NSG 3600 Pediatric Nursing Exam 4 Review 2026 UPDATE 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Pediatric Nursing Exam 4 Review 2026
UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3600 Pediatric Nursing Exam 4 Review 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
1. At what age does an infant typically begin to sit unsupported?
A. 8 months
B. 6 months
C. 4 months
D. 10 months
Answer: A
Rationale: Most infants can sit unsupported by 8 months of age. By 6 months, they usually sit with support.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes. This is an important clinical concept because selecting the correct answer (A) requires
understanding both the pathophysiology and the practical nursing implications.
2. A nurse is assessing a 2-year-old for pain. Which pain scale is most appropriate?
A. Numeric Rating Scale
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker FACES Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for children aged 2 months to 7
years who cannot communicate their pain level. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A child is suspected of having epiglottitis. Which action should the nurse avoid?
A. Keeping the child in an upright position
B. Providing humidified oxygen
C. Using a tongue blade to visualize the throat
D. Preparing for emergency intubation
Answer: C
Rationale: Using a tongue blade or swab can cause a reflex laryngospasm, leading to immediate airway
obstruction in a child with epiglottitis. This is an important clinical concept because selecting the correct answer
(C) requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Pediatric Nursing Exam 4 Review 2026 UPDATE 2026 Update • Verified Answers
4. What is the primary dietary requirement for a child with Cystic Fibrosis?
A. Low-fat, low-protein diet
B. Pancreatic enzymes with all meals and snacks
C. Fluid restriction
D. Gluten-free diet
Answer: B
Rationale: Due to pancreatic insufficiency, children with CF must take pancreatic enzymes to absorb fats,
proteins, and fat-soluble vitamins. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
5. Which liquid is best to administer with an oral iron supplement to enhance absorption?
A. Milk
B. Water
C. Apple juice
D. Orange juice
Answer: D
Rationale: Vitamin C, found in orange juice, significantly increases the absorption of iron. Milk should be
avoided as it inhibits absorption. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
6. A 4-week-old infant presents with projectile vomiting after feedings and a palpable olive-
shaped mass in the epigastrium. What is the likely diagnosis?
A. Pyloric Stenosis
B. Gastroesophageal Reflux
C. Intussusception
D. Hirschsprung’s Disease
Answer: A
Rationale: Pyloric stenosis is characterized by non-bilious projectile vomiting and a palpable olive-like mass in
the right upper quadrant. Recognizing this principle allows the nurse to prioritize care, anticipate complications,
and provide accurate patient education. Exam questions often test the ability to distinguish this concept from
closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Pediatric Nursing Exam 4 Review 2026
UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3600 Pediatric Nursing Exam 4 Review 2026 UPDATE 2026 Update • Verified Answers
Questions & Verified Answers
1. At what age does an infant typically begin to sit unsupported?
A. 8 months
B. 6 months
C. 4 months
D. 10 months
Answer: A
Rationale: Most infants can sit unsupported by 8 months of age. By 6 months, they usually sit with support.
Applying this knowledge in clinical settings supports safe, evidence-based practice and improves patient
outcomes. This is an important clinical concept because selecting the correct answer (A) requires
understanding both the pathophysiology and the practical nursing implications.
2. A nurse is assessing a 2-year-old for pain. Which pain scale is most appropriate?
A. Numeric Rating Scale
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker FACES Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for children aged 2 months to 7
years who cannot communicate their pain level. Exam questions often test the ability to distinguish this concept
from closely related distractors, making a clear rationale essential for mastery. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
3. A child is suspected of having epiglottitis. Which action should the nurse avoid?
A. Keeping the child in an upright position
B. Providing humidified oxygen
C. Using a tongue blade to visualize the throat
D. Preparing for emergency intubation
Answer: C
Rationale: Using a tongue blade or swab can cause a reflex laryngospasm, leading to immediate airway
obstruction in a child with epiglottitis. This is an important clinical concept because selecting the correct answer
(C) requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Pediatric Nursing Exam 4 Review 2026 UPDATE 2026 Update • Verified Answers
4. What is the primary dietary requirement for a child with Cystic Fibrosis?
A. Low-fat, low-protein diet
B. Pancreatic enzymes with all meals and snacks
C. Fluid restriction
D. Gluten-free diet
Answer: B
Rationale: Due to pancreatic insufficiency, children with CF must take pancreatic enzymes to absorb fats,
proteins, and fat-soluble vitamins. Recognizing this principle allows the nurse to prioritize care, anticipate
complications, and provide accurate patient education. Exam questions often test the ability to distinguish this
concept from closely related distractors, making a clear rationale essential for mastery.
5. Which liquid is best to administer with an oral iron supplement to enhance absorption?
A. Milk
B. Water
C. Apple juice
D. Orange juice
Answer: D
Rationale: Vitamin C, found in orange juice, significantly increases the absorption of iron. Milk should be
avoided as it inhibits absorption. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
6. A 4-week-old infant presents with projectile vomiting after feedings and a palpable olive-
shaped mass in the epigastrium. What is the likely diagnosis?
A. Pyloric Stenosis
B. Gastroesophageal Reflux
C. Intussusception
D. Hirschsprung’s Disease
Answer: A
Rationale: Pyloric stenosis is characterized by non-bilious projectile vomiting and a palpable olive-like mass in
the right upper quadrant. Recognizing this principle allows the nurse to prioritize care, anticipate complications,
and provide accurate patient education. Exam questions often test the ability to distinguish this concept from
closely related distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 3
