NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice – Children’s Health Exam 3 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 3 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 Nursing Practice Children s Health Exam 3 Study Guide D | 2026/2027
Question 1
A 4-year-old is admitted for a cleft palate repair. Which post-operative nursing intervention is the most critical to protect
the surgical site?
A. Allow the child to use a straw for clear liquids
B. Provide a pacifier for self-soothing
C. Position the child in a prone position to facilitate drainage
D. Avoid using a suction catheter or rigid utensils in the mouth
Answer: D
Rationale
Post-operative care for a cleft palate repair involves protecting the suture line. Objects like straws, pacifiers, and suction
catheters can damage the repair. The child should be placed in a side-lying or upright position, not prone, to avoid rubbing the
face on sheets.
Question 2
An infant with Tetralogy of Fallot experiences a ‘Tet spell’ during a blood draw. What is the nurse’s immediate priority
action?
A. Place the infant in the knee-chest position
B. Administer 100% oxygen via non-rebreather mask
C. Prepare an immediate dose of intravenous morphine
D. Call the rapid response team and prepare for intubation
Answer: A
Rationale
The knee-chest position increases systemic vascular resistance, which decreases the right-to-left shunt and improves
oxygenation during a hypercyanotic spell. This is the first-line nursing intervention.
Question 3
A child is diagnosed with acute epiglottitis. Which clinical manifestation should the nurse recognize as a hallmark sign of
this condition?
A. Barking cough that worsens at night
B. Expiratory wheezing and productive cough
C. Drooling, agitation, and absence of spontaneous cough
D. Low-grade fever and a sandpaper-like rash
Answer: C
Rationale
Epiglottitis is a medical emergency characterized by the ‘four Ds’: Drooling, Dysphagia, Dysphonia, and Distressed inspiratory
efforts. A barking cough is characteristic of Croup (LTB), not epiglottitis.
Page 3
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice – Children’s Health Exam 3 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 3 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 Nursing Practice Children s Health Exam 3 Study Guide D | 2026/2027
Question 1
A 4-year-old is admitted for a cleft palate repair. Which post-operative nursing intervention is the most critical to protect
the surgical site?
A. Allow the child to use a straw for clear liquids
B. Provide a pacifier for self-soothing
C. Position the child in a prone position to facilitate drainage
D. Avoid using a suction catheter or rigid utensils in the mouth
Answer: D
Rationale
Post-operative care for a cleft palate repair involves protecting the suture line. Objects like straws, pacifiers, and suction
catheters can damage the repair. The child should be placed in a side-lying or upright position, not prone, to avoid rubbing the
face on sheets.
Question 2
An infant with Tetralogy of Fallot experiences a ‘Tet spell’ during a blood draw. What is the nurse’s immediate priority
action?
A. Place the infant in the knee-chest position
B. Administer 100% oxygen via non-rebreather mask
C. Prepare an immediate dose of intravenous morphine
D. Call the rapid response team and prepare for intubation
Answer: A
Rationale
The knee-chest position increases systemic vascular resistance, which decreases the right-to-left shunt and improves
oxygenation during a hypercyanotic spell. This is the first-line nursing intervention.
Question 3
A child is diagnosed with acute epiglottitis. Which clinical manifestation should the nurse recognize as a hallmark sign of
this condition?
A. Barking cough that worsens at night
B. Expiratory wheezing and productive cough
C. Drooling, agitation, and absence of spontaneous cough
D. Low-grade fever and a sandpaper-like rash
Answer: C
Rationale
Epiglottitis is a medical emergency characterized by the ‘four Ds’: Drooling, Dysphagia, Dysphonia, and Distressed inspiratory
efforts. A barking cough is characteristic of Croup (LTB), not epiglottitis.
Page 3
