NSG 3600 Exam 4 Pediatric Nursing Study Guide Latest
Update 2026 | Pass Exam Prep
1. Describe how the perception of death in school-aged children differs from
that of younger children.
School-aged children understand death as a permanent state, unlike
younger children who may see it as temporary.
School-aged children think death is a natural part of life, while younger
children are indifferent.
School-aged children believe death is reversible, while younger
children do not think about it.
School-aged children view death as a game, while younger children
fear it.
2. Which of the following is a way that you, as a supportive adult, could
promote a child's emotional and/or social development?
Provide positive feedback
Play with your child
Name and describe your emotions to the child
All of the above
3. An infant has been hospitalized since birth. What nursing intervention takes
priority for this child?
Keeping the parents updated every day
Soothing and providing physical touch
Maintaining a set visiting schedule for family
Providing a soft crib and cuddly toys
,4. Describe the role of surgery in the management of neuroblastoma in
children.
Surgery is the last option after chemotherapy fails.
Surgery is used only for palliative care in neuroblastoma cases.
Surgery is not typically performed for neuroblastoma.
Surgery is often the first step in treating neuroblastoma, aiming to
remove the tumor.
5. If a preschooler is coping with the death of a pet, what nursing intervention
would be most appropriate?
Encourage the child to forget about the pet and focus on other
activities.
Avoid discussing the topic of death to prevent distress.
Provide age-appropriate explanations about death and encourage
expression of feelings.
Tell the child that the pet is simply sleeping and will wake up soon.
6. In a scenario where a pediatric patient with leukemia is in the final stages of
life, what nursing intervention should be prioritized?
Scheduling frequent medical tests to monitor condition.
Administering chemotherapy to extend life.
Encouraging the child to engage in physical activities.
Providing comfort care to manage pain and anxiety.
7. If a pediatric patient with Wilms Tumor presents with abdominal pain and a
palpable mass, what should the nurse's immediate action be?
, Notify the healthcare provider and prepare for further diagnostic
imaging.
Administer pain medication and monitor vital signs.
Reassess the abdominal mass in 24 hours.
Document the findings and discharge the patient.
8. What treatment for osteosarcoma has the highest chance of a cure?
Antibiotics
Radiotherapy
Chemotherapy
Surgery
9. Which of the following is the best method to prevent the spread of infection
to an immunosuppressed child?
Assign the same nurses to care for the child each day.
Limit visitors to family members only.
Administer antibiotics prophylactically to the child.
Have people wash their hands prior to contact with the child.
10. In a scenario where a toddler with sickle cell anemia is experiencing a pain
crisis, what should the nurse prioritize in their intervention?
Increasing fluid intake
Scheduling a follow-up appointment
Providing comfort care
Administering a blood transfusion
Update 2026 | Pass Exam Prep
1. Describe how the perception of death in school-aged children differs from
that of younger children.
School-aged children understand death as a permanent state, unlike
younger children who may see it as temporary.
School-aged children think death is a natural part of life, while younger
children are indifferent.
School-aged children believe death is reversible, while younger
children do not think about it.
School-aged children view death as a game, while younger children
fear it.
2. Which of the following is a way that you, as a supportive adult, could
promote a child's emotional and/or social development?
Provide positive feedback
Play with your child
Name and describe your emotions to the child
All of the above
3. An infant has been hospitalized since birth. What nursing intervention takes
priority for this child?
Keeping the parents updated every day
Soothing and providing physical touch
Maintaining a set visiting schedule for family
Providing a soft crib and cuddly toys
,4. Describe the role of surgery in the management of neuroblastoma in
children.
Surgery is the last option after chemotherapy fails.
Surgery is used only for palliative care in neuroblastoma cases.
Surgery is not typically performed for neuroblastoma.
Surgery is often the first step in treating neuroblastoma, aiming to
remove the tumor.
5. If a preschooler is coping with the death of a pet, what nursing intervention
would be most appropriate?
Encourage the child to forget about the pet and focus on other
activities.
Avoid discussing the topic of death to prevent distress.
Provide age-appropriate explanations about death and encourage
expression of feelings.
Tell the child that the pet is simply sleeping and will wake up soon.
6. In a scenario where a pediatric patient with leukemia is in the final stages of
life, what nursing intervention should be prioritized?
Scheduling frequent medical tests to monitor condition.
Administering chemotherapy to extend life.
Encouraging the child to engage in physical activities.
Providing comfort care to manage pain and anxiety.
7. If a pediatric patient with Wilms Tumor presents with abdominal pain and a
palpable mass, what should the nurse's immediate action be?
, Notify the healthcare provider and prepare for further diagnostic
imaging.
Administer pain medication and monitor vital signs.
Reassess the abdominal mass in 24 hours.
Document the findings and discharge the patient.
8. What treatment for osteosarcoma has the highest chance of a cure?
Antibiotics
Radiotherapy
Chemotherapy
Surgery
9. Which of the following is the best method to prevent the spread of infection
to an immunosuppressed child?
Assign the same nurses to care for the child each day.
Limit visitors to family members only.
Administer antibiotics prophylactically to the child.
Have people wash their hands prior to contact with the child.
10. In a scenario where a toddler with sickle cell anemia is experiencing a pain
crisis, what should the nurse prioritize in their intervention?
Increasing fluid intake
Scheduling a follow-up appointment
Providing comfort care
Administering a blood transfusion
