NSG 3600 PEDIATRICS EXAM QUESTIONS AND ANSWERS LATEST 2026/27 100%CORRECT– GALEN COLLEGE OF
NURSING
A neutropenic child is admitted to the hospital and placed in protective isolation. Which instruction does the nurse give
the family to help maintain a safe environment for the child?
A . Do not let the child have chewing gum
B . Flowers, plants, and produce are not allowed
C . The child can only have one visitor at a time
D . Toys and items from home cannot be brought in
A 7-year-old child presents to the emergency department, where the parent reports a 3-week history of pale skin,
extreme fatigue, and dizziness. Which laboratory value would the nurse correlate with the patient’s current condition?
A . Hematocrit: 33% (1-6: 30 – 40% & 6-18: 32 – 44%))
B . Hemoglobin: 13.2 g/dL (1-6: 9.5 – 14 & 6-18: 10 – 15.5
C . Red blood cell count: 2.8/mm3 (4.5 – 5)
D . White blood cell count: 12.3/mm3 (<2y: 6.2 – 17 & >2y: 5 – 10)
A nurse is caring for a child who has acute lymphocytic leukemia and has been treated with doxorubicin (Adriamycin).
Which assessment finding would the nurse report immediately?
A . Loss of appetite
B . Low WBC count
C . Peripheral edema
D . Temperature of 100.6°F (38.1°C)
A child is 2 hours postoperative after resection of a brain tumor. Which assessment by the nurse takes priority?
A . Blood pressure
B . Intake and output
C . Neurological exam
D . Temperature
A clinic nurse notes that a child brought in for a physical has swelling and bruising around the eyes. The patient denies
any trauma and the parent reports no environmental allergies. Which assessment is most important? (Neuroblastoma)
A . Auscultate lungs bilaterally.
B . Inspect skin on the back.
C . Palpate abdomen and neck.
D . Percuss abdomen and flank.
A nursing student is caring for a child diagnosed with Wilms’ tumor. Which action by the student causes the faculty
member to intervene?
A . Assesses urinary output per protocol
B . Involves the parents in the child’s care
C . Palpates the abdomen in all four quadrants
D . Provides frequent nutritious snacks
A nurse is looking at photographs of a friend’s infant. The nurse notes a whitish glow in the child’s eyes, and the friend
asks why the baby’s eyes look so odd. Which response by the nurse is the most appropriate?
A . “If his eyes look like this by 6 months, he needs to see a doctor.”
NSG 3600 EXAM
, B . “Take him to the doctor to see what’s wrong with his eyes.”
C . “This is called leukocoria and may signify retinoblastoma.”
D . “Your baby may have a brain tumor; take him to the hospital.”
A child is being discharged after surgical resection of retinoblastoma with enucleation. Which discharge instruction is
most important based on the diagnosis?
A . Encouraging healthy eating
B . Irrigation of the surgical site
C . Monitoring the child’s temperature
D . Pain assessment and control
A parent brings a 10-year-old child to the clinic, reporting that the child fell while playing and now has a limp several
days later. In completing a history, which other findings would the nurse correlate more with bone cancer than a minor
trauma?
A . Decreased appetite for the last month
B . Fatigues easily when playing outdoors
C . Limping several weeks prior to the fall
D . Often has unexplained extremity bruises
A nurse is caring for four patients who have Hodgkin’s lymphoma. Which child should the nurse see first?
A . Anorexia for a week
B . Enlarged cervical lymph nodes
C . Fever of 102.1°F (38.9°C)
D . Mediastinal mass
The parents of a child with cancer ask the nurse why the child is losing weight even though he is eating what he normally
does. Which response by the nurse is the most appropriate?
A . “Cancer consumes body tissues, causing weight loss.”
B . “He may be going through a growth spurt right now.”
C . “How do you know he is eating like he normally does?”
D . “When you are sick, you need more nutrition than usual.”
A nurse works on the pediatric oncology floor. After receiving the handoff report, which child does the nurse assess
first?
A . Child on protective isolation A. Having infusion of D5 NS and sodium bicarbonate
B . 4 hours post–bone marrow biopsy B. On high-dose methotrexate (Rheumatrex), urine pH of 7.8
C. Receiving cyclophosphamide (Cytoxan), urine specific gravity of 1.008
C . Not eating an hour after chemotherapy D. 2 days post–tumor resection, complaining of pain
D . Temperature of 101.5°F (38.5°C)
A child has cancer, is unresponsive, and is doing poorly. Which action by the nursing student causes the faculty to
intervene?
A . Allows the parents to hold the child
B . Places the child on NPO status
C . Takes the child’s rectal temperature
D . Turns the child even if she moans
NSG 3600 EXAM
NURSING
A neutropenic child is admitted to the hospital and placed in protective isolation. Which instruction does the nurse give
the family to help maintain a safe environment for the child?
A . Do not let the child have chewing gum
B . Flowers, plants, and produce are not allowed
C . The child can only have one visitor at a time
D . Toys and items from home cannot be brought in
A 7-year-old child presents to the emergency department, where the parent reports a 3-week history of pale skin,
extreme fatigue, and dizziness. Which laboratory value would the nurse correlate with the patient’s current condition?
A . Hematocrit: 33% (1-6: 30 – 40% & 6-18: 32 – 44%))
B . Hemoglobin: 13.2 g/dL (1-6: 9.5 – 14 & 6-18: 10 – 15.5
C . Red blood cell count: 2.8/mm3 (4.5 – 5)
D . White blood cell count: 12.3/mm3 (<2y: 6.2 – 17 & >2y: 5 – 10)
A nurse is caring for a child who has acute lymphocytic leukemia and has been treated with doxorubicin (Adriamycin).
Which assessment finding would the nurse report immediately?
A . Loss of appetite
B . Low WBC count
C . Peripheral edema
D . Temperature of 100.6°F (38.1°C)
A child is 2 hours postoperative after resection of a brain tumor. Which assessment by the nurse takes priority?
A . Blood pressure
B . Intake and output
C . Neurological exam
D . Temperature
A clinic nurse notes that a child brought in for a physical has swelling and bruising around the eyes. The patient denies
any trauma and the parent reports no environmental allergies. Which assessment is most important? (Neuroblastoma)
A . Auscultate lungs bilaterally.
B . Inspect skin on the back.
C . Palpate abdomen and neck.
D . Percuss abdomen and flank.
A nursing student is caring for a child diagnosed with Wilms’ tumor. Which action by the student causes the faculty
member to intervene?
A . Assesses urinary output per protocol
B . Involves the parents in the child’s care
C . Palpates the abdomen in all four quadrants
D . Provides frequent nutritious snacks
A nurse is looking at photographs of a friend’s infant. The nurse notes a whitish glow in the child’s eyes, and the friend
asks why the baby’s eyes look so odd. Which response by the nurse is the most appropriate?
A . “If his eyes look like this by 6 months, he needs to see a doctor.”
NSG 3600 EXAM
, B . “Take him to the doctor to see what’s wrong with his eyes.”
C . “This is called leukocoria and may signify retinoblastoma.”
D . “Your baby may have a brain tumor; take him to the hospital.”
A child is being discharged after surgical resection of retinoblastoma with enucleation. Which discharge instruction is
most important based on the diagnosis?
A . Encouraging healthy eating
B . Irrigation of the surgical site
C . Monitoring the child’s temperature
D . Pain assessment and control
A parent brings a 10-year-old child to the clinic, reporting that the child fell while playing and now has a limp several
days later. In completing a history, which other findings would the nurse correlate more with bone cancer than a minor
trauma?
A . Decreased appetite for the last month
B . Fatigues easily when playing outdoors
C . Limping several weeks prior to the fall
D . Often has unexplained extremity bruises
A nurse is caring for four patients who have Hodgkin’s lymphoma. Which child should the nurse see first?
A . Anorexia for a week
B . Enlarged cervical lymph nodes
C . Fever of 102.1°F (38.9°C)
D . Mediastinal mass
The parents of a child with cancer ask the nurse why the child is losing weight even though he is eating what he normally
does. Which response by the nurse is the most appropriate?
A . “Cancer consumes body tissues, causing weight loss.”
B . “He may be going through a growth spurt right now.”
C . “How do you know he is eating like he normally does?”
D . “When you are sick, you need more nutrition than usual.”
A nurse works on the pediatric oncology floor. After receiving the handoff report, which child does the nurse assess
first?
A . Child on protective isolation A. Having infusion of D5 NS and sodium bicarbonate
B . 4 hours post–bone marrow biopsy B. On high-dose methotrexate (Rheumatrex), urine pH of 7.8
C. Receiving cyclophosphamide (Cytoxan), urine specific gravity of 1.008
C . Not eating an hour after chemotherapy D. 2 days post–tumor resection, complaining of pain
D . Temperature of 101.5°F (38.5°C)
A child has cancer, is unresponsive, and is doing poorly. Which action by the nursing student causes the faculty to
intervene?
A . Allows the parents to hold the child
B . Places the child on NPO status
C . Takes the child’s rectal temperature
D . Turns the child even if she moans
NSG 3600 EXAM
