NSG3600 Exam 4 V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of advanced
pediatric healthcare, critical care nursing for children, and specialized pediatric
interventions. The content reflects practical pediatric nursing concepts frequently tested in
nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing pediatric
prioritization, therapeutic communication, and interdisciplinary collaboration skills. Detailed
expert explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
The Exam Covers:
• Pediatric oncology nursing
• Pediatric trauma assessment
• Emergency medication administration
• Pediatric intensive care monitoring
• Family education during hospitalization
• Child abuse recognition and reporting
• Pediatric ethical dilemmas
• Interdisciplinary pediatric collaboration
════════════════════════════════════
1. A 6-year-old child with acute lymphocytic leukemia (ALL) is admitted for chemotherapy.
The child’s absolute neutrophil count (ANC) is 450/mm³. Which nursing intervention is the
priority?
A. Administering a live virus vaccine to boost immunity
B. Placing the child in a positive-pressure room and initiating neutropenic precautions
,C. Encouraging the child to visit with friends in the playroom
D. Providing fresh fruits and vegetables to improve nutrition
Correct Answer: B
Expert Explanation: An ANC below 500/mm³ indicates severe neutropenia and a high risk
for infection. The priority is to protect the child from pathogens by using a private room,
positive pressure, and restricting high-risk foods or visitors.
2. When assessing a 10-year-old following a motor vehicle accident, the nurse notes clear
fluid draining from the child’s nose. What is the priority nursing action?
A. Suction the nose to clear the airway
B. Insert a nasogastric tube for decompression
C. Pack the nose with sterile gauze to stop the drainage
D. Test the fluid for glucose and notify the physician
Correct Answer: D
Expert Explanation: Clear fluid from the nose (rhinorrhea) after head trauma suggests a
cerebrospinal fluid (CSF) leak. Testing for glucose (halo sign) helps confirm CSF; suctioning
or inserting tubes is contraindicated due to the risk of secondary infection or brain trauma.
3. A child is suspected of being a victim of physical abuse. Which of the following findings is
the strongest clinical indicator of non-accidental trauma?
A. A simple linear fracture of the ulna from a reported fall
, B. A spiral fracture of the femur in a non-ambulatory infant
C. Bruises on the shins and knees of a toddler
D. Small round burns consistent with a heating pad
Correct Answer: B
Expert Explanation: Spiral fractures in non-ambulatory infants are highly suspicious of
child abuse because they result from twisting forces that do not occur during normal infant
movement. Bruises on bony prominences are common in active toddlers.
4. The nurse is preparing to administer emergency epinephrine to a child in anaphylaxis.
Which route and location are most appropriate?
A. Intradermal (ID) in the forearm
B. Subcutaneous (SQ) in the upper arm
C. Intramuscular (IM) in the vastus lateralis
D. Intramuscular (IM) in the gluteus maximus
Correct Answer: C
Expert Explanation: The vastus lateralis (thigh) is the preferred site for IM epinephrine in
children because it provides more rapid absorption and higher plasma concentrations
compared to other sites or routes.
Practice – Children’s Health Exam Q&A | Galen
College of Nursing
────────────────────────────────────
This study guide is intended to help students strengthen their understanding of advanced
pediatric healthcare, critical care nursing for children, and specialized pediatric
interventions. The content reflects practical pediatric nursing concepts frequently tested in
nursing examinations.
The questions are designed to simulate actual exam conditions while reinforcing pediatric
prioritization, therapeutic communication, and interdisciplinary collaboration skills. Detailed
expert explanations are included to support concept mastery and exam preparedness.
════════════════════════════════════
The Exam Covers:
• Pediatric oncology nursing
• Pediatric trauma assessment
• Emergency medication administration
• Pediatric intensive care monitoring
• Family education during hospitalization
• Child abuse recognition and reporting
• Pediatric ethical dilemmas
• Interdisciplinary pediatric collaboration
════════════════════════════════════
1. A 6-year-old child with acute lymphocytic leukemia (ALL) is admitted for chemotherapy.
The child’s absolute neutrophil count (ANC) is 450/mm³. Which nursing intervention is the
priority?
A. Administering a live virus vaccine to boost immunity
B. Placing the child in a positive-pressure room and initiating neutropenic precautions
,C. Encouraging the child to visit with friends in the playroom
D. Providing fresh fruits and vegetables to improve nutrition
Correct Answer: B
Expert Explanation: An ANC below 500/mm³ indicates severe neutropenia and a high risk
for infection. The priority is to protect the child from pathogens by using a private room,
positive pressure, and restricting high-risk foods or visitors.
2. When assessing a 10-year-old following a motor vehicle accident, the nurse notes clear
fluid draining from the child’s nose. What is the priority nursing action?
A. Suction the nose to clear the airway
B. Insert a nasogastric tube for decompression
C. Pack the nose with sterile gauze to stop the drainage
D. Test the fluid for glucose and notify the physician
Correct Answer: D
Expert Explanation: Clear fluid from the nose (rhinorrhea) after head trauma suggests a
cerebrospinal fluid (CSF) leak. Testing for glucose (halo sign) helps confirm CSF; suctioning
or inserting tubes is contraindicated due to the risk of secondary infection or brain trauma.
3. A child is suspected of being a victim of physical abuse. Which of the following findings is
the strongest clinical indicator of non-accidental trauma?
A. A simple linear fracture of the ulna from a reported fall
, B. A spiral fracture of the femur in a non-ambulatory infant
C. Bruises on the shins and knees of a toddler
D. Small round burns consistent with a heating pad
Correct Answer: B
Expert Explanation: Spiral fractures in non-ambulatory infants are highly suspicious of
child abuse because they result from twisting forces that do not occur during normal infant
movement. Bruises on bony prominences are common in active toddlers.
4. The nurse is preparing to administer emergency epinephrine to a child in anaphylaxis.
Which route and location are most appropriate?
A. Intradermal (ID) in the forearm
B. Subcutaneous (SQ) in the upper arm
C. Intramuscular (IM) in the vastus lateralis
D. Intramuscular (IM) in the gluteus maximus
Correct Answer: C
Expert Explanation: The vastus lateralis (thigh) is the preferred site for IM epinephrine in
children because it provides more rapid absorption and higher plasma concentrations
compared to other sites or routes.
