NSG 3600 EXAM 4 PEDIATRICS REVIEW COMPREHENSIVE QUESTION
TEST COMPLETE WITH 100% VERIFIED ANSWERS AND RATIONALES
1. A nurse is caring for a 10-year-old with type 1 diabetes who is
refusing their insulin injection. Which action by the nurse best supports
the child's sense of autonomy while ensuring adherence?
a. Telling the child they will not be allowed to play video games if they
refuse
b. Allowing the child to choose which parent gives the injection
c. Holding the child down to administer the injection quickly
d. Asking the child if they would prefer to have a snack instead of the
injection
Correct Answer: b. Allowing the child to choose which parent gives the
injection
Rationale: Offering choices, such as who administers the injection,
provides a sense of control and autonomy, which is developmentally
appropriate for school-age children and can improve cooperation with
care.
2. A nurse is providing education to the parents of a toddler with a new
diagnosis of type 1 diabetes. Which statement by the parent indicates
,an understanding of the developmental needs of a toddler regarding
insulin administration?
a. "I will let him decide if he wants his injection today or not."
b. "I will let him choose which sticker he gets after his injection."
c. "I will hold him down so the injection is given quickly."
d. "I will let him choose which arm or leg gets the injection today."
Correct Answer: d. "I will let him choose which arm or leg gets the
injection today."
Rationale: Toddlers thrive on autonomy within safe limits. Allowing
them to choose the injection site gives them a sense of control while
still ensuring the procedure is completed.
3. A school-age child with type 1 diabetes is learning to perform their
own blood glucose checks. Which statement by the child indicates a
need for further teaching regarding developmental readiness?
a. "I can wash my hands before I check my sugar."
b. "I can prick my own finger with the lancet."
c. "I can decide how much insulin to give based on my sugar."
d. "I can record my glucose number in my logbook."
Correct Answer: c. "I can decide how much insulin to give based on my
sugar."
Rationale: While school-age children can perform tasks like finger sticks
and logging, insulin dose calculation requires critical thinking and
,should be supervised by an adult or healthcare provider to prevent
errors.
4. A nurse is teaching the parents of a 4-year-old with type 1 diabetes
about managing needle fear. Which strategy is most developmentally
appropriate?
a. Explaining the physiology of diabetes in detail
b. Using a doll to demonstrate the injection process
c. Showing a video of a teenager giving an injection
d. Telling the child to be brave and not cry
Correct Answer: b. Using a doll to demonstrate the injection process
Rationale: Preschool-age children learn best through play and imitation.
Using a doll to demonstrate the procedure reduces fear and helps the
child understand what to expect.
5. A nurse is evaluating a 15-year-old with type 1 diabetes who is
transitioning to independent care. Which behavior indicates the
greatest risk for poor diabetes management?
a. The teen checks blood glucose four times daily.
b. The teen administers insulin only when they feel symptomatic.
c. The teen rotates injection sites appropriately.
d. The teen carries a source of fast-acting glucose at all times.
Correct Answer: b. The teen administers insulin only when they feel
, symptomatic.
Rationale: Relying on symptoms to guide insulin administration is
unsafe. Insulin must be given according to a prescribed schedule and
blood glucose levels, as hyperglycemia may not cause noticeable
symptoms immediately.
6. A nurse is providing discharge teaching to a family of a child with
newly diagnosed type 1 diabetes. Which statement by the parent
reflects an understanding of hypoglycemia management?
a. "If my child has a headache, I should give insulin immediately."
b. "If my child is sweating and shaky, I should give a glucagon injection."
c. "If my child is conscious and alert, I should give 15 grams of fast-
acting carbohydrate."
d. "If my child is tired, I should put them to bed and check them in an
hour."
Correct Answer: c. "If my child is conscious and alert, I should give 15
grams of fast-acting carbohydrate."
Rationale: The rule of 15 is standard for treating mild to moderate
hypoglycemia in a conscious child. Glucagon is reserved for
unconsciousness or severe hypoglycemia where oral intake is not
possible.
TEST COMPLETE WITH 100% VERIFIED ANSWERS AND RATIONALES
1. A nurse is caring for a 10-year-old with type 1 diabetes who is
refusing their insulin injection. Which action by the nurse best supports
the child's sense of autonomy while ensuring adherence?
a. Telling the child they will not be allowed to play video games if they
refuse
b. Allowing the child to choose which parent gives the injection
c. Holding the child down to administer the injection quickly
d. Asking the child if they would prefer to have a snack instead of the
injection
Correct Answer: b. Allowing the child to choose which parent gives the
injection
Rationale: Offering choices, such as who administers the injection,
provides a sense of control and autonomy, which is developmentally
appropriate for school-age children and can improve cooperation with
care.
2. A nurse is providing education to the parents of a toddler with a new
diagnosis of type 1 diabetes. Which statement by the parent indicates
,an understanding of the developmental needs of a toddler regarding
insulin administration?
a. "I will let him decide if he wants his injection today or not."
b. "I will let him choose which sticker he gets after his injection."
c. "I will hold him down so the injection is given quickly."
d. "I will let him choose which arm or leg gets the injection today."
Correct Answer: d. "I will let him choose which arm or leg gets the
injection today."
Rationale: Toddlers thrive on autonomy within safe limits. Allowing
them to choose the injection site gives them a sense of control while
still ensuring the procedure is completed.
3. A school-age child with type 1 diabetes is learning to perform their
own blood glucose checks. Which statement by the child indicates a
need for further teaching regarding developmental readiness?
a. "I can wash my hands before I check my sugar."
b. "I can prick my own finger with the lancet."
c. "I can decide how much insulin to give based on my sugar."
d. "I can record my glucose number in my logbook."
Correct Answer: c. "I can decide how much insulin to give based on my
sugar."
Rationale: While school-age children can perform tasks like finger sticks
and logging, insulin dose calculation requires critical thinking and
,should be supervised by an adult or healthcare provider to prevent
errors.
4. A nurse is teaching the parents of a 4-year-old with type 1 diabetes
about managing needle fear. Which strategy is most developmentally
appropriate?
a. Explaining the physiology of diabetes in detail
b. Using a doll to demonstrate the injection process
c. Showing a video of a teenager giving an injection
d. Telling the child to be brave and not cry
Correct Answer: b. Using a doll to demonstrate the injection process
Rationale: Preschool-age children learn best through play and imitation.
Using a doll to demonstrate the procedure reduces fear and helps the
child understand what to expect.
5. A nurse is evaluating a 15-year-old with type 1 diabetes who is
transitioning to independent care. Which behavior indicates the
greatest risk for poor diabetes management?
a. The teen checks blood glucose four times daily.
b. The teen administers insulin only when they feel symptomatic.
c. The teen rotates injection sites appropriately.
d. The teen carries a source of fast-acting glucose at all times.
Correct Answer: b. The teen administers insulin only when they feel
, symptomatic.
Rationale: Relying on symptoms to guide insulin administration is
unsafe. Insulin must be given according to a prescribed schedule and
blood glucose levels, as hyperglycemia may not cause noticeable
symptoms immediately.
6. A nurse is providing discharge teaching to a family of a child with
newly diagnosed type 1 diabetes. Which statement by the parent
reflects an understanding of hypoglycemia management?
a. "If my child has a headache, I should give insulin immediately."
b. "If my child is sweating and shaky, I should give a glucagon injection."
c. "If my child is conscious and alert, I should give 15 grams of fast-
acting carbohydrate."
d. "If my child is tired, I should put them to bed and check them in an
hour."
Correct Answer: c. "If my child is conscious and alert, I should give 15
grams of fast-acting carbohydrate."
Rationale: The rule of 15 is standard for treating mild to moderate
hypoglycemia in a conscious child. Glucagon is reserved for
unconsciousness or severe hypoglycemia where oral intake is not
possible.
