NSG3600 Exam 3 V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is caring for a 10-year-old child with Type 1 Diabetes Mellitus who plans to
participate in a soccer match. Which instruction should the nurse provide to the child and
parents?
A. Decrease fluid intake during the match to prevent frequent urination.
B. Administer an extra dose of rapid-acting insulin before the game starts.
C. Eat a carbohydrate-rich snack 30 minutes before the exercise begins.
D. Skip the morning long-acting insulin dose on the day of the match.
Answer: C
Rationale: Exercise increases glucose utilization by the muscles, which poses a risk for
hypoglycemia in children with Type 1 Diabetes. Consuming a carbohydrate snack before
activity helps maintain stable blood glucose levels. The nurse must emphasize that insulin
should never be skipped, but rather adjusted based on activity levels and blood sugar
monitoring.
2. Which clinical manifestation should the nurse expect to find in an infant diagnosed with
Congenital Hypothyroidism?
A. Tachycardia and hyperreflexia.
,B. Precocious puberty and rapid bone growth.
C. Increased activity levels and frequent crying.
D. Poor feeding, constipation, and a large fontanel.
Answer: D
Rationale: Congenital hypothyroidism results in a slowed metabolism, leading to
symptoms such as lethargy, poor feeding habits, and constipation. Physical findings often
include a large tongue, a hoarse cry, and delayed closure of the fontanels. Early detection
through newborn screening is critical to prevent permanent cognitive impairment.
3. A 4-month-old infant is admitted with a diagnosis of Tetralogy of Fallot. While the nurse is
drawing blood, the infant becomes cyanotic and dyspneic. Which action should the nurse
take first?
A. Place the infant in a knee-chest position.
B. Administer 100% oxygen via a face mask.
C. Prepare to administer morphine sulfate intravenously.
D. Call the rapid response team immediately.
Answer: A
Rationale: The infant is experiencing a hypercyanotic spell, often called a ‘Tet spell.’
Placing the infant in a knee-chest position increases systemic vascular resistance, which
, reduces the right-to-left shunt and improves oxygenation. This is the priority nursing
intervention before proceeding with oxygen or medication administration.
4. A nurse is assessing a 2-year-old child for developmental delays. Which finding would be
most concerning to the nurse?
A. The child is unable to ride a tricycle.
B. The child cannot name four primary colors.
C. The child prefers to play alongside other children rather than with them.
D. The child uses only single words and cannot say two-word phrases.
Answer: D
Rationale: By age 2, a child should typically be using two-word phrases and have a
vocabulary of approximately 50 to 300 words. Parallel play is normal for this age group,
and riding a tricycle or naming colors are milestones for older children. Failure to meet
language milestones often triggers an evaluation for hearing loss or developmental
disorders.
5. A nurse is teaching the parents of a child with Growth Hormone (GH) deficiency about the
administration of recombinant human growth hormone. What information is essential to
include?
A. Injections should be administered subcutaneously at bedtime.
B. The medication must be given via intramuscular injection twice a week.
C. Treatment will continue until the child reaches the age of 21.
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is caring for a 10-year-old child with Type 1 Diabetes Mellitus who plans to
participate in a soccer match. Which instruction should the nurse provide to the child and
parents?
A. Decrease fluid intake during the match to prevent frequent urination.
B. Administer an extra dose of rapid-acting insulin before the game starts.
C. Eat a carbohydrate-rich snack 30 minutes before the exercise begins.
D. Skip the morning long-acting insulin dose on the day of the match.
Answer: C
Rationale: Exercise increases glucose utilization by the muscles, which poses a risk for
hypoglycemia in children with Type 1 Diabetes. Consuming a carbohydrate snack before
activity helps maintain stable blood glucose levels. The nurse must emphasize that insulin
should never be skipped, but rather adjusted based on activity levels and blood sugar
monitoring.
2. Which clinical manifestation should the nurse expect to find in an infant diagnosed with
Congenital Hypothyroidism?
A. Tachycardia and hyperreflexia.
,B. Precocious puberty and rapid bone growth.
C. Increased activity levels and frequent crying.
D. Poor feeding, constipation, and a large fontanel.
Answer: D
Rationale: Congenital hypothyroidism results in a slowed metabolism, leading to
symptoms such as lethargy, poor feeding habits, and constipation. Physical findings often
include a large tongue, a hoarse cry, and delayed closure of the fontanels. Early detection
through newborn screening is critical to prevent permanent cognitive impairment.
3. A 4-month-old infant is admitted with a diagnosis of Tetralogy of Fallot. While the nurse is
drawing blood, the infant becomes cyanotic and dyspneic. Which action should the nurse
take first?
A. Place the infant in a knee-chest position.
B. Administer 100% oxygen via a face mask.
C. Prepare to administer morphine sulfate intravenously.
D. Call the rapid response team immediately.
Answer: A
Rationale: The infant is experiencing a hypercyanotic spell, often called a ‘Tet spell.’
Placing the infant in a knee-chest position increases systemic vascular resistance, which
, reduces the right-to-left shunt and improves oxygenation. This is the priority nursing
intervention before proceeding with oxygen or medication administration.
4. A nurse is assessing a 2-year-old child for developmental delays. Which finding would be
most concerning to the nurse?
A. The child is unable to ride a tricycle.
B. The child cannot name four primary colors.
C. The child prefers to play alongside other children rather than with them.
D. The child uses only single words and cannot say two-word phrases.
Answer: D
Rationale: By age 2, a child should typically be using two-word phrases and have a
vocabulary of approximately 50 to 300 words. Parallel play is normal for this age group,
and riding a tricycle or naming colors are milestones for older children. Failure to meet
language milestones often triggers an evaluation for hearing loss or developmental
disorders.
5. A nurse is teaching the parents of a child with Growth Hormone (GH) deficiency about the
administration of recombinant human growth hormone. What information is essential to
include?
A. Injections should be administered subcutaneously at bedtime.
B. The medication must be given via intramuscular injection twice a week.
C. Treatment will continue until the child reaches the age of 21.
