicator of improved condition after the
administration of Digoxin?
A. Increased heart rate and irritability
B. Increased urinary output and decreased edema
,C. Decreased respiratory rate and increased cyanosis
D. Decreased blood pressure and increased weight gain
Correct Answer: B
Expert Explanation: The therapeutic effect of Digoxin in pediatric heart failure is indicated
by increased cardiac output, which improves renal perfusion and leads to diuresis.
Monitoring urinary output is a critical nursing intervention to evaluate the effectiveness of
the medication. A decrease in edema and weight stabilization are also key markers of
clinical improvement.
2. A child with Tetralogy of Fallot is experiencing a ‘tet spell’ (hypercyanotic episode). Which
of the following is the priority nursing action?
A. Place the child in the knee-chest position
B. Administer high-flow oxygen via simple mask
C. Prepare for immediate endotracheal intubation
D. Administer intravenous morphine sulfate
Correct Answer: A
Expert Explanation: Placing the child in the knee-chest position increases systemic
vascular resistance and reduces the right-to-left shunt, which improves pulmonary blood
flow. This non-invasive maneuver is the first-line intervention for a hypercyanotic spell.
Following this action, the nurse should provide oxygen and consider medication as
prescribed.
,3. The nurse is providing discharge education to parents of a child with a new diagnosis of
Epilepsy. Which statement by the parents indicates a need for further teaching regarding
seizure safety?
A. ‘We will place a pillow under his head during a seizure.’
B. ‘We will use a spoon to keep his tongue down so he doesn’t swallow it.’
C. ‘We will time how long the seizure lasts.’
D. ‘We will turn him on his side to help keep his airway clear.’
Correct Answer: B
Expert Explanation: It is a common misconception that individuals can swallow their
tongue during a seizure; nothing should ever be placed in the mouth during a seizure.
Attempting to insert an object like a spoon can cause dental injury or airway obstruction.
Proper safety includes protecting the head, timing the event, and maintaining a side-lying
position post-ictally.
4. A child is admitted with a diagnosis of Acute Glomerulonephritis. Which assessment finding
should the nurse prioritize?
A. Periorbital edema and increased blood pressure
B. Presence of tea-colored urine
C. History of a recent streptococcal infection
D. Generalized malaise and fatigue
, Correct Answer: A
Expert Explanation: Acute Glomerulonephritis often leads to fluid retention and
hypertension due to decreased glomerular filtration. Monitoring blood pressure and
periorbital edema is essential to prevent complications such as hypertensive
encephalopathy. While a history of strep and tea-colored urine are diagnostic clues, the
physiological stability related to blood pressure is the clinical priority.
5. A nurse is teaching the parents of a child with Cystic Fibrosis about pancreatic enzyme
replacement therapy. Which instruction is correct?
A. Administer enzymes only with the morning and evening meals.
B. Give the enzymes with every meal and every snack.
C. Crush the enzyme beads to ensure they are absorbed quickly.
D. Do not give enzymes if the child is having a fatty stool.
Correct Answer: B
Expert Explanation: Pancreatic enzymes must be taken with all meals and snacks to
facilitate the digestion and absorption of fats and proteins. The dosage is typically adjusted
based on the child’s growth and the consistency of their stools. Enzymes should not be
crushed or chewed because they are enteric-coated to prevent breakdown in the stomach.
6. In the emergency department, a child is presenting with suspected epiglottitis. Which
action should the nurse avoid?
A. Allowing the child to remain in a position of comfort
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This comprehensive exam-style resource is designed to prepare students for pediatric nursing
assessments focused on complex pediatric conditions, advanced child healthcare
management, and family-centered nursing interventions. The material emphasizes safe
pediatric nursing practices and evidence-based patient care strategies.
The questions are structured to closely mirror actual course exams while reinforcing analytical
reasoning, pediatric prioritization, and patient care decision-making skills. Detailed expert
explanations support deeper understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Pediatric chronic illness management
• Childhood developmental disorders
• Pediatric cardiac nursing care
• Seizure precautions in children
• Family-centered pediatric advocacy
• Pediatric nutrition support
• Community resources for children
• Pediatric care coordination
════════════════════════════════════
1. A nurse is caring for an infant with Congestive Heart Failure. Which of the following
assessment findings would be the most significant indicator of improved condition after the
administration of Digoxin?
A. Increased heart rate and irritability
B. Increased urinary output and decreased edema
,C. Decreased respiratory rate and increased cyanosis
D. Decreased blood pressure and increased weight gain
Correct Answer: B
Expert Explanation: The therapeutic effect of Digoxin in pediatric heart failure is indicated
by increased cardiac output, which improves renal perfusion and leads to diuresis.
Monitoring urinary output is a critical nursing intervention to evaluate the effectiveness of
the medication. A decrease in edema and weight stabilization are also key markers of
clinical improvement.
2. A child with Tetralogy of Fallot is experiencing a ‘tet spell’ (hypercyanotic episode). Which
of the following is the priority nursing action?
A. Place the child in the knee-chest position
B. Administer high-flow oxygen via simple mask
C. Prepare for immediate endotracheal intubation
D. Administer intravenous morphine sulfate
Correct Answer: A
Expert Explanation: Placing the child in the knee-chest position increases systemic
vascular resistance and reduces the right-to-left shunt, which improves pulmonary blood
flow. This non-invasive maneuver is the first-line intervention for a hypercyanotic spell.
Following this action, the nurse should provide oxygen and consider medication as
prescribed.
,3. The nurse is providing discharge education to parents of a child with a new diagnosis of
Epilepsy. Which statement by the parents indicates a need for further teaching regarding
seizure safety?
A. ‘We will place a pillow under his head during a seizure.’
B. ‘We will use a spoon to keep his tongue down so he doesn’t swallow it.’
C. ‘We will time how long the seizure lasts.’
D. ‘We will turn him on his side to help keep his airway clear.’
Correct Answer: B
Expert Explanation: It is a common misconception that individuals can swallow their
tongue during a seizure; nothing should ever be placed in the mouth during a seizure.
Attempting to insert an object like a spoon can cause dental injury or airway obstruction.
Proper safety includes protecting the head, timing the event, and maintaining a side-lying
position post-ictally.
4. A child is admitted with a diagnosis of Acute Glomerulonephritis. Which assessment finding
should the nurse prioritize?
A. Periorbital edema and increased blood pressure
B. Presence of tea-colored urine
C. History of a recent streptococcal infection
D. Generalized malaise and fatigue
, Correct Answer: A
Expert Explanation: Acute Glomerulonephritis often leads to fluid retention and
hypertension due to decreased glomerular filtration. Monitoring blood pressure and
periorbital edema is essential to prevent complications such as hypertensive
encephalopathy. While a history of strep and tea-colored urine are diagnostic clues, the
physiological stability related to blood pressure is the clinical priority.
5. A nurse is teaching the parents of a child with Cystic Fibrosis about pancreatic enzyme
replacement therapy. Which instruction is correct?
A. Administer enzymes only with the morning and evening meals.
B. Give the enzymes with every meal and every snack.
C. Crush the enzyme beads to ensure they are absorbed quickly.
D. Do not give enzymes if the child is having a fatty stool.
Correct Answer: B
Expert Explanation: Pancreatic enzymes must be taken with all meals and snacks to
facilitate the digestion and absorption of fats and proteins. The dosage is typically adjusted
based on the child’s growth and the consistency of their stools. Enzymes should not be
crushed or chewed because they are enteric-coated to prevent breakdown in the stomach.
6. In the emergency department, a child is presenting with suspected epiglottitis. Which
action should the nurse avoid?
A. Allowing the child to remain in a position of comfort
