NSG3600 Exam 3 V1 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This exam preparation resource is designed to help students strengthen their understanding of
chronic pediatric disorders, developmental conditions, and family-centered pediatric
healthcare management. The material emphasizes safe nursing care, therapeutic
communication, and evidence-based interventions for children with chronic health needs.
The questions included in this version are structured to closely mirror the actual course exam
format and level of difficulty. Detailed expert explanations are included to improve pediatric
nursing judgment and care planning skills.
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The Exam Covers:
• Pediatric diabetes management
• Congenital heart disorders
• Developmental disabilities in children
• Pediatric neurological disorders
• Seizure management in children
• Long-term pediatric care planning
• Family support interventions
• Pediatric rehabilitation concepts
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1. A nurse is educating the parents of a child with Type 1 Diabetes about the Hemoglobin A1c
test. Which statement by the nurse is most accurate?
A. It measures the child’s blood glucose levels over the last 24 hours.
B. It provides an average of blood glucose levels over the past 2 to 3 months.
,C. It is used primarily to detect the presence of ketones in the urine.
D. It determines the immediate need for a sliding scale insulin dose.
Correct Answer: B
Expert Explanation: The hemoglobin A1c test measures the average blood sugar level
over the past two to three months and is the gold standard for monitoring long-term
glycemic control. This analysis focuses on physiological stability, educational needs for
chronic management, and the nursing priority of maintaining growth while preventing
complications. Proper management helps reduce the risk of long-term vascular issues in
pediatric patients.
2. A child with Tetralogy of Fallot becomes acutely cyanotic and agitated during a blood draw.
Which nursing action should be performed first?
A. Administer a dose of morphine sulfate intravenously.
B. Apply high-flow oxygen via a non-rebreather mask.
C. Place the child in the knee-chest position.
D. Call for the rapid response team immediately.
Correct Answer: C
Expert Explanation: The knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves oxygenation during a hypercyanotic or
‘Tet’ spell.
, 3. The nurse is caring for a child who is having a tonic-clonic seizure. What is the priority
nursing intervention?
A. Place the child in a side-lying position.
B. Insert a padded tongue blade into the child’s mouth.
C. Restrain the child’s arms and legs to prevent injury.
D. Administer oral diazepam immediately.
Correct Answer: A
Expert Explanation: The priority is safety and maintaining a patent airway. Placing the
child on their side prevents aspiration of saliva or emesis during the seizure.
4. A parent of a 4-year-old child recently diagnosed with Autism Spectrum Disorder (ASD)
asks the nurse about the primary characteristic of the disorder. What is the best response?
A. Impairments in social communication and repetitive behaviors.
B. Significant delays in gross motor skill development.
C. Recurrent episodes of aggressive behavior toward peers.
D. Consistent high levels of physical activity and impulsivity.
Correct Answer: A
Expert Explanation: ASD is primarily characterized by challenges in social interaction,
communication, and the presence of restricted or repetitive patterns of behavior or
interests.
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This exam preparation resource is designed to help students strengthen their understanding of
chronic pediatric disorders, developmental conditions, and family-centered pediatric
healthcare management. The material emphasizes safe nursing care, therapeutic
communication, and evidence-based interventions for children with chronic health needs.
The questions included in this version are structured to closely mirror the actual course exam
format and level of difficulty. Detailed expert explanations are included to improve pediatric
nursing judgment and care planning skills.
════════════════════════════════════
The Exam Covers:
• Pediatric diabetes management
• Congenital heart disorders
• Developmental disabilities in children
• Pediatric neurological disorders
• Seizure management in children
• Long-term pediatric care planning
• Family support interventions
• Pediatric rehabilitation concepts
════════════════════════════════════
1. A nurse is educating the parents of a child with Type 1 Diabetes about the Hemoglobin A1c
test. Which statement by the nurse is most accurate?
A. It measures the child’s blood glucose levels over the last 24 hours.
B. It provides an average of blood glucose levels over the past 2 to 3 months.
,C. It is used primarily to detect the presence of ketones in the urine.
D. It determines the immediate need for a sliding scale insulin dose.
Correct Answer: B
Expert Explanation: The hemoglobin A1c test measures the average blood sugar level
over the past two to three months and is the gold standard for monitoring long-term
glycemic control. This analysis focuses on physiological stability, educational needs for
chronic management, and the nursing priority of maintaining growth while preventing
complications. Proper management helps reduce the risk of long-term vascular issues in
pediatric patients.
2. A child with Tetralogy of Fallot becomes acutely cyanotic and agitated during a blood draw.
Which nursing action should be performed first?
A. Administer a dose of morphine sulfate intravenously.
B. Apply high-flow oxygen via a non-rebreather mask.
C. Place the child in the knee-chest position.
D. Call for the rapid response team immediately.
Correct Answer: C
Expert Explanation: The knee-chest position increases systemic vascular resistance,
which reduces the right-to-left shunt and improves oxygenation during a hypercyanotic or
‘Tet’ spell.
, 3. The nurse is caring for a child who is having a tonic-clonic seizure. What is the priority
nursing intervention?
A. Place the child in a side-lying position.
B. Insert a padded tongue blade into the child’s mouth.
C. Restrain the child’s arms and legs to prevent injury.
D. Administer oral diazepam immediately.
Correct Answer: A
Expert Explanation: The priority is safety and maintaining a patent airway. Placing the
child on their side prevents aspiration of saliva or emesis during the seizure.
4. A parent of a 4-year-old child recently diagnosed with Autism Spectrum Disorder (ASD)
asks the nurse about the primary characteristic of the disorder. What is the best response?
A. Impairments in social communication and repetitive behaviors.
B. Significant delays in gross motor skill development.
C. Recurrent episodes of aggressive behavior toward peers.
D. Consistent high levels of physical activity and impulsivity.
Correct Answer: A
Expert Explanation: ASD is primarily characterized by challenges in social interaction,
communication, and the presence of restricted or repetitive patterns of behavior or
interests.
