NSG 3600 Pediatrics Real Exam 4 Review of 200 latest
exam questions and correct answers with rationales |
Galen NSG 3600 Nursing Practice Children's Health
Exam 4 review test bank 2026-2027
1: The nurse is assessing a 6-year-old child for manifestations of autism spectrum
disorder (ASD). Which of the following manifestations should the nurse expect to
observe in this child?
A. Continuous eye contact
B. Interest in various activities
C. Impaired communication
D. Early development of grammar
-ANSWER- C
Rationale: ASD s/s include impaired social reciprocity (can't hold a conversation),
inability to maintain eye contact (1st thing to look for in infancy), and impaired
communication (main thing you will see) [not able to talk].
2: A nurse is providing discharge instructions to the parents of a child who has
precocious puberty. Which of the following should the nurse include in the
teaching?
A. Consideration of homeschooling for the child
B. Importance of following up with the dietician referral
C. The need for lifelong gonadotropin-releasing agonist treatment
D. Early development of secondary sexual characteristics
-ANSWER- D
Rationale: Education includes psychological support regarding body image
(especially in girls), therapies, wearing loose clothes, and playing with kids their
age rather than older children. In boys, bone plates close when they start puberty,
so it is important to stop treatment (Lupron GnRH Agonist) when they are young
so they can grow. Early development of secondary sexual characteristics is the
hallmark manifestation parents must understand.
3: The nurse is reviewing the medical records of pediatric clients. Which of the
following children is at greatest risk for diabetes mellitus (type 2)?
1
,A. An African American who has a body mass index (BMI) in the 75th percentile
and a grandmother who has diabetes mellitus (type 2)
B. A Caucasian who has a weight greater than 90% of ideal weight for height and
whose mother had gestational diabetes mellitus
C. A Hispanic American who has a weight in the 90th percentile for height and a
sister who was recently diagnosed with diabetes mellitus (type 2)
D. A Native American who has a BMI in the 75th percentile and an aunt who has
diabetes mellitus (type 2)
-ANSWER- C
Rationale: Diagnosis of T2DM requires obesity (BMI >85th percentile for age and
sex, or weight greater than 120% of the ideal weight for height) PLUS 2 risk
factors including family history of T2DM (1st or 2nd degree relative),
race/ethnicity (Native American, African American, Latino, Asian, and Pacific
Islander), insulin resistance (acanthosis nigricans), hypertension, dyslipidemia,
PCOS, LGA, or maternal history of gestational diabetes. The Hispanic American
child with weight in the 90th percentile and a sister (1st degree relative) with
T2DM has obesity plus two risk factors.
4: The nurse preceptor is observing a newly hired nurse care for a child who has
Down syndrome. Which of the following manifestations documented by the newly
hired nurse requires follow-up by the nurse preceptor?
A. Hyperflexibility
B. Protruding tongue
C. Enlarged orbital sockets and thin lip
D. Depressed nasal bridge
-ANSWER- C
Rationale: Down syndrome s/s include hyperflexibility of joints, protruding
tongue, depressed/flat nasal bridge (sleep apnea, snores), flat area between eyes
making eyes appear further apart, low set ears, poor muscle tone (hypotonia/floppy
newborn), epicanthal folds, short neck with extra folds, simian crease, and short
high-pitched cries in infancy (neuro cry). Enlarged orbital sockets and thin lip are
not characteristic of Down syndrome, so this documentation requires follow-up.
5: The nurse is teaching the mother of a 2-month-old infant about newly prescribed
levothyroxine. Which of the following instructions should the nurse include in the
teaching?
A. "Dissolve the medication and put in a full bottle of formula to disguise the
taste."
2
,B. "Give the crushed medication (if applicable) in a small amount of water before
giving a bottle."
C. "Mix the medication with applesauce and feed it to the infant."
D. "The medication can be dissolved ahead of time and stored in an airtight
container."
-ANSWER- B
Rationale: Give the crushed medication (if applicable) in a small amount of water
before giving a bottle. Iron is best absorbed when taken on an empty stomach with
water or fruit juice about 1 hour before meals or 2 hours after meals. Mix dose with
water, fruit juice, or tomato juice. Iron stains teeth, so use a drinking tube/straw.
Children can rinse mouth with plain water after med administration. Medication
should not be dissolved ahead of time or mixed in a full bottle since the infant may
not finish the bottle.
6: The nurse is caring for an infant and observes findings as indicated in the image
below. The nurse identifies that this infant has
A. Contact dermatitis
B. Tinea capitis
C. Pediculosis capitis
D. Impetigo
-ANSWER- C
3
, Rationale: The image shows pearlescent white colored teardrops in the child's hair.
This is indicative of lice, showing the presence of lice/nit eggs on the hair shaft,
which is pediculosis capitis (lice).
7: The nurse preceptor is discussing causes of contact dermatitis with a student
nurse. Which of the following causes listed by the student nurse requires further
teaching by the nurse preceptor?
A. Scented diaper wipes
B. Poison ivy
C. Laundry detergent
D. Pollen
-ANSWER- D
Rationale: Contact dermatitis is when an allergen or irritant is encountered (comes
in contact with the skin). Infants: diaper area is most prone (prolonged exposure to
urine, feces, or allergy to the diaper or wipes). Children: playing outside (poison
oak/ivy, sumac). Other: jewelry, perfumes, laundry detergent. Pollen is an airborne
allergen that causes allergic rhinitis and asthma, not contact dermatitis, so this
requires further teaching.
8: The nurse is teaching parents of a toddler who has diabetes mellitus (type 1)
about ways to include their child in the plan of care. Which of the following
actions should the parents have the toddler perform?
A. Choose which finger to use for a fingerstick
B. Draw up insulin, then the parents check if the dosage is correct
C. Pick correct food and snacks at social gatherings
D. Perform insulin injection on a doll
-ANSWER- A
Rationale: Toddlers pick which finger and can clean the finger. School-age
children can perform glucose tests and ketone tests and start to learn s/s of
hypoglycemia and hyperglycemia. Adolescents can do everything.
9: The nurse is presenting information about attention-deficit/hyperactivity
disorder (ADHD) with a school-parent association. Which of the following clinical
manifestations should the nurse include in the presentation?
A. Prefers detailed tasks
B. Socially introverted
C. Difficulty taking turns
D. Completes projects quickly
4
exam questions and correct answers with rationales |
Galen NSG 3600 Nursing Practice Children's Health
Exam 4 review test bank 2026-2027
1: The nurse is assessing a 6-year-old child for manifestations of autism spectrum
disorder (ASD). Which of the following manifestations should the nurse expect to
observe in this child?
A. Continuous eye contact
B. Interest in various activities
C. Impaired communication
D. Early development of grammar
-ANSWER- C
Rationale: ASD s/s include impaired social reciprocity (can't hold a conversation),
inability to maintain eye contact (1st thing to look for in infancy), and impaired
communication (main thing you will see) [not able to talk].
2: A nurse is providing discharge instructions to the parents of a child who has
precocious puberty. Which of the following should the nurse include in the
teaching?
A. Consideration of homeschooling for the child
B. Importance of following up with the dietician referral
C. The need for lifelong gonadotropin-releasing agonist treatment
D. Early development of secondary sexual characteristics
-ANSWER- D
Rationale: Education includes psychological support regarding body image
(especially in girls), therapies, wearing loose clothes, and playing with kids their
age rather than older children. In boys, bone plates close when they start puberty,
so it is important to stop treatment (Lupron GnRH Agonist) when they are young
so they can grow. Early development of secondary sexual characteristics is the
hallmark manifestation parents must understand.
3: The nurse is reviewing the medical records of pediatric clients. Which of the
following children is at greatest risk for diabetes mellitus (type 2)?
1
,A. An African American who has a body mass index (BMI) in the 75th percentile
and a grandmother who has diabetes mellitus (type 2)
B. A Caucasian who has a weight greater than 90% of ideal weight for height and
whose mother had gestational diabetes mellitus
C. A Hispanic American who has a weight in the 90th percentile for height and a
sister who was recently diagnosed with diabetes mellitus (type 2)
D. A Native American who has a BMI in the 75th percentile and an aunt who has
diabetes mellitus (type 2)
-ANSWER- C
Rationale: Diagnosis of T2DM requires obesity (BMI >85th percentile for age and
sex, or weight greater than 120% of the ideal weight for height) PLUS 2 risk
factors including family history of T2DM (1st or 2nd degree relative),
race/ethnicity (Native American, African American, Latino, Asian, and Pacific
Islander), insulin resistance (acanthosis nigricans), hypertension, dyslipidemia,
PCOS, LGA, or maternal history of gestational diabetes. The Hispanic American
child with weight in the 90th percentile and a sister (1st degree relative) with
T2DM has obesity plus two risk factors.
4: The nurse preceptor is observing a newly hired nurse care for a child who has
Down syndrome. Which of the following manifestations documented by the newly
hired nurse requires follow-up by the nurse preceptor?
A. Hyperflexibility
B. Protruding tongue
C. Enlarged orbital sockets and thin lip
D. Depressed nasal bridge
-ANSWER- C
Rationale: Down syndrome s/s include hyperflexibility of joints, protruding
tongue, depressed/flat nasal bridge (sleep apnea, snores), flat area between eyes
making eyes appear further apart, low set ears, poor muscle tone (hypotonia/floppy
newborn), epicanthal folds, short neck with extra folds, simian crease, and short
high-pitched cries in infancy (neuro cry). Enlarged orbital sockets and thin lip are
not characteristic of Down syndrome, so this documentation requires follow-up.
5: The nurse is teaching the mother of a 2-month-old infant about newly prescribed
levothyroxine. Which of the following instructions should the nurse include in the
teaching?
A. "Dissolve the medication and put in a full bottle of formula to disguise the
taste."
2
,B. "Give the crushed medication (if applicable) in a small amount of water before
giving a bottle."
C. "Mix the medication with applesauce and feed it to the infant."
D. "The medication can be dissolved ahead of time and stored in an airtight
container."
-ANSWER- B
Rationale: Give the crushed medication (if applicable) in a small amount of water
before giving a bottle. Iron is best absorbed when taken on an empty stomach with
water or fruit juice about 1 hour before meals or 2 hours after meals. Mix dose with
water, fruit juice, or tomato juice. Iron stains teeth, so use a drinking tube/straw.
Children can rinse mouth with plain water after med administration. Medication
should not be dissolved ahead of time or mixed in a full bottle since the infant may
not finish the bottle.
6: The nurse is caring for an infant and observes findings as indicated in the image
below. The nurse identifies that this infant has
A. Contact dermatitis
B. Tinea capitis
C. Pediculosis capitis
D. Impetigo
-ANSWER- C
3
, Rationale: The image shows pearlescent white colored teardrops in the child's hair.
This is indicative of lice, showing the presence of lice/nit eggs on the hair shaft,
which is pediculosis capitis (lice).
7: The nurse preceptor is discussing causes of contact dermatitis with a student
nurse. Which of the following causes listed by the student nurse requires further
teaching by the nurse preceptor?
A. Scented diaper wipes
B. Poison ivy
C. Laundry detergent
D. Pollen
-ANSWER- D
Rationale: Contact dermatitis is when an allergen or irritant is encountered (comes
in contact with the skin). Infants: diaper area is most prone (prolonged exposure to
urine, feces, or allergy to the diaper or wipes). Children: playing outside (poison
oak/ivy, sumac). Other: jewelry, perfumes, laundry detergent. Pollen is an airborne
allergen that causes allergic rhinitis and asthma, not contact dermatitis, so this
requires further teaching.
8: The nurse is teaching parents of a toddler who has diabetes mellitus (type 1)
about ways to include their child in the plan of care. Which of the following
actions should the parents have the toddler perform?
A. Choose which finger to use for a fingerstick
B. Draw up insulin, then the parents check if the dosage is correct
C. Pick correct food and snacks at social gatherings
D. Perform insulin injection on a doll
-ANSWER- A
Rationale: Toddlers pick which finger and can clean the finger. School-age
children can perform glucose tests and ketone tests and start to learn s/s of
hypoglycemia and hyperglycemia. Adolescents can do everything.
9: The nurse is presenting information about attention-deficit/hyperactivity
disorder (ADHD) with a school-parent association. Which of the following clinical
manifestations should the nurse include in the presentation?
A. Prefers detailed tasks
B. Socially introverted
C. Difficulty taking turns
D. Completes projects quickly
4
