NSG 3600 Pediatrics Real Exam 1 Review of 230 latest
exam questions and correct detailed answers | Galen
NSG 3600 Nursing Practice Children's Health Exam 1
review test bank 2026-2027
TB21. A 66-lb child complains of mild pain after a procedure. What action by the
nurse is best?
A. Administer 0.3 mg of naloxone (Narcan) every 4 hours orally if needed.
B. Administer 300 mg of acetaminophen (Tylenol) orally and provide a movie to
watch.
C. Administer 450 mg of acetaminophen (Tylenol) orally every 3 hours as
requested.
D. Administer morphine sulfate (Astromorph) 9 mg orally every 4 hours if needed.
- ANSWER-b
For mild pain, acetaminophen and other mild analgesics work well along with a
distraction or other comfort measures. The most appropriate choice is 300 mg of
acetaminophen (within the dose range of 10-15 mg/kg every 4-6 hours) and a
movie to distract the child. Naloxone (Narcan) is a reversal agent for opioid
analgesics and is not warranted in this situation. A dose of 450 mg of
acetaminophen is appropriate, but the frequency is wrong. Morphine (Astromorph)
would not be used for mild discomfort.
TB21. A 1-week-old infant is in the pediatric clinic. The birth weight was 8 lb, 1
oz (3.65 kg). Today the infant weighs 7 lb (3.17 kg). The mother breastfeeds
exclusively. What action by the nurse is best?
A. Assess the mother's breastfeeding technique.
B. Document the finding and alert the provider.
C. Reassure the woman that weight loss is normal.
1
,D. Refer the mother to a lactation consultant. - ANSWER-b
Newborns often lose 5-10% of their birth weight during the first week of life.
However, a weight loss greater than 10% needs further evaluation. This baby has
lost just over 10% of birth weight. The nurse should document the finding and alert
the health-care provider. Assessing breastfeeding technique and referral to a
lactation consultant may be appropriate depending on the etiology of the problem.
The nurse should not reassure the mother that the weight loss is normal because it
is excessive for the first week of life.
TB21. A nurse is providing nutritional information to a parent group. Which
information is most appropriate?
A. At least 35% of calories should come from protein.
B. Limit carbohydrates to 10-15% of daily calories.
C. Saturated fats are the healthiest fat choice.
D. Use whole milk until your child is 2 years old. - ANSWER-d
Children should be switched from whole milk to skim or low-fat varieties after age
2 years. Ten to 35% of calories should be from protein sources. Unsaturated fats
are healthier than saturated fats. Carbohydrates form the bulk of a child's diet and
should be 45-65% of the daily calorie intake.
TB21. A nurse is weighing a 2-month-old infant in the clinic. To ensure safety,
which action is most appropriate?
A. Have the parent hold the child while standing on an adult scale.
B. Place the baby in the scale and place one hand on top of the baby.
C. Place the baby in the scale and hold one hand just over the baby.
D. Prop the infant sitting up in the scale, then weigh the prop separately. -
ANSWER-c
To protect a child from an accidental fall from the infant scale, the nurse places the
baby in the scale and holds one hand just over the baby. Weighing the adult and
baby, then subtracting the adult's weight is not as accurate as using the infant scale,
2
,which reads in smaller increments. Placing a hand on top of the baby will add
weight. Propping up a 2-month old-infant is not as safe as laying the infant down.
TB21. A nurse is assessing a 10-month-old baby's anterior fontanel and finds it
slightly depressed; the fontanel measures 2 inches (5.08 cm). What conclusion and
action are most appropriate?
A. Delayed closing; alert health-care provider.
B. Fontanel is closing; document findings.
C. Large for age; assess for Down's syndrome.
D. Sign of dehydration; assess fluid status. - ANSWER-d
The anterior fontanel remains open until 12-18 months of age. The normal size is
0.4-2.8 inches (1-7 cm). A depressed fontanel is a sign of possible dehydration, and
the nurse should assess for other signs of fluid status. The closing is not delayed, it
is not overly large, nor should it be closing as part of normal growth and
development.
TB21. A child has had eye testing. The nurse reads in the child's chart that the
Hirschberg test demonstrated displacement of light reflection in one eye. What
does this indicate to the nurse?
A. Color blindness
B. Normal ocular alignment
C. Presence of cataracts
D. Presence of strabismus - ANSWER-d
Ocular alignment is demonstrated through the Hirschberg test. When a light is
shone directly into the child's eyes, the reflection should fall in the same location
on the cornea of both eyes. Displacement of the corneal light reflection is
indicative of strabismus. Color blindness is assessed with the Ishihara
pseudochromatic charts. Cataracts are assessed via the red reflex.
3
, TB21. A child needs hearing assessments. To assess air and bone conduction of
sound, which assessment technique is most appropriate?
A. Have the child place a block into a box each time he or she hears a sound.
B. Place a probe into the ear canal and measure the amount of sound reflected.
C. Strike a tuning fork and place the handle against the back of the child's head.
D. Strike a tuning fork, place it on the mastoid process, then move it to within1
inch of the ear canal - ANSWER-d
Air and bone conduction of sound are assessed with both the Weber test and the
Rinne test. The Rinne test uses as vibrating tuning fork placed against the child's
mastoid process. When the child can no longer hear the fork, the nurse moves it to
within 1-2 inches of the auditory meatus. The child should hear this sound twice as
long as the bone-conducted sound. The Weber test uses the vibrating tuning fork
placed against the midline on top of the child's head. Engaging in a play activity
related to hearing sounds is called conditioned-play audiometry and assesses
hearing. Using a probe in the ear canal is called tympanometry and assesses the
status of the middle ear.
TB21. A nurse reads in a child's chart that the child has pectus carinatum. What
does the nurse understand this term to mean?
A. Barrel chest from chronic illness
B. Depression of the lower chest
C. Protrusion of the chest
D. Underdeveloped breast bone - ANSWER-c
Pectus carinatum is an abnormal protrusion of the chest. Depression of the lower
portion of the sternum is known as pectus excavatum.
TB21. A 5-year-old child is having an acute asthma attack. How does the nurse
position the child while waiting for a respiratory treatment?
A. Prone across the parent's lap
B. Semi-Fowler's position in bed
4
exam questions and correct detailed answers | Galen
NSG 3600 Nursing Practice Children's Health Exam 1
review test bank 2026-2027
TB21. A 66-lb child complains of mild pain after a procedure. What action by the
nurse is best?
A. Administer 0.3 mg of naloxone (Narcan) every 4 hours orally if needed.
B. Administer 300 mg of acetaminophen (Tylenol) orally and provide a movie to
watch.
C. Administer 450 mg of acetaminophen (Tylenol) orally every 3 hours as
requested.
D. Administer morphine sulfate (Astromorph) 9 mg orally every 4 hours if needed.
- ANSWER-b
For mild pain, acetaminophen and other mild analgesics work well along with a
distraction or other comfort measures. The most appropriate choice is 300 mg of
acetaminophen (within the dose range of 10-15 mg/kg every 4-6 hours) and a
movie to distract the child. Naloxone (Narcan) is a reversal agent for opioid
analgesics and is not warranted in this situation. A dose of 450 mg of
acetaminophen is appropriate, but the frequency is wrong. Morphine (Astromorph)
would not be used for mild discomfort.
TB21. A 1-week-old infant is in the pediatric clinic. The birth weight was 8 lb, 1
oz (3.65 kg). Today the infant weighs 7 lb (3.17 kg). The mother breastfeeds
exclusively. What action by the nurse is best?
A. Assess the mother's breastfeeding technique.
B. Document the finding and alert the provider.
C. Reassure the woman that weight loss is normal.
1
,D. Refer the mother to a lactation consultant. - ANSWER-b
Newborns often lose 5-10% of their birth weight during the first week of life.
However, a weight loss greater than 10% needs further evaluation. This baby has
lost just over 10% of birth weight. The nurse should document the finding and alert
the health-care provider. Assessing breastfeeding technique and referral to a
lactation consultant may be appropriate depending on the etiology of the problem.
The nurse should not reassure the mother that the weight loss is normal because it
is excessive for the first week of life.
TB21. A nurse is providing nutritional information to a parent group. Which
information is most appropriate?
A. At least 35% of calories should come from protein.
B. Limit carbohydrates to 10-15% of daily calories.
C. Saturated fats are the healthiest fat choice.
D. Use whole milk until your child is 2 years old. - ANSWER-d
Children should be switched from whole milk to skim or low-fat varieties after age
2 years. Ten to 35% of calories should be from protein sources. Unsaturated fats
are healthier than saturated fats. Carbohydrates form the bulk of a child's diet and
should be 45-65% of the daily calorie intake.
TB21. A nurse is weighing a 2-month-old infant in the clinic. To ensure safety,
which action is most appropriate?
A. Have the parent hold the child while standing on an adult scale.
B. Place the baby in the scale and place one hand on top of the baby.
C. Place the baby in the scale and hold one hand just over the baby.
D. Prop the infant sitting up in the scale, then weigh the prop separately. -
ANSWER-c
To protect a child from an accidental fall from the infant scale, the nurse places the
baby in the scale and holds one hand just over the baby. Weighing the adult and
baby, then subtracting the adult's weight is not as accurate as using the infant scale,
2
,which reads in smaller increments. Placing a hand on top of the baby will add
weight. Propping up a 2-month old-infant is not as safe as laying the infant down.
TB21. A nurse is assessing a 10-month-old baby's anterior fontanel and finds it
slightly depressed; the fontanel measures 2 inches (5.08 cm). What conclusion and
action are most appropriate?
A. Delayed closing; alert health-care provider.
B. Fontanel is closing; document findings.
C. Large for age; assess for Down's syndrome.
D. Sign of dehydration; assess fluid status. - ANSWER-d
The anterior fontanel remains open until 12-18 months of age. The normal size is
0.4-2.8 inches (1-7 cm). A depressed fontanel is a sign of possible dehydration, and
the nurse should assess for other signs of fluid status. The closing is not delayed, it
is not overly large, nor should it be closing as part of normal growth and
development.
TB21. A child has had eye testing. The nurse reads in the child's chart that the
Hirschberg test demonstrated displacement of light reflection in one eye. What
does this indicate to the nurse?
A. Color blindness
B. Normal ocular alignment
C. Presence of cataracts
D. Presence of strabismus - ANSWER-d
Ocular alignment is demonstrated through the Hirschberg test. When a light is
shone directly into the child's eyes, the reflection should fall in the same location
on the cornea of both eyes. Displacement of the corneal light reflection is
indicative of strabismus. Color blindness is assessed with the Ishihara
pseudochromatic charts. Cataracts are assessed via the red reflex.
3
, TB21. A child needs hearing assessments. To assess air and bone conduction of
sound, which assessment technique is most appropriate?
A. Have the child place a block into a box each time he or she hears a sound.
B. Place a probe into the ear canal and measure the amount of sound reflected.
C. Strike a tuning fork and place the handle against the back of the child's head.
D. Strike a tuning fork, place it on the mastoid process, then move it to within1
inch of the ear canal - ANSWER-d
Air and bone conduction of sound are assessed with both the Weber test and the
Rinne test. The Rinne test uses as vibrating tuning fork placed against the child's
mastoid process. When the child can no longer hear the fork, the nurse moves it to
within 1-2 inches of the auditory meatus. The child should hear this sound twice as
long as the bone-conducted sound. The Weber test uses the vibrating tuning fork
placed against the midline on top of the child's head. Engaging in a play activity
related to hearing sounds is called conditioned-play audiometry and assesses
hearing. Using a probe in the ear canal is called tympanometry and assesses the
status of the middle ear.
TB21. A nurse reads in a child's chart that the child has pectus carinatum. What
does the nurse understand this term to mean?
A. Barrel chest from chronic illness
B. Depression of the lower chest
C. Protrusion of the chest
D. Underdeveloped breast bone - ANSWER-c
Pectus carinatum is an abnormal protrusion of the chest. Depression of the lower
portion of the sternum is known as pectus excavatum.
TB21. A 5-year-old child is having an acute asthma attack. How does the nurse
position the child while waiting for a respiratory treatment?
A. Prone across the parent's lap
B. Semi-Fowler's position in bed
4
