NSG 3600 Exam 3 EXAM QUESTIONS
VERIFIED ANSWERS LATEST UPDATE
2025/2026 RATED A+
The nurse judges teaching as successful when the parent of a child with myasthenia gravis states which
of the following? Select all that apply.
1. "My child should play on the school's basketball team."
2. "My child should meditate every day."
3. "My child should be allowed to do what other kids do."
4. "My child should be watched carefully for signs of illness."
5. "My child should sleep in my room so that I can watch him better." - CORRECT ANSWERS 3,
4.
1. Children with myasthenia gravis should not
play strenuous sports. The increased stress from being in a competitive sport tends to negatively impact
children, and they should learn strategies to decrease stress.
2. It is important that children with myasthenia gravis have activities they can participate in without
causing stress. Activities such as board games, horseback riding, and hiking should be encouraged. Some
children would benefit from meditation but may take time to appreciate the results.
3. Children with myasthenia gravis can do many things other children do. They should be advised not to
play strenuous sports, and they should learn how to control stress.
4. Children are watched for signs of illness because of the exacerbation of signs of myasthenia gravis.
5. It's not recommended that children sleep in the same bedroom as their parents unless it can't be
avoided.
TEST-TAKING HINT: The test taker must know the physiology of the illness and consider that this is a
chronic disease. The child is first a child, so he will have all the growth and development issues children
without a chronic disease have.
The parent of a newborn asks, "Will my baby spit out the formula if it is too hot or too cold?" Which is
the nurse's best response?
,1. "Babies have a tendency to reject hot fluids but not cold fluids, which could result in abdominal
discomfort."
2. "Babies have a tendency to reject cold fluids but not hot fluids, which could result in esophageal
burns."
3. "Your baby would most likely spit out formula that was too hot, but your baby could swallow some of
it, which could result in a burn."
4. "Your baby is too young to be physically capable of spitting out fluids and will automatically swallow
anything." - CORRECT ANSWERS 1. Swallowing is a reflex in neonates; infants younger than 6
weeks cannot voluntarily control swallowing.
2. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot voluntarily control
swallowing.
3. The infant is not capable of selectively rejecting fluid because swallowing is a reflex until 6 weeks.
4. Swallowing is a reflex in infants younger than 6 weeks.
TEST-TAKING HINT: Swallowing is a reflex that is present until the age of 6 weeks. The test taker should
eliminate answers 1, 2,and 3 because they suggest that the infant is capable of selectively rejecting
fluids.
The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best
response?
1. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than
breastfed babies.
2. The newborn's stomach capacity is small, and peristalsis is slow.
3. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children.
4. Breastfed babies tend to take longer to complete a feeding than formula-fed babies. - CORRECT
ANSWERS 1. The caloric content of breast milk and formula tends to be similar.
2. Peristalsis in infants is greater than in older
children.
3. The small-stomach capacity and rapid movement of fluid through the digestive system account for the
need for small, frequent feedings.
4. Breastfed babies and formula-fed babies do not necessarily have a difference in feeding time.
,TEST-TAKING HINT: The test taker should eliminate answers 1 and 4 because they both form
generalizations that are not supported by current literature.
A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel
is sunken. The nurse notes the infant does not produce tears when crying. Which task will help confirm
the diagnosis of dehydration?
1. Urinalysis obtained by bagged specimen.
2. Urinalysis obtained by sterile catheterization.
3. Analysis of serum electrolytes.
4. Analysis of cerebrospinal fluid. - CORRECT ANSWERS 1. The information obtained from a
urinalysis of an infant is not as helpful as serum electrolytes. The infant has limited ability to concentrate
urine, so the specific gravity is not usually affected.
2. The information obtained from a urinalysis of an infant is not as helpful as serum electrolytes. The
infant has limited ability to concentrate urine, so the specific gravity is not usually affected. A urinalysis
does not need to be obtained by catheterization.
3. The analysis of serum electrolytes offers the most information and assists with the diagnosis of
dehydration.
4. Although critical in diagnosing meningitis, a lumber puncture and analysis of cerebrospinal fluid are
not done to confirm dehydration.
TEST-TAKING HINT: Infants have limited ability to concentrate urine, so answers 1 and 2 can be
eliminated immediately.
A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198,
and her blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant
does not cry when the intravenous lineis inserted. The child's parents state that she has not "held
anything down" in 18 hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse
expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal saline with 5% dextrose added to the solution.
, 4. Offer the child an oral rehydrating solution such as Pedialyte. - CORRECT ANSWERS 1.
Dehydration is corrected with the administration of an isotonic solution, such as normal saline or
lactated Ringer solution.
2. Solutions containing dextrose should never be administered in bolus form because they may result in
cerebral edema.
3. Solutions containing dextrose should never be administered in bolus form because they may result in
cerebral edema.
4. Severe dehydration is not usually corrected with oral solutions; children with altered levels of
consciousness should be kept NPO.
TEST-TAKING HINT: The test taker should immediately eliminate answers 2 and 3 because they both
suggest administering glucose in bolus form, which is always contraindicated in pediatric clients. Answer
4 should be eliminated because the infant is severely dehydrated and not responding to painful
stimulation, which is suggested by the lack of a cry on intravenous insertion.
The nurse is caring for a 2-year-old child who was admitted to the pediatric unit for moderate
dehydration due to vomiting and diarrhea. The child is restless with periods of irritability. The child is
afebrile with a heart rate of 148 and a blood pressure of 90/42. Baseline laboratory tests reveal the
following: Na 152, Cl 119, and glucose 115. The parents state that the child has not urinated in 12 hours.
After establishing a saline lock, the nurse reviews the physician's orders. Which order should the nurse
question?
1. Administer a saline bolus of 10 mL/kg, which may be repeated if the child does not urinate.
2. Recheck serum electrolytes in 12 hours.
3. After the saline bolus, begin maintenance fluids of D5 1⁄4 NS with 10 mEq KCl/L.
4. Give clear liquid diet as tolerated. - CORRECT ANSWERS 1. Fluid boluses of normal saline are
administered according to the child's body weight. It is not unusual to have to repeat the bolus multiple
times in order to see an improvement in the child's condition.
2. It is important to monitor serum electrolytes frequently in the dehydrated child.
3. Potassium is contraindicated because the child has not yet urinated. Potassium is not added to the
maintenance fluid until kidney function has been verified.
4. The child with dehydration secondary to vomiting and diarrhea is placed on a clear liquid diet.
TEST-TAKING HINT: Be aware of the usual ways in which dehydration is treated. Answer 3 should be
selected because the description states that the child has not urinated.
VERIFIED ANSWERS LATEST UPDATE
2025/2026 RATED A+
The nurse judges teaching as successful when the parent of a child with myasthenia gravis states which
of the following? Select all that apply.
1. "My child should play on the school's basketball team."
2. "My child should meditate every day."
3. "My child should be allowed to do what other kids do."
4. "My child should be watched carefully for signs of illness."
5. "My child should sleep in my room so that I can watch him better." - CORRECT ANSWERS 3,
4.
1. Children with myasthenia gravis should not
play strenuous sports. The increased stress from being in a competitive sport tends to negatively impact
children, and they should learn strategies to decrease stress.
2. It is important that children with myasthenia gravis have activities they can participate in without
causing stress. Activities such as board games, horseback riding, and hiking should be encouraged. Some
children would benefit from meditation but may take time to appreciate the results.
3. Children with myasthenia gravis can do many things other children do. They should be advised not to
play strenuous sports, and they should learn how to control stress.
4. Children are watched for signs of illness because of the exacerbation of signs of myasthenia gravis.
5. It's not recommended that children sleep in the same bedroom as their parents unless it can't be
avoided.
TEST-TAKING HINT: The test taker must know the physiology of the illness and consider that this is a
chronic disease. The child is first a child, so he will have all the growth and development issues children
without a chronic disease have.
The parent of a newborn asks, "Will my baby spit out the formula if it is too hot or too cold?" Which is
the nurse's best response?
,1. "Babies have a tendency to reject hot fluids but not cold fluids, which could result in abdominal
discomfort."
2. "Babies have a tendency to reject cold fluids but not hot fluids, which could result in esophageal
burns."
3. "Your baby would most likely spit out formula that was too hot, but your baby could swallow some of
it, which could result in a burn."
4. "Your baby is too young to be physically capable of spitting out fluids and will automatically swallow
anything." - CORRECT ANSWERS 1. Swallowing is a reflex in neonates; infants younger than 6
weeks cannot voluntarily control swallowing.
2. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot voluntarily control
swallowing.
3. The infant is not capable of selectively rejecting fluid because swallowing is a reflex until 6 weeks.
4. Swallowing is a reflex in infants younger than 6 weeks.
TEST-TAKING HINT: Swallowing is a reflex that is present until the age of 6 weeks. The test taker should
eliminate answers 1, 2,and 3 because they suggest that the infant is capable of selectively rejecting
fluids.
The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best
response?
1. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than
breastfed babies.
2. The newborn's stomach capacity is small, and peristalsis is slow.
3. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children.
4. Breastfed babies tend to take longer to complete a feeding than formula-fed babies. - CORRECT
ANSWERS 1. The caloric content of breast milk and formula tends to be similar.
2. Peristalsis in infants is greater than in older
children.
3. The small-stomach capacity and rapid movement of fluid through the digestive system account for the
need for small, frequent feedings.
4. Breastfed babies and formula-fed babies do not necessarily have a difference in feeding time.
,TEST-TAKING HINT: The test taker should eliminate answers 1 and 4 because they both form
generalizations that are not supported by current literature.
A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel
is sunken. The nurse notes the infant does not produce tears when crying. Which task will help confirm
the diagnosis of dehydration?
1. Urinalysis obtained by bagged specimen.
2. Urinalysis obtained by sterile catheterization.
3. Analysis of serum electrolytes.
4. Analysis of cerebrospinal fluid. - CORRECT ANSWERS 1. The information obtained from a
urinalysis of an infant is not as helpful as serum electrolytes. The infant has limited ability to concentrate
urine, so the specific gravity is not usually affected.
2. The information obtained from a urinalysis of an infant is not as helpful as serum electrolytes. The
infant has limited ability to concentrate urine, so the specific gravity is not usually affected. A urinalysis
does not need to be obtained by catheterization.
3. The analysis of serum electrolytes offers the most information and assists with the diagnosis of
dehydration.
4. Although critical in diagnosing meningitis, a lumber puncture and analysis of cerebrospinal fluid are
not done to confirm dehydration.
TEST-TAKING HINT: Infants have limited ability to concentrate urine, so answers 1 and 2 can be
eliminated immediately.
A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198,
and her blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant
does not cry when the intravenous lineis inserted. The child's parents state that she has not "held
anything down" in 18 hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse
expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal saline with 5% dextrose added to the solution.
, 4. Offer the child an oral rehydrating solution such as Pedialyte. - CORRECT ANSWERS 1.
Dehydration is corrected with the administration of an isotonic solution, such as normal saline or
lactated Ringer solution.
2. Solutions containing dextrose should never be administered in bolus form because they may result in
cerebral edema.
3. Solutions containing dextrose should never be administered in bolus form because they may result in
cerebral edema.
4. Severe dehydration is not usually corrected with oral solutions; children with altered levels of
consciousness should be kept NPO.
TEST-TAKING HINT: The test taker should immediately eliminate answers 2 and 3 because they both
suggest administering glucose in bolus form, which is always contraindicated in pediatric clients. Answer
4 should be eliminated because the infant is severely dehydrated and not responding to painful
stimulation, which is suggested by the lack of a cry on intravenous insertion.
The nurse is caring for a 2-year-old child who was admitted to the pediatric unit for moderate
dehydration due to vomiting and diarrhea. The child is restless with periods of irritability. The child is
afebrile with a heart rate of 148 and a blood pressure of 90/42. Baseline laboratory tests reveal the
following: Na 152, Cl 119, and glucose 115. The parents state that the child has not urinated in 12 hours.
After establishing a saline lock, the nurse reviews the physician's orders. Which order should the nurse
question?
1. Administer a saline bolus of 10 mL/kg, which may be repeated if the child does not urinate.
2. Recheck serum electrolytes in 12 hours.
3. After the saline bolus, begin maintenance fluids of D5 1⁄4 NS with 10 mEq KCl/L.
4. Give clear liquid diet as tolerated. - CORRECT ANSWERS 1. Fluid boluses of normal saline are
administered according to the child's body weight. It is not unusual to have to repeat the bolus multiple
times in order to see an improvement in the child's condition.
2. It is important to monitor serum electrolytes frequently in the dehydrated child.
3. Potassium is contraindicated because the child has not yet urinated. Potassium is not added to the
maintenance fluid until kidney function has been verified.
4. The child with dehydration secondary to vomiting and diarrhea is placed on a clear liquid diet.
TEST-TAKING HINT: Be aware of the usual ways in which dehydration is treated. Answer 3 should be
selected because the description states that the child has not urinated.
