NSG 3600 (Peds) Exam 1 Latest Update 2026 | Exam Prep |
High-Yield Review Guide
1. A 4-year-old client is admitted for eye surgery. The nurse is performing the
correct action in preparing the child for the procedure when she:
reads an age-appropriate illustrated book about eye surgery to the
child.
uses dolls or puppets to explain how to get ready for surgery.
draws a picture of the eye and explains what will happen.
informs the child that the procedure will take one hour.
2. A 10-year-old patient with an autoimmune disorder asks if they can take
Echinacea for a cold. What should the nurse advise?
The nurse should advise against taking Echinacea due to its
potential to stimulate the immune system.
The nurse should consult a physician before making any
recommendations.
The nurse should suggest Echinacea only if the patient has a cold.
The nurse can recommend Echinacea as it is safe for all children.
3. The parents of infant twins, both with developmental delays, ask the nurse
about resources for caring for the children as they get a little older. Which
information should the nurse share?
"Medical homes can offer holistic and centralized care that include
the patient and family as the primary focus."
"Your family will find a pattern of normalcy that will make caring for
the children easier."
, "Having two children with developmental delays likely means that the
children will need to be institutionalized to receive adequate care."
"There are support groups and community resources available to help
cope with caring for children with special health care needs."
4. If a nurse observes a 7-year-old child struggling with a new task during a
well-child visit, what intervention would best support the child's development
according to Erikson's theory?
Redirect the child to a simpler task to ensure success.
Encourage the child to try the task again and praise their efforts.
Inform the parents that the child may need additional support at
home.
Suggest the child avoid challenging tasks to prevent frustration.
5. If a nurse observes a child with a bright red spot on the cheek during a
routine check-up, what should be the nurse's first action?
Advise the parents to apply ointment to the rash without further
assessment.
Immediately refer the child to a specialist for further evaluation.
Assess the child's overall health and inquire about any recent
illnesses.
Suggest that the child stay home from school for a week.
6. If a nurse finds that a child's nighttime routine includes excessive screen time
before bed, what intervention should the nurse recommend?
Advise the mother to wake the child earlier in the morning.
Limit screen time before bedtime.
, Encourage more screen time to tire the child out.
Suggest the child sleep in a different room.
7. You are talking with the parents of a two-year-old boy diagnosed with
leukemia about pain management. Which statement indicates an
understanding about pain management in children?
The child is at risk for addiction due to early exposure to pain
medication.
The child does not have full pain sensitivity due to an undeveloped
nervous system.
The child may require less analgesia since children have a limited
memory of the pain.
The child needs to be assessed carefully so that he gets enough
pain medication
8. Why is the ability to play harmoniously with peers considered a significant
milestone for a 10-year-old child recovering from hospitalization?
It indicates social development and the ability to interact
appropriately with others.
It demonstrates the child's ability to choose suitable toys.
It shows the child is focused on academic responsibilities.
It reflects the child's dependence on parental guidance.
9. The nurse is speaking to a parent of a 4-year-old. The parent states that she
has trouble getting her child to go to bed at night. Which is the best response
by the nurse?
"Sometimes your child needs to burn off excess energy before bed. I
would suggest allowing them to run around the house for 10 to 15
, minutes before bedtime."
"It's okay to let your child fall asleep while watching television in their
room. This often helps if your child is afraid of the dark."
"Children need dark to sleep. It's important not to use a nightlight even
if your child is afraid of the dark."
"It's just as important to establish a morning wake-up time as it is to
establish a bedtime. Children tend to do better when they have a
normal routine to follow."
10. When hospitalized, which is a following problem for toddlers?
Regression
Denial
Suppression
Repression
11. A parent calls the clinic nurse to schedule an appointment for her child's
diphtheria, tetanus, and pertussis vaccination. The parent tells the nurse that
her child had a swelling at the injection site and low-grade fever after the last
diphtheria, tetanus, and pertussis (DTaP) vaccination. Which instructions
should the nurse give to the parent to lessen this type of reaction to the
upcoming vaccination?
To administer an appropriate dose of Tylenol 45 minutes before the
appointment
To request that the injection be given with a shorter needle than the
one used before
To bring a dose of Tylenol to the appointment and administer it
before leaving the clinic
High-Yield Review Guide
1. A 4-year-old client is admitted for eye surgery. The nurse is performing the
correct action in preparing the child for the procedure when she:
reads an age-appropriate illustrated book about eye surgery to the
child.
uses dolls or puppets to explain how to get ready for surgery.
draws a picture of the eye and explains what will happen.
informs the child that the procedure will take one hour.
2. A 10-year-old patient with an autoimmune disorder asks if they can take
Echinacea for a cold. What should the nurse advise?
The nurse should advise against taking Echinacea due to its
potential to stimulate the immune system.
The nurse should consult a physician before making any
recommendations.
The nurse should suggest Echinacea only if the patient has a cold.
The nurse can recommend Echinacea as it is safe for all children.
3. The parents of infant twins, both with developmental delays, ask the nurse
about resources for caring for the children as they get a little older. Which
information should the nurse share?
"Medical homes can offer holistic and centralized care that include
the patient and family as the primary focus."
"Your family will find a pattern of normalcy that will make caring for
the children easier."
, "Having two children with developmental delays likely means that the
children will need to be institutionalized to receive adequate care."
"There are support groups and community resources available to help
cope with caring for children with special health care needs."
4. If a nurse observes a 7-year-old child struggling with a new task during a
well-child visit, what intervention would best support the child's development
according to Erikson's theory?
Redirect the child to a simpler task to ensure success.
Encourage the child to try the task again and praise their efforts.
Inform the parents that the child may need additional support at
home.
Suggest the child avoid challenging tasks to prevent frustration.
5. If a nurse observes a child with a bright red spot on the cheek during a
routine check-up, what should be the nurse's first action?
Advise the parents to apply ointment to the rash without further
assessment.
Immediately refer the child to a specialist for further evaluation.
Assess the child's overall health and inquire about any recent
illnesses.
Suggest that the child stay home from school for a week.
6. If a nurse finds that a child's nighttime routine includes excessive screen time
before bed, what intervention should the nurse recommend?
Advise the mother to wake the child earlier in the morning.
Limit screen time before bedtime.
, Encourage more screen time to tire the child out.
Suggest the child sleep in a different room.
7. You are talking with the parents of a two-year-old boy diagnosed with
leukemia about pain management. Which statement indicates an
understanding about pain management in children?
The child is at risk for addiction due to early exposure to pain
medication.
The child does not have full pain sensitivity due to an undeveloped
nervous system.
The child may require less analgesia since children have a limited
memory of the pain.
The child needs to be assessed carefully so that he gets enough
pain medication
8. Why is the ability to play harmoniously with peers considered a significant
milestone for a 10-year-old child recovering from hospitalization?
It indicates social development and the ability to interact
appropriately with others.
It demonstrates the child's ability to choose suitable toys.
It shows the child is focused on academic responsibilities.
It reflects the child's dependence on parental guidance.
9. The nurse is speaking to a parent of a 4-year-old. The parent states that she
has trouble getting her child to go to bed at night. Which is the best response
by the nurse?
"Sometimes your child needs to burn off excess energy before bed. I
would suggest allowing them to run around the house for 10 to 15
, minutes before bedtime."
"It's okay to let your child fall asleep while watching television in their
room. This often helps if your child is afraid of the dark."
"Children need dark to sleep. It's important not to use a nightlight even
if your child is afraid of the dark."
"It's just as important to establish a morning wake-up time as it is to
establish a bedtime. Children tend to do better when they have a
normal routine to follow."
10. When hospitalized, which is a following problem for toddlers?
Regression
Denial
Suppression
Repression
11. A parent calls the clinic nurse to schedule an appointment for her child's
diphtheria, tetanus, and pertussis vaccination. The parent tells the nurse that
her child had a swelling at the injection site and low-grade fever after the last
diphtheria, tetanus, and pertussis (DTaP) vaccination. Which instructions
should the nurse give to the parent to lessen this type of reaction to the
upcoming vaccination?
To administer an appropriate dose of Tylenol 45 minutes before the
appointment
To request that the injection be given with a shorter needle than the
one used before
To bring a dose of Tylenol to the appointment and administer it
before leaving the clinic
