NSG 3600 Exam 3 - Pediatric Nursing Comprehensive 2026 … 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 3 - Pediatric Nursing
Comprehensive 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3600 Exam 3 - Pediatric Nursing Comprehensive 2026 … 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is assessing a 4-year-old child’s pain level after surgery. Which pain assessment
tool is most appropriate for this age group?
A. Numerical Rating Scale (0-10)
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker FACES Pain Rating Scale
Answer: D
Rationale: The Wong-Baker FACES scale is ideal for children aged 3 and older because they can point to the
face that best represents their pain level. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (D) requires understanding both the pathophysiology and the practical nursing
implications.
2. A 2-year-old child is hospitalized and is throwing a tantrum. The nurse understands that
according to Erikson, this child is in which developmental stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: C
Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt stage, where they strive for
independence and control. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (C)
requires understanding both the pathophysiology and the practical nursing implications.
3. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after feedings.
The nurse notes an olive-shaped mass in the right upper quadrant. Which condition is
suspected?
A. Intussusception
B. Gastroesophageal Reflux
C. Hirschsprung Disease
D. Hypertrophic Pyloric Stenosis
Answer: D
Rationale: Projectile vomiting and a palpable olive-shaped mass are classic clinical manifestations of pyloric
stenosis. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Exam 3 - Pediatric Nursing Comprehensive 2026 … 2026 Update • Verified Answers
4. Which dietary instruction is essential for a child newly diagnosed with Celiac Disease?
A. Restrict dairy products
B. Avoid all citrus fruits
C. Increase intake of whole-grain bread
D. Eliminate wheat, rye, and barley
Answer: D
Rationale: Celiac disease requires a lifelong gluten-free diet, which involves eliminating wheat, rye, and barley
(and oats if cross-contaminated). This is an important clinical concept because selecting the correct answer (D)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
5. A nurse is caring for a child with a ‘barking’ cough and inspiratory stridor. Which
intervention is the priority?
A. Administering IV antibiotics
B. Performing a throat culture
C. Providing humidified oxygen or cool mist
D. Placing the child in a supine position
Answer: C
Rationale: These are signs of Croup (laryngotracheobronchitis). Humidified air or cool mist helps reduce upper
airway edema. Applying this knowledge in clinical settings supports safe, evidence-based practice and
improves patient outcomes. This is an important clinical concept because selecting the correct answer (C)
requires understanding both the pathophysiology and the practical nursing implications.
6. A child with Cystic Fibrosis is prescribed pancrelipase. When should the nurse instruct the
parents to administer this medication?
A. Once daily in the morning
B. Only when the child has fatty stools
C. Before every meal and snack
D. Two hours after meals
Answer: C
Rationale: Pancreatic enzymes must be taken with all meals and snacks to facilitate the absorption of
nutrients. This is an important clinical concept because selecting the correct answer (C) requires understanding
both the pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 3 - Pediatric Nursing
Comprehensive 2026 UPDATE
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,NSG 3600 Exam 3 - Pediatric Nursing Comprehensive 2026 … 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is assessing a 4-year-old child’s pain level after surgery. Which pain assessment
tool is most appropriate for this age group?
A. Numerical Rating Scale (0-10)
B. FLACC Scale
C. Visual Analog Scale
D. Wong-Baker FACES Pain Rating Scale
Answer: D
Rationale: The Wong-Baker FACES scale is ideal for children aged 3 and older because they can point to the
face that best represents their pain level. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (D) requires understanding both the pathophysiology and the practical nursing
implications.
2. A 2-year-old child is hospitalized and is throwing a tantrum. The nurse understands that
according to Erikson, this child is in which developmental stage?
A. Trust vs. Mistrust
B. Initiative vs. Guilt
C. Autonomy vs. Shame and Doubt
D. Industry vs. Inferiority
Answer: C
Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt stage, where they strive for
independence and control. Applying this knowledge in clinical settings supports safe, evidence-based practice
and improves patient outcomes. This is an important clinical concept because selecting the correct answer (C)
requires understanding both the pathophysiology and the practical nursing implications.
3. A 6-week-old infant is brought to the clinic with reports of projectile vomiting after feedings.
The nurse notes an olive-shaped mass in the right upper quadrant. Which condition is
suspected?
A. Intussusception
B. Gastroesophageal Reflux
C. Hirschsprung Disease
D. Hypertrophic Pyloric Stenosis
Answer: D
Rationale: Projectile vomiting and a palpable olive-shaped mass are classic clinical manifestations of pyloric
stenosis. Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide
accurate patient education. Exam questions often test the ability to distinguish this concept from closely related
distractors, making a clear rationale essential for mastery.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, NSG 3600 Exam 3 - Pediatric Nursing Comprehensive 2026 … 2026 Update • Verified Answers
4. Which dietary instruction is essential for a child newly diagnosed with Celiac Disease?
A. Restrict dairy products
B. Avoid all citrus fruits
C. Increase intake of whole-grain bread
D. Eliminate wheat, rye, and barley
Answer: D
Rationale: Celiac disease requires a lifelong gluten-free diet, which involves eliminating wheat, rye, and barley
(and oats if cross-contaminated). This is an important clinical concept because selecting the correct answer (D)
requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
5. A nurse is caring for a child with a ‘barking’ cough and inspiratory stridor. Which
intervention is the priority?
A. Administering IV antibiotics
B. Performing a throat culture
C. Providing humidified oxygen or cool mist
D. Placing the child in a supine position
Answer: C
Rationale: These are signs of Croup (laryngotracheobronchitis). Humidified air or cool mist helps reduce upper
airway edema. Applying this knowledge in clinical settings supports safe, evidence-based practice and
improves patient outcomes. This is an important clinical concept because selecting the correct answer (C)
requires understanding both the pathophysiology and the practical nursing implications.
6. A child with Cystic Fibrosis is prescribed pancrelipase. When should the nurse instruct the
parents to administer this medication?
A. Once daily in the morning
B. Only when the child has fatty stools
C. Before every meal and snack
D. Two hours after meals
Answer: C
Rationale: Pancreatic enzymes must be taken with all meals and snacks to facilitate the absorption of
nutrients. This is an important clinical concept because selecting the correct answer (C) requires understanding
both the pathophysiology and the practical nursing implications. Recognizing this principle allows the nurse to
prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
