NSG3600 Exam 2 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 related to acute pediatric conditions, childhood infections, and safe nursing
interventions for children. The material emphasizes evidence-based pediatric care and patient
safety practices.
The questions are structured to closely mirror actual course exams while reinforcing
prioritization, clinical reasoning, and pediatric nursing management strategies. Detailed expert
explanations support understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Pediatric emergency care
• Childhood communicable diseases
• Pediatric oxygen therapy
• Pediatric hydration management
• Nutritional needs in children
• Pediatric medication calculations
• Family coping strategies
• Child safety interventions
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1. A nurse is caring for a 12-kg child who requires maintenance intravenous fluids. What is the
calculated hourly rate for this child using the 100/50/20 rule?
A. 42 mL/hr
B. 46 mL/hr
,C. 50 mL/hr
D. 54 mL/hr
Correct Answer: B
Expert Explanation: For a 12 kg child: 1000 mL for the first 10 kg + (2 kg x 50 mL) = 1100
mL/24 hours, which equals approximately 45.8 mL/hr, rounded to 46 mL/hr.
2. Which clinical manifestation is considered a hallmark sign of epiglottitis in a pediatric
patient?
A. Barking, brassy cough
B. Low-grade fever and runny nose
C. Wheezing during expiration
D. Drooling and agitation with a tripod position
Correct Answer: D
Expert Explanation: Epiglottitis is a medical emergency characterized by the four Ds:
Drooling, Dysphagia, Dysphonia, and Distressed inspiratory efforts, often with the child
leaning forward in a tripod position.
3. A child is admitted with suspected Varicella (Chickenpox). Which isolation precautions
should the nurse implement?
A. Airborne and Contact precautions
B. Droplet and Contact precautions
, C. Standard precautions only
D. Protective environment
Correct Answer: A
Expert Explanation: Varicella is transmitted via airborne droplets and direct contact with
lesions, necessitating both airborne and contact precautions until all lesions have crusted
over.
4. A mother calls the clinic stating her toddler swallowed an unknown amount of liquid dish
detergent. What is the priority instruction by the nurse?
A. Administer Syrup of Ipecac immediately
B. Call the Poison Control Center immediately
C. Give the child a large glass of milk to neutralize the soap
D. Induce vomiting with a finger at the back of the throat
Correct Answer: B
Expert Explanation: The priority action for any suspected poisoning is to contact the
Poison Control Center for specific guidance before attempting any home remedies or
interventions.
5. Which physical assessment finding is most indicative of moderate dehydration in an infant?
A. Tented skin turgor and sunken fontanelle
B. Slightly dry mucous membranes and decreased tears
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 related to acute pediatric conditions, childhood infections, and safe nursing
interventions for children. The material emphasizes evidence-based pediatric care and patient
safety practices.
The questions are structured to closely mirror actual course exams while reinforcing
prioritization, clinical reasoning, and pediatric nursing management strategies. Detailed expert
explanations support understanding and successful exam performance.
════════════════════════════════════
The Exam Covers:
• Pediatric emergency care
• Childhood communicable diseases
• Pediatric oxygen therapy
• Pediatric hydration management
• Nutritional needs in children
• Pediatric medication calculations
• Family coping strategies
• Child safety interventions
════════════════════════════════════
1. A nurse is caring for a 12-kg child who requires maintenance intravenous fluids. What is the
calculated hourly rate for this child using the 100/50/20 rule?
A. 42 mL/hr
B. 46 mL/hr
,C. 50 mL/hr
D. 54 mL/hr
Correct Answer: B
Expert Explanation: For a 12 kg child: 1000 mL for the first 10 kg + (2 kg x 50 mL) = 1100
mL/24 hours, which equals approximately 45.8 mL/hr, rounded to 46 mL/hr.
2. Which clinical manifestation is considered a hallmark sign of epiglottitis in a pediatric
patient?
A. Barking, brassy cough
B. Low-grade fever and runny nose
C. Wheezing during expiration
D. Drooling and agitation with a tripod position
Correct Answer: D
Expert Explanation: Epiglottitis is a medical emergency characterized by the four Ds:
Drooling, Dysphagia, Dysphonia, and Distressed inspiratory efforts, often with the child
leaning forward in a tripod position.
3. A child is admitted with suspected Varicella (Chickenpox). Which isolation precautions
should the nurse implement?
A. Airborne and Contact precautions
B. Droplet and Contact precautions
, C. Standard precautions only
D. Protective environment
Correct Answer: A
Expert Explanation: Varicella is transmitted via airborne droplets and direct contact with
lesions, necessitating both airborne and contact precautions until all lesions have crusted
over.
4. A mother calls the clinic stating her toddler swallowed an unknown amount of liquid dish
detergent. What is the priority instruction by the nurse?
A. Administer Syrup of Ipecac immediately
B. Call the Poison Control Center immediately
C. Give the child a large glass of milk to neutralize the soap
D. Induce vomiting with a finger at the back of the throat
Correct Answer: B
Expert Explanation: The priority action for any suspected poisoning is to contact the
Poison Control Center for specific guidance before attempting any home remedies or
interventions.
5. Which physical assessment finding is most indicative of moderate dehydration in an infant?
A. Tented skin turgor and sunken fontanelle
B. Slightly dry mucous membranes and decreased tears
