NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice - Children’s Health Exam 2 Study G
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 Nursing Practice - Children s Health Exam 2 Study Guide | 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 Nursing Practice - Children s Health Exam 2 Study Guide | 2026/2027
Question 1
A 4-year-old child is admitted for surgery. According to Erikson, which developmental task is this child currently
navigating?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Trust vs. Mistrust
Answer: B
Rationale
Children aged 3 to 6 years (preschoolers) are in the Initiative vs. Guilt stage, where they begin to assert power and control
over the world through directing play and other social interaction. 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 nurse is caring for a child with Tetralogy of Fallot who suddenly becomes cyanotic and dyspneic. Which action should
the nurse take first?
A. Administer 100% oxygen via mask
B. Obtain an arterial blood gas sample
C. Prepare for immediate administration of morphine
D. Place the child in a knee-chest position
Answer: D
Rationale
During a ‘Tet spell’ (hypercyanotic episode), placing the child in a knee-chest position increases systemic vascular resistance,
which helps reduce the right-to-left shunt and improves oxygenation. 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
Which clinical finding is considered a hallmark sign of pyloric stenosis in a 4-week-old infant?
A. Olive-shaped mass in the epigastrium
B. Bile-stained emesis
C. Currant jelly-like stools
D. Abdominal distension and visible peristalsis in the lower quadrants
Answer: A
Rationale
Pyloric stenosis is characterized by an olive-shaped mass in the upper abdomen (epigastrium) and non-bilious projectile
vomiting. 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 Nursing Practice - Children’s Health Exam 2 Study G
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 Nursing Practice - Children s Health Exam 2 Study Guide | 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 Nursing Practice - Children s Health Exam 2 Study Guide | 2026/2027
Question 1
A 4-year-old child is admitted for surgery. According to Erikson, which developmental task is this child currently
navigating?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Trust vs. Mistrust
Answer: B
Rationale
Children aged 3 to 6 years (preschoolers) are in the Initiative vs. Guilt stage, where they begin to assert power and control
over the world through directing play and other social interaction. 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 nurse is caring for a child with Tetralogy of Fallot who suddenly becomes cyanotic and dyspneic. Which action should
the nurse take first?
A. Administer 100% oxygen via mask
B. Obtain an arterial blood gas sample
C. Prepare for immediate administration of morphine
D. Place the child in a knee-chest position
Answer: D
Rationale
During a ‘Tet spell’ (hypercyanotic episode), placing the child in a knee-chest position increases systemic vascular resistance,
which helps reduce the right-to-left shunt and improves oxygenation. 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
Which clinical finding is considered a hallmark sign of pyloric stenosis in a 4-week-old infant?
A. Olive-shaped mass in the epigastrium
B. Bile-stained emesis
C. Currant jelly-like stools
D. Abdominal distension and visible peristalsis in the lower quadrants
Answer: A
Rationale
Pyloric stenosis is characterized by an olive-shaped mass in the upper abdomen (epigastrium) and non-bilious projectile
vomiting. 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
