NSG3600 Final Exam V3 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This comprehensive final exam preparation material is designed to strengthen understanding of
advanced pediatric nursing concepts, specialized child healthcare management, and
complex nursing interventions for pediatric patients. The content focuses on integrating
pediatric nursing knowledge into real-world healthcare scenarios and clinical decision-making.
The questions are structured to closely mirror actual nursing final exams while reinforcing
analytical reasoning, prioritization, and pediatric intervention strategies. Detailed expert
explanations are included to support concept mastery and academic success.
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The Exam Covers:
• Comprehensive pediatric assessment
• Pediatric emergency stabilization
• Childhood chronic illness care
• Pediatric nutrition and growth concepts
• Pediatric family-centered care
• Community pediatric resources
• Interdisciplinary pediatric collaboration
• Final comprehensive pediatric nursing review
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1. A 3-year-old child is brought to the emergency department with suspected epiglottitis.
Which nursing intervention should be prioritized?
A. Obtaining a throat culture to identify the causative organism.
B. Visualizing the airway with a tongue depressor to assess swelling.
,C. Keeping the child calm and preparing for emergency intubation.
D. Administering oral fluids to maintain hydration levels.
Correct Answer: C
Expert Explanation: Epiglottitis is a life-threatening medical emergency that can lead to
sudden airway obstruction. Attempting to visualize the throat or obtain a culture can
trigger laryngospasm and complete blockage. The primary nursing focus is maintaining a
patent airway and minimizing distress for the child until expert medical intervention is
available.
2. When assessing a school-aged child according to Erikson’s developmental stages, the nurse
should focus on which conflict?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: B
Expert Explanation: School-aged children typically fall into the Industry vs. Inferiority
stage where they focus on learning new skills and being productive. Success in this stage
leads to a sense of competence while failure can result in feelings of inadequacy. Nurses
should encourage these children to participate in their own care to foster a sense of
industry.
, 3. A nurse is providing education to the parents of a child with Tetralogy of Fallot. What is the
priority action during a ‘tet spell’?
A. Administer high-dose oral aspirin immediately.
B. Place the infant in a knee-chest position.
C. Provide vigorous chest physiotherapy to improve oxygenation.
D. Apply cold compresses to the child’s chest area.
Correct Answer: B
Expert Explanation: A ‘tet spell’ or hypercyanotic spell occurs due to an acute decrease in
pulmonary blood flow. Placing the child in a knee-chest position increases systemic
vascular resistance and helps shunt blood back into the lungs. This simple physical
maneuver is the first-line intervention to stabilize the child’s oxygen levels.
4. What is the most common nutritional deficiency found in toddlers who consume excessive
amounts of cow’s milk?
A. Iron deficiency anemia
B. Vitamin D deficiency
C. Vitamin C deficiency
D. Calcium deficiency
Correct Answer: A
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This comprehensive final exam preparation material is designed to strengthen understanding of
advanced pediatric nursing concepts, specialized child healthcare management, and
complex nursing interventions for pediatric patients. The content focuses on integrating
pediatric nursing knowledge into real-world healthcare scenarios and clinical decision-making.
The questions are structured to closely mirror actual nursing final exams while reinforcing
analytical reasoning, prioritization, and pediatric intervention strategies. Detailed expert
explanations are included to support concept mastery and academic success.
════════════════════════════════════
The Exam Covers:
• Comprehensive pediatric assessment
• Pediatric emergency stabilization
• Childhood chronic illness care
• Pediatric nutrition and growth concepts
• Pediatric family-centered care
• Community pediatric resources
• Interdisciplinary pediatric collaboration
• Final comprehensive pediatric nursing review
════════════════════════════════════
1. A 3-year-old child is brought to the emergency department with suspected epiglottitis.
Which nursing intervention should be prioritized?
A. Obtaining a throat culture to identify the causative organism.
B. Visualizing the airway with a tongue depressor to assess swelling.
,C. Keeping the child calm and preparing for emergency intubation.
D. Administering oral fluids to maintain hydration levels.
Correct Answer: C
Expert Explanation: Epiglottitis is a life-threatening medical emergency that can lead to
sudden airway obstruction. Attempting to visualize the throat or obtain a culture can
trigger laryngospasm and complete blockage. The primary nursing focus is maintaining a
patent airway and minimizing distress for the child until expert medical intervention is
available.
2. When assessing a school-aged child according to Erikson’s developmental stages, the nurse
should focus on which conflict?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Initiative vs. Guilt
D. Trust vs. Mistrust
Correct Answer: B
Expert Explanation: School-aged children typically fall into the Industry vs. Inferiority
stage where they focus on learning new skills and being productive. Success in this stage
leads to a sense of competence while failure can result in feelings of inadequacy. Nurses
should encourage these children to participate in their own care to foster a sense of
industry.
, 3. A nurse is providing education to the parents of a child with Tetralogy of Fallot. What is the
priority action during a ‘tet spell’?
A. Administer high-dose oral aspirin immediately.
B. Place the infant in a knee-chest position.
C. Provide vigorous chest physiotherapy to improve oxygenation.
D. Apply cold compresses to the child’s chest area.
Correct Answer: B
Expert Explanation: A ‘tet spell’ or hypercyanotic spell occurs due to an acute decrease in
pulmonary blood flow. Placing the child in a knee-chest position increases systemic
vascular resistance and helps shunt blood back into the lungs. This simple physical
maneuver is the first-line intervention to stabilize the child’s oxygen levels.
4. What is the most common nutritional deficiency found in toddlers who consume excessive
amounts of cow’s milk?
A. Iron deficiency anemia
B. Vitamin D deficiency
C. Vitamin C deficiency
D. Calcium deficiency
Correct Answer: A
