NSG 3600 Pediatric Nursing Exam 1 | Galen College
Study Guide & Practice
1. EL Student Referred to Special Education but No Disability Found
Question:
An EL student was referred to the special education teacher by another teacher. After working with the
student, the special education teacher determines that the student does not have a learning disability.
Why might the student have been placed in a special education class?
- answer -:
The student was unfamiliar with the cultural elements of the test.
Extended Explanation:
English Learners (ELs) are frequently misidentified as having disabilities when assessments are not
culturally or linguistically appropriate. Standardized tests often rely on:
• Cultural references
• Idiomatic language
• Background knowledge common to dominant cultures
When EL students do not share this background, their performance may appear deficient even though
their cognitive abilities are intact. IDEA requires that students not be identified as disabled solely due to
language differences or cultural factors.
Key Exam Concept:
Language acquisition ≠ learning disability
2. Least Restrictive Environment (LRE) Principle (IDEA)
Question:
Which principle guides the educational placement (LRE) according to IDEA?
- answer -:
Attend classes with non-disabled peers
,Extended Explanation:
The Least Restrictive Environment (LRE) mandate requires that students with disabilities be educated
with peers without disabilities to the maximum extent appropriate. Removal to special education
settings should occur only when:
• The student cannot make meaningful progress in general education with supports
LRE prioritizes inclusion, not segregation.
Exam Tip:
If the answer includes “general education peers” → it’s almost always LRE.
3. Difference Between an IEP and a 504 Plan
Question:
What is the difference between an IEP and a 504 plan?
- answer -:
IEP must be reviewed annually, unlike a 504 plan
Extended Explanation:
• IEP (IDEA):
o Requires annual review
o Includes measurable goals
o Provides specialized instruction
• 504 Plan (Section 504):
o Ensures access and accommodations
o Does not require annual formal review
o No instructional goals required
Key Distinction:
IEP = instruction
504 = access
4. Diabetes and Disability Category
Question:
If a student has diabetes that affects academic achievement, what is the appropriate disability category?
- answer -:
Other Health Impairment (OHI)
,Extended Explanation:
IDEA defines Other Health Impairment as conditions that:
• Limit strength, vitality, or alertness
• Affect educational performance
Diabetes can cause fatigue, attention issues, and absences—qualifying it under OHI.
Common OHI Conditions:
• Diabetes
• ADHD
• Epilepsy
• Asthma
5. Most Common IDEA Disability Category
Question:
According to IDEA, which disability category has the highest percentage of children?
- answer -:
Specific Learning Disability (SLD)
Extended Explanation:
SLD includes difficulties in:
• Reading (dyslexia)
• Writing (dysgraphia)
• Math (dyscalculia)
This category accounts for the largest proportion of students receiving special education services.
6. Tier 2 Intervention (MTSS)
Question:
Which scenario is a Tier 2 intervention in MTSS?
- answer -:
A group of 3 students receives explicit instruction and opportunities to practice.
Extended Explanation:
• Tier 1: Whole-class, universal instruction
• Tier 2: Small-group targeted interventions
, • Tier 3: Intensive, individualized interventions
Tier 2 focuses on students who need more than core instruction but not special education.
7. Intermediate Fluency Stage (EL Development)
Question:
A student's native language is Chinese. The student is in the Intermediate Fluency stage. What can they
do?
- answer -:
Writes using complex sentences
Extended Explanation:
Intermediate fluency typically occurs after 3–5 years of language exposure. Students can:
• Use complex grammar
• Express abstract ideas
• Participate in academic discussions
They may still struggle with academic vocabulary, but sentence structure is advanced.
8. Differentiating Content
Question:
What is an example of differentiating content?
- answer -:
Giving students different resources based on their comprehension
Extended Explanation:
Differentiation of content involves adjusting:
• Materials
• Text complexity
• Information sources
This differs from:
• Process: how students learn
• Product: how students demonstrate learning
9. Systematic Instruction Principle
Study Guide & Practice
1. EL Student Referred to Special Education but No Disability Found
Question:
An EL student was referred to the special education teacher by another teacher. After working with the
student, the special education teacher determines that the student does not have a learning disability.
Why might the student have been placed in a special education class?
- answer -:
The student was unfamiliar with the cultural elements of the test.
Extended Explanation:
English Learners (ELs) are frequently misidentified as having disabilities when assessments are not
culturally or linguistically appropriate. Standardized tests often rely on:
• Cultural references
• Idiomatic language
• Background knowledge common to dominant cultures
When EL students do not share this background, their performance may appear deficient even though
their cognitive abilities are intact. IDEA requires that students not be identified as disabled solely due to
language differences or cultural factors.
Key Exam Concept:
Language acquisition ≠ learning disability
2. Least Restrictive Environment (LRE) Principle (IDEA)
Question:
Which principle guides the educational placement (LRE) according to IDEA?
- answer -:
Attend classes with non-disabled peers
,Extended Explanation:
The Least Restrictive Environment (LRE) mandate requires that students with disabilities be educated
with peers without disabilities to the maximum extent appropriate. Removal to special education
settings should occur only when:
• The student cannot make meaningful progress in general education with supports
LRE prioritizes inclusion, not segregation.
Exam Tip:
If the answer includes “general education peers” → it’s almost always LRE.
3. Difference Between an IEP and a 504 Plan
Question:
What is the difference between an IEP and a 504 plan?
- answer -:
IEP must be reviewed annually, unlike a 504 plan
Extended Explanation:
• IEP (IDEA):
o Requires annual review
o Includes measurable goals
o Provides specialized instruction
• 504 Plan (Section 504):
o Ensures access and accommodations
o Does not require annual formal review
o No instructional goals required
Key Distinction:
IEP = instruction
504 = access
4. Diabetes and Disability Category
Question:
If a student has diabetes that affects academic achievement, what is the appropriate disability category?
- answer -:
Other Health Impairment (OHI)
,Extended Explanation:
IDEA defines Other Health Impairment as conditions that:
• Limit strength, vitality, or alertness
• Affect educational performance
Diabetes can cause fatigue, attention issues, and absences—qualifying it under OHI.
Common OHI Conditions:
• Diabetes
• ADHD
• Epilepsy
• Asthma
5. Most Common IDEA Disability Category
Question:
According to IDEA, which disability category has the highest percentage of children?
- answer -:
Specific Learning Disability (SLD)
Extended Explanation:
SLD includes difficulties in:
• Reading (dyslexia)
• Writing (dysgraphia)
• Math (dyscalculia)
This category accounts for the largest proportion of students receiving special education services.
6. Tier 2 Intervention (MTSS)
Question:
Which scenario is a Tier 2 intervention in MTSS?
- answer -:
A group of 3 students receives explicit instruction and opportunities to practice.
Extended Explanation:
• Tier 1: Whole-class, universal instruction
• Tier 2: Small-group targeted interventions
, • Tier 3: Intensive, individualized interventions
Tier 2 focuses on students who need more than core instruction but not special education.
7. Intermediate Fluency Stage (EL Development)
Question:
A student's native language is Chinese. The student is in the Intermediate Fluency stage. What can they
do?
- answer -:
Writes using complex sentences
Extended Explanation:
Intermediate fluency typically occurs after 3–5 years of language exposure. Students can:
• Use complex grammar
• Express abstract ideas
• Participate in academic discussions
They may still struggle with academic vocabulary, but sentence structure is advanced.
8. Differentiating Content
Question:
What is an example of differentiating content?
- answer -:
Giving students different resources based on their comprehension
Extended Explanation:
Differentiation of content involves adjusting:
• Materials
• Text complexity
• Information sources
This differs from:
• Process: how students learn
• Product: how students demonstrate learning
9. Systematic Instruction Principle
