NSG 3600 Pediatrics Exam 3 Newest
Practice Test Bank with Complete 200
Correctly Answered Practice Questions/
Galen NSG 3600 Exam 3 Nursing Practice
in Children's Health MOST RECENT
(GRADED A+)
Growth and Development
1. A 4-month-old infant is brought to the clinic for a check-up. The
nurse expects which reflex to have disappeared by this age?
A. Babinski reflex
B. Moro reflex
C. Stepping reflex
D. Sucking reflex
Answer: B. Moro reflex
Rationale: The Moro (startle) reflex typically disappears by 3 to 4 months of
age. The Babinski reflex can persist until 1 to 2 years, while the stepping
reflex disappears around 2 months. The sucking reflex usually persists .
2. According to Erikson's stages of psychosocial development, which
task is appropriate for a toddler?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
,Answer: A. Autonomy vs. Shame and Doubt
Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt
stage, where they focus on developing a sense of personal control and
independence .
3. A nurse is evaluating a 9-month-old infant during a routine
checkup. Which finding should prompt the nurse to investigate further
for a developmental delay?
A. The infant is unable to walk without support.
B. The infant cannot sit steadily without support.
C. The infant does not say any full, recognizable words.
D. The infant cannot tie their shoes.
Answer: B. The infant cannot sit steadily without support.
Rationale: Infants should be able to sit unsupported by 8 months of age.
Inability to do so at 9 months indicates a gross motor developmental delay
requiring further evaluation .
Gastrointestinal Disorders
4. A 2-month-old infant is admitted with projectile vomiting and a
palpable olive-shaped mass in the epigastrium. The nurse suspects:
A. Intussusception
B. Gastroesophageal reflux
C. Hirschsprung disease
D. Hypertrophic pyloric stenosis
Answer: D. Hypertrophic pyloric stenosis
Rationale: Hypertrophic pyloric stenosis is characterized by non-bilious
projectile vomiting and an olive-shaped mass in the right upper quadrant .
5. What is the hallmark clinical manifestation of intussusception?
A. Currant jelly-like stools
B. Ribbon-like stools
, C. Steatorrhea
D. Hard, pebble-like stools
Answer: A. Currant jelly-like stools
Rationale: Intussusception leads to intestinal obstruction and ischemia,
resulting in stools mixed with blood and mucus, often described as "currant
jelly" .
Renal and Urinary Disorders
6. When assessing a child with Nephrotic Syndrome, the nurse should
expect which laboratory finding?
A. Low serum cholesterol
B. Massive proteinuria
C. High serum albumin
D. Gross hematuria
Answer: B. Massive proteinuria
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
which leads to hypoalbuminemia and hyperlipidemia .
7. A school-age female child has a urinary tract infection (UTI). The
culture has come back positive for Escherichia coli. Which teaching
measure is most important for the nurse to include in the teaching
plan?
A. Teach the child to wipe from front to back.
B. Recommend bubble baths to soothe irritation.
C. Encourage the child to hold urine to avoid burning.
D. Advise the child to wear tight-fitting underwear.
Answer: A. Teach the child to wipe from front to back.
Rationale: Wiping from front to back prevents the introduction of bacteria
from the anal area to the urethra, which is a primary cause of UTIs in
children .
, Neurological Disorders
8. A nurse is caring for a child with suspected epilepsy. Which
diagnostic test does the nurse facilitate as the priority for this child?
A. Electroencephalogram (EEG)
B. Computed Tomography (CT) scan
C. Magnetic Resonance Imaging (MRI)
D. Lumbar puncture
Answer: A. Electroencephalogram (EEG)
Rationale: An EEG is the primary diagnostic tool used to evaluate brain
activity and confirm a diagnosis of epilepsy .
9. A new nurse is caring for a child who had a ventriculoperitoneal
shunt placed 2 days ago for hydrocephalus. Which action by the new
nurse causes the experienced nurse to intervene?
A. Asks for medication to treat nausea.
B. Positions the infant on the non-operative side.
C. Assesses the child's fontanels for bulging.
D. Monitors for signs of increased intracranial pressure.
Answer: A. Asks for medication to treat nausea.
Rationale: After VP shunt placement, the new nurse should be aware that
nausea and vomiting can be signs of increased intracranial pressure or
shunt malfunction, not just postoperative side effects. The priority is to
assess the child for underlying causes of nausea rather than simply
medicating it .
Cardiovascular Disorders
10. A nurse is caring for a child with a ventricular septal defect (VSD).
The nurse understands that this defect is characterized by:
A. A right-to-left shunt.
B. A continuous machinery-like murmur.
Practice Test Bank with Complete 200
Correctly Answered Practice Questions/
Galen NSG 3600 Exam 3 Nursing Practice
in Children's Health MOST RECENT
(GRADED A+)
Growth and Development
1. A 4-month-old infant is brought to the clinic for a check-up. The
nurse expects which reflex to have disappeared by this age?
A. Babinski reflex
B. Moro reflex
C. Stepping reflex
D. Sucking reflex
Answer: B. Moro reflex
Rationale: The Moro (startle) reflex typically disappears by 3 to 4 months of
age. The Babinski reflex can persist until 1 to 2 years, while the stepping
reflex disappears around 2 months. The sucking reflex usually persists .
2. According to Erikson's stages of psychosocial development, which
task is appropriate for a toddler?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
,Answer: A. Autonomy vs. Shame and Doubt
Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt
stage, where they focus on developing a sense of personal control and
independence .
3. A nurse is evaluating a 9-month-old infant during a routine
checkup. Which finding should prompt the nurse to investigate further
for a developmental delay?
A. The infant is unable to walk without support.
B. The infant cannot sit steadily without support.
C. The infant does not say any full, recognizable words.
D. The infant cannot tie their shoes.
Answer: B. The infant cannot sit steadily without support.
Rationale: Infants should be able to sit unsupported by 8 months of age.
Inability to do so at 9 months indicates a gross motor developmental delay
requiring further evaluation .
Gastrointestinal Disorders
4. A 2-month-old infant is admitted with projectile vomiting and a
palpable olive-shaped mass in the epigastrium. The nurse suspects:
A. Intussusception
B. Gastroesophageal reflux
C. Hirschsprung disease
D. Hypertrophic pyloric stenosis
Answer: D. Hypertrophic pyloric stenosis
Rationale: Hypertrophic pyloric stenosis is characterized by non-bilious
projectile vomiting and an olive-shaped mass in the right upper quadrant .
5. What is the hallmark clinical manifestation of intussusception?
A. Currant jelly-like stools
B. Ribbon-like stools
, C. Steatorrhea
D. Hard, pebble-like stools
Answer: A. Currant jelly-like stools
Rationale: Intussusception leads to intestinal obstruction and ischemia,
resulting in stools mixed with blood and mucus, often described as "currant
jelly" .
Renal and Urinary Disorders
6. When assessing a child with Nephrotic Syndrome, the nurse should
expect which laboratory finding?
A. Low serum cholesterol
B. Massive proteinuria
C. High serum albumin
D. Gross hematuria
Answer: B. Massive proteinuria
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
which leads to hypoalbuminemia and hyperlipidemia .
7. A school-age female child has a urinary tract infection (UTI). The
culture has come back positive for Escherichia coli. Which teaching
measure is most important for the nurse to include in the teaching
plan?
A. Teach the child to wipe from front to back.
B. Recommend bubble baths to soothe irritation.
C. Encourage the child to hold urine to avoid burning.
D. Advise the child to wear tight-fitting underwear.
Answer: A. Teach the child to wipe from front to back.
Rationale: Wiping from front to back prevents the introduction of bacteria
from the anal area to the urethra, which is a primary cause of UTIs in
children .
, Neurological Disorders
8. A nurse is caring for a child with suspected epilepsy. Which
diagnostic test does the nurse facilitate as the priority for this child?
A. Electroencephalogram (EEG)
B. Computed Tomography (CT) scan
C. Magnetic Resonance Imaging (MRI)
D. Lumbar puncture
Answer: A. Electroencephalogram (EEG)
Rationale: An EEG is the primary diagnostic tool used to evaluate brain
activity and confirm a diagnosis of epilepsy .
9. A new nurse is caring for a child who had a ventriculoperitoneal
shunt placed 2 days ago for hydrocephalus. Which action by the new
nurse causes the experienced nurse to intervene?
A. Asks for medication to treat nausea.
B. Positions the infant on the non-operative side.
C. Assesses the child's fontanels for bulging.
D. Monitors for signs of increased intracranial pressure.
Answer: A. Asks for medication to treat nausea.
Rationale: After VP shunt placement, the new nurse should be aware that
nausea and vomiting can be signs of increased intracranial pressure or
shunt malfunction, not just postoperative side effects. The priority is to
assess the child for underlying causes of nausea rather than simply
medicating it .
Cardiovascular Disorders
10. A nurse is caring for a child with a ventricular septal defect (VSD).
The nurse understands that this defect is characterized by:
A. A right-to-left shunt.
B. A continuous machinery-like murmur.
