NSG 3600 Exam 3 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 3 | Nursing Practice – Children’s
Health 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 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
Questions & Verified Answers
1. A 3-year-old child is brought to the emergency department with a sudden onset of high fever,
drooling, and a muffled voice. The child is sitting in a tripod position. Which nursing action is
the priority?
A. Keep the child calm and avoid any invasive procedures
B. Assess the throat using a tongue depressor
C. Administer a dose of oral acetaminophen
D. Place the child in a supine position for easier breathing
Answer: A
Rationale: These are classic signs of epiglottitis. Any agitation or throat examination can trigger complete
airway obstruction. The child should be kept calm until an emergency airway is established. Exam questions
often test the ability to distinguish this concept from closely related distractors, making a clear rationale
essential for mastery.
2. A nurse is caring for an infant with Tetralogy of Fallot who suddenly becomes cyanotic and
dyspneic. Which position should the nurse place the infant in immediately?
A. High Fowler’s
B. Knee-chest
C. Trendelenburg
D. Prone
Answer: B
Rationale: In a ‘Tet spell,’ the knee-chest position increases systemic vascular resistance, which decreases
the right-to-left shunt and improves oxygenation. 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 (B) requires understanding both the pathophysiology and the practical nursing
implications.
3. The nurse is providing education to the parents of a child with Cystic Fibrosis. Which
instruction regarding pancreatic enzyme replacement is correct?
A. Administer enzymes two hours after meals
B. Administer enzymes only with the morning and evening meals
C. Administer enzymes with every meal and snack
D. Skip the enzymes if the child is having a high-fat meal
Answer: C
Rationale: Pancreatic enzymes are necessary to digest fats and proteins and must be taken with all meals and
snacks to ensure proper absorption. 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 2
, NSG 3600 Exam 3 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
4. A 2-year-old is hospitalized with Laryngotracheobronchitis (Croup). Which clinical
manifestation is most characteristic of this condition?
A. Wheezing on expiration
B. Absent breath sounds in the lower lobes
C. Productive cough with thick green sputum
D. High-pitched, barking cough
Answer: D
Rationale: Croup is characterized by edema of the larynx and trachea, resulting in a distinct brassy, barking
cough and inspiratory stridor. 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.
5. A nurse is assessing an 8-week-old infant suspected of having pyloric stenosis. Which
finding is the hallmark of this condition?
A. Bile-stained emesis
B. Currant jelly-like stools
C. Chronic constipation and abdominal distension
D. Projectile vomiting after feedings
Answer: D
Rationale: Hypertrophic pyloric stenosis causes a narrowing of the pyloric sphincter, leading to forceful,
non-bilious projectile vomiting. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
6. The nurse is caring for a child with Intussusception. Which type of stool does the nurse
expect to find documented in the child’s record?
A. Ribbon-like, foul-smelling stools
B. Bloody mucus, currant jelly-like stools
C. Hard, pebble-like stools
D. Steatorrhea (fatty stools)
Answer: B
Rationale: Intussusception causes intestinal obstruction and ischemia, resulting in stools mixed with blood and
mucus, often described as currant jelly. 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 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 3 | Nursing Practice – Children’s
Health 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 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
Questions & Verified Answers
1. A 3-year-old child is brought to the emergency department with a sudden onset of high fever,
drooling, and a muffled voice. The child is sitting in a tripod position. Which nursing action is
the priority?
A. Keep the child calm and avoid any invasive procedures
B. Assess the throat using a tongue depressor
C. Administer a dose of oral acetaminophen
D. Place the child in a supine position for easier breathing
Answer: A
Rationale: These are classic signs of epiglottitis. Any agitation or throat examination can trigger complete
airway obstruction. The child should be kept calm until an emergency airway is established. Exam questions
often test the ability to distinguish this concept from closely related distractors, making a clear rationale
essential for mastery.
2. A nurse is caring for an infant with Tetralogy of Fallot who suddenly becomes cyanotic and
dyspneic. Which position should the nurse place the infant in immediately?
A. High Fowler’s
B. Knee-chest
C. Trendelenburg
D. Prone
Answer: B
Rationale: In a ‘Tet spell,’ the knee-chest position increases systemic vascular resistance, which decreases
the right-to-left shunt and improves oxygenation. 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 (B) requires understanding both the pathophysiology and the practical nursing
implications.
3. The nurse is providing education to the parents of a child with Cystic Fibrosis. Which
instruction regarding pancreatic enzyme replacement is correct?
A. Administer enzymes two hours after meals
B. Administer enzymes only with the morning and evening meals
C. Administer enzymes with every meal and snack
D. Skip the enzymes if the child is having a high-fat meal
Answer: C
Rationale: Pancreatic enzymes are necessary to digest fats and proteins and must be taken with all meals and
snacks to ensure proper absorption. 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 2
, NSG 3600 Exam 3 | Nursing Practice – Children’s Health … 2026 Update • Verified Answers
4. A 2-year-old is hospitalized with Laryngotracheobronchitis (Croup). Which clinical
manifestation is most characteristic of this condition?
A. Wheezing on expiration
B. Absent breath sounds in the lower lobes
C. Productive cough with thick green sputum
D. High-pitched, barking cough
Answer: D
Rationale: Croup is characterized by edema of the larynx and trachea, resulting in a distinct brassy, barking
cough and inspiratory stridor. 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.
5. A nurse is assessing an 8-week-old infant suspected of having pyloric stenosis. Which
finding is the hallmark of this condition?
A. Bile-stained emesis
B. Currant jelly-like stools
C. Chronic constipation and abdominal distension
D. Projectile vomiting after feedings
Answer: D
Rationale: Hypertrophic pyloric stenosis causes a narrowing of the pyloric sphincter, leading to forceful,
non-bilious projectile vomiting. Exam questions often test the ability to distinguish this concept from closely
related distractors, making a clear rationale essential for mastery. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
6. The nurse is caring for a child with Intussusception. Which type of stool does the nurse
expect to find documented in the child’s record?
A. Ribbon-like, foul-smelling stools
B. Bloody mucus, currant jelly-like stools
C. Hard, pebble-like stools
D. Steatorrhea (fatty stools)
Answer: B
Rationale: Intussusception causes intestinal obstruction and ischemia, resulting in stools mixed with blood and
mucus, often described as currant jelly. 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 3
