NSG3600 Exam 2 V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This study guide is intended to help students strengthen their understanding of pediatric disease
processes, acute childhood illnesses, and advanced pediatric nursing interventions. The
content reflects practical pediatric nursing concepts commonly tested in nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing nursing
prioritization, pediatric assessment, and family-centered intervention skills. Detailed expert
explanations are included to support concept mastery and exam preparedness.
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The Exam Covers:
• Pediatric gastrointestinal disorders
• Dehydration management in children
• Pediatric pain assessment
• Childhood infectious diseases
• Medication safety in pediatrics
• Pediatric isolation precautions
• Child and caregiver education
• Pediatric nursing care planning
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1. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after
feedings. The nurse notes an olive-shaped mass in the right upper quadrant. Which condition
is most likely?
A. Intussusception
B. Hypertrophic Pyloric Stenosis
,C. Gastroesophageal Reflux
D. Hirschsprung Disease
Correct Answer: B
Expert Explanation: Hypertrophic pyloric stenosis is characterized by projectile non-
bilious vomiting and a palpable olive-shaped mass in the epigastrium. Intussusception
usually presents with currant jelly stools, and Hirschsprung involves a lack of ganglion cells
in the colon.
2. When assessing a child for dehydration, the nurse notes dry mucous membranes, a slightly
sunken fontanel, and a 7% weight loss. How should this level of dehydration be categorized?
A. Moderate dehydration
B. Mild dehydration
C. Severe dehydration
D. Isotonic dehydration
Correct Answer: A
Expert Explanation: Moderate dehydration in infants is typically characterized by a 6% to
9% weight loss, dry mucous membranes, and a slightly sunken fontanel. Mild is <5%, and
severe is >10%.
, 3. Which pain assessment tool is most appropriate for a 4-year-old child who is cognitively
intact?
A. FLACC Scale
B. Wong-Baker FACES Scale
C. Numeric Rating Scale
D. CRIES Scale
Correct Answer: B
Expert Explanation: The Wong-Baker FACES Scale is ideal for children as young as 3 years
old because it uses visual representations of pain. FLACC is for non-verbal children,
Numeric is for older children (usually 8+), and CRIES is for neonates.
4. A child is admitted with a diagnosis of Intussusception. Which stool characteristic should
the nurse expect to find?
A. Ribbon-like, foul-smelling stools
B. Steatorrhea (fatty, frothy stools)
C. Hard, marble-like stools
D. Stools mixed with blood and mucus (currant jelly)
Correct Answer: D
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of pediatric disease
processes, acute childhood illnesses, and advanced pediatric nursing interventions. The
content reflects practical pediatric nursing concepts commonly tested in nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing nursing
prioritization, pediatric assessment, and family-centered intervention skills. Detailed expert
explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
The Exam Covers:
• Pediatric gastrointestinal disorders
• Dehydration management in children
• Pediatric pain assessment
• Childhood infectious diseases
• Medication safety in pediatrics
• Pediatric isolation precautions
• Child and caregiver education
• Pediatric nursing care planning
════════════════════════════════════
1. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after
feedings. The nurse notes an olive-shaped mass in the right upper quadrant. Which condition
is most likely?
A. Intussusception
B. Hypertrophic Pyloric Stenosis
,C. Gastroesophageal Reflux
D. Hirschsprung Disease
Correct Answer: B
Expert Explanation: Hypertrophic pyloric stenosis is characterized by projectile non-
bilious vomiting and a palpable olive-shaped mass in the epigastrium. Intussusception
usually presents with currant jelly stools, and Hirschsprung involves a lack of ganglion cells
in the colon.
2. When assessing a child for dehydration, the nurse notes dry mucous membranes, a slightly
sunken fontanel, and a 7% weight loss. How should this level of dehydration be categorized?
A. Moderate dehydration
B. Mild dehydration
C. Severe dehydration
D. Isotonic dehydration
Correct Answer: A
Expert Explanation: Moderate dehydration in infants is typically characterized by a 6% to
9% weight loss, dry mucous membranes, and a slightly sunken fontanel. Mild is <5%, and
severe is >10%.
, 3. Which pain assessment tool is most appropriate for a 4-year-old child who is cognitively
intact?
A. FLACC Scale
B. Wong-Baker FACES Scale
C. Numeric Rating Scale
D. CRIES Scale
Correct Answer: B
Expert Explanation: The Wong-Baker FACES Scale is ideal for children as young as 3 years
old because it uses visual representations of pain. FLACC is for non-verbal children,
Numeric is for older children (usually 8+), and CRIES is for neonates.
4. A child is admitted with a diagnosis of Intussusception. Which stool characteristic should
the nurse expect to find?
A. Ribbon-like, foul-smelling stools
B. Steatorrhea (fatty, frothy stools)
C. Hard, marble-like stools
D. Stools mixed with blood and mucus (currant jelly)
Correct Answer: D
