NSG 3600 Exam 4 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 4 | Nursing Practice – Children’s
Health | Comprehensive Practice Quiz 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 Exam 4 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
Questions & Verified Answers
1. A 6-month-old infant is brought to the clinic for a check-up. The nurse expects the infant’s
weight to have changed in what way since birth?
A. Tripled
B. Increased by 5 pounds
C. Stayed the same
D. Doubled
Answer: D
Rationale: Typically, an infant’s birth weight doubles by 5 to 6 months of age and triples by 12 months. 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.
2. Which positioning is most appropriate for a child experiencing a ‘tet spell’ (hypercyanotic
spell) due to Tetralogy of Fallot?
A. Knee-chest position
B. Supine with legs extended
C. High-Fowler’s position
D. Prone position
Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left
shunt and improves oxygenation during a cyanotic spell. 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.
3. A nurse is caring for a child with suspected epiglottitis. Which action is contraindicated?
A. Applying humidified oxygen
B. Starting an IV line
C. Keeping the child in an upright position
D. Visualizing the throat with a tongue depressor
Answer: D
Rationale: Examining the throat with a tongue depressor can trigger laryngospasm and complete airway
obstruction in a child with epiglottitis. 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 2
, NSG 3600 Exam 4 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
4. Pancreatic enzymes are administered to a child with cystic fibrosis (CF) for which purpose?
A. To thin respiratory secretions
B. To facilitate digestion and absorption of nutrients
C. To prevent intestinal blockages
D. To control blood glucose levels
Answer: B
Rationale: CF causes thick mucus to block pancreatic ducts, preventing enzymes from reaching the
duodenum. Supplements are needed to digest fats and proteins. 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 (B) requires understanding both the pathophysiology and the practical
nursing implications.
5. What is the hallmark clinical manifestation of intussusception?
A. Projectile vomiting
B. Ribbon-like stools
C. Currant jelly-like stools
D. Steatorrhea
Answer: C
Rationale: Intussusception involves the telescoping of the bowel, leading to inflammation and the passage of
bloody, mucus-filled ‘currant jelly’ stools. 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 (C) requires understanding both the pathophysiology and the practical nursing
implications.
6. A school-age child is being screened for scoliosis. The nurse should ask the child to perform
which maneuver?
A. Perform a deep squat
B. Bend forward at the waist with arms hanging freely
C. Walk in a straight line, heel-to-toe
D. Stand on one foot with eyes closed
Answer: B
Rationale: The Adams Forward Bend test is the standard screening tool for identifying spinal asymmetry or rib
hump associated with scoliosis. 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 Exam 4 | Nursing Practice – Children’s
Health | Comprehensive Practice Quiz 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 Exam 4 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
Questions & Verified Answers
1. A 6-month-old infant is brought to the clinic for a check-up. The nurse expects the infant’s
weight to have changed in what way since birth?
A. Tripled
B. Increased by 5 pounds
C. Stayed the same
D. Doubled
Answer: D
Rationale: Typically, an infant’s birth weight doubles by 5 to 6 months of age and triples by 12 months. 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.
2. Which positioning is most appropriate for a child experiencing a ‘tet spell’ (hypercyanotic
spell) due to Tetralogy of Fallot?
A. Knee-chest position
B. Supine with legs extended
C. High-Fowler’s position
D. Prone position
Answer: A
Rationale: The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left
shunt and improves oxygenation during a cyanotic spell. 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.
3. A nurse is caring for a child with suspected epiglottitis. Which action is contraindicated?
A. Applying humidified oxygen
B. Starting an IV line
C. Keeping the child in an upright position
D. Visualizing the throat with a tongue depressor
Answer: D
Rationale: Examining the throat with a tongue depressor can trigger laryngospasm and complete airway
obstruction in a child with epiglottitis. 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 2
, NSG 3600 Exam 4 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
4. Pancreatic enzymes are administered to a child with cystic fibrosis (CF) for which purpose?
A. To thin respiratory secretions
B. To facilitate digestion and absorption of nutrients
C. To prevent intestinal blockages
D. To control blood glucose levels
Answer: B
Rationale: CF causes thick mucus to block pancreatic ducts, preventing enzymes from reaching the
duodenum. Supplements are needed to digest fats and proteins. 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 (B) requires understanding both the pathophysiology and the practical
nursing implications.
5. What is the hallmark clinical manifestation of intussusception?
A. Projectile vomiting
B. Ribbon-like stools
C. Currant jelly-like stools
D. Steatorrhea
Answer: C
Rationale: Intussusception involves the telescoping of the bowel, leading to inflammation and the passage of
bloody, mucus-filled ‘currant jelly’ stools. 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 (C) requires understanding both the pathophysiology and the practical nursing
implications.
6. A school-age child is being screened for scoliosis. The nurse should ask the child to perform
which maneuver?
A. Perform a deep squat
B. Bend forward at the waist with arms hanging freely
C. Walk in a straight line, heel-to-toe
D. Stand on one foot with eyes closed
Answer: B
Rationale: The Adams Forward Bend test is the standard screening tool for identifying spinal asymmetry or rib
hump associated with scoliosis. 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
