NSG3600 Exam 2 V1 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
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This exam preparation resource focuses on common pediatric illnesses, respiratory disorders
in children, and evidence-based pediatric nursing interventions. The material is designed to
strengthen understanding of childhood disease management and safe nursing care strategies.
The questions included in this version closely mirror the style and complexity of actual pediatric
nursing exams. Detailed expert explanations are included to improve clinical reasoning and
pediatric patient management skills.
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The Exam Covers:
• Pediatric respiratory disorders
• Asthma nursing management
• Respiratory syncytial virus (RSV)
• Pediatric infection control
• Fever management in children
• Pediatric medication administration
• Fluid and electrolyte balance in children
• Family education for illness management
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1. A 2-year-old child is admitted with a diagnosis of Respiratory Syncytial Virus (RSV)
bronchiolitis. Which infection control precautions should the nurse implement?
A. Airborne precautions only
B. Protective environment isolation
C. Standard precautions only
,D. Contact and Droplet precautions
Correct Answer: D
Expert Explanation: RSV is spread through direct contact with secretions and via large
droplets; therefore, Contact and Droplet precautions are required. This examination
focuses on essential pediatric nursing competencies, including the management of
respiratory distress, fluid balance, and medication safety. It evaluates the nurse’s ability to
prioritize interventions for acute conditions like epiglottitis while managing chronic
illnesses such as asthma and cystic fibrosis. The content emphasizes evidence-based
practices to improve patient outcomes and family education in the clinical setting.
2. A nurse is assessing a 4-year-old child who is drooling, sitting in a tripod position, and
appears very anxious. Which action should the nurse take first?
A. Notify the healthcare provider immediately
B. Obtain a throat culture for Streptococcus
C. Examine the throat using a tongue blade
D. Place the child in a supine position
Correct Answer: A
Expert Explanation: Drooling and tripod positioning are classic signs of epiglottitis, which
is a medical emergency. The nurse must notify the provider immediately and avoid any
throat examination, as this can cause total airway obstruction.
, 3. Which medication is considered a ‘rescue’ medication for a child experiencing an acute
asthma exacerbation?
A. Salmeterol
B. Fluticasone
C. Albuterol
D. Montelukast
Correct Answer: C
Expert Explanation: Albuterol is a short-acting beta-agonist (SABA) that provides rapid
bronchodilation during an acute asthma attack.
4. The nurse is teaching the parents of a child with Cystic Fibrosis about nutrition. Which
instruction should be included regarding pancreatic enzymes?
A. Administer enzymes with all meals and snacks
B. Administer enzymes only if the child has a bowel movement
C. Give enzymes once daily in the morning
D. Mix enzymes into hot oatmeal or soup
Correct Answer: A
Expert Explanation: Pancreatic enzymes must be taken with every meal and snack to
ensure proper digestion and absorption of nutrients in patients with Cystic Fibrosis.
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This exam preparation resource focuses on common pediatric illnesses, respiratory disorders
in children, and evidence-based pediatric nursing interventions. The material is designed to
strengthen understanding of childhood disease management and safe nursing care strategies.
The questions included in this version closely mirror the style and complexity of actual pediatric
nursing exams. Detailed expert explanations are included to improve clinical reasoning and
pediatric patient management skills.
════════════════════════════════════
The Exam Covers:
• Pediatric respiratory disorders
• Asthma nursing management
• Respiratory syncytial virus (RSV)
• Pediatric infection control
• Fever management in children
• Pediatric medication administration
• Fluid and electrolyte balance in children
• Family education for illness management
════════════════════════════════════
1. A 2-year-old child is admitted with a diagnosis of Respiratory Syncytial Virus (RSV)
bronchiolitis. Which infection control precautions should the nurse implement?
A. Airborne precautions only
B. Protective environment isolation
C. Standard precautions only
,D. Contact and Droplet precautions
Correct Answer: D
Expert Explanation: RSV is spread through direct contact with secretions and via large
droplets; therefore, Contact and Droplet precautions are required. This examination
focuses on essential pediatric nursing competencies, including the management of
respiratory distress, fluid balance, and medication safety. It evaluates the nurse’s ability to
prioritize interventions for acute conditions like epiglottitis while managing chronic
illnesses such as asthma and cystic fibrosis. The content emphasizes evidence-based
practices to improve patient outcomes and family education in the clinical setting.
2. A nurse is assessing a 4-year-old child who is drooling, sitting in a tripod position, and
appears very anxious. Which action should the nurse take first?
A. Notify the healthcare provider immediately
B. Obtain a throat culture for Streptococcus
C. Examine the throat using a tongue blade
D. Place the child in a supine position
Correct Answer: A
Expert Explanation: Drooling and tripod positioning are classic signs of epiglottitis, which
is a medical emergency. The nurse must notify the provider immediately and avoid any
throat examination, as this can cause total airway obstruction.
, 3. Which medication is considered a ‘rescue’ medication for a child experiencing an acute
asthma exacerbation?
A. Salmeterol
B. Fluticasone
C. Albuterol
D. Montelukast
Correct Answer: C
Expert Explanation: Albuterol is a short-acting beta-agonist (SABA) that provides rapid
bronchodilation during an acute asthma attack.
4. The nurse is teaching the parents of a child with Cystic Fibrosis about nutrition. Which
instruction should be included regarding pancreatic enzymes?
A. Administer enzymes with all meals and snacks
B. Administer enzymes only if the child has a bowel movement
C. Give enzymes once daily in the morning
D. Mix enzymes into hot oatmeal or soup
Correct Answer: A
Expert Explanation: Pancreatic enzymes must be taken with every meal and snack to
ensure proper digestion and absorption of nutrients in patients with Cystic Fibrosis.
