NSG 3600 Pediatrics Exam 3
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Questions and Correct
Answers with Rationales/
NSG 3600 Exam 3 Practice
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,1. The nurse judges teaching as
3, 4.
successful when the parent of
1. Children with myasthenia gravis should not
a child with myasthenia gravis
play strenuous sports. The increased stress from being in a
states which of the following? Se- competitive sport tends to negatively impact children, and
lect all that apply. they should learn strategies to decrease stress.
1. "My child should play on the 2. It is important that children with myasthenia gravis have
school's basketball team." activities they can participate in without causing stress. Ac-
2. "My child should meditate tivities such as board games, horseback riding, and hiking
every day." should be encouraged. Some children would benefit from
3. "My child should be allowed to meditation but may take time to appreciate the results.
do what other kids do." 3. Children with myasthenia gravis can do many things
4. "My child should be watched other children do. They should be advised not to play
carefully for signs of illness." strenuous sports, and they should learn how to control
5. "My child should sleep in my stress.
room so that I can watch him 4. Children are watched for signs of illness because of the
better." exacerbation of signs of myasthenia gravis.
5. It's not recommended that children sleep in the same
bedroom as their parents unless it can't be avoided.
TEST-TAKING HINT: The test taker must know the phys-
iology of the illness and consider that this is a chronic
disease. The child is first a child, so he will have all the
growth and development issues children without a chronic
disease have.
2. The parent of a newborn asks, 1. Swallowing is a reflex in neonates; infants younger than
"Will my baby spit out the for- 6 weeks cannot voluntarily control swallowing.
mula if it is too hot or too cold?" 2. Swallowing is a reflex in neonates; infants younger than
Which is the nurse's best re- 6 weeks cannot voluntarily control swallowing.
sponse? 3. The infant is not capable of selectively rejecting fluid
1. "Babies have a tendency to re- because swallowing is a reflex until 6 weeks.
ject hot fluids but not cold fluids, 4. Swallowing is a reflex in infants younger than 6 weeks.
which could result in abdominal TEST-TAKING HINT: Swallowing is a reflex that is present
, discomfort." until the age of 6 weeks. The test taker should eliminate
2. "Babies have a tendency to re- answers 1, 2,and 3 because they suggest that the infant is
ject cold fluids but not hot fluids, capable of selectively rejecting fluids.
which could result in esophageal
burns."
3. "Your baby would most like-
ly spit out formula that was too
hot, but your baby could swallow
some of it, which could result in
a burn."
4. "Your baby is too young to
be physically capable of spitting
out fluids and will automatically
swallow anything."
3. The mother of a newborn asks 1. The caloric content of breast milk and formula tends to
the nurse why the infant has to be similar.
nurse so frequently. Which is the 2. Peristalsis in infants is greater than in older
best response? children.
1. Formula tends to be more 3. The small-stomach capacity and rapid movement of fluid
calorically dense, and formu- through the digestive system account for the need for
la-fed babies require fewer feed- small, frequent feedings.
ings than breastfed babies. 4. Breastfed babies and formula-fed babies do not neces-
2. The newborn's stomach ca- sarily have a ditterence in feeding time.
pacity is small, and peristalsis is TEST-TAKING HINT: The test taker should eliminate an-
slow. swers 1 and 4 because they both form generalizations that
3. The newborn's stomach ca- are not supported by current literature.
pacity is small, and peristalsis is
more rapid than in older chil-
dren.
4. Breastfed babies tend to take
, longer to complete a feeding
than formula-fed babies.
4. A 4-month-old has had vomiting 1. The information obtained from a urinalysis of an infant is
and diarrhea for 24 hours. The not as helpful as serum electrolytes. The infant has limited
infant is fussy, and the anteri- ability to concentrate urine, so the specific gravity is not
or fontanel is sunken. The nurse usually attected.
notes the infant does not pro- 2. The information obtained from a urinalysis of an infant is
duce tears when crying. Which not as helpful as serum electrolytes. The infant has limited
task will help confirm the diag- ability to concentrate urine, so the specific gravity is not
nosis of dehydration? usually attected. A urinalysis does not need to be obtained
1. Urinalysis obtained by bagged by catheterization.
specimen. 3. The analysis of serum electrolytes otters the most infor-
2. Urinalysis obtained by sterile mation and assists with the diagnosis of dehydration.
catheterization. 4. Although critical in diagnosing meningitis, a lumber
3. Analysis of serum elec- puncture and analysis of cerebrospinal fluid are not done
trolytes. to confirm dehydration.
4. Analysis of cerebrospinal fluid. TEST-TAKING HINT: Infants have limited ability to concen-
trate urine, so answers 1 and 2 can be eliminated imme-
diately.
5. A 4-month-old is brought to the 1. Dehydration is corrected with the administration of an
emergency department with se- isotonic solution, such as normal saline or lactated Ringer
vere dehydration. The heart rate solution.
is 198, and her blood pressure 2. Solutions containing dextrose should never be admin-
is 68/38. The infant's anterior istered in bolus form because they may result in cerebral
fontanel is sunken. The nurse edema.
notes that the infant does not cry 3. Solutions containing dextrose should never be admin-
when the intravenous lineis in- istered in bolus form because they may result in cerebral
serted. The child's parents state edema.
that she has not "held anything 4. Severe dehydration is not usually corrected with oral
down" in 18 hours. The nurse ob- solutions; children with altered levels of consciousness
Latest Test Bank With 250
Questions and Correct
Answers with Rationales/
NSG 3600 Exam 3 Practice
Test Bank 2026 (New!)
,1. The nurse judges teaching as
3, 4.
successful when the parent of
1. Children with myasthenia gravis should not
a child with myasthenia gravis
play strenuous sports. The increased stress from being in a
states which of the following? Se- competitive sport tends to negatively impact children, and
lect all that apply. they should learn strategies to decrease stress.
1. "My child should play on the 2. It is important that children with myasthenia gravis have
school's basketball team." activities they can participate in without causing stress. Ac-
2. "My child should meditate tivities such as board games, horseback riding, and hiking
every day." should be encouraged. Some children would benefit from
3. "My child should be allowed to meditation but may take time to appreciate the results.
do what other kids do." 3. Children with myasthenia gravis can do many things
4. "My child should be watched other children do. They should be advised not to play
carefully for signs of illness." strenuous sports, and they should learn how to control
5. "My child should sleep in my stress.
room so that I can watch him 4. Children are watched for signs of illness because of the
better." exacerbation of signs of myasthenia gravis.
5. It's not recommended that children sleep in the same
bedroom as their parents unless it can't be avoided.
TEST-TAKING HINT: The test taker must know the phys-
iology of the illness and consider that this is a chronic
disease. The child is first a child, so he will have all the
growth and development issues children without a chronic
disease have.
2. The parent of a newborn asks, 1. Swallowing is a reflex in neonates; infants younger than
"Will my baby spit out the for- 6 weeks cannot voluntarily control swallowing.
mula if it is too hot or too cold?" 2. Swallowing is a reflex in neonates; infants younger than
Which is the nurse's best re- 6 weeks cannot voluntarily control swallowing.
sponse? 3. The infant is not capable of selectively rejecting fluid
1. "Babies have a tendency to re- because swallowing is a reflex until 6 weeks.
ject hot fluids but not cold fluids, 4. Swallowing is a reflex in infants younger than 6 weeks.
which could result in abdominal TEST-TAKING HINT: Swallowing is a reflex that is present
, discomfort." until the age of 6 weeks. The test taker should eliminate
2. "Babies have a tendency to re- answers 1, 2,and 3 because they suggest that the infant is
ject cold fluids but not hot fluids, capable of selectively rejecting fluids.
which could result in esophageal
burns."
3. "Your baby would most like-
ly spit out formula that was too
hot, but your baby could swallow
some of it, which could result in
a burn."
4. "Your baby is too young to
be physically capable of spitting
out fluids and will automatically
swallow anything."
3. The mother of a newborn asks 1. The caloric content of breast milk and formula tends to
the nurse why the infant has to be similar.
nurse so frequently. Which is the 2. Peristalsis in infants is greater than in older
best response? children.
1. Formula tends to be more 3. The small-stomach capacity and rapid movement of fluid
calorically dense, and formu- through the digestive system account for the need for
la-fed babies require fewer feed- small, frequent feedings.
ings than breastfed babies. 4. Breastfed babies and formula-fed babies do not neces-
2. The newborn's stomach ca- sarily have a ditterence in feeding time.
pacity is small, and peristalsis is TEST-TAKING HINT: The test taker should eliminate an-
slow. swers 1 and 4 because they both form generalizations that
3. The newborn's stomach ca- are not supported by current literature.
pacity is small, and peristalsis is
more rapid than in older chil-
dren.
4. Breastfed babies tend to take
, longer to complete a feeding
than formula-fed babies.
4. A 4-month-old has had vomiting 1. The information obtained from a urinalysis of an infant is
and diarrhea for 24 hours. The not as helpful as serum electrolytes. The infant has limited
infant is fussy, and the anteri- ability to concentrate urine, so the specific gravity is not
or fontanel is sunken. The nurse usually attected.
notes the infant does not pro- 2. The information obtained from a urinalysis of an infant is
duce tears when crying. Which not as helpful as serum electrolytes. The infant has limited
task will help confirm the diag- ability to concentrate urine, so the specific gravity is not
nosis of dehydration? usually attected. A urinalysis does not need to be obtained
1. Urinalysis obtained by bagged by catheterization.
specimen. 3. The analysis of serum electrolytes otters the most infor-
2. Urinalysis obtained by sterile mation and assists with the diagnosis of dehydration.
catheterization. 4. Although critical in diagnosing meningitis, a lumber
3. Analysis of serum elec- puncture and analysis of cerebrospinal fluid are not done
trolytes. to confirm dehydration.
4. Analysis of cerebrospinal fluid. TEST-TAKING HINT: Infants have limited ability to concen-
trate urine, so answers 1 and 2 can be eliminated imme-
diately.
5. A 4-month-old is brought to the 1. Dehydration is corrected with the administration of an
emergency department with se- isotonic solution, such as normal saline or lactated Ringer
vere dehydration. The heart rate solution.
is 198, and her blood pressure 2. Solutions containing dextrose should never be admin-
is 68/38. The infant's anterior istered in bolus form because they may result in cerebral
fontanel is sunken. The nurse edema.
notes that the infant does not cry 3. Solutions containing dextrose should never be admin-
when the intravenous lineis in- istered in bolus form because they may result in cerebral
serted. The child's parents state edema.
that she has not "held anything 4. Severe dehydration is not usually corrected with oral
down" in 18 hours. The nurse ob- solutions; children with altered levels of consciousness
