NSG 3600 Exam 3 - Pediatric Nursing Comprehensive 2026 UPDATE
1. A nurse is assessing a 4-year-old child’s pain level after surgery. Which pain assessment
tool is most appropriate for this age group?
A. Numerical Rating Scale (0-10)
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker FACES Pain Rating Scale
Answer: D
Rationale: The Wong-Baker FACES scale is ideal for children aged 3 and older because
they can point to the face that best represents their pain level.
2. A 2-year-old child is hospitalized and is throwing a tantrum. The nurse understands that
according to Erikson, this child is in which developmental stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: C
,Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt stage, where
they strive for independence and control.
3. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after
feedings. The nurse notes an olive-shaped mass in the right upper quadrant. Which condition
is suspected?
A. Intussusception
B. Gastroesophageal Reflux
C. Hirschsprung Disease
D. Hypertrophic Pyloric Stenosis
Answer: D
Rationale: Projectile vomiting and a palpable olive-shaped mass are classic clinical
manifestations of pyloric stenosis.
4. Which dietary instruction is essential for a child newly diagnosed with Celiac Disease?
A. Restrict dairy products
B. Avoid all citrus fruits
C. Increase intake of whole-grain bread
D. Eliminate wheat, rye, and barley
Answer: D
, Rationale: Celiac disease requires a lifelong gluten-free diet, which involves eliminating
wheat, rye, and barley (and oats if cross-contaminated).
5. A nurse is caring for a child with a ‘barking’ cough and inspiratory stridor. Which
intervention is the priority?
A. Administering IV antibiotics
B. Performing a throat culture
C. Providing humidified oxygen or cool mist
D. Placing the child in a supine position
Answer: C
Rationale: These are signs of Croup (laryngotracheobronchitis). Humidified air or cool
mist helps reduce upper airway edema.
6. A child with Cystic Fibrosis is prescribed pancrelipase. When should the nurse instruct the
parents to administer this medication?
A. Once daily in the morning
B. Only when the child has fatty stools
C. Before every meal and snack
D. Two hours after meals
Answer: C
1. A nurse is assessing a 4-year-old child’s pain level after surgery. Which pain assessment
tool is most appropriate for this age group?
A. Numerical Rating Scale (0-10)
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker FACES Pain Rating Scale
Answer: D
Rationale: The Wong-Baker FACES scale is ideal for children aged 3 and older because
they can point to the face that best represents their pain level.
2. A 2-year-old child is hospitalized and is throwing a tantrum. The nurse understands that
according to Erikson, this child is in which developmental stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: C
,Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt stage, where
they strive for independence and control.
3. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after
feedings. The nurse notes an olive-shaped mass in the right upper quadrant. Which condition
is suspected?
A. Intussusception
B. Gastroesophageal Reflux
C. Hirschsprung Disease
D. Hypertrophic Pyloric Stenosis
Answer: D
Rationale: Projectile vomiting and a palpable olive-shaped mass are classic clinical
manifestations of pyloric stenosis.
4. Which dietary instruction is essential for a child newly diagnosed with Celiac Disease?
A. Restrict dairy products
B. Avoid all citrus fruits
C. Increase intake of whole-grain bread
D. Eliminate wheat, rye, and barley
Answer: D
, Rationale: Celiac disease requires a lifelong gluten-free diet, which involves eliminating
wheat, rye, and barley (and oats if cross-contaminated).
5. A nurse is caring for a child with a ‘barking’ cough and inspiratory stridor. Which
intervention is the priority?
A. Administering IV antibiotics
B. Performing a throat culture
C. Providing humidified oxygen or cool mist
D. Placing the child in a supine position
Answer: C
Rationale: These are signs of Croup (laryngotracheobronchitis). Humidified air or cool
mist helps reduce upper airway edema.
6. A child with Cystic Fibrosis is prescribed pancrelipase. When should the nurse instruct the
parents to administer this medication?
A. Once daily in the morning
B. Only when the child has fatty stools
C. Before every meal and snack
D. Two hours after meals
Answer: C
