NSG 3600 Exam 1: Nursing Practice in Children's Health -
Latest Practice Test | 2026/2027 Edition | 200 Verified
Questions - 180 Questions with Answers
NSG 3600 Exam 1 Pediatrics Practice Test 2026-180 QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document for NSG 3600 Exam 1 focuses on nursing practice in
children's health, covering pediatric growth and development, common childhood illnesses,
family-centered care, and pharmacological interventions. With 200 verified questions and detailed
rationales, this resource is designed to reinforce core pediatric nursing concepts and ensure readiness
for the exam. Updated for the 2026-2027 academic year, it reflects the latest evidence-based practices
and guidelines.
Key Features:
Unit 1: Principles of Pediatric Nursing - Family-centered care, atraumatic care, ethical and legal considerations
Unit 2: Growth and Development - Theories (Piaget, Erikson, Kohlberg), developmental milestones from
infancy to adolescence, and age-appropriate nursing interventions
Unit 3: Pediatric Assessment - Health history, physical examination techniques, vital signs by age, and
developmental screening
Unit 4: Health Promotion and Maintenance - Immunizations, nutrition, safety, and anticipatory guidance
Unit 5: Fluid and Electrolyte Balance - Dehydration, electrolyte imbalances, and IV therapy in children
Unit 6: Respiratory Disorders - Asthma, bronchiolitis, croup, pneumonia, and respiratory distress management
Unit 7: Cardiovascular Disorders - Congenital heart defects, heart failure, and rheumatic fever
Unit 8: Neurological Disorders - Seizures, meningitis, head injuries, and increased intracranial pressure
Unit 9: Gastrointestinal Disorders - Gastroenteritis, appendicitis, intussusception, and cleft lip/palate
Unit 10: Genitourinary Disorders - Urinary tract infections, nephrotic syndrome, and glomerulonephritis
Unit 11: Musculoskeletal Disorders - Fractures, osteomyelitis, scoliosis, and developmental dysplasia of the hip
Unit 12: Hematological and Oncological Disorders - Sickle cell anemia, hemophilia, leukemia, and nursing
care for the child with cancer
Unit 13: Endocrine Disorders - Diabetes mellitus, growth hormone deficiency, and hypothyroidism
Unit 14: Infectious Diseases and Immunizations - Common childhood infections, isolation precautions, and
vaccine schedules
Unit 15: Pediatric Emergencies and Critical Care - Respiratory arrest, shock, poisoning, and trauma
Unit 16: Pharmacological and Nursing Interventions - Medication administration, dosage calculations, and
safety considerations in pediatrics
Updates for 2026:
- Updated to reflect the latest AAP and CDC guidelines for immunizations and pediatric care
- Revised rationales to align with current evidence-based practice and nursing standards
- Added new questions on COVID-19 and its impact on pediatric nursing
- Enhanced coverage of mental health issues in children and adolescents
- Incorporated updated growth charts and developmental screening tools
Abstract:
This exam preparation document for NSG 3600 Exam 1 provides a rigorous review of pediatric nursing practice,
emphasizing the unique physiological and psychosocial needs of children from infancy through adolescence. It
integrates foundational theories of growth and development with clinical application across major body systems,
Page 1
,including respiratory, cardiovascular, neurological, and gastrointestinal disorders. The content underscores
family-centered and atraumatic care, reflecting current nursing standards and evidence-based interventions. Each
question is accompanied by a detailed rationale that explains the correct answer and distracts, facilitating deeper
understanding and critical thinking. The document is structured to mirror the exam blueprint, ensuring
comprehensive coverage of all tested domains. By engaging with these 200 verified questions, students will
enhance their clinical judgment and readiness for the nursing practice of children's health.
Keywords:
Pediatric nursing, Growth and development, Child health assessment, Family-centered care, Common childhood
disorders, Pharmacology for children, NCLEX-style questions, Galen NSG 3600
Answer Format:
Each question is presented in NCLEX-style format with four or five options. The correct answer is clearly
indicated, followed by a comprehensive rationale explaining why it is correct and why the other options are
incorrect. Rationales include relevant pathophysiology, nursing interventions, and safety considerations.
Compliance Checklist:
All questions align with the latest NCLEX-RN test plan and Galen College of Nursing curriculum
References include current pediatric nursing textbooks and evidence-based guidelines
Answers and rationales are verified for accuracy by subject matter experts
Content reflects the 2026-2027 academic year and updated clinical practice standards
Suitable for self-assessment and exam preparation
Content Area Overview:
Content Area Questions Key Topics Weight
Principles of Pediatric Nursing 1-20 Family-centered care, atraumatic care, 10%
ethical/legal issues, nursing roles
Growth and Development 21-50 Theories, milestones, age-specific care, 15%
anticipatory guidance
Pediatric Assessment 51-70 Physical exam, vital signs, developmental 10%
screening, health history
Health Promotion and 71-90 Immunizations, nutrition, safety, injury 10%
Maintenance prevention
Fluid and Electrolyte Balance 91-110 Dehydration, IV therapy, electrolyte 10%
imbalances, acid-base balance
System-Specific Disorders 111-180 Pathophysiology, clinical manifestations, 35%
(Respiratory, Cardiovascular, nursing management, family education
Neurological, GI, GU,
Musculoskeletal, Hematologic,
Endocrine, Infectious)
Pediatric Emergencies and 181-200 Respiratory distress, shock, poisoning, 10%
Critical Care trauma, resuscitation
Page 2
,Q1. A pediatric unit is implementing a new protocol for pain assessment in nonverbal
children. Which tool would be most appropriate for a 3-year-old child who is
developmentally delayed and unable to self-report?
A. FLACC Scale
B. Wong-Baker FACES Pain Rating Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Correct Answer: A. FLACC Scale
Rationale: The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is validated for
children aged 2 months to 7 years and for nonverbal or cognitively impaired children, as it
relies on behavioral observation. The Wong-Baker FACES scale requires self-report and
cognitive ability. Visual Analog and Numeric Rating Scales also require self-report and
are not suitable for nonverbal children.
Why Wrong:
B - Requires self-report and cognitive ability to match faces to pain, which is not
feasible in this population.
C - Requires abstract reasoning and self-report, inappropriate for a nonverbal child.
D - Requires the child to rate pain on a numeric scale, which is not possible without
self-report.
Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 7.
Q2. A child with suspected acute glomerulonephritis presents with tea-colored urine
and periorbital edema. Which laboratory finding would be most consistent with this
diagnosis?
A. Elevated serum C3 complement
B. Decreased antistreptolysin O titer
C. Elevated serum creatinine and blood urea nitrogen
D. Decreased urine specific gravity
Correct Answer: C. Elevated serum creatinine and blood urea nitrogen
Rationale: Acute glomerulonephritis causes decreased glomerular filtration, leading to
elevated serum creatinine and BUN. C3 complement is typically low due to immune
complex deposition. Antistreptolysin O titer is elevated, not decreased. Urine specific
gravity is often elevated due to oliguria.
Why Wrong:
A - C3 is usually low, not elevated, in post-streptococcal glomerulonephritis.
B - ASO titer is typically elevated as evidence of recent streptococcal infection.
D - Urine specific gravity is usually high due to concentrated urine from decreased
GFR.
Page 3
, Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 25.
Q3. Which assessment finding in a child with asthma indicates impending respiratory
failure?
A. Wheezing on expiration only
B. Decreased breath sounds and no wheezing
C. Prolonged expiratory phase
D. Tachycardia and tachypnea
Correct Answer: B. Decreased breath sounds and no wheezing
Rationale: Silent chest (no wheezing) with decreased breath sounds indicates severe
airway obstruction and impending respiratory failure, as airflow is too limited to produce
wheezing. Expiratory wheezing, prolonged expiration, and tachycardia/tachypnea are
signs of moderate to severe distress but not necessarily impending failure.
Why Wrong:
A - Expiratory wheezing indicates obstruction but not necessarily impending failure.
C - Prolonged expiration is a sign of obstruction but can occur without impending
failure.
D - Tachycardia and tachypnea are compensatory responses but not specific for
impending failure.
Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 22.
Q4. A nurse is assessing a child with dehydration. Which laboratory value is the most
sensitive indicator of the type of dehydration?
A. Serum sodium
B. Serum potassium
C. Serum chloride
D. Blood urea nitrogen
Correct Answer: A. Serum sodium
Rationale: Serum sodium determines whether dehydration is isotonic, hypotonic, or
hypertonic, which guides fluid replacement. Potassium and chloride are less specific for
type. BUN reflects renal function and hydration but does not classify the type.
Why Wrong:
B - Potassium levels are affected by cellular shifts but do not classify dehydration.
C - Chloride may be altered but is not the primary indicator.
D - BUN is a marker of prerenal azotemia, not type of dehydration.
Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 24.
Page 4
Latest Practice Test | 2026/2027 Edition | 200 Verified
Questions - 180 Questions with Answers
NSG 3600 Exam 1 Pediatrics Practice Test 2026-180 QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest Guidelines | Graded A+
This comprehensive exam preparation document for NSG 3600 Exam 1 focuses on nursing practice in
children's health, covering pediatric growth and development, common childhood illnesses,
family-centered care, and pharmacological interventions. With 200 verified questions and detailed
rationales, this resource is designed to reinforce core pediatric nursing concepts and ensure readiness
for the exam. Updated for the 2026-2027 academic year, it reflects the latest evidence-based practices
and guidelines.
Key Features:
Unit 1: Principles of Pediatric Nursing - Family-centered care, atraumatic care, ethical and legal considerations
Unit 2: Growth and Development - Theories (Piaget, Erikson, Kohlberg), developmental milestones from
infancy to adolescence, and age-appropriate nursing interventions
Unit 3: Pediatric Assessment - Health history, physical examination techniques, vital signs by age, and
developmental screening
Unit 4: Health Promotion and Maintenance - Immunizations, nutrition, safety, and anticipatory guidance
Unit 5: Fluid and Electrolyte Balance - Dehydration, electrolyte imbalances, and IV therapy in children
Unit 6: Respiratory Disorders - Asthma, bronchiolitis, croup, pneumonia, and respiratory distress management
Unit 7: Cardiovascular Disorders - Congenital heart defects, heart failure, and rheumatic fever
Unit 8: Neurological Disorders - Seizures, meningitis, head injuries, and increased intracranial pressure
Unit 9: Gastrointestinal Disorders - Gastroenteritis, appendicitis, intussusception, and cleft lip/palate
Unit 10: Genitourinary Disorders - Urinary tract infections, nephrotic syndrome, and glomerulonephritis
Unit 11: Musculoskeletal Disorders - Fractures, osteomyelitis, scoliosis, and developmental dysplasia of the hip
Unit 12: Hematological and Oncological Disorders - Sickle cell anemia, hemophilia, leukemia, and nursing
care for the child with cancer
Unit 13: Endocrine Disorders - Diabetes mellitus, growth hormone deficiency, and hypothyroidism
Unit 14: Infectious Diseases and Immunizations - Common childhood infections, isolation precautions, and
vaccine schedules
Unit 15: Pediatric Emergencies and Critical Care - Respiratory arrest, shock, poisoning, and trauma
Unit 16: Pharmacological and Nursing Interventions - Medication administration, dosage calculations, and
safety considerations in pediatrics
Updates for 2026:
- Updated to reflect the latest AAP and CDC guidelines for immunizations and pediatric care
- Revised rationales to align with current evidence-based practice and nursing standards
- Added new questions on COVID-19 and its impact on pediatric nursing
- Enhanced coverage of mental health issues in children and adolescents
- Incorporated updated growth charts and developmental screening tools
Abstract:
This exam preparation document for NSG 3600 Exam 1 provides a rigorous review of pediatric nursing practice,
emphasizing the unique physiological and psychosocial needs of children from infancy through adolescence. It
integrates foundational theories of growth and development with clinical application across major body systems,
Page 1
,including respiratory, cardiovascular, neurological, and gastrointestinal disorders. The content underscores
family-centered and atraumatic care, reflecting current nursing standards and evidence-based interventions. Each
question is accompanied by a detailed rationale that explains the correct answer and distracts, facilitating deeper
understanding and critical thinking. The document is structured to mirror the exam blueprint, ensuring
comprehensive coverage of all tested domains. By engaging with these 200 verified questions, students will
enhance their clinical judgment and readiness for the nursing practice of children's health.
Keywords:
Pediatric nursing, Growth and development, Child health assessment, Family-centered care, Common childhood
disorders, Pharmacology for children, NCLEX-style questions, Galen NSG 3600
Answer Format:
Each question is presented in NCLEX-style format with four or five options. The correct answer is clearly
indicated, followed by a comprehensive rationale explaining why it is correct and why the other options are
incorrect. Rationales include relevant pathophysiology, nursing interventions, and safety considerations.
Compliance Checklist:
All questions align with the latest NCLEX-RN test plan and Galen College of Nursing curriculum
References include current pediatric nursing textbooks and evidence-based guidelines
Answers and rationales are verified for accuracy by subject matter experts
Content reflects the 2026-2027 academic year and updated clinical practice standards
Suitable for self-assessment and exam preparation
Content Area Overview:
Content Area Questions Key Topics Weight
Principles of Pediatric Nursing 1-20 Family-centered care, atraumatic care, 10%
ethical/legal issues, nursing roles
Growth and Development 21-50 Theories, milestones, age-specific care, 15%
anticipatory guidance
Pediatric Assessment 51-70 Physical exam, vital signs, developmental 10%
screening, health history
Health Promotion and 71-90 Immunizations, nutrition, safety, injury 10%
Maintenance prevention
Fluid and Electrolyte Balance 91-110 Dehydration, IV therapy, electrolyte 10%
imbalances, acid-base balance
System-Specific Disorders 111-180 Pathophysiology, clinical manifestations, 35%
(Respiratory, Cardiovascular, nursing management, family education
Neurological, GI, GU,
Musculoskeletal, Hematologic,
Endocrine, Infectious)
Pediatric Emergencies and 181-200 Respiratory distress, shock, poisoning, 10%
Critical Care trauma, resuscitation
Page 2
,Q1. A pediatric unit is implementing a new protocol for pain assessment in nonverbal
children. Which tool would be most appropriate for a 3-year-old child who is
developmentally delayed and unable to self-report?
A. FLACC Scale
B. Wong-Baker FACES Pain Rating Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Correct Answer: A. FLACC Scale
Rationale: The FLACC Scale (Face, Legs, Activity, Cry, Consolability) is validated for
children aged 2 months to 7 years and for nonverbal or cognitively impaired children, as it
relies on behavioral observation. The Wong-Baker FACES scale requires self-report and
cognitive ability. Visual Analog and Numeric Rating Scales also require self-report and
are not suitable for nonverbal children.
Why Wrong:
B - Requires self-report and cognitive ability to match faces to pain, which is not
feasible in this population.
C - Requires abstract reasoning and self-report, inappropriate for a nonverbal child.
D - Requires the child to rate pain on a numeric scale, which is not possible without
self-report.
Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 7.
Q2. A child with suspected acute glomerulonephritis presents with tea-colored urine
and periorbital edema. Which laboratory finding would be most consistent with this
diagnosis?
A. Elevated serum C3 complement
B. Decreased antistreptolysin O titer
C. Elevated serum creatinine and blood urea nitrogen
D. Decreased urine specific gravity
Correct Answer: C. Elevated serum creatinine and blood urea nitrogen
Rationale: Acute glomerulonephritis causes decreased glomerular filtration, leading to
elevated serum creatinine and BUN. C3 complement is typically low due to immune
complex deposition. Antistreptolysin O titer is elevated, not decreased. Urine specific
gravity is often elevated due to oliguria.
Why Wrong:
A - C3 is usually low, not elevated, in post-streptococcal glomerulonephritis.
B - ASO titer is typically elevated as evidence of recent streptococcal infection.
D - Urine specific gravity is usually high due to concentrated urine from decreased
GFR.
Page 3
, Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 25.
Q3. Which assessment finding in a child with asthma indicates impending respiratory
failure?
A. Wheezing on expiration only
B. Decreased breath sounds and no wheezing
C. Prolonged expiratory phase
D. Tachycardia and tachypnea
Correct Answer: B. Decreased breath sounds and no wheezing
Rationale: Silent chest (no wheezing) with decreased breath sounds indicates severe
airway obstruction and impending respiratory failure, as airflow is too limited to produce
wheezing. Expiratory wheezing, prolonged expiration, and tachycardia/tachypnea are
signs of moderate to severe distress but not necessarily impending failure.
Why Wrong:
A - Expiratory wheezing indicates obstruction but not necessarily impending failure.
C - Prolonged expiration is a sign of obstruction but can occur without impending
failure.
D - Tachycardia and tachypnea are compensatory responses but not specific for
impending failure.
Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 22.
Q4. A nurse is assessing a child with dehydration. Which laboratory value is the most
sensitive indicator of the type of dehydration?
A. Serum sodium
B. Serum potassium
C. Serum chloride
D. Blood urea nitrogen
Correct Answer: A. Serum sodium
Rationale: Serum sodium determines whether dehydration is isotonic, hypotonic, or
hypertonic, which guides fluid replacement. Potassium and chloride are less specific for
type. BUN reflects renal function and hydration but does not classify the type.
Why Wrong:
B - Potassium levels are affected by cellular shifts but do not classify dehydration.
C - Chloride may be altered but is not the primary indicator.
D - BUN is a marker of prerenal azotemia, not type of dehydration.
Reference: Hockenberry, M.J., & Wilson, D. (2023). Wong's Nursing Care of Infants and
Children, 11th ed., Ch. 24.
Page 4
