NSG 3600 Exam 4 Pediatrics
Review questions and correct
answers with Rationales/
Galen NSG 3600 Nursing
Practice in Children’s Health
Exam 4 Latest Prep Guide
NSG 3600 Exam 4 Prep
, Exam 4 PEDS review recommendations
A nurse is teaching a 3-year-old child with type 1 diabetes how to manage
their own fear. Which of the following actions supports autonomy?
a. Allowing the child to choose which toy to bring to the clinic
b. Letting the child choose the site for insulin injection
c. Encouraging the child to prepare the insulin dose
d. Telling the child when the insulin injection will occur without involving
them
Correct Answer: b. Letting the child choose the site for insulin injection
Rationale: Giving toddlers appropriate choices encourages autonomy and
cooperation in care.
The nurse is planning to care for a toddler with type 1 diabetes. Which of the
following is the best strategy to promote adherence to insulin injections?
a. Allowing the child to choose between two acceptable injection sites
b. Administering the insulin without telling the child
c. Using distraction to avoid discussing the injection
d. Giving the injection while the child is asleep
Correct Answer: a. Allowing the child to choose between two acceptable
injection sites
Rationale: Offering limited choices promotes independence and control,
reducing anxiety.
During a teaching session, which play-based strategy should the nurse
recommend to parents of a toddler with newly diagnosed type 1 diabetes?
a. Using puppets to demonstrate insulin injections
b. Watching videos of adult diabetes management
c. Providing sticker rewards after each glucose check
d. Encouraging the toddler to inject themselves
Correct Answer: a. Using puppets to demonstrate insulin injections
Rationale: Therapeutic play helps toddlers understand procedures and
reduce fear.
1
,A school nurse observes a child frequently interrupting classmates and
moving constantly during group activities. These behaviors are consistent
with:
a. Autism spectrum disorder
b. Conduct disorder
c. Attention-deficit/hyperactivity disorder
d. Oppositional defiant disorder
Correct Answer: c. Attention-deficit/hyperactivity disorder
Rationale: Hallmark features of ADHD include hyperactivity, impulsiveness,
and difficulty waiting one's turn.
Which of the following findings should the nurse expect in a child diagnosed
with ADHD?
a. Difficulty focusing on tasks
b. Excessive daydreaming
c. Preference for quiet, solo activities
d. Heightened social awareness
Correct Answer: a. Difficulty focusing on tasks
Rationale: Inattention is a key symptom of ADHD.
A parent of a child with ADHD asks the nurse what behaviors are typical.
Which of the following is an appropriate response?
a. “Your child may enjoy sitting still and coloring for long periods.”
b. “Children with ADHD are often overly cautious in social situations.”
c. “They may frequently blurt out answers and interrupt others.”
d. “ADHD causes major delays in physical development.”
Correct Answer: c. “They may frequently blurt out answers and interrupt
others.”
Rationale: Impulsivity and difficulty waiting are core features of ADHD.
A teenager with type 2 diabetes is planning to start a new exercise program.
Which statement indicates correct understanding?
2
, a. “Exercise increases my risk for hypoglycemia, so I should avoid it.”
b. “I should eat a snack before exercising if my blood sugar is low.”
c. “I should stop insulin therapy on workout days.”
d. “I don’t need to monitor my glucose levels if I feel fine.”
Correct Answer: b. “I should eat a snack before exercising if my blood
sugar is low.”
Rationale: Carbohydrate intake helps prevent hypoglycemia with activity.
Which teaching point is most important when educating a teenager with type
2 diabetes about physical activity?
a. “Avoid exercising in the morning.”
b. “Check your glucose before and after exercise.”
c. “Reduce insulin if you plan to exercise daily.”
d. “You should only exercise after meals.”
Correct Answer: b. “Check your glucose before and after exercise.”
Rationale: Glucose monitoring helps detect and prevent exercise-induced
hypoglycemia or hyperglycemia.
A teen with diabetes mellitus type 2 asks how often they should exercise.
What is the most appropriate nurse response?
a. “Exercise once a week is enough to control blood sugar.”
b. “Only do light stretching to avoid hypoglycemia.”
c. “Try to engage in physical activity every day.”
d. “Wait until your A1C improves before starting exercise.”
Correct Answer: c. “Try to engage in physical activity every day.”
Rationale: Daily activity improves insulin sensitivity and helps with glucose
control.
Which pediatric client should the nurse assess first?
a. A child who has a glucose of 68 mg/dL and is asymptomatic
b. A child who is NPO after receiving insulin
c. A child reporting mild thirst with no ketones in urine
d. A child awaiting pharmacy delivery of long-acting insulin
3
Review questions and correct
answers with Rationales/
Galen NSG 3600 Nursing
Practice in Children’s Health
Exam 4 Latest Prep Guide
NSG 3600 Exam 4 Prep
, Exam 4 PEDS review recommendations
A nurse is teaching a 3-year-old child with type 1 diabetes how to manage
their own fear. Which of the following actions supports autonomy?
a. Allowing the child to choose which toy to bring to the clinic
b. Letting the child choose the site for insulin injection
c. Encouraging the child to prepare the insulin dose
d. Telling the child when the insulin injection will occur without involving
them
Correct Answer: b. Letting the child choose the site for insulin injection
Rationale: Giving toddlers appropriate choices encourages autonomy and
cooperation in care.
The nurse is planning to care for a toddler with type 1 diabetes. Which of the
following is the best strategy to promote adherence to insulin injections?
a. Allowing the child to choose between two acceptable injection sites
b. Administering the insulin without telling the child
c. Using distraction to avoid discussing the injection
d. Giving the injection while the child is asleep
Correct Answer: a. Allowing the child to choose between two acceptable
injection sites
Rationale: Offering limited choices promotes independence and control,
reducing anxiety.
During a teaching session, which play-based strategy should the nurse
recommend to parents of a toddler with newly diagnosed type 1 diabetes?
a. Using puppets to demonstrate insulin injections
b. Watching videos of adult diabetes management
c. Providing sticker rewards after each glucose check
d. Encouraging the toddler to inject themselves
Correct Answer: a. Using puppets to demonstrate insulin injections
Rationale: Therapeutic play helps toddlers understand procedures and
reduce fear.
1
,A school nurse observes a child frequently interrupting classmates and
moving constantly during group activities. These behaviors are consistent
with:
a. Autism spectrum disorder
b. Conduct disorder
c. Attention-deficit/hyperactivity disorder
d. Oppositional defiant disorder
Correct Answer: c. Attention-deficit/hyperactivity disorder
Rationale: Hallmark features of ADHD include hyperactivity, impulsiveness,
and difficulty waiting one's turn.
Which of the following findings should the nurse expect in a child diagnosed
with ADHD?
a. Difficulty focusing on tasks
b. Excessive daydreaming
c. Preference for quiet, solo activities
d. Heightened social awareness
Correct Answer: a. Difficulty focusing on tasks
Rationale: Inattention is a key symptom of ADHD.
A parent of a child with ADHD asks the nurse what behaviors are typical.
Which of the following is an appropriate response?
a. “Your child may enjoy sitting still and coloring for long periods.”
b. “Children with ADHD are often overly cautious in social situations.”
c. “They may frequently blurt out answers and interrupt others.”
d. “ADHD causes major delays in physical development.”
Correct Answer: c. “They may frequently blurt out answers and interrupt
others.”
Rationale: Impulsivity and difficulty waiting are core features of ADHD.
A teenager with type 2 diabetes is planning to start a new exercise program.
Which statement indicates correct understanding?
2
, a. “Exercise increases my risk for hypoglycemia, so I should avoid it.”
b. “I should eat a snack before exercising if my blood sugar is low.”
c. “I should stop insulin therapy on workout days.”
d. “I don’t need to monitor my glucose levels if I feel fine.”
Correct Answer: b. “I should eat a snack before exercising if my blood
sugar is low.”
Rationale: Carbohydrate intake helps prevent hypoglycemia with activity.
Which teaching point is most important when educating a teenager with type
2 diabetes about physical activity?
a. “Avoid exercising in the morning.”
b. “Check your glucose before and after exercise.”
c. “Reduce insulin if you plan to exercise daily.”
d. “You should only exercise after meals.”
Correct Answer: b. “Check your glucose before and after exercise.”
Rationale: Glucose monitoring helps detect and prevent exercise-induced
hypoglycemia or hyperglycemia.
A teen with diabetes mellitus type 2 asks how often they should exercise.
What is the most appropriate nurse response?
a. “Exercise once a week is enough to control blood sugar.”
b. “Only do light stretching to avoid hypoglycemia.”
c. “Try to engage in physical activity every day.”
d. “Wait until your A1C improves before starting exercise.”
Correct Answer: c. “Try to engage in physical activity every day.”
Rationale: Daily activity improves insulin sensitivity and helps with glucose
control.
Which pediatric client should the nurse assess first?
a. A child who has a glucose of 68 mg/dL and is asymptomatic
b. A child who is NPO after receiving insulin
c. A child reporting mild thirst with no ketones in urine
d. A child awaiting pharmacy delivery of long-acting insulin
3
