1
NSG 320
NSG 320/ NSG320 | Exam 3 GCU | Qs &
As With Rationale| Grade A| 100%
Correct | Latest Update (2025/ 2026)
1. A child presents to the emergency department with burns on the
lower arm from hot water. They appear to be white with red blisters,
do not blanch, and the child can feel pressure, but not pain, with
palpation. How would the nurse describe these burns?
1. Superficial burns
2. Deep partial-thickness burns
3. Full-thickness burns
4. Superficial partial-thickness burns: 2. Deep partial-thickness burns
Rationale: Deep-partial thickness burns appear dry and white or red with
blisters if the burn was caused by scalding and the client can feel pressure
when applied.
NSG 320
, 2
NSG 320
Superficial burns are red and painful with no blistering.
Full-thickness burns show no blanching, no pain, and a white or charred
appearance.
Superficial partial-thickness burns show red, painful blisters and will
blanch with pressure.
2. A child is being admitted for what appears to be a minor electrical
burn. In preparing for the child's arrival to the floor, what order
would the nurse anticipate?
1. Continuous cardiac monitoring
2. Arterial blood gas to be drawn every 4 hours
3. Foley catheter to monitor output
4. Central venous access for fluid replacement: 1. Continuous cardiac
monitoring
Rationale: ECG and cardiac monitoring are indicated for electrical burns.
3. The nurse is assessing a child with presentation of rash on the
scalp. The nurse notes the infant does not seem to scratch her head
NSG 320
, 3
NSG 320
and reports this to the provider. What is the significance of this
action?
1. Itching can differentiate disorders, such as atopic dermatitis from
seborrheic keratosis.
2. The nurse wants to be thorough in assessment of the infant.
3. It will determine whether or not the head can be washed.
4. It will determine if the infant has contracted pediculosis.: 1. Itching
can differentiate disorders, such as atopic dermatitis from seborrheic
keratosis.
Rationale: Seborrheic dermatitis is non-pruritic, which helps to distinguish
it from atopic dermatitis.
4. A nurse is caring for a severely dehydrated child. The child has had
nausea and vomiting for three days. The health care provider orders
a 20 ml/kg bolus of intravenous (IV) fluid of an isotonic crystalloid.
Which IV fluid would be the best choice?
1. Sodium Chloride 0.9% (normal saline)
NSG 320
, 4
NSG 320
2. Dextrose 10% and water
3. Dextrose 5% and 0.45% normal saline
4. Dextrose 5% and 0.9% normal saline: 1. Sodium Chloride 0.9%
(normal saline) 5. The nurse observes a newborn become cyanotic
when feeding. What procedure will the nurse perform as
prescribed to assess for a tracheoesophageal fistula (TEF)?
1. Feed the newborn with smaller, frequent feedings
2. Attempt to pass a nasogastric tube (NG tube)
3. Check for simian creases on the palms of the hands
4. Administer a saline lavage: 2. Attempt to pass a nasogastric tube (NG
tube)
Rationale: This is a simple test to see if the infant turns blue with the
insertion of the tube. If it does, it is highly indicative of a TEF.
6. The mother of a newborn diagnosed with tracheoesophageal
fistula (TEF) asks the nurse about the condition. Which statement is
correct in educating this mother about TEF?
NSG 320
NSG 320
NSG 320/ NSG320 | Exam 3 GCU | Qs &
As With Rationale| Grade A| 100%
Correct | Latest Update (2025/ 2026)
1. A child presents to the emergency department with burns on the
lower arm from hot water. They appear to be white with red blisters,
do not blanch, and the child can feel pressure, but not pain, with
palpation. How would the nurse describe these burns?
1. Superficial burns
2. Deep partial-thickness burns
3. Full-thickness burns
4. Superficial partial-thickness burns: 2. Deep partial-thickness burns
Rationale: Deep-partial thickness burns appear dry and white or red with
blisters if the burn was caused by scalding and the client can feel pressure
when applied.
NSG 320
, 2
NSG 320
Superficial burns are red and painful with no blistering.
Full-thickness burns show no blanching, no pain, and a white or charred
appearance.
Superficial partial-thickness burns show red, painful blisters and will
blanch with pressure.
2. A child is being admitted for what appears to be a minor electrical
burn. In preparing for the child's arrival to the floor, what order
would the nurse anticipate?
1. Continuous cardiac monitoring
2. Arterial blood gas to be drawn every 4 hours
3. Foley catheter to monitor output
4. Central venous access for fluid replacement: 1. Continuous cardiac
monitoring
Rationale: ECG and cardiac monitoring are indicated for electrical burns.
3. The nurse is assessing a child with presentation of rash on the
scalp. The nurse notes the infant does not seem to scratch her head
NSG 320
, 3
NSG 320
and reports this to the provider. What is the significance of this
action?
1. Itching can differentiate disorders, such as atopic dermatitis from
seborrheic keratosis.
2. The nurse wants to be thorough in assessment of the infant.
3. It will determine whether or not the head can be washed.
4. It will determine if the infant has contracted pediculosis.: 1. Itching
can differentiate disorders, such as atopic dermatitis from seborrheic
keratosis.
Rationale: Seborrheic dermatitis is non-pruritic, which helps to distinguish
it from atopic dermatitis.
4. A nurse is caring for a severely dehydrated child. The child has had
nausea and vomiting for three days. The health care provider orders
a 20 ml/kg bolus of intravenous (IV) fluid of an isotonic crystalloid.
Which IV fluid would be the best choice?
1. Sodium Chloride 0.9% (normal saline)
NSG 320
, 4
NSG 320
2. Dextrose 10% and water
3. Dextrose 5% and 0.45% normal saline
4. Dextrose 5% and 0.9% normal saline: 1. Sodium Chloride 0.9%
(normal saline) 5. The nurse observes a newborn become cyanotic
when feeding. What procedure will the nurse perform as
prescribed to assess for a tracheoesophageal fistula (TEF)?
1. Feed the newborn with smaller, frequent feedings
2. Attempt to pass a nasogastric tube (NG tube)
3. Check for simian creases on the palms of the hands
4. Administer a saline lavage: 2. Attempt to pass a nasogastric tube (NG
tube)
Rationale: This is a simple test to see if the infant turns blue with the
insertion of the tube. If it does, it is highly indicative of a TEF.
6. The mother of a newborn diagnosed with tracheoesophageal
fistula (TEF) asks the nurse about the condition. Which statement is
correct in educating this mother about TEF?
NSG 320
