NSG3600 Final Exam V1 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This final exam preparation resource is designed to provide a comprehensive review of pediatric
nursing concepts, child healthcare management, and evidence-based nursing interventions
covered throughout the course. The material integrates major pediatric nursing concepts into a
realistic exam-style format.
The questions included in this version are structured to closely mirror actual final exam
assessments and strengthen pediatric nursing reasoning and patient-centered intervention skills.
Detailed expert explanations are included to improve concept integration and exam readiness.
════════════════════════════════════
The Exam Covers:
• Pediatric assessment and growth development
• Common childhood illnesses
• Pediatric chronic disease management
• Emergency pediatric nursing care
• Family-centered nursing interventions
• Pediatric medication safety
• Ethical issues in pediatric healthcare
• Comprehensive pediatric nursing review
════════════════════════════════════
1. A nurse is assessing a 12-month-old infant during a routine check-up. According to Erikson,
which psychosocial stage is the infant currently mastering?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
,C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Expert Explanation: The stage for infants (birth to 1 year) is Trust vs. Mistrust, where
they learn to trust that their basic needs will be met by caregivers.
2. A child is admitted with suspected epiglottitis. Which of the following nursing actions is the
highest priority?
A. Keep the child calm and avoid invasive procedures.
B. Visualize the throat with a tongue depressor.
C. Obtain a throat culture immediately.
D. Place the child in a supine position.
Correct Answer: A
Expert Explanation: In epiglottitis, any agitation or throat examination can cause
laryngospasm and airway occlusion. Keeping the child calm and upright is vital.
3. When providing education on car seat safety for a newborn, the nurse should instruct the
parents to:
A. Place the seat forward-facing in the front seat with the airbag off.
B. Place the seat rear-facing in the back seat until age 2 or height limit.
C. Place the seat rear-facing in the front passenger seat.
, D. Transition the infant to a booster seat by 12 months.
Correct Answer: B
Expert Explanation: The AAP recommends children remain in a rear-facing car seat in the
back seat until they reach the maximum height or weight allowed by the manufacturer.
4. A 4-year-old child with Tetralogy of Fallot becomes cyanotic and agitated during a blood
draw. What is the priority nursing action?
A. Administer a dose of Digoxin.
B. Place the child in a knee-chest position.
C. Initiate chest compressions.
D. Prepare for immediate intubation.
Correct Answer: B
Expert Explanation: The knee-chest position increases systemic vascular resistance,
which helps reduce the right-to-left shunt in a ‘Tet spell.’
5. Which clinical manifestation should a nurse expect to find in a child diagnosed with pyloric
stenosis?
A. Currant jelly-like stools
B. Bile-stained emesis
C. Severe abdominal distension and constipation
D. Projectile vomiting after feedings
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This final exam preparation resource is designed to provide a comprehensive review of pediatric
nursing concepts, child healthcare management, and evidence-based nursing interventions
covered throughout the course. The material integrates major pediatric nursing concepts into a
realistic exam-style format.
The questions included in this version are structured to closely mirror actual final exam
assessments and strengthen pediatric nursing reasoning and patient-centered intervention skills.
Detailed expert explanations are included to improve concept integration and exam readiness.
════════════════════════════════════
The Exam Covers:
• Pediatric assessment and growth development
• Common childhood illnesses
• Pediatric chronic disease management
• Emergency pediatric nursing care
• Family-centered nursing interventions
• Pediatric medication safety
• Ethical issues in pediatric healthcare
• Comprehensive pediatric nursing review
════════════════════════════════════
1. A nurse is assessing a 12-month-old infant during a routine check-up. According to Erikson,
which psychosocial stage is the infant currently mastering?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
,C. Initiative vs. Guilt
D. Industry vs. Inferiority
Correct Answer: B
Expert Explanation: The stage for infants (birth to 1 year) is Trust vs. Mistrust, where
they learn to trust that their basic needs will be met by caregivers.
2. A child is admitted with suspected epiglottitis. Which of the following nursing actions is the
highest priority?
A. Keep the child calm and avoid invasive procedures.
B. Visualize the throat with a tongue depressor.
C. Obtain a throat culture immediately.
D. Place the child in a supine position.
Correct Answer: A
Expert Explanation: In epiglottitis, any agitation or throat examination can cause
laryngospasm and airway occlusion. Keeping the child calm and upright is vital.
3. When providing education on car seat safety for a newborn, the nurse should instruct the
parents to:
A. Place the seat forward-facing in the front seat with the airbag off.
B. Place the seat rear-facing in the back seat until age 2 or height limit.
C. Place the seat rear-facing in the front passenger seat.
, D. Transition the infant to a booster seat by 12 months.
Correct Answer: B
Expert Explanation: The AAP recommends children remain in a rear-facing car seat in the
back seat until they reach the maximum height or weight allowed by the manufacturer.
4. A 4-year-old child with Tetralogy of Fallot becomes cyanotic and agitated during a blood
draw. What is the priority nursing action?
A. Administer a dose of Digoxin.
B. Place the child in a knee-chest position.
C. Initiate chest compressions.
D. Prepare for immediate intubation.
Correct Answer: B
Expert Explanation: The knee-chest position increases systemic vascular resistance,
which helps reduce the right-to-left shunt in a ‘Tet spell.’
5. Which clinical manifestation should a nurse expect to find in a child diagnosed with pyloric
stenosis?
A. Currant jelly-like stools
B. Bile-stained emesis
C. Severe abdominal distension and constipation
D. Projectile vomiting after feedings
