NSG3600 Pediatric Nursing Exam 3 Complete Review 2026 | High-
Yield Content
1. Describe the significance of the Babinski reflex in the assessment of a child
suspected of having Reye Syndrome.
A positive Babinski reflex indicates possible neurological
impairment, which is significant in Reye Syndrome.
A positive Babinski reflex is unrelated to Reye Syndrome.
A positive Babinski reflex shows normal development in children.
A positive Babinski reflex suggests the child is dehydrated.
2. A 7-year-old child presents to the clinic with swelling in the face, blood in the
urine, and decreased urine output. Based on these findings, what condition
should the nurse prioritize in their assessment?
pneumonia
acute glomerulonephritis
asthma exacerbation
appendicitis
3. What is a common complication associated with acute kidney injury (AKI) in
children?
Hyperkalemia
Hypoglycemia
Dehydration
Hypertension
,4. The nursing instructor is teaching the students about dialysis for the client
with end stage renal disease. The nurse teaches the students that the client
may experience hypotension, muscle cramping and cardiovascular disease
when receiving .
hemodialysis
peritoneal dialysis
5. Why is it important for the nurse to educate a child with a urinary tract
infection about proper hydration?
Proper hydration only helps with fever management.
Proper hydration helps to flush out bacteria from the urinary tract.
Proper hydration is not related to UTIs.
Proper hydration prevents dehydration only.
6. If the infant's symptoms worsen and the parents still refuse catheterization,
what alternative assessment method could the nurse suggest?
Non-invasive urine collection methods, such as a urine bag.
Performing a blood test immediately.
Waiting for the parents to change their mind.
Administering antibiotics without a diagnosis.
7. A child has Syndrome of Inappropriate Antidiuretic Hormone Secretion
(SIADH) from a head injury. The parents are questioning why the child is on a
FLUID RESTRICTION. What is the nurse's best response?
"The laboratory values indicate that the electrolytes are elevated, so
fluid restriction is necessary."
, "Because of the head injury, your child cannot stay awake to safely
consume a normal amount of fluids."
"The kidneys are not working properly so less fluids will keep from
stressing the kidneys."
"The child cannot take in too many fluids or this can lead to
SWELLING of the BRAIN."
8. What does the acronym SCIWORA stand for in pediatric nursing?
Spinal Column Injury With Radiographic Abnormality
Spinal Cord Injury With Radiographic Abnormality
Spinal Cord Injury Without Radiographic Abnormality
Spinal Column Injury Without Radiographic Abnormality
9. What is a common symptom of gastroesophageal reflux (GER) in infants?
High fever
Skin rash
Persistent cough
Vomiting and regurgitation
10. What are common symptoms of a urinary tract infection in infants?
Diarrhea and dehydration
Weight gain and lethargy
Poor feeding, fever, and malodorous urine
Excessive crying and rash
, 11. In a scenario where a child with hemolytic uremic syndrome (HUS) presents
with severe hyperkalemia, what should the nurse prioritize in their
intervention?
Providing oral fluids to dilute potassium levels.
Monitoring vital signs without intervention.
Initiating dialysis immediately.
Administering calcium gluconate to stabilize cardiac function.
12. Why is it critical for the nurse to notify the provider and prepare for
intubation in the case of a child with a brain injury exhibiting specific
symptoms?
The child needs emotional support due to the brain injury.
The child's limited responsiveness indicates a potential airway
compromise, necessitating immediate medical intervention.
The child requires a full neurological assessment before any action.
The child is stable and does not require immediate intervention.
13. Discuss the potential complications of hemodialysis and their implications for
patient care.
Infections are not a concern in hemodialysis patients.
Complications are minimal and do not affect patient care significantly.
The most common complication is only hypotension.
Complications of hemodialysis include hypotension, which can
lead to dizziness; infections at the access site, which require
monitoring; and muscle cramps, which can cause discomfort during
treatment.
Yield Content
1. Describe the significance of the Babinski reflex in the assessment of a child
suspected of having Reye Syndrome.
A positive Babinski reflex indicates possible neurological
impairment, which is significant in Reye Syndrome.
A positive Babinski reflex is unrelated to Reye Syndrome.
A positive Babinski reflex shows normal development in children.
A positive Babinski reflex suggests the child is dehydrated.
2. A 7-year-old child presents to the clinic with swelling in the face, blood in the
urine, and decreased urine output. Based on these findings, what condition
should the nurse prioritize in their assessment?
pneumonia
acute glomerulonephritis
asthma exacerbation
appendicitis
3. What is a common complication associated with acute kidney injury (AKI) in
children?
Hyperkalemia
Hypoglycemia
Dehydration
Hypertension
,4. The nursing instructor is teaching the students about dialysis for the client
with end stage renal disease. The nurse teaches the students that the client
may experience hypotension, muscle cramping and cardiovascular disease
when receiving .
hemodialysis
peritoneal dialysis
5. Why is it important for the nurse to educate a child with a urinary tract
infection about proper hydration?
Proper hydration only helps with fever management.
Proper hydration helps to flush out bacteria from the urinary tract.
Proper hydration is not related to UTIs.
Proper hydration prevents dehydration only.
6. If the infant's symptoms worsen and the parents still refuse catheterization,
what alternative assessment method could the nurse suggest?
Non-invasive urine collection methods, such as a urine bag.
Performing a blood test immediately.
Waiting for the parents to change their mind.
Administering antibiotics without a diagnosis.
7. A child has Syndrome of Inappropriate Antidiuretic Hormone Secretion
(SIADH) from a head injury. The parents are questioning why the child is on a
FLUID RESTRICTION. What is the nurse's best response?
"The laboratory values indicate that the electrolytes are elevated, so
fluid restriction is necessary."
, "Because of the head injury, your child cannot stay awake to safely
consume a normal amount of fluids."
"The kidneys are not working properly so less fluids will keep from
stressing the kidneys."
"The child cannot take in too many fluids or this can lead to
SWELLING of the BRAIN."
8. What does the acronym SCIWORA stand for in pediatric nursing?
Spinal Column Injury With Radiographic Abnormality
Spinal Cord Injury With Radiographic Abnormality
Spinal Cord Injury Without Radiographic Abnormality
Spinal Column Injury Without Radiographic Abnormality
9. What is a common symptom of gastroesophageal reflux (GER) in infants?
High fever
Skin rash
Persistent cough
Vomiting and regurgitation
10. What are common symptoms of a urinary tract infection in infants?
Diarrhea and dehydration
Weight gain and lethargy
Poor feeding, fever, and malodorous urine
Excessive crying and rash
, 11. In a scenario where a child with hemolytic uremic syndrome (HUS) presents
with severe hyperkalemia, what should the nurse prioritize in their
intervention?
Providing oral fluids to dilute potassium levels.
Monitoring vital signs without intervention.
Initiating dialysis immediately.
Administering calcium gluconate to stabilize cardiac function.
12. Why is it critical for the nurse to notify the provider and prepare for
intubation in the case of a child with a brain injury exhibiting specific
symptoms?
The child needs emotional support due to the brain injury.
The child's limited responsiveness indicates a potential airway
compromise, necessitating immediate medical intervention.
The child requires a full neurological assessment before any action.
The child is stable and does not require immediate intervention.
13. Discuss the potential complications of hemodialysis and their implications for
patient care.
Infections are not a concern in hemodialysis patients.
Complications are minimal and do not affect patient care significantly.
The most common complication is only hypotension.
Complications of hemodialysis include hypotension, which can
lead to dizziness; infections at the access site, which require
monitoring; and muscle cramps, which can cause discomfort during
treatment.
