NSG 3600 Pediatric Nursing Exam 2 Practice 2026 UPDATE
1. According to Erikson, what is the primary developmental task for a toddler?
A. Autonomy vs Shame and Doubt
B. Trust vs Mistrust
C. Initiative vs Guilt
D. Industry vs Inferiority
Answer: A
Rationale: Toddlers (ages 1-3) focus on developing a sense of personal control over
physical skills and independence.
2. Which pain scale is most appropriate for a non-verbal 2-year-old child?
A. Wong-Baker FACES
B. FLACC Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and
children who cannot verbally communicate pain.
,3. What is a classic clinical manifestation of pyloric stenosis in an infant?
A. Currant jelly stools
B. Ribbon-like stools
C. Projectile vomiting
D. Bile-stained emesis
Answer: C
Rationale: Pyloric stenosis is characterized by projectile, non-bilious vomiting due to the
narrowing of the pyloric sphincter.
4. In which position should an infant with Tetralogy of Fallot be placed during a ‘Tet spell’?
A. Supine
B. Prone
C. High-Fowler’s position
D. Knee-chest position
Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation.
5. What is the priority intervention for a child suspected of having epiglottitis?
A. Inspect the throat with a tongue blade
, B. Maintain a patent airway
C. Obtain a throat culture
D. Apply a warm compress to the neck
Answer: B
Rationale: Airway maintenance is vital; examining the throat can cause total airway
obstruction due to laryngospasm.
6. A child with Cystic Fibrosis requires pancreatic enzymes. When should they be
administered?
A. Once daily in the morning
B. With every meal and snack
C. Only before bed
D. Two hours after eating
Answer: B
Rationale: Pancreatic enzymes must be taken with all food to assist in the digestion and
absorption of fats and proteins.
7. Which diet is essential for a child diagnosed with Celiac Disease?
A. Low sodium
B. Gluten-free
1. According to Erikson, what is the primary developmental task for a toddler?
A. Autonomy vs Shame and Doubt
B. Trust vs Mistrust
C. Initiative vs Guilt
D. Industry vs Inferiority
Answer: A
Rationale: Toddlers (ages 1-3) focus on developing a sense of personal control over
physical skills and independence.
2. Which pain scale is most appropriate for a non-verbal 2-year-old child?
A. Wong-Baker FACES
B. FLACC Scale
C. Visual Analog Scale
D. Numeric Rating Scale
Answer: B
Rationale: The FLACC scale (Face, Legs, Activity, Cry, Consolability) is used for infants and
children who cannot verbally communicate pain.
,3. What is a classic clinical manifestation of pyloric stenosis in an infant?
A. Currant jelly stools
B. Ribbon-like stools
C. Projectile vomiting
D. Bile-stained emesis
Answer: C
Rationale: Pyloric stenosis is characterized by projectile, non-bilious vomiting due to the
narrowing of the pyloric sphincter.
4. In which position should an infant with Tetralogy of Fallot be placed during a ‘Tet spell’?
A. Supine
B. Prone
C. High-Fowler’s position
D. Knee-chest position
Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, which helps
reduce the right-to-left shunt and improves oxygenation.
5. What is the priority intervention for a child suspected of having epiglottitis?
A. Inspect the throat with a tongue blade
, B. Maintain a patent airway
C. Obtain a throat culture
D. Apply a warm compress to the neck
Answer: B
Rationale: Airway maintenance is vital; examining the throat can cause total airway
obstruction due to laryngospasm.
6. A child with Cystic Fibrosis requires pancreatic enzymes. When should they be
administered?
A. Once daily in the morning
B. With every meal and snack
C. Only before bed
D. Two hours after eating
Answer: B
Rationale: Pancreatic enzymes must be taken with all food to assist in the digestion and
absorption of fats and proteins.
7. Which diet is essential for a child diagnosed with Celiac Disease?
A. Low sodium
B. Gluten-free
