NSG 3600
EXAMS 1-4
Pediatric Nursing
200 Questions with Rationales
Galen College of Nursing
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,Contents
NSG 3600 Exam 1 .................................................................. 2
NSG 3600 Exam 2 ................................................................ 23
NSG 3600 Exam 3 ................................................................ 45
NSG 3600 Exam 4 ................................................................ 68
NSG 3600 Exam 1
1. A nurse is reviewing the typical age of onset for slipped capital femoral
epiphysis (SCFE). Which age group is most commonly associated with this
condition?
A. Less than 2 years
B. 5 to 8 years
C. 10 to 14 years
D. 15 to 18 years
Correct Answer: A. Less than 2 years
Rationale: Slipped capital femoral epiphysis is associated with children less than 2
years of age according to pediatric orthopedic guidelines. Option B is incorrect because
this age range is more typical for other hip disorders such as Legg-Calvé-Perthes
disease. Option C is incorrect because early adolescence is more commonly associated
with acute traumatic hip injuries rather than SCFE in this context. Option D is incorrect
because late adolescence is not the typical age group identified for this condition.
2. A school-aged child arrives at the clinic after injuring the knee during soccer.
The child reports the knee gave way and now feels unstable. Which injury should
the nurse suspect?
,A. Meniscal
A. Meniscalteartear
B. Anterior
B. Anterior cruciate
cruciateligament
ligamentinjury
injury
C. Patellar
C. Patellardislocation
dislocation
D. Tibial
D. Tibial fracture
fracture
Correct Answer:
Correct B. Anterior
Answer: B. Anteriorcruciate
cruciateligament
ligamentinjury
injury
Rationale: An anterior
Rationale: anterior cruciate
cruciate ligament
ligament(ACL)
(ACL)injury
injuryis is characterized
characterized by by pain
pain andand
knee, often
instability of the knee, often described
describedby bythe
thechild
childasasthe
theknee
knee giving
giving way.
way. Option
Option A is
A is
incorrect because
becauseaameniscal
meniscaltearteartypically
typically causes
causes locking
locking or catching
or catching sensations
sensations rather
rather
than gross
gross instability.
instability. Option
Option CCisisincorrect
incorrectbecause
because patellar
patellar dislocation
dislocation causes
causes visible
visible
displacement
displacement of of the
the kneecap
kneecapand andimmediate
immediateinability
inabilitytotoextend
extendthe
theknee.
knee. Option
Option D is
D is
incorrect because
becauseaatibialtibialfracture
fracturepresents
presentswith
withinability
inabilitytotobear
bearweight,
weight,deformity,
deformity,and
and
severe painrather
severe pain ratherthan
thanisolated
isolatedinstability.
instability.
A nurse
3. A nurseisisdiscussing
discussing Erikson's
Erikson's stages
stages of development
of development withwith the parents
the parents of a 16-
of a 16-
year-old. Which
year-old. Whichstage
stageisisthe
theadolescent
adolescent attempting
attempting to to master?
master?
A. Initiative
A. Initiative versus
versusguilt
guilt
B. Industry
B. Industry versus
versusinferiority
inferiority
C. Identity
C. Identity versus
versusrole
roleconfusion
confusion
D. Intimacy
D. Intimacy versus
versusisolation
isolation
Correct Answer:
Correct C. Identity
Answer: C. Identity versus
versusrole
roleconfusion
confusion
Rationale: According
Rationale: to Erikson,
According to Erikson,the
thedevelopmental
developmentaltask taskofofadolescence
adolescence is identity
is identity
versus role
versus role confusion,
confusion,during
duringwhich
whichteenagers
teenagersexplore
explorewho whotheythey are
are andand establish
establish a a
senseof
sense ofself.
self.Option
OptionAAisisincorrect
incorrectbecause
because initiative
initiative versus
versus guilt
guilt is the
is the preschool
preschool stage.
stage.
Option B B is
isincorrect
incorrectbecause
becauseindustry
industryversus
versus inferiorityis is
inferiority the
the school-age
school-age stage.
stage. Option
Option
is incorrect
D is incorrectbecause
becauseintimacy
intimacyversus
versus isolation
isolation is is
thethe young
young adult
adult stage.
stage.
A nurse
4. A nurseisiscaring
caringfor
fora achild
childinin Piaget's
Piaget's concrete
concrete operational
operational stage.
stage. Which
Which
behavior should
behavior shouldthethenurse
nurseexpect?
expect?
A. Abstract
A. Abstractthinking
thinking about
about future
future careers
careers
B. Understanding
B. Understandingspace
spaceandandsolving
solvingproblems
problemsusing
using logical
logical thoughts
thoughts
C. Egocentric
C. Egocentricthinking
thinkingandandmagical
magicalbeliefs
beliefs
D. Systematic
D. Systematicscientific
scientificreasoning
reasoningandand hypothesis
hypothesis testing
testing
Correct Answer:
Correct B. Understanding
Answer: B. Understandingspace
spaceand
and solving
solving problems
problems using
using logical
logical
thoughts
thoughts
, The concrete
Rationale: The
Rationale: concreteoperational
operationalstage
stageisischaracterized
characterized byby
thethe ability
ability to to understand
understand
space,conserve
space, conservemass,mass,and and solve
solve problems
problems using
using logical
logical thoughts,
thoughts, although
although abstract
abstract
is not
reasoning is not yet
yetfully
fullydeveloped.
developed.Option
OptionAAisisincorrect
incorrectbecause
because abstract
abstract thinking
thinking
emerges in
emerges in the
the formal
formal operational
operationalstage.
stage.Option
OptionCCisisincorrect
incorrect because
because egocentric
egocentric andand
magical thinking are
magical thinking are characteristic
characteristicofofthe
thepreoperational
preoperationalstage.
stage.Option
OptionDD is is incorrect
incorrect
because systematichypothesis
because systematic hypothesistesting
testingis is a formal
a formal operational
operational skill.
skill.
A nurse
5. A nurseisiseducating
educatingparents
parentsofof
anan 11-month-old
11-month-old about
about language
language development.
development.
Which statement
Which statement bybyaaparent
parentindicates
indicateseffective
effective teaching?
teaching?
A. "My
A. "My infant
infant should
shouldbe beable
abletotosay
saytwo-word
two-wordsentences."
sentences."
B. "My
B. "My infant
infant can
cansay
saydada."
dada."
C. "My
C. "Myinfant
infantshould
shouldhave
haveaavocabulary
vocabulary ofof
5050 words."
words."
D. "My
D. "My infant
infant can
canfollow
followthree-step
three-stepcommands."
commands."
Correct Answer:
Correct B. "My
Answer: B. "Myinfant
infantcan
cansay
saydada."
dada."
Rationale: An 11-month-old
Rationale: 11-month-old infant
infant typically
typically can
cansay
saysimple
simplewords
wordssuch
such
asas "dada"
"dada" or or
Option AA is
"mama." Option is incorrect
incorrectbecause
becausetwo-word
two-wordsentences
sentences emerge
emerge around
around 1818 to 24
to 24
months. Option CCisisincorrect
incorrectbecause
becausea a 50-word
50-word vocabulary
vocabulary is expected
is expected closer
closer to 18to 18
months. Option DD isisincorrect
incorrectbecause
becausefollowing
followingthree-step
three-stepcommands
commands isskill
is a a skill of the
of the
toddler and preschool
preschool years.
years.
A parent
6. A parent of
ofaa2-year-old
2-year-oldexpresses
expresses concern
concern that
that thethe child's
child's words
words are unclear
are unclear
comparedto
compared toaafriend's
friend'stoddler.
toddler.Which
Whichresponse
response
byby
thethe nurse
nurse is most
is most appropriate?
appropriate?
A. "You
A. "Youshould
shouldschedule
schedulea aspeech
speech therapy
therapy evaluation
evaluation immediately."
immediately."
B. "What
B. "Whatthe thechild
childunderstands
understandsisismore
moreimportant
importantthan
thanthe
thewords
wordsthat
thatare
areused."
used."
C. "All
C. "All2-year-olds
2-year-oldsshould
shouldspeak
speak
in in complete
complete sentences."
sentences."
D. "Your
D. "Your child
childlikely
likelyhas
hasaahearing
hearingdeficit."
deficit."
Correct Answer:
Correct B. "What
Answer: B. "Whatthe
thechild
childunderstands
understandsis is more
more important
important than
than the
the words
words
that are used."
that used."
Rationale: At 22 years
Rationale: yearsofofage,
age,comprehension
comprehensionand andunderstanding
understandingare are more
more important
important
developmental indicators
developmental indicators than
thanarticulation
articulationor
orvocabulary
vocabularyclarity.
clarity.Option
OptionAAisisincorrect
incorrect
becauseimmediate
because immediatespeech
speechtherapy
therapyevaluation
evaluationis is unnecessary
unnecessary without
without additional
additional redred
flags. Option
flags. Option CCisisincorrect
incorrectbecause
because 2-year-olds
2-year-olds dodonotnot typically
typically speak
speak in complete
in complete
sentences.Option
sentences. OptionDDisisincorrect
incorrectbecause
because unclear
unclear speech
speech at this
at this ageage is normal
is normal andand
doesdoes
not indicate hearing
hearing loss.
loss.
, NSG 3600 Exam
Exam22
A nurse
1. A nurseisisassessing
assessinganan infant
infant with
with heart
heart failure.
failure. TheThe mother
mother reports
reports thethe baby
baby
seemsto
seems totire
tirequickly
quicklyduring
duringfeeding
feedingandand takes
takes frequent
frequent breaks.
breaks. What
What is the
is the
physiologicalreason
primary physiological reasonforforpoor
poor feeding
feeding in in
anan infant
infant with
with heart
heart failure?
failure?
A. Decreasedappetite
A. Decreased appetitedue
duetotomedication
medicationside
side effects
effects
B. It takes
B. It takestoo
toomuch
muchenergy
energytotoeat,
eat,causing
causingfatigue
fatigue
C. Theinfant
C. The infanthas
hasdeveloped
developedananoral
oral aversion
aversion to to feeding
feeding
D. Gastroesophageal
Gastroesophagealrefluxrefluxprevents
preventsadequate
adequate intake
intake
Correct Answer:
Correct B. It
Answer: B. It takes
takes too
toomuch
muchenergy
energytotoeat,
eat,causing
causing fatigue
fatigue
Rationale: In heart failure, the
Rationale: the heart
heart cannot
cannotpump
pumpefficiently,
efficiently,leading
leadingto topoor
poorperfusion
perfusion
increasedmetabolic
and increased metabolicdemand.
demand.Feeding
Feedingrequires
requires significant
significant energy
energy expenditure,
expenditure, and and
infants with heart failure fatigue quickly
quickly because
becausetheirtheircardiovascular
cardiovascularreserve
reserveis is
compromised. Option AAisisincorrect
compromised. Option incorrectbecause
becausemedication
medicationside side effects
effects arearenotnot
thethe primary
primary
cause ofpoor
cause of poorfeeding
feedingininthis
thiscontext.
context.Option
OptionCCis is incorrect
incorrect because
because oral oral aversion
aversion is not
is not
a typical
typical feature
feature of
of heart
heartfailure.
failure.Option
OptionDDisisincorrect
incorrectbecause
because GERD
GERD is ais a separate
separate
condition and not
not the physiological
physiologicalreason
reasonforforpoor
poorfeeding
feedingininheart
heartfailure.
failure.
A pediatric
2. A pediatricnurse
nurseisispreparing
preparinga a child
child forfor diagnostic
diagnostic testing
testing to evaluate
to evaluate heart
heart
function. Which
function. Whichdiagnostic
diagnosticmeasure
measure is is most
most appropriate
appropriate to assess
to assess the the
size size of the
of the
valve function,
heart, valve function,and
andchamber
chamberdimensions?
dimensions?
A. Chest
A. ChestX-ray
X-ray
B. Electrocardiogram
B. Electrocardiogram(ECG)
(ECG)
C. Echocardiogram
C. Echocardiogram
D. Cardiac
D. Cardiaccatheterization
catheterization
Correct Answer:
Correct C. Echocardiogram
Answer: C. Echocardiogram
Rationale: An echocardiogram
Rationale: echocardiogramisisan anultrasound
ultrasoundofofthetheheart
heartthat
thatprovides
providesreal-time
real-time
visualization of
visualization of heart
heart size,
size,valve
valvefunction,
function,and
andthe
the dimensions
dimensions of of each
each cardiac
cardiac chamber.
chamber.
Option A isis incorrect
incorrect because
becauseaachestchestX-ray
X-ray shows
shows heart
heart silhouette
silhouette butbut does
does notnot assess
assess
valve function
valve function oror chamber
chambersizesizeinindetail.
detail.Option
OptionB B
is is incorrect
incorrect because
because an an
ECGECG
evaluateselectrical
evaluates electricalactivity,
activity,not
notstructural
structuralanatomy.
anatomy.Option
OptionDDisisincorrect
incorrect because
because
,cardiac catheterization
cardiac catheterizationisisan
aninvasive
invasiveprocedure
procedure used
used forfor hemodynamic
hemodynamic assessment
assessment
not primary structural evaluation.
and intervention, not evaluation.
A 4-year-old
3. A 4-year-oldchild
childreturns
returnstotothe
thepediatric
pediatric unit
unit after
after a cardiac
a cardiac catheterization
catheterization viavia
is the
the femoral artery. What is the priority
prioritynursing
nursingassessment
assessment during
during the
the immediate
immediate
post-procedureperiod?
post-procedure period?
A. Assess
A. Assessthe
thechild's
child'stemperature
temperatureevery every1515 minutes
minutes
B. Monitor
B. Monitor the
the leg
leg used
usedfor forfemoral
femoralaccess
accessfor forpulse
pulse strength
strength compared
compared to to the
the
leg
untouched leg
C. Evaluate
C. Evaluatethethechild's
child'sability
abilitytotovoid
voidwithin
within4 4 hours
hours
D. Check
D. Checkthe
thechild's
child'sblood
bloodglucose
glucose level
level every
every hour
hour
Correct Answer:
Correct B. Monitor
Answer: B. Monitor the
theleg
legused
usedfor
forfemoral
femoralaccess
accessforfor pulse
pulse strength
strength
comparedto
compared tothe
theuntouched
untouchedleg leg
Rationale: After cardiac
Rationale: cardiac catheterization
catheterizationvia viathe
thefemoral
femoralartery,
artery,the thepriority
priorityisistotoassess
assess
affected limb.
circulation to the affected limb. Comparing
Comparingpedal
pedalororfemoral
femoralpulsepulsestrength
strengthbetween
betweenthe the
accessedleg
accessed legand
andthetheuntouched
untouchedleg legdetects
detects potential
potential complications
complications such
such as arterial
as arterial
occlusion,thrombosis,
occlusion, thrombosis,or orhematoma
hematomaformation.
formation.Option
OptionAAisisincorrect
incorrectbecause
because
monitoring, while important,
temperature monitoring, important, is not the priority assessment
assessment for forthis
this
procedure. Option
procedure. Option CCisisincorrect
incorrectbecause
because voiding
voiding assessment
assessment is relevant
is relevant butbut notnot
thethe
priority. Option D is
immediate priority. is incorrect
incorrect because
becauseblood
bloodglucose
glucosemonitoring
monitoringisisunrelated
unrelated
post-cardiaccatheterization
to post-cardiac catheterizationcare.
care.
A nurse
4. A nurseisiscaring
caringfor
forananinfant
infantdiagnosed
diagnosed with
with heart
heart failure.
failure. Which
Which assessment
assessment
wouldrequire
finding would requirethethenurse
nursetotorecognize
recognize a medical
a medical emergency
emergency andand
notify the
immediately notify the provider?
provider?
A. Mild
A. Mild peripheral
peripheral edema
edemaininthethelower
lowerextremities
extremities
B. AA change
B. changeininlevel
levelofofconsciousness
consciousness (LOC)
(LOC)
C. AAheart
C. heartrate
rateof
of120
120beats
beatsper
perminute
minute
D. Decreased
D. Decreasedurine
urineoutput
outputover
overthe
thepast
past4 4hours
hours
Correct Answer:
Correct B. AAchange
Answer: B. changeininlevel
levelofofconsciousness
consciousness (LOC)
(LOC)
Rationale: A change
Rationale: change ininLOC
LOCinina achild
childwith
withheart
heartfailure
failure indicates
indicates inadequate
inadequate cerebral
cerebral
potential cardiogenic
perfusion and potential cardiogenicshock,shock,representing
representinga amedical
medical emergency
emergency requiring
requiring
immediate intervention. Option A A is
is incorrect
incorrectbecause
becausemild mildperipheral
peripheraledema,
edema, while
while
concerning, isisnot
concerning, notan
animmediate
immediateemergency.
emergency.Option
OptionCCis is incorrect
incorrect because
because a heart
a heart raterate
120 bpm
of 120 bpm isiswithin
within normal
normal range
rangefor forananinfant.
infant.Option
OptionDDisisincorrect
incorrectbecause
because
, NSG 3600 Exam
Exam33
A nurse
1. A nurseisisteaching
teachinga anew
newmother
motherabout
about the
the benefits
benefits of of colostrum.
colostrum. TheThe nurse
nurse
explainsthat
explains that colostrum
colostrumprovides
provideswhich
which protective
protective benefit
benefit to to
thethe newborn?
newborn?
A. Stimulatesactive
A. Stimulates activeimmunity
immunitythroughthroughIgGIgGproduction
production
B. Providespassive
B. Provides passiveimmunity
immunitythroughthroughsecretory
secretoryIgA
IgA antibodies
antibodies
C. Supplieshigh
C. Supplies highlevels
levelsofofiron
ironfor
forhematopoiesis
hematopoiesis
D. Contains
Containshigh
highcaloric
caloricdensity
densityfor forrapid
rapidweight
weightgain
gain
Correct Answer:
Correct B. Provides
Answer: B. Providespassive
passive immunity
immunity through
through secretory
secretory IgAIgA antibodies
antibodies
Colostrum contains
Rationale: Colostrum
Rationale: containssecretory
secretoryIgA,
IgA,which
whichprovides
provides passive
passive immunity
immunity byby
protecting the infant’s gastrointestinal
gastrointestinal tract
tract from
from pathogens
pathogens until
until the
the infant’s
infant’sown
own
system matures.
immune system matures.Option
OptionAAisisincorrect
incorrectbecause
because colostrum
colostrum provides
provides passive,
passive, notnot
active, immunity.
active, immunity. Option
Option CCisisincorrect
incorrectbecause
becausewhilewhile nutrients
nutrients are
are present,
present, high
high iron
iron
content isis not
not the
the primary
primary protective
protective benefit
benefit ofof colostrum.
colostrum.Option
OptionDDisisincorrect
incorrectbecause
because
colostrum is is actually
actuallylower
lowerininvolume
volumeand
andcaloric
caloricdensity
density than
than mature
mature milk,
milk, though
though it is
it is
factors.
rich in immunologic factors.
A mother
2. A mother asks
asksthe
thenurse
nursewhat
whatsensations
sensations indicate
indicate that
that breastfeeding
breastfeeding is is
progressingnormally.
progressing normally.Which
Whichresponse
responsebyby
thethe nurse
nurse is most
is most accurate?
accurate?
A. “You
A. “Youshould
shouldfeel
feelsharp,
sharp,stabbing
stabbingpain
painthroughout
throughoutthe theentire
entirefeeding.”
feeding.”
B. “You
B. “Youshould
shouldfeel
feeltingling
tinglingininyour
yourbreasts
breastsandandfirm
firmpulls
pullsfrom
fromthe
thebaby.”
baby.”
C. “You
C. “Youshould
shouldfeel
feelnumbness
numbnessininthethebreast
breast withnono
with visible
visible movement.”
movement.”
D. “You
D. “You should
shouldfeel
feelcontinuous
continuousburning
burningthat
thatresolves
resolvesafter
after5 5minutes.”
minutes.”
Correct Answer:
Correct B. “You
Answer: B. “Youshould
shouldfeel
feeltingling
tingling
inin your
your breasts
breasts and
and firm
firm pulls
pulls from
from
baby.”
the baby.”
breastfeeding sensations
Rationale: Normal breastfeeding
Rationale: sensationsinclude
includetingling
tinglingininthe
thebreasts
breasts(often
(often
associatedwith
associated withthe
thelet-down
let-downreflex)
reflex)and
andfirm
firmpulls
pullsfrom
fromthethebaby
babyasas the
the infant
infant effectively
effectively
removes milk.
removes milk. Option
OptionAAisisincorrect
incorrectbecause
becausesharp,
sharp, stabbing
stabbing pain
pain indicates
indicates a poor
a poor latch
latch
or other complication requiring
requiring intervention. Option CCisisincorrect
incorrectbecause
becausenumbness
numbness is is
not a normal breastfeeding
breastfeeding sensation
sensationand
andmay mayindicate
indicatenerve
nerve compression.
compression. Option
Option D is
D is
, becausecontinuous
incorrect because continuousburning
burningisisabnormal
abnormaland
andsuggests
suggests nipple
nipple trauma
trauma oror
infection.
A nurse
3. A nurseisisteaching
teachinga anew
newmother
motherabout
about normal
normal newborn
newborn feeding
feeding patterns.
patterns.
Which statement
Which statement bybythe
themother
motherindicates
indicatescorrect
correct understanding?
understanding?
A. “My
A. “Mybaby
babywill
willfeed
feedevery
every6 6toto8 8hours
hoursforfor
4545 minutes
minutes each
each time.”
time.”
B. “My
B. “My baby
babywill
willfeed
feedevery
every3 3toto4 4hours
hoursforfor
1515
toto
2020 minutes,
minutes, about
about 8 10
8 to to 10 times
times a day.”
a day.”
C. “My
C. “Mybaby
babyneeds
needstotofeed
feedonly
only4 to4 to 5 times
5 times a day
a day forfor
30 30 minutes.”
minutes.”
D. “My
D. “My baby
babyshould
shouldsleep
sleepthrough
throughthe thenight
nightand
andfeed
feedevery
every 8 hours.”
8 hours.”
Correct Answer:
Correct B. “My
Answer: B. “Mybaby
babywill
willfeed
feedevery
every3 to
3 to 4 hours
4 hours forfor
15 15 to minutes,
to 20 20 minutes,
about 88 to
to 10
10times
timesaaday.”
day.”
newborn feeding
Rationale: Normal newborn
Rationale: feeding patterns
patterns involve
involvefeeding
feedingevery
every3 3toto4 4hours
hours for1515
for
minutes per
to 20 minutes per session,
session,typically
typically8 8toto1010 times
times per
per day.
day. Option
Option A incorrect
A is is incorrect because
because
every 66to
feeding every to88hours
hoursisisinsufficient
insufficientforforaanewborn
newbornand andcan
can lead
lead to to dehydration
dehydration and and
Option CCisisincorrect
poor weight gain. Option incorrectbecause
because 4 to
4 to 5 feedings
5 feedings perper
dayday is inadequate
is inadequate
for normal growth. Option D is is incorrect
incorrectbecause
becausenewborns
newbornsshould
shouldnotnotsleep
sleep through
through the
the
night without
without feeding.
feeding.
A mother
4. A mother is
isconcerned
concernedthat
thather
hernewborn
newborn is is not
not getting
getting enough
enough breast
breast milk.
milk.
Which assessment
Which assessmentfinding
findingbest
best indicates
indicates adequate
adequate intake?
intake?
A. The
A. Theinfant
infanthas
has33toto44wet
wetdiapers
diapersdaily
daily
B. The
B. Theinfant
infanthas
has66toto88dirty
dirtydiapers
diapersa adayday
C. Theinfant
C. The infantsleeps
sleeps6 6hours
hoursbetween
between each
each feeding
feeding
D. The
D. Theinfant
infantgains
gains22pounds
poundsininthe
thefirst
first3 3days
days
Correct Answer:
Correct B. The
Answer: B. Theinfant
infanthas
has66toto8 8dirty
dirtydiapers
diapers a day
a day
Having 66to
Rationale: Having
Rationale: to88dirty
dirtydiapers
diapersper perday
dayisisa areliable
reliable indicator
indicator ofof adequate
adequate breast
breast
milk intake in aa newborn.
newborn.Option
OptionAAisisincorrect
incorrectbecause
because3 to 3 to 4 wet
4 wet diapers
diapers suggests
suggests
inadequate intake
inadequate intake and
andpossible
possibledehydration.
dehydration.Option
OptionCCis is incorrect
incorrect because
because sleeping
sleeping 6 6
between feeds
hours between feedsisisexcessive
excessive forfor a newborn
a newborn and and may
may indicate
indicate poorpoor intake
intake or or
lethargy. Option D D is
is incorrect
incorrectbecause
becausenewborns
newbornstypically
typically lose
lose weight
weight initially
initially andand
dodo
not gain 2 pounds
pounds in in the
thefirst
first 33days.
days.
A nurse
5. A nurseisisteaching
teachinga amother
mothertotorecognize
recognize infant
infant hunger
hunger cues.
cues. Which
Which behaviors
behaviors
signsofofhunger,
are early signs hunger,and
andwhich
which is is a late
a late sign?
sign?
, NSG 3600 Exam
Exam44
A nurse
1. A nurseisiscaring
caringfor
fora a5-year-old
5-year-old child
child withwith sickle
sickle cellcell disease.
disease. The assessment
The assessment
reveals:O2
reveals: O2saturation
saturation92%,
92%,respiratory
respiratory rate
rate 13,
13, heart
heart rate
rate 100,
100, and
and thethe child
child is is
arouse.The
difficult to arouse. Thechild
childisis receiving
receiving intravenous
intravenous fluids
fluids andand morphine
morphine sulfate
sulfate
pain control.
for pain control.What
Whatisisthe
thenurse's
nurse's priority
priority action?
action?
A. Applysupplemental
A. Apply supplementaloxygen
oxygenvia
vianasal
nasal cannula
cannula andand monitor
monitor vital
vital signs
signs
B. Administer naloxone
B. Administer naloxoneto toreverse
reversethe
theeffects
effectsofofthe
themorphine
morphine
C. Increasethe
C. Increase therate
rateofofintravenous
intravenousfluids
fluids
D. Notify
D. Notify the
the provider
provider and
andrequest
requestaaSTAT
STAT hemoglobin
hemoglobin level
level
Correct Answer:
Correct B. Administer
Answer: B. Administernaloxone
naloxonetotoreverse
reverse the
the effects
effects of of
thethe morphine
morphine
The child
Rationale: The
Rationale: childisisdifficult
difficulttotoarouse
arousewith
withaarespiratory
respiratoryrate
rateofof13,
13,which
whichis is
concerning for
concerning for opioid-induced
opioid-induced respiratory
respiratorydepression.
depression.Naloxone
Naloxoneisisthe the priorityantidote
priority antidotetoto
reverse morphine
reverse morphine effects
effectsand
andprevent
preventrespiratory
respiratoryarrest.
arrest.Option
OptionAAisisincorrect
incorrectbecause
because
oxygen isisimportant,
while oxygen important, itit does
doesnotnotaddress
addressthetheunderlying
underlyingcause
cause ofof decreased
decreased
consciousness.Option
consciousness. OptionCCis is incorrect
incorrect because
because increasing
increasing fluids
fluids does
does not not reverse
reverse opioid
opioid
effects. Option
effects. Option DDisisincorrect
incorrectbecause
becausenotifying
notifyingthe
theprovider
provideris is necessary
necessary butbut
doesdoes
notnot
priority over immediate
take priority immediate life-saving
life-savingintervention
interventionwith
withnaloxone.
naloxone.
administeringnaloxone
2. After administering naloxonetotoaachild
childwith
withsuspected
suspected morphine
morphine overdose,
overdose,
nurse'snext
what are the nurse's nextpriority
priorityactions?
actions?
A. Discontinue
A. Discontinueallallpain
painmedications
medicationsand anddocument
documentthethe event
event
B. Apply
B. Apply oxygen,
oxygen,monitor
monitorvital
vitalsigns,
signs,and
andconsider
considerfurther
furtherassessment
assessment and
and treatments
treatments
C. Place
C. Placethe
thechild
childinina aprone
proneposition
positiontoto improve
improve ventilation
ventilation
D. Administer
D. Administer aabolus
bolusof ofintravenous
intravenousfluids
fluidsand
andprepare
prepareforfordischarge
discharge
Correct Answer:
Correct B. Apply
Answer: B. Applyoxygen,
oxygen,monitor
monitorvital
vitalsigns,
signs, and
and consider
consider further
further
assessmentand
assessment andtreatments
treatments
Rationale: After naloxone
Rationale: naloxone administration,
administration, thethe nurse
nursemust
mustapply
applyoxygen
oxygentotosupport
support
continuously monitor
respiration, continuously monitor vital
vital signs,
signs,and
andconsider
consideradditional
additionalassessments
assessments and
and
as needed.
treatments as needed.Option
OptionAAisisincorrect
incorrectbecause
because discontinuing
discontinuing allall pain
pain medications
medications
not appropriate;
is not appropriate; pain
pain management
managementmust mustbebereassessed
reassessed and
and adjusted.
adjusted. Option
Option C isC is
becauseprone
incorrect because pronepositioning
positioningisiscontraindicated
contraindicatedininrespiratory
respiratorycompromise.
compromise.
EXAMS 1-4
Pediatric Nursing
200 Questions with Rationales
Galen College of Nursing
This Document Description:
This document contains a collection of 200
verified questions with Correct answers with
Rationales.
Ideal for exam preparation and concept
reinforcement.
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NSG 3600 - EXAMS 1-4 - Pediatric Nursing - 200 Questions with Rationales
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,Contents
NSG 3600 Exam 1 .................................................................. 2
NSG 3600 Exam 2 ................................................................ 23
NSG 3600 Exam 3 ................................................................ 45
NSG 3600 Exam 4 ................................................................ 68
NSG 3600 Exam 1
1. A nurse is reviewing the typical age of onset for slipped capital femoral
epiphysis (SCFE). Which age group is most commonly associated with this
condition?
A. Less than 2 years
B. 5 to 8 years
C. 10 to 14 years
D. 15 to 18 years
Correct Answer: A. Less than 2 years
Rationale: Slipped capital femoral epiphysis is associated with children less than 2
years of age according to pediatric orthopedic guidelines. Option B is incorrect because
this age range is more typical for other hip disorders such as Legg-Calvé-Perthes
disease. Option C is incorrect because early adolescence is more commonly associated
with acute traumatic hip injuries rather than SCFE in this context. Option D is incorrect
because late adolescence is not the typical age group identified for this condition.
2. A school-aged child arrives at the clinic after injuring the knee during soccer.
The child reports the knee gave way and now feels unstable. Which injury should
the nurse suspect?
,A. Meniscal
A. Meniscalteartear
B. Anterior
B. Anterior cruciate
cruciateligament
ligamentinjury
injury
C. Patellar
C. Patellardislocation
dislocation
D. Tibial
D. Tibial fracture
fracture
Correct Answer:
Correct B. Anterior
Answer: B. Anteriorcruciate
cruciateligament
ligamentinjury
injury
Rationale: An anterior
Rationale: anterior cruciate
cruciate ligament
ligament(ACL)
(ACL)injury
injuryis is characterized
characterized by by pain
pain andand
knee, often
instability of the knee, often described
describedby bythe
thechild
childasasthe
theknee
knee giving
giving way.
way. Option
Option A is
A is
incorrect because
becauseaameniscal
meniscaltearteartypically
typically causes
causes locking
locking or catching
or catching sensations
sensations rather
rather
than gross
gross instability.
instability. Option
Option CCisisincorrect
incorrectbecause
because patellar
patellar dislocation
dislocation causes
causes visible
visible
displacement
displacement of of the
the kneecap
kneecapand andimmediate
immediateinability
inabilitytotoextend
extendthe
theknee.
knee. Option
Option D is
D is
incorrect because
becauseaatibialtibialfracture
fracturepresents
presentswith
withinability
inabilitytotobear
bearweight,
weight,deformity,
deformity,and
and
severe painrather
severe pain ratherthan
thanisolated
isolatedinstability.
instability.
A nurse
3. A nurseisisdiscussing
discussing Erikson's
Erikson's stages
stages of development
of development withwith the parents
the parents of a 16-
of a 16-
year-old. Which
year-old. Whichstage
stageisisthe
theadolescent
adolescent attempting
attempting to to master?
master?
A. Initiative
A. Initiative versus
versusguilt
guilt
B. Industry
B. Industry versus
versusinferiority
inferiority
C. Identity
C. Identity versus
versusrole
roleconfusion
confusion
D. Intimacy
D. Intimacy versus
versusisolation
isolation
Correct Answer:
Correct C. Identity
Answer: C. Identity versus
versusrole
roleconfusion
confusion
Rationale: According
Rationale: to Erikson,
According to Erikson,the
thedevelopmental
developmentaltask taskofofadolescence
adolescence is identity
is identity
versus role
versus role confusion,
confusion,during
duringwhich
whichteenagers
teenagersexplore
explorewho whotheythey are
are andand establish
establish a a
senseof
sense ofself.
self.Option
OptionAAisisincorrect
incorrectbecause
because initiative
initiative versus
versus guilt
guilt is the
is the preschool
preschool stage.
stage.
Option B B is
isincorrect
incorrectbecause
becauseindustry
industryversus
versus inferiorityis is
inferiority the
the school-age
school-age stage.
stage. Option
Option
is incorrect
D is incorrectbecause
becauseintimacy
intimacyversus
versus isolation
isolation is is
thethe young
young adult
adult stage.
stage.
A nurse
4. A nurseisiscaring
caringfor
fora achild
childinin Piaget's
Piaget's concrete
concrete operational
operational stage.
stage. Which
Which
behavior should
behavior shouldthethenurse
nurseexpect?
expect?
A. Abstract
A. Abstractthinking
thinking about
about future
future careers
careers
B. Understanding
B. Understandingspace
spaceandandsolving
solvingproblems
problemsusing
using logical
logical thoughts
thoughts
C. Egocentric
C. Egocentricthinking
thinkingandandmagical
magicalbeliefs
beliefs
D. Systematic
D. Systematicscientific
scientificreasoning
reasoningandand hypothesis
hypothesis testing
testing
Correct Answer:
Correct B. Understanding
Answer: B. Understandingspace
spaceand
and solving
solving problems
problems using
using logical
logical
thoughts
thoughts
, The concrete
Rationale: The
Rationale: concreteoperational
operationalstage
stageisischaracterized
characterized byby
thethe ability
ability to to understand
understand
space,conserve
space, conservemass,mass,and and solve
solve problems
problems using
using logical
logical thoughts,
thoughts, although
although abstract
abstract
is not
reasoning is not yet
yetfully
fullydeveloped.
developed.Option
OptionAAisisincorrect
incorrectbecause
because abstract
abstract thinking
thinking
emerges in
emerges in the
the formal
formal operational
operationalstage.
stage.Option
OptionCCisisincorrect
incorrect because
because egocentric
egocentric andand
magical thinking are
magical thinking are characteristic
characteristicofofthe
thepreoperational
preoperationalstage.
stage.Option
OptionDD is is incorrect
incorrect
because systematichypothesis
because systematic hypothesistesting
testingis is a formal
a formal operational
operational skill.
skill.
A nurse
5. A nurseisiseducating
educatingparents
parentsofof
anan 11-month-old
11-month-old about
about language
language development.
development.
Which statement
Which statement bybyaaparent
parentindicates
indicateseffective
effective teaching?
teaching?
A. "My
A. "My infant
infant should
shouldbe beable
abletotosay
saytwo-word
two-wordsentences."
sentences."
B. "My
B. "My infant
infant can
cansay
saydada."
dada."
C. "My
C. "Myinfant
infantshould
shouldhave
haveaavocabulary
vocabulary ofof
5050 words."
words."
D. "My
D. "My infant
infant can
canfollow
followthree-step
three-stepcommands."
commands."
Correct Answer:
Correct B. "My
Answer: B. "Myinfant
infantcan
cansay
saydada."
dada."
Rationale: An 11-month-old
Rationale: 11-month-old infant
infant typically
typically can
cansay
saysimple
simplewords
wordssuch
such
asas "dada"
"dada" or or
Option AA is
"mama." Option is incorrect
incorrectbecause
becausetwo-word
two-wordsentences
sentences emerge
emerge around
around 1818 to 24
to 24
months. Option CCisisincorrect
incorrectbecause
becausea a 50-word
50-word vocabulary
vocabulary is expected
is expected closer
closer to 18to 18
months. Option DD isisincorrect
incorrectbecause
becausefollowing
followingthree-step
three-stepcommands
commands isskill
is a a skill of the
of the
toddler and preschool
preschool years.
years.
A parent
6. A parent of
ofaa2-year-old
2-year-oldexpresses
expresses concern
concern that
that thethe child's
child's words
words are unclear
are unclear
comparedto
compared toaafriend's
friend'stoddler.
toddler.Which
Whichresponse
response
byby
thethe nurse
nurse is most
is most appropriate?
appropriate?
A. "You
A. "Youshould
shouldschedule
schedulea aspeech
speech therapy
therapy evaluation
evaluation immediately."
immediately."
B. "What
B. "Whatthe thechild
childunderstands
understandsisismore
moreimportant
importantthan
thanthe
thewords
wordsthat
thatare
areused."
used."
C. "All
C. "All2-year-olds
2-year-oldsshould
shouldspeak
speak
in in complete
complete sentences."
sentences."
D. "Your
D. "Your child
childlikely
likelyhas
hasaahearing
hearingdeficit."
deficit."
Correct Answer:
Correct B. "What
Answer: B. "Whatthe
thechild
childunderstands
understandsis is more
more important
important than
than the
the words
words
that are used."
that used."
Rationale: At 22 years
Rationale: yearsofofage,
age,comprehension
comprehensionand andunderstanding
understandingare are more
more important
important
developmental indicators
developmental indicators than
thanarticulation
articulationor
orvocabulary
vocabularyclarity.
clarity.Option
OptionAAisisincorrect
incorrect
becauseimmediate
because immediatespeech
speechtherapy
therapyevaluation
evaluationis is unnecessary
unnecessary without
without additional
additional redred
flags. Option
flags. Option CCisisincorrect
incorrectbecause
because 2-year-olds
2-year-olds dodonotnot typically
typically speak
speak in complete
in complete
sentences.Option
sentences. OptionDDisisincorrect
incorrectbecause
because unclear
unclear speech
speech at this
at this ageage is normal
is normal andand
doesdoes
not indicate hearing
hearing loss.
loss.
, NSG 3600 Exam
Exam22
A nurse
1. A nurseisisassessing
assessinganan infant
infant with
with heart
heart failure.
failure. TheThe mother
mother reports
reports thethe baby
baby
seemsto
seems totire
tirequickly
quicklyduring
duringfeeding
feedingandand takes
takes frequent
frequent breaks.
breaks. What
What is the
is the
physiologicalreason
primary physiological reasonforforpoor
poor feeding
feeding in in
anan infant
infant with
with heart
heart failure?
failure?
A. Decreasedappetite
A. Decreased appetitedue
duetotomedication
medicationside
side effects
effects
B. It takes
B. It takestoo
toomuch
muchenergy
energytotoeat,
eat,causing
causingfatigue
fatigue
C. Theinfant
C. The infanthas
hasdeveloped
developedananoral
oral aversion
aversion to to feeding
feeding
D. Gastroesophageal
Gastroesophagealrefluxrefluxprevents
preventsadequate
adequate intake
intake
Correct Answer:
Correct B. It
Answer: B. It takes
takes too
toomuch
muchenergy
energytotoeat,
eat,causing
causing fatigue
fatigue
Rationale: In heart failure, the
Rationale: the heart
heart cannot
cannotpump
pumpefficiently,
efficiently,leading
leadingto topoor
poorperfusion
perfusion
increasedmetabolic
and increased metabolicdemand.
demand.Feeding
Feedingrequires
requires significant
significant energy
energy expenditure,
expenditure, and and
infants with heart failure fatigue quickly
quickly because
becausetheirtheircardiovascular
cardiovascularreserve
reserveis is
compromised. Option AAisisincorrect
compromised. Option incorrectbecause
becausemedication
medicationside side effects
effects arearenotnot
thethe primary
primary
cause ofpoor
cause of poorfeeding
feedingininthis
thiscontext.
context.Option
OptionCCis is incorrect
incorrect because
because oral oral aversion
aversion is not
is not
a typical
typical feature
feature of
of heart
heartfailure.
failure.Option
OptionDDisisincorrect
incorrectbecause
because GERD
GERD is ais a separate
separate
condition and not
not the physiological
physiologicalreason
reasonforforpoor
poorfeeding
feedingininheart
heartfailure.
failure.
A pediatric
2. A pediatricnurse
nurseisispreparing
preparinga a child
child forfor diagnostic
diagnostic testing
testing to evaluate
to evaluate heart
heart
function. Which
function. Whichdiagnostic
diagnosticmeasure
measure is is most
most appropriate
appropriate to assess
to assess the the
size size of the
of the
valve function,
heart, valve function,and
andchamber
chamberdimensions?
dimensions?
A. Chest
A. ChestX-ray
X-ray
B. Electrocardiogram
B. Electrocardiogram(ECG)
(ECG)
C. Echocardiogram
C. Echocardiogram
D. Cardiac
D. Cardiaccatheterization
catheterization
Correct Answer:
Correct C. Echocardiogram
Answer: C. Echocardiogram
Rationale: An echocardiogram
Rationale: echocardiogramisisan anultrasound
ultrasoundofofthetheheart
heartthat
thatprovides
providesreal-time
real-time
visualization of
visualization of heart
heart size,
size,valve
valvefunction,
function,and
andthe
the dimensions
dimensions of of each
each cardiac
cardiac chamber.
chamber.
Option A isis incorrect
incorrect because
becauseaachestchestX-ray
X-ray shows
shows heart
heart silhouette
silhouette butbut does
does notnot assess
assess
valve function
valve function oror chamber
chambersizesizeinindetail.
detail.Option
OptionB B
is is incorrect
incorrect because
because an an
ECGECG
evaluateselectrical
evaluates electricalactivity,
activity,not
notstructural
structuralanatomy.
anatomy.Option
OptionDDisisincorrect
incorrect because
because
,cardiac catheterization
cardiac catheterizationisisan
aninvasive
invasiveprocedure
procedure used
used forfor hemodynamic
hemodynamic assessment
assessment
not primary structural evaluation.
and intervention, not evaluation.
A 4-year-old
3. A 4-year-oldchild
childreturns
returnstotothe
thepediatric
pediatric unit
unit after
after a cardiac
a cardiac catheterization
catheterization viavia
is the
the femoral artery. What is the priority
prioritynursing
nursingassessment
assessment during
during the
the immediate
immediate
post-procedureperiod?
post-procedure period?
A. Assess
A. Assessthe
thechild's
child'stemperature
temperatureevery every1515 minutes
minutes
B. Monitor
B. Monitor the
the leg
leg used
usedfor forfemoral
femoralaccess
accessfor forpulse
pulse strength
strength compared
compared to to the
the
leg
untouched leg
C. Evaluate
C. Evaluatethethechild's
child'sability
abilitytotovoid
voidwithin
within4 4 hours
hours
D. Check
D. Checkthe
thechild's
child'sblood
bloodglucose
glucose level
level every
every hour
hour
Correct Answer:
Correct B. Monitor
Answer: B. Monitor the
theleg
legused
usedfor
forfemoral
femoralaccess
accessforfor pulse
pulse strength
strength
comparedto
compared tothe
theuntouched
untouchedleg leg
Rationale: After cardiac
Rationale: cardiac catheterization
catheterizationvia viathe
thefemoral
femoralartery,
artery,the thepriority
priorityisistotoassess
assess
affected limb.
circulation to the affected limb. Comparing
Comparingpedal
pedalororfemoral
femoralpulsepulsestrength
strengthbetween
betweenthe the
accessedleg
accessed legand
andthetheuntouched
untouchedleg legdetects
detects potential
potential complications
complications such
such as arterial
as arterial
occlusion,thrombosis,
occlusion, thrombosis,or orhematoma
hematomaformation.
formation.Option
OptionAAisisincorrect
incorrectbecause
because
monitoring, while important,
temperature monitoring, important, is not the priority assessment
assessment for forthis
this
procedure. Option
procedure. Option CCisisincorrect
incorrectbecause
because voiding
voiding assessment
assessment is relevant
is relevant butbut notnot
thethe
priority. Option D is
immediate priority. is incorrect
incorrect because
becauseblood
bloodglucose
glucosemonitoring
monitoringisisunrelated
unrelated
post-cardiaccatheterization
to post-cardiac catheterizationcare.
care.
A nurse
4. A nurseisiscaring
caringfor
forananinfant
infantdiagnosed
diagnosed with
with heart
heart failure.
failure. Which
Which assessment
assessment
wouldrequire
finding would requirethethenurse
nursetotorecognize
recognize a medical
a medical emergency
emergency andand
notify the
immediately notify the provider?
provider?
A. Mild
A. Mild peripheral
peripheral edema
edemaininthethelower
lowerextremities
extremities
B. AA change
B. changeininlevel
levelofofconsciousness
consciousness (LOC)
(LOC)
C. AAheart
C. heartrate
rateof
of120
120beats
beatsper
perminute
minute
D. Decreased
D. Decreasedurine
urineoutput
outputover
overthe
thepast
past4 4hours
hours
Correct Answer:
Correct B. AAchange
Answer: B. changeininlevel
levelofofconsciousness
consciousness (LOC)
(LOC)
Rationale: A change
Rationale: change ininLOC
LOCinina achild
childwith
withheart
heartfailure
failure indicates
indicates inadequate
inadequate cerebral
cerebral
potential cardiogenic
perfusion and potential cardiogenicshock,shock,representing
representinga amedical
medical emergency
emergency requiring
requiring
immediate intervention. Option A A is
is incorrect
incorrectbecause
becausemild mildperipheral
peripheraledema,
edema, while
while
concerning, isisnot
concerning, notan
animmediate
immediateemergency.
emergency.Option
OptionCCis is incorrect
incorrect because
because a heart
a heart raterate
120 bpm
of 120 bpm isiswithin
within normal
normal range
rangefor forananinfant.
infant.Option
OptionDDisisincorrect
incorrectbecause
because
, NSG 3600 Exam
Exam33
A nurse
1. A nurseisisteaching
teachinga anew
newmother
motherabout
about the
the benefits
benefits of of colostrum.
colostrum. TheThe nurse
nurse
explainsthat
explains that colostrum
colostrumprovides
provideswhich
which protective
protective benefit
benefit to to
thethe newborn?
newborn?
A. Stimulatesactive
A. Stimulates activeimmunity
immunitythroughthroughIgGIgGproduction
production
B. Providespassive
B. Provides passiveimmunity
immunitythroughthroughsecretory
secretoryIgA
IgA antibodies
antibodies
C. Supplieshigh
C. Supplies highlevels
levelsofofiron
ironfor
forhematopoiesis
hematopoiesis
D. Contains
Containshigh
highcaloric
caloricdensity
densityfor forrapid
rapidweight
weightgain
gain
Correct Answer:
Correct B. Provides
Answer: B. Providespassive
passive immunity
immunity through
through secretory
secretory IgAIgA antibodies
antibodies
Colostrum contains
Rationale: Colostrum
Rationale: containssecretory
secretoryIgA,
IgA,which
whichprovides
provides passive
passive immunity
immunity byby
protecting the infant’s gastrointestinal
gastrointestinal tract
tract from
from pathogens
pathogens until
until the
the infant’s
infant’sown
own
system matures.
immune system matures.Option
OptionAAisisincorrect
incorrectbecause
because colostrum
colostrum provides
provides passive,
passive, notnot
active, immunity.
active, immunity. Option
Option CCisisincorrect
incorrectbecause
becausewhilewhile nutrients
nutrients are
are present,
present, high
high iron
iron
content isis not
not the
the primary
primary protective
protective benefit
benefit ofof colostrum.
colostrum.Option
OptionDDisisincorrect
incorrectbecause
because
colostrum is is actually
actuallylower
lowerininvolume
volumeand
andcaloric
caloricdensity
density than
than mature
mature milk,
milk, though
though it is
it is
factors.
rich in immunologic factors.
A mother
2. A mother asks
asksthe
thenurse
nursewhat
whatsensations
sensations indicate
indicate that
that breastfeeding
breastfeeding is is
progressingnormally.
progressing normally.Which
Whichresponse
responsebyby
thethe nurse
nurse is most
is most accurate?
accurate?
A. “You
A. “Youshould
shouldfeel
feelsharp,
sharp,stabbing
stabbingpain
painthroughout
throughoutthe theentire
entirefeeding.”
feeding.”
B. “You
B. “Youshould
shouldfeel
feeltingling
tinglingininyour
yourbreasts
breastsandandfirm
firmpulls
pullsfrom
fromthe
thebaby.”
baby.”
C. “You
C. “Youshould
shouldfeel
feelnumbness
numbnessininthethebreast
breast withnono
with visible
visible movement.”
movement.”
D. “You
D. “You should
shouldfeel
feelcontinuous
continuousburning
burningthat
thatresolves
resolvesafter
after5 5minutes.”
minutes.”
Correct Answer:
Correct B. “You
Answer: B. “Youshould
shouldfeel
feeltingling
tingling
inin your
your breasts
breasts and
and firm
firm pulls
pulls from
from
baby.”
the baby.”
breastfeeding sensations
Rationale: Normal breastfeeding
Rationale: sensationsinclude
includetingling
tinglingininthe
thebreasts
breasts(often
(often
associatedwith
associated withthe
thelet-down
let-downreflex)
reflex)and
andfirm
firmpulls
pullsfrom
fromthethebaby
babyasas the
the infant
infant effectively
effectively
removes milk.
removes milk. Option
OptionAAisisincorrect
incorrectbecause
becausesharp,
sharp, stabbing
stabbing pain
pain indicates
indicates a poor
a poor latch
latch
or other complication requiring
requiring intervention. Option CCisisincorrect
incorrectbecause
becausenumbness
numbness is is
not a normal breastfeeding
breastfeeding sensation
sensationand
andmay mayindicate
indicatenerve
nerve compression.
compression. Option
Option D is
D is
, becausecontinuous
incorrect because continuousburning
burningisisabnormal
abnormaland
andsuggests
suggests nipple
nipple trauma
trauma oror
infection.
A nurse
3. A nurseisisteaching
teachinga anew
newmother
motherabout
about normal
normal newborn
newborn feeding
feeding patterns.
patterns.
Which statement
Which statement bybythe
themother
motherindicates
indicatescorrect
correct understanding?
understanding?
A. “My
A. “Mybaby
babywill
willfeed
feedevery
every6 6toto8 8hours
hoursforfor
4545 minutes
minutes each
each time.”
time.”
B. “My
B. “My baby
babywill
willfeed
feedevery
every3 3toto4 4hours
hoursforfor
1515
toto
2020 minutes,
minutes, about
about 8 10
8 to to 10 times
times a day.”
a day.”
C. “My
C. “Mybaby
babyneeds
needstotofeed
feedonly
only4 to4 to 5 times
5 times a day
a day forfor
30 30 minutes.”
minutes.”
D. “My
D. “My baby
babyshould
shouldsleep
sleepthrough
throughthe thenight
nightand
andfeed
feedevery
every 8 hours.”
8 hours.”
Correct Answer:
Correct B. “My
Answer: B. “Mybaby
babywill
willfeed
feedevery
every3 to
3 to 4 hours
4 hours forfor
15 15 to minutes,
to 20 20 minutes,
about 88 to
to 10
10times
timesaaday.”
day.”
newborn feeding
Rationale: Normal newborn
Rationale: feeding patterns
patterns involve
involvefeeding
feedingevery
every3 3toto4 4hours
hours for1515
for
minutes per
to 20 minutes per session,
session,typically
typically8 8toto1010 times
times per
per day.
day. Option
Option A incorrect
A is is incorrect because
because
every 66to
feeding every to88hours
hoursisisinsufficient
insufficientforforaanewborn
newbornand andcan
can lead
lead to to dehydration
dehydration and and
Option CCisisincorrect
poor weight gain. Option incorrectbecause
because 4 to
4 to 5 feedings
5 feedings perper
dayday is inadequate
is inadequate
for normal growth. Option D is is incorrect
incorrectbecause
becausenewborns
newbornsshould
shouldnotnotsleep
sleep through
through the
the
night without
without feeding.
feeding.
A mother
4. A mother is
isconcerned
concernedthat
thather
hernewborn
newborn is is not
not getting
getting enough
enough breast
breast milk.
milk.
Which assessment
Which assessmentfinding
findingbest
best indicates
indicates adequate
adequate intake?
intake?
A. The
A. Theinfant
infanthas
has33toto44wet
wetdiapers
diapersdaily
daily
B. The
B. Theinfant
infanthas
has66toto88dirty
dirtydiapers
diapersa adayday
C. Theinfant
C. The infantsleeps
sleeps6 6hours
hoursbetween
between each
each feeding
feeding
D. The
D. Theinfant
infantgains
gains22pounds
poundsininthe
thefirst
first3 3days
days
Correct Answer:
Correct B. The
Answer: B. Theinfant
infanthas
has66toto8 8dirty
dirtydiapers
diapers a day
a day
Having 66to
Rationale: Having
Rationale: to88dirty
dirtydiapers
diapersper perday
dayisisa areliable
reliable indicator
indicator ofof adequate
adequate breast
breast
milk intake in aa newborn.
newborn.Option
OptionAAisisincorrect
incorrectbecause
because3 to 3 to 4 wet
4 wet diapers
diapers suggests
suggests
inadequate intake
inadequate intake and
andpossible
possibledehydration.
dehydration.Option
OptionCCis is incorrect
incorrect because
because sleeping
sleeping 6 6
between feeds
hours between feedsisisexcessive
excessive forfor a newborn
a newborn and and may
may indicate
indicate poorpoor intake
intake or or
lethargy. Option D D is
is incorrect
incorrectbecause
becausenewborns
newbornstypically
typically lose
lose weight
weight initially
initially andand
dodo
not gain 2 pounds
pounds in in the
thefirst
first 33days.
days.
A nurse
5. A nurseisisteaching
teachinga amother
mothertotorecognize
recognize infant
infant hunger
hunger cues.
cues. Which
Which behaviors
behaviors
signsofofhunger,
are early signs hunger,and
andwhich
which is is a late
a late sign?
sign?
, NSG 3600 Exam
Exam44
A nurse
1. A nurseisiscaring
caringfor
fora a5-year-old
5-year-old child
child withwith sickle
sickle cellcell disease.
disease. The assessment
The assessment
reveals:O2
reveals: O2saturation
saturation92%,
92%,respiratory
respiratory rate
rate 13,
13, heart
heart rate
rate 100,
100, and
and thethe child
child is is
arouse.The
difficult to arouse. Thechild
childisis receiving
receiving intravenous
intravenous fluids
fluids andand morphine
morphine sulfate
sulfate
pain control.
for pain control.What
Whatisisthe
thenurse's
nurse's priority
priority action?
action?
A. Applysupplemental
A. Apply supplementaloxygen
oxygenvia
vianasal
nasal cannula
cannula andand monitor
monitor vital
vital signs
signs
B. Administer naloxone
B. Administer naloxoneto toreverse
reversethe
theeffects
effectsofofthe
themorphine
morphine
C. Increasethe
C. Increase therate
rateofofintravenous
intravenousfluids
fluids
D. Notify
D. Notify the
the provider
provider and
andrequest
requestaaSTAT
STAT hemoglobin
hemoglobin level
level
Correct Answer:
Correct B. Administer
Answer: B. Administernaloxone
naloxonetotoreverse
reverse the
the effects
effects of of
thethe morphine
morphine
The child
Rationale: The
Rationale: childisisdifficult
difficulttotoarouse
arousewith
withaarespiratory
respiratoryrate
rateofof13,
13,which
whichis is
concerning for
concerning for opioid-induced
opioid-induced respiratory
respiratorydepression.
depression.Naloxone
Naloxoneisisthe the priorityantidote
priority antidotetoto
reverse morphine
reverse morphine effects
effectsand
andprevent
preventrespiratory
respiratoryarrest.
arrest.Option
OptionAAisisincorrect
incorrectbecause
because
oxygen isisimportant,
while oxygen important, itit does
doesnotnotaddress
addressthetheunderlying
underlyingcause
cause ofof decreased
decreased
consciousness.Option
consciousness. OptionCCis is incorrect
incorrect because
because increasing
increasing fluids
fluids does
does not not reverse
reverse opioid
opioid
effects. Option
effects. Option DDisisincorrect
incorrectbecause
becausenotifying
notifyingthe
theprovider
provideris is necessary
necessary butbut
doesdoes
notnot
priority over immediate
take priority immediate life-saving
life-savingintervention
interventionwith
withnaloxone.
naloxone.
administeringnaloxone
2. After administering naloxonetotoaachild
childwith
withsuspected
suspected morphine
morphine overdose,
overdose,
nurse'snext
what are the nurse's nextpriority
priorityactions?
actions?
A. Discontinue
A. Discontinueallallpain
painmedications
medicationsand anddocument
documentthethe event
event
B. Apply
B. Apply oxygen,
oxygen,monitor
monitorvital
vitalsigns,
signs,and
andconsider
considerfurther
furtherassessment
assessment and
and treatments
treatments
C. Place
C. Placethe
thechild
childinina aprone
proneposition
positiontoto improve
improve ventilation
ventilation
D. Administer
D. Administer aabolus
bolusof ofintravenous
intravenousfluids
fluidsand
andprepare
prepareforfordischarge
discharge
Correct Answer:
Correct B. Apply
Answer: B. Applyoxygen,
oxygen,monitor
monitorvital
vitalsigns,
signs, and
and consider
consider further
further
assessmentand
assessment andtreatments
treatments
Rationale: After naloxone
Rationale: naloxone administration,
administration, thethe nurse
nursemust
mustapply
applyoxygen
oxygentotosupport
support
continuously monitor
respiration, continuously monitor vital
vital signs,
signs,and
andconsider
consideradditional
additionalassessments
assessments and
and
as needed.
treatments as needed.Option
OptionAAisisincorrect
incorrectbecause
because discontinuing
discontinuing allall pain
pain medications
medications
not appropriate;
is not appropriate; pain
pain management
managementmust mustbebereassessed
reassessed and
and adjusted.
adjusted. Option
Option C isC is
becauseprone
incorrect because pronepositioning
positioningisiscontraindicated
contraindicatedininrespiratory
respiratorycompromise.
compromise.
