NSG3600 Exam 2 V2 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A 4-week-old infant is brought to the clinic with a history of projectile, non-bilious vomiting
after feedings. The nurse palpates an olive-shaped mass in the right upper quadrant. Which
condition does the nurse suspect?
A. Hypertrophic pyloric stenosis
B. Intussusception
C. Gastroesophageal reflux
D. Hirschsprung disease
Answer: A
Rationale: Hypertrophic pyloric stenosis is characterized by the thickening of the pyloric
sphincter, leading to outlet obstruction. The classic signs are projectile non-bilious
vomiting and a palpable olive-shaped mass in the epigastrium. This condition typically
manifests between 2 to 8 weeks of age and requires surgical intervention.
2. Which pain assessment tool is most appropriate for a 4-year-old child who is
developmentally on track?
A. Wong-Baker FACES Pain Rating Scale
B. Numeric Rating Scale (0-10)
,C. CRIES scale
D. FLACC Behavioral Scale
Answer: A
Rationale: The Wong-Baker FACES scale is ideal for children as young as 3 years old
because it allows them to point to a face that represents their pain level. The Numeric scale
is generally for children 8 years or older who understand rank and order. The FLACC scale
is used for non-verbal children or infants by observing behaviors.
3. A child is admitted with suspected Hirschsprung disease. Which clinical manifestation is
most associated with this disorder in a neonate?
A. Failure to pass meconium within the first 24 to 48 hours
B. Steatorrhea and oily stools
C. Currant jelly-like stools
D. Projectile vomiting
Answer: A
Rationale: Hirschsprung disease is a congenital aganglionic megacolon resulting in
mechanical obstruction. In neonates, the primary sign is the failure to pass meconium in
the first 24-48 hours of life. Other symptoms include abdominal distension and ribbon-like,
foul-smelling stools in older children.
, 4. A nurse is caring for a toddler with moderate dehydration. Which clinical finding would the
nurse expect to observe?
A. Slightly increased heart rate and decreased skin turgor
B. Moist mucous membranes
C. Brisk capillary refill of less than 2 seconds
D. Normal urinary output
Answer: A
Rationale: Moderate dehydration (6-9% weight loss) presents with slightly increased
pulse, poor skin turgor, and dry mucous membranes. Capillary refill is typically delayed
between 2 to 4 seconds. Urine output is usually decreased and concentrated.
5. A child is diagnosed with Celiac disease. Which food should the nurse instruct the parents
to eliminate from the child’s diet?
A. Rice
B. Corn
C. Wheat
D. Potatoes
Answer: C
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A 4-week-old infant is brought to the clinic with a history of projectile, non-bilious vomiting
after feedings. The nurse palpates an olive-shaped mass in the right upper quadrant. Which
condition does the nurse suspect?
A. Hypertrophic pyloric stenosis
B. Intussusception
C. Gastroesophageal reflux
D. Hirschsprung disease
Answer: A
Rationale: Hypertrophic pyloric stenosis is characterized by the thickening of the pyloric
sphincter, leading to outlet obstruction. The classic signs are projectile non-bilious
vomiting and a palpable olive-shaped mass in the epigastrium. This condition typically
manifests between 2 to 8 weeks of age and requires surgical intervention.
2. Which pain assessment tool is most appropriate for a 4-year-old child who is
developmentally on track?
A. Wong-Baker FACES Pain Rating Scale
B. Numeric Rating Scale (0-10)
,C. CRIES scale
D. FLACC Behavioral Scale
Answer: A
Rationale: The Wong-Baker FACES scale is ideal for children as young as 3 years old
because it allows them to point to a face that represents their pain level. The Numeric scale
is generally for children 8 years or older who understand rank and order. The FLACC scale
is used for non-verbal children or infants by observing behaviors.
3. A child is admitted with suspected Hirschsprung disease. Which clinical manifestation is
most associated with this disorder in a neonate?
A. Failure to pass meconium within the first 24 to 48 hours
B. Steatorrhea and oily stools
C. Currant jelly-like stools
D. Projectile vomiting
Answer: A
Rationale: Hirschsprung disease is a congenital aganglionic megacolon resulting in
mechanical obstruction. In neonates, the primary sign is the failure to pass meconium in
the first 24-48 hours of life. Other symptoms include abdominal distension and ribbon-like,
foul-smelling stools in older children.
, 4. A nurse is caring for a toddler with moderate dehydration. Which clinical finding would the
nurse expect to observe?
A. Slightly increased heart rate and decreased skin turgor
B. Moist mucous membranes
C. Brisk capillary refill of less than 2 seconds
D. Normal urinary output
Answer: A
Rationale: Moderate dehydration (6-9% weight loss) presents with slightly increased
pulse, poor skin turgor, and dry mucous membranes. Capillary refill is typically delayed
between 2 to 4 seconds. Urine output is usually decreased and concentrated.
5. A child is diagnosed with Celiac disease. Which food should the nurse instruct the parents
to eliminate from the child’s diet?
A. Rice
B. Corn
C. Wheat
D. Potatoes
Answer: C
