NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Exam 3: Nursing Practice – Children’s Health Compre
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 Comprehensive | 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 Comprehensive | 2026/2027
Question 1
A 4-year-old child is admitted with suspected epiglottitis. Which nursing action is the highest priority?
A. Ensure emergency intubation equipment is at the bedside.
B. Assess the child’s throat using a tongue depressor.
C. Obtain a throat culture to identify the causative organism.
D. Place the child in a supine position to facilitate breathing.
Answer: A
Rationale
Epiglottitis is a medical emergency that can lead to sudden airway obstruction. Examination of the throat with a tongue
depressor is contraindicated as it can trigger laryngospasm. The priority is maintaining airway patency and having emergency
equipment ready.
Question 2
A school-aged child with cystic fibrosis is being educated on nutrition. Which instruction should the nurse include?
A. Restrict salt intake during summer months.
B. Administer pancreatic enzymes 2 hours after meals.
C. Provide a high-calorie, high-protein diet.
D. Decrease fat intake to prevent steatorrhea.
Answer: C
Rationale
Children with CF require a high-calorie, high-protein diet due to malabsorption. Pancreatic enzymes must be taken with all
meals and snacks, not hours later, and fat is necessary for caloric density. 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
An infant with Tetralogy of Fallot experiences a hypercyanotic (‘Tet’) spell. Which action should the nurse take first?
A. Administer 100% oxygen via face mask.
B. Prepare for immediate surgical intervention.
C. Administer morphine sulfate intravenously.
D. Place the infant in the knee-chest position.
Answer: D
Rationale
The knee-chest position reduces venous return from the lower extremities and increases systemic vascular resistance, which
helps shunt blood into the pulmonary circulation. 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 Compre
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 Comprehensive | 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 Comprehensive | 2026/2027
Question 1
A 4-year-old child is admitted with suspected epiglottitis. Which nursing action is the highest priority?
A. Ensure emergency intubation equipment is at the bedside.
B. Assess the child’s throat using a tongue depressor.
C. Obtain a throat culture to identify the causative organism.
D. Place the child in a supine position to facilitate breathing.
Answer: A
Rationale
Epiglottitis is a medical emergency that can lead to sudden airway obstruction. Examination of the throat with a tongue
depressor is contraindicated as it can trigger laryngospasm. The priority is maintaining airway patency and having emergency
equipment ready.
Question 2
A school-aged child with cystic fibrosis is being educated on nutrition. Which instruction should the nurse include?
A. Restrict salt intake during summer months.
B. Administer pancreatic enzymes 2 hours after meals.
C. Provide a high-calorie, high-protein diet.
D. Decrease fat intake to prevent steatorrhea.
Answer: C
Rationale
Children with CF require a high-calorie, high-protein diet due to malabsorption. Pancreatic enzymes must be taken with all
meals and snacks, not hours later, and fat is necessary for caloric density. 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
An infant with Tetralogy of Fallot experiences a hypercyanotic (‘Tet’) spell. Which action should the nurse take first?
A. Administer 100% oxygen via face mask.
B. Prepare for immediate surgical intervention.
C. Administer morphine sulfate intravenously.
D. Place the infant in the knee-chest position.
Answer: D
Rationale
The knee-chest position reduces venous return from the lower extremities and increases systemic vascular resistance, which
helps shunt blood into the pulmonary circulation. 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
