NSG3600 Final Exam V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This study guide is intended to help students consolidate foundational and advanced concepts
related to children’s healthcare, pediatric nursing management, and evidence-based child
nursing interventions. The material reflects the style and complexity commonly encountered in
nursing final examinations.
This version contains realistic final exam-style questions covering pediatric disorders, child
health management, and family-centered nursing strategies. Detailed expert explanations are
included to support deeper understanding and comprehensive exam preparation.
════════════════════════════════════
The Exam Covers:
• Pediatric respiratory disorders
• Childhood developmental concepts
• Pediatric emergency interventions
• Chronic illness nursing care
• Pediatric patient education
• Family support and advocacy
• Pediatric medication administration
• Therapeutic communication review
════════════════════════════════════
1. A 2-year-old is brought to the clinic with a ‘barking’ cough and mild inspiratory stridor.
Which respiratory condition should the nurse suspect?
A. Acute Epiglottitis
B. Laryngotracheobronchitis (Croup)
,C. Bronchiolitis
D. Asthma exacerbation
Correct Answer: B
Expert Explanation: Laryngotracheobronchitis, or croup, is characterized by a brassy,
barking cough and inspiratory stridor due to narrowing of the subglottic area. This
condition usually affects children between 6 months and 3 years of age. Treatment often
involves humidity, fluids, and sometimes corticosteroids to reduce airway inflammation.
2. According to Erikson, which developmental stage is a 4-year-old child experiencing?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Correct Answer: B
Expert Explanation: The preschool period, ages 3 to 6, corresponds with Erikson’s stage
of Initiative vs. Guilt. During this time, children explore their environment and develop a
sense of purpose through play and social interaction. If they are discouraged from these
activities, they may develop a sense of guilt about their desires.
, 3. A nurse is preparing to administer an intramuscular injection to a 10-month-old infant.
Which site is the most appropriate?
A. Vastus lateralis muscle
B. Deltoid muscle
C. Dorsogluteal muscle
D. Ventrogluteal muscle
Correct Answer: A
Expert Explanation: The vastus lateralis is the preferred site for IM injections in infants
who are not yet walking. It is a well-developed muscle that avoids major nerves and blood
vessels in this age group. The deltoid is usually reserved for older children with more
muscle mass.
4. What is the priority nursing intervention for a child suspected of having acute epiglottitis?
A. Obtain a throat culture immediately
B. Keep the child calm and avoid invasive procedures
C. Examine the throat with a tongue depressor
D. Place the child in a supine position
Correct Answer: B
Expert Explanation: The priority is to maintain the airway and avoid any activity that
could cause laryngospasm, such as throat examination or culture. Epiglottitis is a medical
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This study guide is intended to help students consolidate foundational and advanced concepts
related to children’s healthcare, pediatric nursing management, and evidence-based child
nursing interventions. The material reflects the style and complexity commonly encountered in
nursing final examinations.
This version contains realistic final exam-style questions covering pediatric disorders, child
health management, and family-centered nursing strategies. Detailed expert explanations are
included to support deeper understanding and comprehensive exam preparation.
════════════════════════════════════
The Exam Covers:
• Pediatric respiratory disorders
• Childhood developmental concepts
• Pediatric emergency interventions
• Chronic illness nursing care
• Pediatric patient education
• Family support and advocacy
• Pediatric medication administration
• Therapeutic communication review
════════════════════════════════════
1. A 2-year-old is brought to the clinic with a ‘barking’ cough and mild inspiratory stridor.
Which respiratory condition should the nurse suspect?
A. Acute Epiglottitis
B. Laryngotracheobronchitis (Croup)
,C. Bronchiolitis
D. Asthma exacerbation
Correct Answer: B
Expert Explanation: Laryngotracheobronchitis, or croup, is characterized by a brassy,
barking cough and inspiratory stridor due to narrowing of the subglottic area. This
condition usually affects children between 6 months and 3 years of age. Treatment often
involves humidity, fluids, and sometimes corticosteroids to reduce airway inflammation.
2. According to Erikson, which developmental stage is a 4-year-old child experiencing?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Correct Answer: B
Expert Explanation: The preschool period, ages 3 to 6, corresponds with Erikson’s stage
of Initiative vs. Guilt. During this time, children explore their environment and develop a
sense of purpose through play and social interaction. If they are discouraged from these
activities, they may develop a sense of guilt about their desires.
, 3. A nurse is preparing to administer an intramuscular injection to a 10-month-old infant.
Which site is the most appropriate?
A. Vastus lateralis muscle
B. Deltoid muscle
C. Dorsogluteal muscle
D. Ventrogluteal muscle
Correct Answer: A
Expert Explanation: The vastus lateralis is the preferred site for IM injections in infants
who are not yet walking. It is a well-developed muscle that avoids major nerves and blood
vessels in this age group. The deltoid is usually reserved for older children with more
muscle mass.
4. What is the priority nursing intervention for a child suspected of having acute epiglottitis?
A. Obtain a throat culture immediately
B. Keep the child calm and avoid invasive procedures
C. Examine the throat with a tongue depressor
D. Place the child in a supine position
Correct Answer: B
Expert Explanation: The priority is to maintain the airway and avoid any activity that
could cause laryngospasm, such as throat examination or culture. Epiglottitis is a medical
