NSG 3600 Pediatrics Real Exam 3 Review of 250 latest
exam questions and correct detailed answers | Galen
NSG 3600 Nursing Practice Children's Health Exam 3
review test bank 2026-2027
Unit 5, 6, & 7
A child receiving peritoneal dialysis has not been having adequate volume in the
return. The child is currently edematous and hypertensive. Which would the nurse
anticipate the health-care provider to do?
1. Increase the glucose concentration of the dialysate.
2. Decrease the glucose concentration of the dialysate.
3. Administer antihypertensives and diuretics but not change the dialysate
concentration.
4. Decrease the dwell time of the dialysate.
1. Increasing the concentration of glucose will pull more fluid into the return.
2. Decreasing the concentration of glucose will pull less fluid into the return.
3. Antihypertensives and diuretics may be administered, but changing the
concentration of glucose in the dialysate will help regulate the fluid balance.
4. Increasing the dwell time would help pull more fluid into the return. Decreasing
the dwell time would pull less fluid into the return.
TEST-TAKING HINT: The test taker should eliminate answers 2 and 4
because they decrease the amount of return.
During hemodialysis, the nurse notes that a 10-year-old becomes confused and
restless. The child complains of a headache and nausea and has generalized muscle
twitching. This can be prevented by which of the following?
1. Slowing the rate of solute removal during dialysis.
2. Ensuring the patient is warm during dialysis.
3. Administering antibiotics before dialysis.
4. Obtaining an accurate weight the night before dialysis.
1
,1. The child is experiencing signs of disequilibrium syndrome, which is caused
by free water shifting from intravascular spaces and can be prevented by
slowing the rate of dialysis.
2. The patient’s temperature is not a causative factor in disequilibrium syndrome.
3. Antibiotics are used to prevent peritonitis, not disequilibrium syndrome.
4. The child’s weight should be obtained immediately prior to dialysis.
TEST-TAKING HINT: The test taker should eliminate answers 2 and 3
because they are not associated with disequilibrium syndrome.
Chronic hypertension in the child who has CKD is due to which of the following?
1. Retention of sodium and water.
2. Obstruction of the urinary system.
3. Accumulation of waste products in the body.
4. Generalized metabolic alkalosis.
1. The retention of sodium and water leads to hypertension.
2. Obstruction of the urinary system can lead to renal failure but is not a direct
cause of hypertension.
3. The accumulation of waste products leads to metabolic acidosis.
4. In CKD, the body experiences a state of metabolic acidosis, not alkalosis.
TEST-TAKING HINT: The test taker should eliminate answer 4 because
metabolic alkalosis is not associated with CKD.
Which best describes the electrolyte imbalance that occurs in CKD?
1. Decreased serum phosphorus and calcium levels.
2. Depletion of phosphorus and calcium stores from the bones.
3. Change in the structure of the bones, causing calcium to remain in the bones.
4. Nutritional needs are poorly met, leading to a decrease in many electrolytes such
as calcium and phosphorus.
1. The kidneys are unable to excrete phosphorus, so phosphorus levels increase and
calcium levels fall.
2. The calcium and phosphorus levels are drawn from the bones in response to
low calcium levels.
2
,3. The calcium is drawn from the bones in response to low serum calcium levels.
4. Although the child may not be consuming enough calcium, dietary deficiency is
not the primary cause of hypocalcemia.
TEST-TAKING HINT: The test taker should eliminate answer 4 because
dietary imbalances are not the primary cause of hypocalcemia in renal
problems.
The diet for a child with CKD should be high in calories and include:
1. Low protein and all minerals and electrolytes.
2. Low protein and minerals.
3. High protein and calcium and low potassium and phosphorus.
4. High protein, phosphorus, and calcium and low potassium and sodium.
1. The child’s diet should be high in calories and protein, but not all minerals and
electrolytes should be high. Sodium, potassium, and phosphorus should be
restricted.
2. The child with CKD needs a diet high in protein.
3. The child with CKD needs a diet high in calories, protein, and calcium and
low in potassium and phosphorus.
4. Phosphorus should be restricted because the kidneys are unable to excrete
phosphorus.
TEST-TAKING HINT: The test taker should eliminate answer 2 because it is
important for the child to have a diet high in protein.
One week after kidney transplant, a child complains about abdominal pain, and the
parents note that the child has been very fussy. The nurse notes a 10% weight gain
as well as elevated BUN and creatinine levels. Which of the following medications
would the child most likely be taking?
1. Codeine tablets.
2. Furosemide (Lasix).
3. Polyethylene glycol 3350 (MiraLAX).
4. Corticosteroids.
1. The child is demonstrating signs of rejection. Although pain control is always
important, antirejection medications are of utmost importance.
3
, 2. Furosemide (Lasix) may be given to reduce edema, but antirejection medications
are the most important for this child.
3. Polyethylene glycol 3350 (MiraLAX) will help with constipation, but it will not
help prevent rejection.
4. Corticosteroids are considered part of the antirejection regimen that is
essential after a kidney transplant.
TEST-TAKING HINT: The test taker shouldbe led to answer 4 because it is
the only listed answer that is part of an antirejection regimen. Steroids can
cause irritability and weight gain.
A renal transplantation is which of the following?
1. A curative procedure that will free the child from any more treatment modalities.
2. An ideal treatment option for families with a history of dialysis noncompliance.
3. A treatment option that will free the child from dialysis.
4. A treatment option that is very new to the pediatric population.
1. There are extensive post-transplant care requirements.
2. This treatment option is not ideal for families with a history of noncompliance
because there is extensive post-transplant care associated with the receipt of a
kidney.
3. Renal transplantation frees the patient from dialysis.
4. Renal transplantation is not new to the pediatric population.
TEST-TAKING HINT: The test taker should eliminate answer 1 because
transplantation is a treatment, not a cure.
The parents of a 3-year-old are concerned that the child is having “more accidents”
during the day. Which questions would be appropriate for the nurse to ask to obtain
more information? Select all that apply.
1. “Has there been a stressful event in the child’s life, such as the birth of a
sibling?”
2. “Has anyone else in the family had problems with accidents?”
3. “Does your child seem to be drinking more than usual?”
4
exam questions and correct detailed answers | Galen
NSG 3600 Nursing Practice Children's Health Exam 3
review test bank 2026-2027
Unit 5, 6, & 7
A child receiving peritoneal dialysis has not been having adequate volume in the
return. The child is currently edematous and hypertensive. Which would the nurse
anticipate the health-care provider to do?
1. Increase the glucose concentration of the dialysate.
2. Decrease the glucose concentration of the dialysate.
3. Administer antihypertensives and diuretics but not change the dialysate
concentration.
4. Decrease the dwell time of the dialysate.
1. Increasing the concentration of glucose will pull more fluid into the return.
2. Decreasing the concentration of glucose will pull less fluid into the return.
3. Antihypertensives and diuretics may be administered, but changing the
concentration of glucose in the dialysate will help regulate the fluid balance.
4. Increasing the dwell time would help pull more fluid into the return. Decreasing
the dwell time would pull less fluid into the return.
TEST-TAKING HINT: The test taker should eliminate answers 2 and 4
because they decrease the amount of return.
During hemodialysis, the nurse notes that a 10-year-old becomes confused and
restless. The child complains of a headache and nausea and has generalized muscle
twitching. This can be prevented by which of the following?
1. Slowing the rate of solute removal during dialysis.
2. Ensuring the patient is warm during dialysis.
3. Administering antibiotics before dialysis.
4. Obtaining an accurate weight the night before dialysis.
1
,1. The child is experiencing signs of disequilibrium syndrome, which is caused
by free water shifting from intravascular spaces and can be prevented by
slowing the rate of dialysis.
2. The patient’s temperature is not a causative factor in disequilibrium syndrome.
3. Antibiotics are used to prevent peritonitis, not disequilibrium syndrome.
4. The child’s weight should be obtained immediately prior to dialysis.
TEST-TAKING HINT: The test taker should eliminate answers 2 and 3
because they are not associated with disequilibrium syndrome.
Chronic hypertension in the child who has CKD is due to which of the following?
1. Retention of sodium and water.
2. Obstruction of the urinary system.
3. Accumulation of waste products in the body.
4. Generalized metabolic alkalosis.
1. The retention of sodium and water leads to hypertension.
2. Obstruction of the urinary system can lead to renal failure but is not a direct
cause of hypertension.
3. The accumulation of waste products leads to metabolic acidosis.
4. In CKD, the body experiences a state of metabolic acidosis, not alkalosis.
TEST-TAKING HINT: The test taker should eliminate answer 4 because
metabolic alkalosis is not associated with CKD.
Which best describes the electrolyte imbalance that occurs in CKD?
1. Decreased serum phosphorus and calcium levels.
2. Depletion of phosphorus and calcium stores from the bones.
3. Change in the structure of the bones, causing calcium to remain in the bones.
4. Nutritional needs are poorly met, leading to a decrease in many electrolytes such
as calcium and phosphorus.
1. The kidneys are unable to excrete phosphorus, so phosphorus levels increase and
calcium levels fall.
2. The calcium and phosphorus levels are drawn from the bones in response to
low calcium levels.
2
,3. The calcium is drawn from the bones in response to low serum calcium levels.
4. Although the child may not be consuming enough calcium, dietary deficiency is
not the primary cause of hypocalcemia.
TEST-TAKING HINT: The test taker should eliminate answer 4 because
dietary imbalances are not the primary cause of hypocalcemia in renal
problems.
The diet for a child with CKD should be high in calories and include:
1. Low protein and all minerals and electrolytes.
2. Low protein and minerals.
3. High protein and calcium and low potassium and phosphorus.
4. High protein, phosphorus, and calcium and low potassium and sodium.
1. The child’s diet should be high in calories and protein, but not all minerals and
electrolytes should be high. Sodium, potassium, and phosphorus should be
restricted.
2. The child with CKD needs a diet high in protein.
3. The child with CKD needs a diet high in calories, protein, and calcium and
low in potassium and phosphorus.
4. Phosphorus should be restricted because the kidneys are unable to excrete
phosphorus.
TEST-TAKING HINT: The test taker should eliminate answer 2 because it is
important for the child to have a diet high in protein.
One week after kidney transplant, a child complains about abdominal pain, and the
parents note that the child has been very fussy. The nurse notes a 10% weight gain
as well as elevated BUN and creatinine levels. Which of the following medications
would the child most likely be taking?
1. Codeine tablets.
2. Furosemide (Lasix).
3. Polyethylene glycol 3350 (MiraLAX).
4. Corticosteroids.
1. The child is demonstrating signs of rejection. Although pain control is always
important, antirejection medications are of utmost importance.
3
, 2. Furosemide (Lasix) may be given to reduce edema, but antirejection medications
are the most important for this child.
3. Polyethylene glycol 3350 (MiraLAX) will help with constipation, but it will not
help prevent rejection.
4. Corticosteroids are considered part of the antirejection regimen that is
essential after a kidney transplant.
TEST-TAKING HINT: The test taker shouldbe led to answer 4 because it is
the only listed answer that is part of an antirejection regimen. Steroids can
cause irritability and weight gain.
A renal transplantation is which of the following?
1. A curative procedure that will free the child from any more treatment modalities.
2. An ideal treatment option for families with a history of dialysis noncompliance.
3. A treatment option that will free the child from dialysis.
4. A treatment option that is very new to the pediatric population.
1. There are extensive post-transplant care requirements.
2. This treatment option is not ideal for families with a history of noncompliance
because there is extensive post-transplant care associated with the receipt of a
kidney.
3. Renal transplantation frees the patient from dialysis.
4. Renal transplantation is not new to the pediatric population.
TEST-TAKING HINT: The test taker should eliminate answer 1 because
transplantation is a treatment, not a cure.
The parents of a 3-year-old are concerned that the child is having “more accidents”
during the day. Which questions would be appropriate for the nurse to ask to obtain
more information? Select all that apply.
1. “Has there been a stressful event in the child’s life, such as the birth of a
sibling?”
2. “Has anyone else in the family had problems with accidents?”
3. “Does your child seem to be drinking more than usual?”
4
