NSG3600 Exam 2 V3 | NSG 3600 Nursing
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is triaging a group of pediatric patients in the emergency department. Which child
should be seen first?
A. A 6-year-old with a laceration to the forearm and controlled bleeding.
B. A 10-month-old with suspected epiglottitis who is drooling and sitting in a tripod
position.
C. A 3-year-old with a barking cough and a temperature of 101°F (38.3°C).
D. An 8-year-old with a history of asthma reporting mild wheezing after playing outside.
Answer: B
Rationale: Epiglottitis is a life-threatening medical emergency due to the risk of sudden
and complete airway obstruction. The tripod position and drooling indicate the child is
struggling to maintain a patent airway and requires immediate intervention. Other
patients, while needing care, are currently stable or have non-immediate respiratory
distress.
2. When administering oxygen to a toddler via a simple face mask, which flow rate is
minimum to prevent rebreathing of carbon dioxide?
A. 2 Liters per minute
,B. 5 Liters per minute
C. 10 Liters per minute
D. 1 Liter per minute
Answer: B
Rationale: A flow rate of at least 5 liters per minute is required for a simple face mask to
ensure that exhaled CO2 is flushed out. Using a lower flow rate can lead to the
accumulation of carbon dioxide within the mask, which the child would then rebreathe.
Nurses must monitor oxygen saturation and clinical symptoms to ensure the delivery
system is effective.
3. A school nurse is teaching a group of parents about the transmission of varicella
(chickenpox). Which statement by a parent indicates understanding?
A. ‘My child is only contagious once the blisters have crusted over.’
B. ‘Varicella is a bacterial infection that requires 10 days of antibiotics.’}],
C. ‘It is safe for my child to return to school as soon as the rash appears.’
D. ‘The virus is spread through direct contact and airborne droplets.’
Answer: D
Rationale: Varicella is highly contagious and spreads through both direct contact with
lesions and respiratory secretions (airborne). Children are contagious for 1 to 2 days
before the rash appears until all vesicles have crusted over. Understanding these
, transmission routes is vital for school nurses to prevent outbreaks in the educational
setting.
4. An infant with severe dehydration is admitted to the pediatric unit. Which clinical finding
should the nurse expect?
A. Increased urine output and moist mucous membranes.
B. Bulging fontanels and rapid weight gain.
C. Sunken fontanels, dry mucous membranes, and delayed capillary refill.
D. Bradycardia and hypertension.
Answer: C
Rationale: Severe dehydration in infants is characterized by a significant loss of body fluid,
leading to sunken fontanels and dry mucous membranes. Patients will also demonstrate
signs of poor perfusion, such as delayed capillary refill and tachycardia, as the body
attempts to compensate for low volume. Monitoring these signs is essential for evaluating
the effectiveness of rehydration therapy.
5. A physician orders a medication dose of 15 mg/kg for a child who weighs 44 lbs. What is
the correct dose for this patient?
A. 150 mg
B. 660 mg
C. 300 mg
Practice – Children’s Health Exam Q&A |
Galen College of Nursing
1. A nurse is triaging a group of pediatric patients in the emergency department. Which child
should be seen first?
A. A 6-year-old with a laceration to the forearm and controlled bleeding.
B. A 10-month-old with suspected epiglottitis who is drooling and sitting in a tripod
position.
C. A 3-year-old with a barking cough and a temperature of 101°F (38.3°C).
D. An 8-year-old with a history of asthma reporting mild wheezing after playing outside.
Answer: B
Rationale: Epiglottitis is a life-threatening medical emergency due to the risk of sudden
and complete airway obstruction. The tripod position and drooling indicate the child is
struggling to maintain a patent airway and requires immediate intervention. Other
patients, while needing care, are currently stable or have non-immediate respiratory
distress.
2. When administering oxygen to a toddler via a simple face mask, which flow rate is
minimum to prevent rebreathing of carbon dioxide?
A. 2 Liters per minute
,B. 5 Liters per minute
C. 10 Liters per minute
D. 1 Liter per minute
Answer: B
Rationale: A flow rate of at least 5 liters per minute is required for a simple face mask to
ensure that exhaled CO2 is flushed out. Using a lower flow rate can lead to the
accumulation of carbon dioxide within the mask, which the child would then rebreathe.
Nurses must monitor oxygen saturation and clinical symptoms to ensure the delivery
system is effective.
3. A school nurse is teaching a group of parents about the transmission of varicella
(chickenpox). Which statement by a parent indicates understanding?
A. ‘My child is only contagious once the blisters have crusted over.’
B. ‘Varicella is a bacterial infection that requires 10 days of antibiotics.’}],
C. ‘It is safe for my child to return to school as soon as the rash appears.’
D. ‘The virus is spread through direct contact and airborne droplets.’
Answer: D
Rationale: Varicella is highly contagious and spreads through both direct contact with
lesions and respiratory secretions (airborne). Children are contagious for 1 to 2 days
before the rash appears until all vesicles have crusted over. Understanding these
, transmission routes is vital for school nurses to prevent outbreaks in the educational
setting.
4. An infant with severe dehydration is admitted to the pediatric unit. Which clinical finding
should the nurse expect?
A. Increased urine output and moist mucous membranes.
B. Bulging fontanels and rapid weight gain.
C. Sunken fontanels, dry mucous membranes, and delayed capillary refill.
D. Bradycardia and hypertension.
Answer: C
Rationale: Severe dehydration in infants is characterized by a significant loss of body fluid,
leading to sunken fontanels and dry mucous membranes. Patients will also demonstrate
signs of poor perfusion, such as delayed capillary refill and tachycardia, as the body
attempts to compensate for low volume. Monitoring these signs is essential for evaluating
the effectiveness of rehydration therapy.
5. A physician orders a medication dose of 15 mg/kg for a child who weighs 44 lbs. What is
the correct dose for this patient?
A. 150 mg
B. 660 mg
C. 300 mg
