NSG 3600 Final Exam 2026 | Questions with Answers
& Detailed Explanations | Pediatric Nursing &
Leadership | Latest Version | Guaranteed Pass
Description
Complete NSG 3600 Final Exam 2026 preparation guide containing 150 multiple-choice practice
questions with detailed explanations in italic.
This comprehensive study resource covers all essential topics from the NSG 3600 Nursing Final Exam :
✅ Pediatric Respiratory Disorders – Croup (barking cough, inspiratory stridor), epiglottitis (drooling,
fever, tripod position, emergency), bronchiolitis (RSV, wheezing), asthma (bronchoconstriction, albuterol),
pneumonia (crackles, fever), cystic fibrosis (sweat chloride test, steatorrhea, pancreatic enzymes,
Pseudomonas aeruginosa)
✅ Pediatric Cardiovascular & Hematologic Disorders – Kawasaki disease (strawberry tongue,
conjunctival injection, coronary artery aneurysms), rheumatic fever (joint pain, subcutaneous nodules,
history of strep throat), tetralogy of Fallot (tet spells, knee-chest position, oxygen), heart failure (left-sided:
dyspnea/crackles; right-sided: hepatomegaly/edema), sickle cell disease (vaso-occlusive crisis, hydration,
morphine), hemophilia (joint bleeding, factor replacement, no aspirin), iron deficiency anemia
✅ Pediatric Gastrointestinal & Genitourinary Disorders – Intussusception (currant jelly stools, colicky
abdominal pain), pyloric stenosis (projectile vomiting, olive-shaped mass), Wilms tumor (avoid abdominal
palpation, hypertension risk), Hirschsprung's disease (failure to pass meconium), celiac disease (gluten
avoidance), GERD (upright positioning), nephrotic syndrome (proteinuria, edema), acute glomerulonephritis
(hematuria, hypertension)
✅ Pediatric Oncology & Hematology – Leukemia (neutropenic precautions, ANC monitoring,
infection/bleeding risk), chemotherapy side effects, neutropenia (ANC <500 requires precautions),
thrombocytopenia (bleeding risk)
✅ Pediatric Infectious Diseases & Immunology – Fifth disease (slapped cheek rash), roseola (fever
followed by rash), anaphylaxis (epinephrine, stridor), meningitis (lumbar puncture, nuchal rigidity), febrile
seizures
✅ Neurological & Musculoskeletal Disorders – Cerebral palsy (non-progressive disorder), status
epilepticus (IV benzodiazepines), head injury (increased ICP, unequal pupils, positioning), seizure
disorders (phenytoin, gingival hyperplasia)
, ✅ Fluid & Electrolyte Imbalances – Hypocalcemia (paresthesia, Chvostek sign), hyperkalemia (cardiac
arrest, ECG changes), hyponatremia (hypertonic saline), hypokalemia (muscle weakness, arrhythmias),
TPN monitoring
✅ Leadership & Management in Nursing – Autocratic vs Transformational vs Democratic leadership,
trait theories ("born leader"), chain of command, conflict resolution (accommodating), change management
(planning first), quality improvement, delegation (declining tasks you're not qualified for), human resource
management, Hawthorne effect, family-centered care
✅ Advanced Pharmacology & Emergency Nursing – Antidotes: Naloxone (opioids), Flumazenil
(benzodiazepines), Acetylcysteine (acetaminophen), Protamine sulfate (heparin), Vitamin K (warfarin);
Epinephrine (anaphylaxis); IV glucose/glucagon (hypoglycemia); Lorazepam (status epilepticus); Calcium
gluconate (hyperkalemia)
✅ Nursing Care of the Child with Burns & Integumentary Disorders – First-degree (redness, pain, no
blistering), second-degree (blistering, pink/cherry red, pain), pediatric burns, head lice (whole family
treatment), spider bites (edematous papule, necrotic)
✅ Nursing Care of the Child with Endocrine Disorders – Type 1 diabetes (hypoglycemia management,
DKA, insulin administration), congenital hypothyroidism (lethargy, poor feeding, constipation), growth
hormone deficiency (short stature)
📚 Section 1: Pediatric Respiratory Disorders (Questions 1–20)
1. A child is brought in with a barking cough, low-grade fever, and inspiratory stridor.
The nurse suspects which condition?
A) Epiglottitis
B) Laryngotracheobronchitis (croup)
C) Bronchiolitis
, D) Pneumonia
Answer: B
Explanation: Croup (laryngotracheobronchitis) is characterized by a barking cough,
inspiratory stridor, and low-grade fever. Epiglottitis presents with high fever, drooling, and
severe respiratory distress. Bronchiolitis is characterized by wheezing and respiratory
distress in infants, and pneumonia presents with productive cough, crackles, and fever .
2. A child presents with rapid onset of respiratory distress, drooling, inspiratory
stridor, and agitation. Which nursing action is most appropriate?
A) Prepare for intubation
B) Perform a throat culture
C) Allow the child to sit up in whatever position is most comfortable
D) Administer a bronchodilator
Answer: C
Explanation: Epiglottitis is a medical emergency. The child should be allowed to sit up in a
position of comfort (tripod position) to maintain the airway. Throat cultures and examination
should be avoided until the airway is secured to prevent complete obstruction .
3. A nurse is caring for a child with left-sided heart failure. Which symptom would the
nurse question?
A) Dyspnea
, B) Crackles
C) Hepatomegaly
D) Tachycardia
Answer: C
Explanation: Hepatomegaly is a sign of right-sided heart failure, not left-sided heart failure.
Left-sided heart failure causes pulmonary congestion (dyspnea, crackles) and tachycardia .
4. A child with cystic fibrosis is diagnosed with a respiratory infection. Which
organism is most commonly associated with pulmonary exacerbations in this
population?
A) Staphylococcus aureus
B) Pseudomonas aeruginosa
C) Streptococcus pneumoniae
D) Haemophilus influenzae
Answer: B
Explanation: Pseudomonas aeruginosa is a common pathogen in cystic fibrosis and is
associated with chronic pulmonary infections. It is a major cause of morbidity and mortality
in this population .
5. A child is brought in with frequent respiratory infections, a nonproductive cough,
and steatorrhea. The nurse suspects which test will be ordered?
& Detailed Explanations | Pediatric Nursing &
Leadership | Latest Version | Guaranteed Pass
Description
Complete NSG 3600 Final Exam 2026 preparation guide containing 150 multiple-choice practice
questions with detailed explanations in italic.
This comprehensive study resource covers all essential topics from the NSG 3600 Nursing Final Exam :
✅ Pediatric Respiratory Disorders – Croup (barking cough, inspiratory stridor), epiglottitis (drooling,
fever, tripod position, emergency), bronchiolitis (RSV, wheezing), asthma (bronchoconstriction, albuterol),
pneumonia (crackles, fever), cystic fibrosis (sweat chloride test, steatorrhea, pancreatic enzymes,
Pseudomonas aeruginosa)
✅ Pediatric Cardiovascular & Hematologic Disorders – Kawasaki disease (strawberry tongue,
conjunctival injection, coronary artery aneurysms), rheumatic fever (joint pain, subcutaneous nodules,
history of strep throat), tetralogy of Fallot (tet spells, knee-chest position, oxygen), heart failure (left-sided:
dyspnea/crackles; right-sided: hepatomegaly/edema), sickle cell disease (vaso-occlusive crisis, hydration,
morphine), hemophilia (joint bleeding, factor replacement, no aspirin), iron deficiency anemia
✅ Pediatric Gastrointestinal & Genitourinary Disorders – Intussusception (currant jelly stools, colicky
abdominal pain), pyloric stenosis (projectile vomiting, olive-shaped mass), Wilms tumor (avoid abdominal
palpation, hypertension risk), Hirschsprung's disease (failure to pass meconium), celiac disease (gluten
avoidance), GERD (upright positioning), nephrotic syndrome (proteinuria, edema), acute glomerulonephritis
(hematuria, hypertension)
✅ Pediatric Oncology & Hematology – Leukemia (neutropenic precautions, ANC monitoring,
infection/bleeding risk), chemotherapy side effects, neutropenia (ANC <500 requires precautions),
thrombocytopenia (bleeding risk)
✅ Pediatric Infectious Diseases & Immunology – Fifth disease (slapped cheek rash), roseola (fever
followed by rash), anaphylaxis (epinephrine, stridor), meningitis (lumbar puncture, nuchal rigidity), febrile
seizures
✅ Neurological & Musculoskeletal Disorders – Cerebral palsy (non-progressive disorder), status
epilepticus (IV benzodiazepines), head injury (increased ICP, unequal pupils, positioning), seizure
disorders (phenytoin, gingival hyperplasia)
, ✅ Fluid & Electrolyte Imbalances – Hypocalcemia (paresthesia, Chvostek sign), hyperkalemia (cardiac
arrest, ECG changes), hyponatremia (hypertonic saline), hypokalemia (muscle weakness, arrhythmias),
TPN monitoring
✅ Leadership & Management in Nursing – Autocratic vs Transformational vs Democratic leadership,
trait theories ("born leader"), chain of command, conflict resolution (accommodating), change management
(planning first), quality improvement, delegation (declining tasks you're not qualified for), human resource
management, Hawthorne effect, family-centered care
✅ Advanced Pharmacology & Emergency Nursing – Antidotes: Naloxone (opioids), Flumazenil
(benzodiazepines), Acetylcysteine (acetaminophen), Protamine sulfate (heparin), Vitamin K (warfarin);
Epinephrine (anaphylaxis); IV glucose/glucagon (hypoglycemia); Lorazepam (status epilepticus); Calcium
gluconate (hyperkalemia)
✅ Nursing Care of the Child with Burns & Integumentary Disorders – First-degree (redness, pain, no
blistering), second-degree (blistering, pink/cherry red, pain), pediatric burns, head lice (whole family
treatment), spider bites (edematous papule, necrotic)
✅ Nursing Care of the Child with Endocrine Disorders – Type 1 diabetes (hypoglycemia management,
DKA, insulin administration), congenital hypothyroidism (lethargy, poor feeding, constipation), growth
hormone deficiency (short stature)
📚 Section 1: Pediatric Respiratory Disorders (Questions 1–20)
1. A child is brought in with a barking cough, low-grade fever, and inspiratory stridor.
The nurse suspects which condition?
A) Epiglottitis
B) Laryngotracheobronchitis (croup)
C) Bronchiolitis
, D) Pneumonia
Answer: B
Explanation: Croup (laryngotracheobronchitis) is characterized by a barking cough,
inspiratory stridor, and low-grade fever. Epiglottitis presents with high fever, drooling, and
severe respiratory distress. Bronchiolitis is characterized by wheezing and respiratory
distress in infants, and pneumonia presents with productive cough, crackles, and fever .
2. A child presents with rapid onset of respiratory distress, drooling, inspiratory
stridor, and agitation. Which nursing action is most appropriate?
A) Prepare for intubation
B) Perform a throat culture
C) Allow the child to sit up in whatever position is most comfortable
D) Administer a bronchodilator
Answer: C
Explanation: Epiglottitis is a medical emergency. The child should be allowed to sit up in a
position of comfort (tripod position) to maintain the airway. Throat cultures and examination
should be avoided until the airway is secured to prevent complete obstruction .
3. A nurse is caring for a child with left-sided heart failure. Which symptom would the
nurse question?
A) Dyspnea
, B) Crackles
C) Hepatomegaly
D) Tachycardia
Answer: C
Explanation: Hepatomegaly is a sign of right-sided heart failure, not left-sided heart failure.
Left-sided heart failure causes pulmonary congestion (dyspnea, crackles) and tachycardia .
4. A child with cystic fibrosis is diagnosed with a respiratory infection. Which
organism is most commonly associated with pulmonary exacerbations in this
population?
A) Staphylococcus aureus
B) Pseudomonas aeruginosa
C) Streptococcus pneumoniae
D) Haemophilus influenzae
Answer: B
Explanation: Pseudomonas aeruginosa is a common pathogen in cystic fibrosis and is
associated with chronic pulmonary infections. It is a major cause of morbidity and mortality
in this population .
5. A child is brought in with frequent respiratory infections, a nonproductive cough,
and steatorrhea. The nurse suspects which test will be ordered?
