NSG 3600 PEDS EXAM 3 |250 COMPLETE QUESTIONS WITH EXPERT SOLUTIONS |
2026 LATEST UPDATED | GET A+
1. The nurse judges teaching as successful when the parent of a child with myasthenia gravis states which of the
following? Select all that apply.
1. "My child should play on the school's basketball team."
2. "My child should meditate every day."
3. "My child should be allowed to do what other kids do."
4. "My child should be watched carefully for signs of illness."
5. "My child should sleep in my room so that I can watch him better.": 3, 4.
1. Children with myasthenia gravis should not
play strenuous sports. The increased stress from being in a competitive sport tends to negatively impact children, and
they should learn strategies to decrease stress.
2. It is important that children with myasthenia gravis have activities they can participate in without causing
stress. Activities such as board games, horseback riding, and hiking should be encouraged. Some children would
benefit from meditation but may take time to appreciate the results.
3. Children with myasthenia gravis can do many things other children do. They should be advised not to play
strenuous sports, and they should learn how to control stress.
4. Children are watched for signs of illness because of the 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 physiology 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, "Will my baby spit out the formula if it is too hot or too cold?" Which is the nurse's
best response?
1. "Babies have a tendency to reject hot fluids but not cold fluids, which could result in abdominal discomfort."
2. "Babies have a tendency to reject cold fluids but not hot fluids, which could result in esophageal burns."
3. "Your baby would most likely 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.": 1. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot
voluntarily control swallowing.
2. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot voluntarily control swallowing.
3. The infant is not capable of selectively rejecting fluid because swallowing is a reflex until 6 weeks.
4. Swallowing is a reflex in infants younger than 6 weeks.
TEST-TAKING HINT: Swallowing is a reflex that is present until the age of 6 weeks. The test taker should eliminate
answers 1, 2,and 3 because they suggest that the infant is capable of selectively rejecting fluids.
3. The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?
1. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies.
2. The newborn's stomach capacity is small, and peristalsis is slow.
3. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children.
4. Breastfed babies tend to take longer to complete a feeding than formula-fed babies.: 1. The caloric content of breast
milk and formula tends to be similar.
2. Peristalsis in infants is greater than in older children.
,3. The small-stomach capacity and rapid movement of fluid through the digestive system account for the need for
small, frequent feedings.
4. Breastfed babies and formula-fed babies do not necessarily have a difference in feeding time.
TEST-TAKING HINT: The test taker should eliminate answers 1 and 4 because they both form generalizations that are
not supported by current literature.
4. A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel is sunken.
The nurse notes the infant does not produce tears when crying. Which task will help confirm the diagnosis of
dehydration?
1. Urinalysis obtained by bagged specimen.
2. Urinalysis obtained by sterile catheterization.
3. Analysis of serum electrolytes.
4. Analysis of cerebrospinal fluid.: 1. The information obtained from a urinalysis of an infant is not as helpful as
serum electrolytes. The infant has limited ability to concentrate urine, so the specific gravity is not usually affected.
2. The information obtained from a urinalysis of an infant is not as helpful as serum electrolytes. The infant has
limited ability to concentrate urine, so the specific gravity is not usually affected. A urinalysis does not need to be
obtained by catheterization.
3. The analysis of serum electrolytes offers the most information and assists with the diagnosis of dehydration.
4. Although critical in diagnosing meningitis, a lumber puncture and analysis of cerebrospinal fluid are not done
to confirm dehydration.
TEST-TAKING HINT: Infants have limited ability to concentrate urine, so answers 1 and 2 can be eliminated
immediately.
5. A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198, and her
blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant does not cry when
, the intravenous lineis inserted. The child's parents state that she has not "held anything down" in 18 hours. The nurse
obtains a finger-stick blood sugar of 94. Which would the nurse expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal saline with 5% dextrose added to the solution.
4. Offer the child an oral rehydrating solution such as Pedialyte.: 1. Dehydration is corrected with the administration
of an isotonic solution, such as normal saline or lactated Ringer solution.
2. Solutions containing dextrose should never be administered in bolus form because they may result in cerebral
edema.
3. Solutions containing dextrose should never be administered in bolus form because they may result in cerebral
edema.
4. Severe dehydration is not usually corrected with oral solutions; children with altered levels of consciousness
should be kept NPO.
TEST-TAKING HINT: The test taker should immediately eliminate answers 2 and 3 because they both suggest
administering glucose in bolus form, which is always contraindicated in pediatric clients. Answer 4 should be
eliminated because the infant is severely dehydrated and not responding to painful stimulation, which is suggested by
the lack of a cry on intravenous insertion.
6. The nurse is caring for a 2-year-old child who was admitted to the pediatric unit for moderate dehydration due to
vomiting and diarrhea. The child is restless with periods of irritability. The child is afebrile with a heart rate of 148 and
a blood pressure of 90/42. Baseline laboratory tests reveal the following: Na 152, Cl 119, and glucose 115. The parents
state that the child has not urinated in 12 hours. After establishing a saline lock, the nurse reviews the physician's orders.
Which order should the nurse question?
1. Administer a saline bolus of 10 mL/kg, which may be repeated if the child does not urinate.
2026 LATEST UPDATED | GET A+
1. The nurse judges teaching as successful when the parent of a child with myasthenia gravis states which of the
following? Select all that apply.
1. "My child should play on the school's basketball team."
2. "My child should meditate every day."
3. "My child should be allowed to do what other kids do."
4. "My child should be watched carefully for signs of illness."
5. "My child should sleep in my room so that I can watch him better.": 3, 4.
1. Children with myasthenia gravis should not
play strenuous sports. The increased stress from being in a competitive sport tends to negatively impact children, and
they should learn strategies to decrease stress.
2. It is important that children with myasthenia gravis have activities they can participate in without causing
stress. Activities such as board games, horseback riding, and hiking should be encouraged. Some children would
benefit from meditation but may take time to appreciate the results.
3. Children with myasthenia gravis can do many things other children do. They should be advised not to play
strenuous sports, and they should learn how to control stress.
4. Children are watched for signs of illness because of the 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 physiology 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, "Will my baby spit out the formula if it is too hot or too cold?" Which is the nurse's
best response?
1. "Babies have a tendency to reject hot fluids but not cold fluids, which could result in abdominal discomfort."
2. "Babies have a tendency to reject cold fluids but not hot fluids, which could result in esophageal burns."
3. "Your baby would most likely 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.": 1. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot
voluntarily control swallowing.
2. Swallowing is a reflex in neonates; infants younger than 6 weeks cannot voluntarily control swallowing.
3. The infant is not capable of selectively rejecting fluid because swallowing is a reflex until 6 weeks.
4. Swallowing is a reflex in infants younger than 6 weeks.
TEST-TAKING HINT: Swallowing is a reflex that is present until the age of 6 weeks. The test taker should eliminate
answers 1, 2,and 3 because they suggest that the infant is capable of selectively rejecting fluids.
3. The mother of a newborn asks the nurse why the infant has to nurse so frequently. Which is the best response?
1. Formula tends to be more calorically dense, and formula-fed babies require fewer feedings than breastfed babies.
2. The newborn's stomach capacity is small, and peristalsis is slow.
3. The newborn's stomach capacity is small, and peristalsis is more rapid than in older children.
4. Breastfed babies tend to take longer to complete a feeding than formula-fed babies.: 1. The caloric content of breast
milk and formula tends to be similar.
2. Peristalsis in infants is greater than in older children.
,3. The small-stomach capacity and rapid movement of fluid through the digestive system account for the need for
small, frequent feedings.
4. Breastfed babies and formula-fed babies do not necessarily have a difference in feeding time.
TEST-TAKING HINT: The test taker should eliminate answers 1 and 4 because they both form generalizations that are
not supported by current literature.
4. A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and the anterior fontanel is sunken.
The nurse notes the infant does not produce tears when crying. Which task will help confirm the diagnosis of
dehydration?
1. Urinalysis obtained by bagged specimen.
2. Urinalysis obtained by sterile catheterization.
3. Analysis of serum electrolytes.
4. Analysis of cerebrospinal fluid.: 1. The information obtained from a urinalysis of an infant is not as helpful as
serum electrolytes. The infant has limited ability to concentrate urine, so the specific gravity is not usually affected.
2. The information obtained from a urinalysis of an infant is not as helpful as serum electrolytes. The infant has
limited ability to concentrate urine, so the specific gravity is not usually affected. A urinalysis does not need to be
obtained by catheterization.
3. The analysis of serum electrolytes offers the most information and assists with the diagnosis of dehydration.
4. Although critical in diagnosing meningitis, a lumber puncture and analysis of cerebrospinal fluid are not done
to confirm dehydration.
TEST-TAKING HINT: Infants have limited ability to concentrate urine, so answers 1 and 2 can be eliminated
immediately.
5. A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198, and her
blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant does not cry when
, the intravenous lineis inserted. The child's parents state that she has not "held anything down" in 18 hours. The nurse
obtains a finger-stick blood sugar of 94. Which would the nurse expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal saline with 5% dextrose added to the solution.
4. Offer the child an oral rehydrating solution such as Pedialyte.: 1. Dehydration is corrected with the administration
of an isotonic solution, such as normal saline or lactated Ringer solution.
2. Solutions containing dextrose should never be administered in bolus form because they may result in cerebral
edema.
3. Solutions containing dextrose should never be administered in bolus form because they may result in cerebral
edema.
4. Severe dehydration is not usually corrected with oral solutions; children with altered levels of consciousness
should be kept NPO.
TEST-TAKING HINT: The test taker should immediately eliminate answers 2 and 3 because they both suggest
administering glucose in bolus form, which is always contraindicated in pediatric clients. Answer 4 should be
eliminated because the infant is severely dehydrated and not responding to painful stimulation, which is suggested by
the lack of a cry on intravenous insertion.
6. The nurse is caring for a 2-year-old child who was admitted to the pediatric unit for moderate dehydration due to
vomiting and diarrhea. The child is restless with periods of irritability. The child is afebrile with a heart rate of 148 and
a blood pressure of 90/42. Baseline laboratory tests reveal the following: Na 152, Cl 119, and glucose 115. The parents
state that the child has not urinated in 12 hours. After establishing a saline lock, the nurse reviews the physician's orders.
Which order should the nurse question?
1. Administer a saline bolus of 10 mL/kg, which may be repeated if the child does not urinate.
