NSG 3600/ NSG3600 Exam 3 – Children's
Health Guide| Galen (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A
Meningitis Therapeutic Management -CORRECTANSWER Give immunizations, assess
neuro status & response to therapy with every 2 hours if stable and every hour if not
stable. Make sure we have a stable a calm environment. If bacterial give antibiotics and
make sure they take all of them. Make sure the child is in seizure precautions, give
NSAIDs for pain. Need to teach parents about early detection of complications and how
to prevent it along with medical follow-up if on sz meds.
Steps that should always be used when assessing a child GI system -
CORRECTANSWER First step should be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child being ticklish.
What do we need to worry about then it comes to children and medication? -
CORRECTANSWER Liver and pancreas do not mature until about 6 months of age so
we need to be concern about toxicity.
,Why should we not give children under 1 cows milk? -CORRECTANSWER The
pancreatic lipase dose not get adequately secreted until age 1, which means the body
can't absorb fats such as those present in cow's milk.
What kind of stool does an infant have who is breast feeding? -CORRECTANSWER
The infant will have watery stool.
What kind of stool does an infant have who is formula feeding? -CORRECTANSWER
The infant will have soft or seedy stools.
What do pre-schoolers go through when eating? -CORRECTANSWER The pre-
schoolers woll fluctuations where they have periods of overeating or refusal to eat. Very
normal but the parents can get upset.
Dehydration -CORRECTANSWER Occurs whenever total output of fluid exceeds
intake.
Dehydration Clinical Manifestations and Therapeutic Management -
CORRECTANSWER Tachycardia, hypotension, decreased tears specific in children,
weight loss (monitor daily), thirst, irritability, sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety considerations.
,What will be elevated in a child who is dehydrated? -CORRECTANSWER The sodium,
potassium, and creatinine
Blood Urea Nitrogen (BUN) range for child -CORRECTANSWER 5-18 mg/dL
Sodium (Na) range for child -CORRECTANSWER 135-145 mEq/L
Potassium (K) range for child -CORRECTANSWER 3.4-4.7 mEq/L
Creatinine range for child -CORRECTANSWER 0.3-0.7 mg/dL
What do we need to look out for with kids with dehydration? -CORRECTANSWER
Diarrhea, skin break down, falls risk, dizziness, failure to thrive and grow.
Cyclic Vomiting Syndrome -CORRECTANSWER Intense nausea and vomiting 4 times
an hour. 5 attacks total or 3 attacks in over 6 months. Could be caused by infection,
psychological stress, dietary changes, menstruation, migraines. These individuals will
vomit then be okay for the rest of the day then vomit again during later in day.
Cyclic Vomiting Syndrome: Clinical Manifestations -CORRECTANSWER Vomiting for
24-48 hr, occurs at night or early morning hours, severe abdominal pain, retching
throwing up where there is nothing put clear fluid coming up, nausea, diarrhea,
headache, vertigo
, Cyclic Vomiting Syndrome- Diagnosis -CORRECTANSWER Rule out other condition
and lab studies. Need to get a good history and ask if they are asymptomatic and is eat
episode the same and do you have at least 3 of them.
Cyclic Vomiting Syndrome- Prevention -CORRECTANSWER Balanced nutrition (no
cheese, cured meat, and chocolate), get a lot of sleep and rest, and void triggers, and
do stress management.
Cyclic Vomiting Syndrome- Therapeutic Management -CORRECTANSWER Supportive
management (meeting with a therapist), fluid replacement (IV fluids), rest,
pharmacotherapy (Zofran)
Cyclic Vomiting Syndrome- Patient/Family Education -CORRECTANSWER Increase
exercise, balanced diet, good hydration, sleep routines, avoid triggers (need to keep a
health food diary along with sleep and food cycles).
Acute Diarrhea -CORRECTANSWER Increased frequency of bowel along with
vomiting, fever, pain. Occurs from diet, toxic substances, infections(viral infection, eye
infection), and medications that may be used.
Health Guide| Galen (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers | Grade A
Meningitis Therapeutic Management -CORRECTANSWER Give immunizations, assess
neuro status & response to therapy with every 2 hours if stable and every hour if not
stable. Make sure we have a stable a calm environment. If bacterial give antibiotics and
make sure they take all of them. Make sure the child is in seizure precautions, give
NSAIDs for pain. Need to teach parents about early detection of complications and how
to prevent it along with medical follow-up if on sz meds.
Steps that should always be used when assessing a child GI system -
CORRECTANSWER First step should be to inspect the child.
Second we are going to auscultation.
Third is percuss.
Fourth is palpate the area through the clothing due to the child being ticklish.
What do we need to worry about then it comes to children and medication? -
CORRECTANSWER Liver and pancreas do not mature until about 6 months of age so
we need to be concern about toxicity.
,Why should we not give children under 1 cows milk? -CORRECTANSWER The
pancreatic lipase dose not get adequately secreted until age 1, which means the body
can't absorb fats such as those present in cow's milk.
What kind of stool does an infant have who is breast feeding? -CORRECTANSWER
The infant will have watery stool.
What kind of stool does an infant have who is formula feeding? -CORRECTANSWER
The infant will have soft or seedy stools.
What do pre-schoolers go through when eating? -CORRECTANSWER The pre-
schoolers woll fluctuations where they have periods of overeating or refusal to eat. Very
normal but the parents can get upset.
Dehydration -CORRECTANSWER Occurs whenever total output of fluid exceeds
intake.
Dehydration Clinical Manifestations and Therapeutic Management -
CORRECTANSWER Tachycardia, hypotension, decreased tears specific in children,
weight loss (monitor daily), thirst, irritability, sunken eyes and fontanels.
Fluid replacement, electrolyte monitoring & replacement, and safety considerations.
,What will be elevated in a child who is dehydrated? -CORRECTANSWER The sodium,
potassium, and creatinine
Blood Urea Nitrogen (BUN) range for child -CORRECTANSWER 5-18 mg/dL
Sodium (Na) range for child -CORRECTANSWER 135-145 mEq/L
Potassium (K) range for child -CORRECTANSWER 3.4-4.7 mEq/L
Creatinine range for child -CORRECTANSWER 0.3-0.7 mg/dL
What do we need to look out for with kids with dehydration? -CORRECTANSWER
Diarrhea, skin break down, falls risk, dizziness, failure to thrive and grow.
Cyclic Vomiting Syndrome -CORRECTANSWER Intense nausea and vomiting 4 times
an hour. 5 attacks total or 3 attacks in over 6 months. Could be caused by infection,
psychological stress, dietary changes, menstruation, migraines. These individuals will
vomit then be okay for the rest of the day then vomit again during later in day.
Cyclic Vomiting Syndrome: Clinical Manifestations -CORRECTANSWER Vomiting for
24-48 hr, occurs at night or early morning hours, severe abdominal pain, retching
throwing up where there is nothing put clear fluid coming up, nausea, diarrhea,
headache, vertigo
, Cyclic Vomiting Syndrome- Diagnosis -CORRECTANSWER Rule out other condition
and lab studies. Need to get a good history and ask if they are asymptomatic and is eat
episode the same and do you have at least 3 of them.
Cyclic Vomiting Syndrome- Prevention -CORRECTANSWER Balanced nutrition (no
cheese, cured meat, and chocolate), get a lot of sleep and rest, and void triggers, and
do stress management.
Cyclic Vomiting Syndrome- Therapeutic Management -CORRECTANSWER Supportive
management (meeting with a therapist), fluid replacement (IV fluids), rest,
pharmacotherapy (Zofran)
Cyclic Vomiting Syndrome- Patient/Family Education -CORRECTANSWER Increase
exercise, balanced diet, good hydration, sleep routines, avoid triggers (need to keep a
health food diary along with sleep and food cycles).
Acute Diarrhea -CORRECTANSWER Increased frequency of bowel along with
vomiting, fever, pain. Occurs from diet, toxic substances, infections(viral infection, eye
infection), and medications that may be used.
