NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Exam 3 - Nursing Practice: Children’s Health
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 Exam 3 - Nursing Practice Children s Health 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 Exam 3 - Nursing Practice Children s Health D | 2026/2027
Question 1
A 6-month-old infant is admitted with Tetralogy of Fallot and suddenly develops a ‘tet spell’. Which nursing intervention
should be prioritized?
A. Place the infant in the knee-chest position
B. Administer 100% oxygen via non-rebreather mask
C. Prepare for immediate administration of morphine sulfate
D. Initiate intravenous fluid bolus of Normal Saline
Answer: A
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt across the
ventricular septal defect, improving pulmonary blood flow. 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 with cystic fibrosis is being discharged. Which instruction regarding pancreatic enzyme replacement therapy is
most accurate?
A. Enzymes should be administered with all meals and snacks
B. Enzymes can be skipped if the child only consumes a carbohydrate-heavy snack
C. Enzymes should be taken 30 minutes after every meal
D. Crush the enteric-coated beads if the child has trouble swallowing
Answer: A
Rationale
Pancreatic enzymes are required for all meals and snacks to facilitate the digestion and absorption of fats, proteins, and
carbohydrates in children with CF. 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
A 4-week-old infant is brought to the clinic for projectile vomiting and constant hunger. On physical examination, an
olive-shaped mass is felt in the right upper quadrant. Which acid- base imbalance does the nurse anticipate?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Acidosis
D. Respiratory Alkalosis
Answer: B
Rationale
Hypertrophic pyloric stenosis causes severe vomiting, leading to the loss of gastric hydrochloric acid, which results in
metabolic alkalosis. 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 Exam 3 - Nursing Practice: Children’s Health
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 Exam 3 - Nursing Practice Children s Health 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 Exam 3 - Nursing Practice Children s Health D | 2026/2027
Question 1
A 6-month-old infant is admitted with Tetralogy of Fallot and suddenly develops a ‘tet spell’. Which nursing intervention
should be prioritized?
A. Place the infant in the knee-chest position
B. Administer 100% oxygen via non-rebreather mask
C. Prepare for immediate administration of morphine sulfate
D. Initiate intravenous fluid bolus of Normal Saline
Answer: A
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt across the
ventricular septal defect, improving pulmonary blood flow. 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 with cystic fibrosis is being discharged. Which instruction regarding pancreatic enzyme replacement therapy is
most accurate?
A. Enzymes should be administered with all meals and snacks
B. Enzymes can be skipped if the child only consumes a carbohydrate-heavy snack
C. Enzymes should be taken 30 minutes after every meal
D. Crush the enteric-coated beads if the child has trouble swallowing
Answer: A
Rationale
Pancreatic enzymes are required for all meals and snacks to facilitate the digestion and absorption of fats, proteins, and
carbohydrates in children with CF. 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
A 4-week-old infant is brought to the clinic for projectile vomiting and constant hunger. On physical examination, an
olive-shaped mass is felt in the right upper quadrant. Which acid- base imbalance does the nurse anticipate?
A. Metabolic Acidosis
B. Metabolic Alkalosis
C. Respiratory Acidosis
D. Respiratory Alkalosis
Answer: B
Rationale
Hypertrophic pyloric stenosis causes severe vomiting, leading to the loss of gastric hydrochloric acid, which results in
metabolic alkalosis. 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
