NSG 3600 FINAL EXAM | ACTUAL
QUESTIONS AND ANSWERS LATEST
UPDATED 2026/2027 (GRADED A+)- GALEN
COLLEGE OF NURSING
AT GALEN COLLEGE OF NURSING
NSG 3600 Final Exam 2026/2027
Pediatric Nursing – Multiple Choice with Rationales
1. (29957)
The nurse is teaching parents of a toddler who has diabetes mellitus
(type 1) about ways to include their child in the plan of care. Which
of the following actions should the parents have the toddler
perform?
a. Choose which finger to use for a fingerstick.
b. Draw up insulin, then the parents check if the dosage is correct.
c. Pick correct food and snacks at social gatherings.
d. Perform insulin injection on a doll.
Correct Answer: a. Choose which finger to use for a fingerstick.
Rationale: Toddlers should be given simple choices to promote independence
and participation in their care. Allowing the child to select which finger to use
,provides involvement without requiring complex skills. Drawing insulin or
selecting appropriate foods requires cognitive abilities beyond a toddler's
developmental level. Practicing injections on a doll may be appropriate for
older children but not toddlers.
2. (28042)
The nurse is presenting information about
attention-deficit/hyperactivity disorder (ADHD) with a school-parent
association. Which of the following clinical manifestations should
the nurse include in the presentation?
a. Prefers detailed tasks.
b. Socially introverted.
c. Difficulty taking turns.
d. Completes projects quickly.
Correct Answer: c. Difficulty taking turns.
Rationale: Children with ADHD commonly demonstrate impulsivity and
difficulty waiting or taking turns in activities. They often interrupt others and
struggle with social rules in group settings. Preferring detailed tasks and
completing projects quickly are not typical behaviors because children with
ADHD often have difficulty sustaining attention. Social withdrawal is more
associated with other behavioral or developmental conditions.
3. (31408)
The nurse is teaching a teenager who has been diagnosed with
diabetes mellitus (type 2) about exercise. Which of the following
statements by the teenager indicates a need for further teaching?
a. “I need to check my blood glucose levels before and after exercise.”
b. “I will need to adjust my carbohydrate intake based on my exercise
pattern.”
c. “I will engage in some type of physical activity every day.”
d. “I should check my urine for protein prior to exercising.”
Correct Answer: d. “I should check my urine for protein prior to exercising.”
,Rationale: Checking urine for protein before exercise is not necessary for
routine diabetes management. Instead, blood glucose monitoring before and
after physical activity is important to prevent hypoglycemia. Adjusting
carbohydrate intake and maintaining regular physical activity are key
strategies for managing type 2 diabetes. Therefore, this statement indicates
misunderstanding and requires additional teaching.
4. (31407)
The nurse is caring for the following assigned children who have
diabetes mellitus. The nurse should first see the child
a. whose scheduled insulin has not arrived from the pharmacy.
b. who has not eaten since receiving regular insulin 1 hour ago.
c. whose urine is negative for ketones and reports feeling hungry.
d. who has a morning blood glucose level of 68 mg/dL.
Correct Answer: b. who has not eaten since receiving regular insulin 1 hour
ago.
Rationale: Regular insulin peaks within 2 to 4 hours and requires food intake
to prevent hypoglycemia. A child who received insulin but has not eaten is at
immediate risk for hypoglycemia and requires prompt assessment. A glucose
level of 68 mg/dL is low but may be addressed quickly if the child is
conscious. The other options do not represent immediate life-threatening
risks.
5. (29956)
The mother of a 6-year-old child who has type 1 diabetes mellitus
calls the clinic nurse and reports that her child is sick. She is
concerned about how the illness might affect the child’s glucose
levels. Which instruction should the nurse provide to the mother?
a. Schedule an appointment with your child’s primary health care provider
(PHCP).
b. Do not give your child the next regularly scheduled dose of regular insulin.
c. Encourage your child to rest and sleep at home.
d. Give an additional dose of regular insulin the next time your child eats a
meal.
, Correct Answer: c. Encourage your child to rest and sleep at home.
Rationale: During illness, children with diabetes should continue insulin
therapy and maintain rest while monitoring blood glucose closely. Illness
often increases blood glucose due to stress hormones. Insulin doses should
not be skipped without provider guidance. Hydration, rest, and glucose
monitoring are essential components of sick-day management.
6. (31411)
A nurse is assessing a 6-year-old child for signs of autism spectrum
disorder (ASD). Which manifestation should the nurse expect to
observe?
a. Continuous eye contact
b. Impaired communication
c. Interest in a wide variety of activities
d. Early development of grammar
Correct Answer: b. Impaired communication
Rationale: Children with autism spectrum disorder often have impaired
communication and difficulty with social interactions. They may demonstrate
limited eye contact and delayed language development. Additionally,
children with ASD often have restricted interests rather than a wide variety
of activities. Early advanced grammar development is not typical for ASD.
7. (31412)
A nurse is providing discharge instructions to the parents of a child
diagnosed with precocious puberty. Which information should the
nurse include in the teaching?
a. Consider homeschooling the child.
b. The importance of following up with the dietitian referral.
c. The need for lifelong gonadotropin-releasing agonist treatment.
d. Early development of secondary sexual characteristics.
Correct Answer: d. Early development of secondary sexual characteristics.
QUESTIONS AND ANSWERS LATEST
UPDATED 2026/2027 (GRADED A+)- GALEN
COLLEGE OF NURSING
AT GALEN COLLEGE OF NURSING
NSG 3600 Final Exam 2026/2027
Pediatric Nursing – Multiple Choice with Rationales
1. (29957)
The nurse is teaching parents of a toddler who has diabetes mellitus
(type 1) about ways to include their child in the plan of care. Which
of the following actions should the parents have the toddler
perform?
a. Choose which finger to use for a fingerstick.
b. Draw up insulin, then the parents check if the dosage is correct.
c. Pick correct food and snacks at social gatherings.
d. Perform insulin injection on a doll.
Correct Answer: a. Choose which finger to use for a fingerstick.
Rationale: Toddlers should be given simple choices to promote independence
and participation in their care. Allowing the child to select which finger to use
,provides involvement without requiring complex skills. Drawing insulin or
selecting appropriate foods requires cognitive abilities beyond a toddler's
developmental level. Practicing injections on a doll may be appropriate for
older children but not toddlers.
2. (28042)
The nurse is presenting information about
attention-deficit/hyperactivity disorder (ADHD) with a school-parent
association. Which of the following clinical manifestations should
the nurse include in the presentation?
a. Prefers detailed tasks.
b. Socially introverted.
c. Difficulty taking turns.
d. Completes projects quickly.
Correct Answer: c. Difficulty taking turns.
Rationale: Children with ADHD commonly demonstrate impulsivity and
difficulty waiting or taking turns in activities. They often interrupt others and
struggle with social rules in group settings. Preferring detailed tasks and
completing projects quickly are not typical behaviors because children with
ADHD often have difficulty sustaining attention. Social withdrawal is more
associated with other behavioral or developmental conditions.
3. (31408)
The nurse is teaching a teenager who has been diagnosed with
diabetes mellitus (type 2) about exercise. Which of the following
statements by the teenager indicates a need for further teaching?
a. “I need to check my blood glucose levels before and after exercise.”
b. “I will need to adjust my carbohydrate intake based on my exercise
pattern.”
c. “I will engage in some type of physical activity every day.”
d. “I should check my urine for protein prior to exercising.”
Correct Answer: d. “I should check my urine for protein prior to exercising.”
,Rationale: Checking urine for protein before exercise is not necessary for
routine diabetes management. Instead, blood glucose monitoring before and
after physical activity is important to prevent hypoglycemia. Adjusting
carbohydrate intake and maintaining regular physical activity are key
strategies for managing type 2 diabetes. Therefore, this statement indicates
misunderstanding and requires additional teaching.
4. (31407)
The nurse is caring for the following assigned children who have
diabetes mellitus. The nurse should first see the child
a. whose scheduled insulin has not arrived from the pharmacy.
b. who has not eaten since receiving regular insulin 1 hour ago.
c. whose urine is negative for ketones and reports feeling hungry.
d. who has a morning blood glucose level of 68 mg/dL.
Correct Answer: b. who has not eaten since receiving regular insulin 1 hour
ago.
Rationale: Regular insulin peaks within 2 to 4 hours and requires food intake
to prevent hypoglycemia. A child who received insulin but has not eaten is at
immediate risk for hypoglycemia and requires prompt assessment. A glucose
level of 68 mg/dL is low but may be addressed quickly if the child is
conscious. The other options do not represent immediate life-threatening
risks.
5. (29956)
The mother of a 6-year-old child who has type 1 diabetes mellitus
calls the clinic nurse and reports that her child is sick. She is
concerned about how the illness might affect the child’s glucose
levels. Which instruction should the nurse provide to the mother?
a. Schedule an appointment with your child’s primary health care provider
(PHCP).
b. Do not give your child the next regularly scheduled dose of regular insulin.
c. Encourage your child to rest and sleep at home.
d. Give an additional dose of regular insulin the next time your child eats a
meal.
, Correct Answer: c. Encourage your child to rest and sleep at home.
Rationale: During illness, children with diabetes should continue insulin
therapy and maintain rest while monitoring blood glucose closely. Illness
often increases blood glucose due to stress hormones. Insulin doses should
not be skipped without provider guidance. Hydration, rest, and glucose
monitoring are essential components of sick-day management.
6. (31411)
A nurse is assessing a 6-year-old child for signs of autism spectrum
disorder (ASD). Which manifestation should the nurse expect to
observe?
a. Continuous eye contact
b. Impaired communication
c. Interest in a wide variety of activities
d. Early development of grammar
Correct Answer: b. Impaired communication
Rationale: Children with autism spectrum disorder often have impaired
communication and difficulty with social interactions. They may demonstrate
limited eye contact and delayed language development. Additionally,
children with ASD often have restricted interests rather than a wide variety
of activities. Early advanced grammar development is not typical for ASD.
7. (31412)
A nurse is providing discharge instructions to the parents of a child
diagnosed with precocious puberty. Which information should the
nurse include in the teaching?
a. Consider homeschooling the child.
b. The importance of following up with the dietitian referral.
c. The need for lifelong gonadotropin-releasing agonist treatment.
d. Early development of secondary sexual characteristics.
Correct Answer: d. Early development of secondary sexual characteristics.
