NSG3600 Final Exam V1 | NSG 3600
Nursing Practice – Children’s Health Exam
Q&A | Galen College of Nursing
1. An infant is observed picking up a small piece of cereal using the thumb and index finger.
At what age is this fine motor milestone typically achieved?
A. 4 to 5 months
B. 6 to 7 months
C. 12 to 14 months
D. 8 to 10 months
Answer: D
Rationale: The pincer grasp is a critical fine motor milestone where the infant uses the
thumb and forefinger to pick up small objects. This skill typically develops between 8 and
10 months of age. Assessing this milestone helps the nurse evaluate neurological
development and readiness for self-feeding.
2. According to Erikson’s stages of psychosocial development, a 2-year-old child is in which
stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
,D. Industry vs. Inferiority
Answer: C
Rationale: Toddlers between the ages of 1 and 3 years are in the stage of Autonomy
vs. Shame and Doubt. During this time, they seek to establish independence and self-
control over physical skills. Nurses should encourage simple choices to help the child
achieve a sense of autonomy.
3. A child is admitted with suspected epiglottitis. Which nursing action is the highest priority?
A. Placing the child in a supine position for easier breathing
B. Obtaining a throat culture to identify the pathogen
C. Administering a dose of oral antibiotics immediately
D. Maintaining a patent airway and avoid throat examination
Answer: D
Rationale: Epiglottitis is a medical emergency that can lead to sudden airway obstruction.
Inspecting the throat with a tongue depressor can trigger a laryngospasm and completely
block the airway. The nurse must keep the child calm and prepared for emergency
intubation if necessary.
4. A nurse is providing teaching to the parents of a child with Cystic Fibrosis. When should
pancreatic enzymes be administered?
A. With every meal and snack
, B. Only before the largest meal of the day
C. Two hours after eating to aid late digestion
D. Once daily in the morning
Answer: A
Rationale: Pancreatic enzymes are necessary for children with Cystic Fibrosis to digest fats
and proteins due to pancreatic insufficiency. These enzymes must be taken with every meal
and snack to ensure proper nutrient absorption. Consistent administration helps prevent
malabsorption and promotes healthy weight gain.
5. A toddler with Tetralogy of Fallot becomes cyanotic and agitated during a blood draw.
What is the nurse’s immediate action?
A. Administer high-flow oxygen via a non-rebreather mask
B. Prepare a dose of intravenous morphine
C. Call for a rapid response team immediately
D. Place the child in the knee-chest position
Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt in Tetralogy of Fallot. This maneuver improves pulmonary
blood flow and can quickly alleviate a hypercyanotic (Tet) spell. Following this action, the
nurse should provide oxygen and a calm environment.
Nursing Practice – Children’s Health Exam
Q&A | Galen College of Nursing
1. An infant is observed picking up a small piece of cereal using the thumb and index finger.
At what age is this fine motor milestone typically achieved?
A. 4 to 5 months
B. 6 to 7 months
C. 12 to 14 months
D. 8 to 10 months
Answer: D
Rationale: The pincer grasp is a critical fine motor milestone where the infant uses the
thumb and forefinger to pick up small objects. This skill typically develops between 8 and
10 months of age. Assessing this milestone helps the nurse evaluate neurological
development and readiness for self-feeding.
2. According to Erikson’s stages of psychosocial development, a 2-year-old child is in which
stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
,D. Industry vs. Inferiority
Answer: C
Rationale: Toddlers between the ages of 1 and 3 years are in the stage of Autonomy
vs. Shame and Doubt. During this time, they seek to establish independence and self-
control over physical skills. Nurses should encourage simple choices to help the child
achieve a sense of autonomy.
3. A child is admitted with suspected epiglottitis. Which nursing action is the highest priority?
A. Placing the child in a supine position for easier breathing
B. Obtaining a throat culture to identify the pathogen
C. Administering a dose of oral antibiotics immediately
D. Maintaining a patent airway and avoid throat examination
Answer: D
Rationale: Epiglottitis is a medical emergency that can lead to sudden airway obstruction.
Inspecting the throat with a tongue depressor can trigger a laryngospasm and completely
block the airway. The nurse must keep the child calm and prepared for emergency
intubation if necessary.
4. A nurse is providing teaching to the parents of a child with Cystic Fibrosis. When should
pancreatic enzymes be administered?
A. With every meal and snack
, B. Only before the largest meal of the day
C. Two hours after eating to aid late digestion
D. Once daily in the morning
Answer: A
Rationale: Pancreatic enzymes are necessary for children with Cystic Fibrosis to digest fats
and proteins due to pancreatic insufficiency. These enzymes must be taken with every meal
and snack to ensure proper nutrient absorption. Consistent administration helps prevent
malabsorption and promotes healthy weight gain.
5. A toddler with Tetralogy of Fallot becomes cyanotic and agitated during a blood draw.
What is the nurse’s immediate action?
A. Administer high-flow oxygen via a non-rebreather mask
B. Prepare a dose of intravenous morphine
C. Call for a rapid response team immediately
D. Place the child in the knee-chest position
Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt in Tetralogy of Fallot. This maneuver improves pulmonary
blood flow and can quickly alleviate a hypercyanotic (Tet) spell. Following this action, the
nurse should provide oxygen and a calm environment.
