NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Children’s Health Exam 4 Study Guide
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing & Pharmacology Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NSG 3600 Children s Health Exam 4 Study Guide D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NSG 3600 Children s Health Exam 4 Study Guide D | 2026/2027
Question 1
A 4-year-old child with Tetralogy of Fallot becomes cyanotic and dyspneic while crying. Which action should the nurse
take first?
A. Administer 100% oxygen via face mask.
B. Call for a STAT chest X-ray.
C. Prepare to administer morphine sulfate.
D. Place the child in the knee-chest position.
Answer: D
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt in a ‘Tet spell,’
improving oxygenation to the lungs. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Question 2
A child is admitted with suspected epiglottitis. Which nursing action is contraindicated during the initial assessment?
A. Auscultating breath sounds.
B. Attempting to visualize the throat with a tongue depressor.
C. Checking the child’s pulse oximetry.
D. Observing for the ‘tripod’ position.
Answer: B
Rationale
Using a tongue depressor can trigger laryngospasm and complete airway obstruction in a child with epiglottitis. Understanding
this concept is essential for safe clinical decision-making. Incorrect choices often reflect common misconceptions. Always link
assessment findings to the primary process and anticipated complications.
Question 3
The nurse is teaching the parents of a child with Cystic Fibrosis about pancreatic enzyme replacement. Which
instruction is correct?
A. Administer enzymes 1 hour after meals.
B. Mix the enzymes with hot oatmeal.
C. Crush the enzyme beads to facilitate swallowing.
D. Give enzymes with every meal and snack.
Answer: D
Rationale
Pancreatic enzymes must be taken with all meals and snacks to ensure adequate digestion and absorption of nutrients, as the
child lacks natural enzymes. Understanding this concept is essential for safe clinical decision-making. Incorrect choices often
reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Children’s Health Exam 4 Study Guide
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing & Pharmacology Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NSG 3600 Children s Health Exam 4 Study Guide D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NSG 3600 Children s Health Exam 4 Study Guide D | 2026/2027
Question 1
A 4-year-old child with Tetralogy of Fallot becomes cyanotic and dyspneic while crying. Which action should the nurse
take first?
A. Administer 100% oxygen via face mask.
B. Call for a STAT chest X-ray.
C. Prepare to administer morphine sulfate.
D. Place the child in the knee-chest position.
Answer: D
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt in a ‘Tet spell,’
improving oxygenation to the lungs. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Question 2
A child is admitted with suspected epiglottitis. Which nursing action is contraindicated during the initial assessment?
A. Auscultating breath sounds.
B. Attempting to visualize the throat with a tongue depressor.
C. Checking the child’s pulse oximetry.
D. Observing for the ‘tripod’ position.
Answer: B
Rationale
Using a tongue depressor can trigger laryngospasm and complete airway obstruction in a child with epiglottitis. Understanding
this concept is essential for safe clinical decision-making. Incorrect choices often reflect common misconceptions. Always link
assessment findings to the primary process and anticipated complications.
Question 3
The nurse is teaching the parents of a child with Cystic Fibrosis about pancreatic enzyme replacement. Which
instruction is correct?
A. Administer enzymes 1 hour after meals.
B. Mix the enzymes with hot oatmeal.
C. Crush the enzyme beads to facilitate swallowing.
D. Give enzymes with every meal and snack.
Answer: D
Rationale
Pancreatic enzymes must be taken with all meals and snacks to ensure adequate digestion and absorption of nutrients, as the
child lacks natural enzymes. Understanding this concept is essential for safe clinical decision-making. Incorrect choices often
reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
