NSG3600 Exam 4 V3 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This comprehensive exam-style preparation material is designed to support students preparing
for advanced pediatric nursing assessments involving specialized child populations, critical
pediatric healthcare systems, and complex nursing interventions for children. The content
focuses on integrating pediatric nursing knowledge into real-world clinical decision-making
scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe pediatric nursing interventions. Detailed expert
explanations are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Pediatric critical care concepts
• Childhood cancer management
• Pediatric emergency stabilization
• Advanced pediatric assessment
• Community pediatric resources
• Family-centered crisis support
• Pediatric legal and ethical considerations
• Comprehensive pediatric nursing review
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1. A nurse is caring for a child following a chemotherapy session who has developed
stomatitis. Which intervention should the nurse include in the plan of care?
A. Administer viscous lidocaine every 2 hours.
B. Encourage the child to drink orange juice for Vitamin C.
,C. Use a firm-bristled toothbrush to remove plaque.
D. Provide frequent oral rinses with normal saline.
Correct Answer: D
Expert Explanation: Normal saline rinses are gentle and help keep the oral mucosa clean
without causing further irritation. Acidic juices like orange juice and firm toothbrushes are
contraindicated as they cause pain and trauma to the lesions. Viscous lidocaine is generally
avoided in young children due to the risk of aspiration and toxicity.
2. A 4-year-old child is admitted to the pediatric intensive care unit (PICU) with suspected
bacterial meningitis. Which action is the nurse’s priority?
A. Administering the first dose of antibiotics.
B. Assisting with a lumbar puncture.
C. Initiating droplet precautions.
D. Measuring head circumference.
Correct Answer: C
Expert Explanation: Bacterial meningitis is highly contagious. Safety of the staff and other
patients requires immediate initiation of droplet precautions before other interventions.
While antibiotics and lumbar punctures are essential, infection control is the first priority
upon suspicion.
, 3. A nurse is assessing a 10-month-old infant for signs of increased intracranial pressure (ICP).
Which finding is a late sign of increased ICP in an infant?
A. High-pitched cry
B. Bradycardia
C. Bulging fontanels
D. Irritability
Correct Answer: B
Expert Explanation: Bradycardia, along with hypertension and irregular respirations
(Cushing’s triad), is a late sign of increased ICP indicating brainstem compression. High-
pitched crying, irritability, and bulging fontanels are earlier signs.
4. Which clinical manifestation would the nurse expect to find in a child diagnosed with a
Wilms tumor?
A. Gross hematuria and severe abdominal pain.
B. Weight gain and generalized edema.
C. A firm, painless abdominal mass that does not cross the midline.
D. Projectile vomiting and jaundice.
Correct Answer: C
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This comprehensive exam-style preparation material is designed to support students preparing
for advanced pediatric nursing assessments involving specialized child populations, critical
pediatric healthcare systems, and complex nursing interventions for children. The content
focuses on integrating pediatric nursing knowledge into real-world clinical decision-making
scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe pediatric nursing interventions. Detailed expert
explanations are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Pediatric critical care concepts
• Childhood cancer management
• Pediatric emergency stabilization
• Advanced pediatric assessment
• Community pediatric resources
• Family-centered crisis support
• Pediatric legal and ethical considerations
• Comprehensive pediatric nursing review
════════════════════════════════════
1. A nurse is caring for a child following a chemotherapy session who has developed
stomatitis. Which intervention should the nurse include in the plan of care?
A. Administer viscous lidocaine every 2 hours.
B. Encourage the child to drink orange juice for Vitamin C.
,C. Use a firm-bristled toothbrush to remove plaque.
D. Provide frequent oral rinses with normal saline.
Correct Answer: D
Expert Explanation: Normal saline rinses are gentle and help keep the oral mucosa clean
without causing further irritation. Acidic juices like orange juice and firm toothbrushes are
contraindicated as they cause pain and trauma to the lesions. Viscous lidocaine is generally
avoided in young children due to the risk of aspiration and toxicity.
2. A 4-year-old child is admitted to the pediatric intensive care unit (PICU) with suspected
bacterial meningitis. Which action is the nurse’s priority?
A. Administering the first dose of antibiotics.
B. Assisting with a lumbar puncture.
C. Initiating droplet precautions.
D. Measuring head circumference.
Correct Answer: C
Expert Explanation: Bacterial meningitis is highly contagious. Safety of the staff and other
patients requires immediate initiation of droplet precautions before other interventions.
While antibiotics and lumbar punctures are essential, infection control is the first priority
upon suspicion.
, 3. A nurse is assessing a 10-month-old infant for signs of increased intracranial pressure (ICP).
Which finding is a late sign of increased ICP in an infant?
A. High-pitched cry
B. Bradycardia
C. Bulging fontanels
D. Irritability
Correct Answer: B
Expert Explanation: Bradycardia, along with hypertension and irregular respirations
(Cushing’s triad), is a late sign of increased ICP indicating brainstem compression. High-
pitched crying, irritability, and bulging fontanels are earlier signs.
4. Which clinical manifestation would the nurse expect to find in a child diagnosed with a
Wilms tumor?
A. Gross hematuria and severe abdominal pain.
B. Weight gain and generalized edema.
C. A firm, painless abdominal mass that does not cross the midline.
D. Projectile vomiting and jaundice.
Correct Answer: C
