NSG 3600 Exam 3 - Pediatric Nursing (Galen) Comprehensi… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 3 - Pediatric Nursing (Galen)
Comprehensive Review 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 (Galen) Comprehensi… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Piaget, a 9-year-old child who begins to understand the concept of
conservation and reversibility is in which stage of cognitive development?
A. Concrete Operational
B. Preoperational
C. Sensorimotor
D. Formal Operational
Answer: A
Rationale: The Concrete Operational stage (ages 7-11) is characterized by the development of logical thought,
conservation, and reversibility. 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 (A) requires understanding both the pathophysiology and the practical nursing implications.
2. Which developmental task, identified by Erikson, is primary for a toddler aged 18 months to 3
years?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: A
Rationale: Toddlers focus on developing a sense of personal control and independence, known as Autonomy
vs. Shame and Doubt. 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.
3. A nurse is assessing a child with suspected epiglottitis. Which of the following actions is
contraindicated?
A. Checking the throat with a tongue blade
B. Administering humidified oxygen
C. Allowing the child to sit in a tripod position
D. Preparing for emergency intubation
Answer: A
Rationale: Visualizing the throat with a tongue blade or swab can cause a reflex laryngospasm, leading to
immediate airway obstruction in children with epiglottitis. 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 (Galen) Comprehensi… 2026 Update • Verified Answers
4. A 6-week-old infant is brought to the clinic for projectile vomiting after feedings. The nurse
notes an olive-shaped mass in the right upper quadrant. Which condition is likely?
A. Intussusception
B. Pyloric Stenosis
C. Hirschsprung Disease
D. Gastroesophageal Reflux
Answer: B
Rationale: Pyloric stenosis is characterized by projectile vomiting and a palpable olive- shaped mass in the
epigastrium. This is an important clinical concept because selecting the correct answer (B) 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. When teaching the parents of a child with cystic fibrosis about pancreatic enzyme
replacement, the nurse should include which instruction?
A. Give enzymes with every meal and snack
B. Administer enzymes once daily in the morning
C. Skip enzymes if the child is not hungry
D. Dissolve enzymes in hot water before administration
Answer: A
Rationale: Pancreatic enzymes must be taken with all meals and snacks to ensure proper digestion and
absorption of nutrients in cystic fibrosis patients. This is an important clinical concept because selecting the
correct answer (A) 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.
6. Which clinical manifestation is a hallmark sign of Tetralogy of Fallot?
A. Machinery-like murmur
B. Hypercyanotic ‘Tet’ spells
C. Bounding peripheral pulses
D. Higher blood pressure in the arms than legs
Answer: B
Rationale: Tetralogy of Fallot involves cyanosis and ‘Tet’ spells, which occur during crying or feeding due to
increased right-to-left shunting. 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 - Pediatric Nursing (Galen)
Comprehensive Review 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 (Galen) Comprehensi… 2026 Update • Verified Answers
Questions & Verified Answers
1. According to Piaget, a 9-year-old child who begins to understand the concept of
conservation and reversibility is in which stage of cognitive development?
A. Concrete Operational
B. Preoperational
C. Sensorimotor
D. Formal Operational
Answer: A
Rationale: The Concrete Operational stage (ages 7-11) is characterized by the development of logical thought,
conservation, and reversibility. 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 (A) requires understanding both the pathophysiology and the practical nursing implications.
2. Which developmental task, identified by Erikson, is primary for a toddler aged 18 months to 3
years?
A. Autonomy vs. Shame and Doubt
B. Trust vs. Mistrust
C. Initiative vs. Guilt
D. Industry vs. Inferiority
Answer: A
Rationale: Toddlers focus on developing a sense of personal control and independence, known as Autonomy
vs. Shame and Doubt. 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.
3. A nurse is assessing a child with suspected epiglottitis. Which of the following actions is
contraindicated?
A. Checking the throat with a tongue blade
B. Administering humidified oxygen
C. Allowing the child to sit in a tripod position
D. Preparing for emergency intubation
Answer: A
Rationale: Visualizing the throat with a tongue blade or swab can cause a reflex laryngospasm, leading to
immediate airway obstruction in children with epiglottitis. 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 (Galen) Comprehensi… 2026 Update • Verified Answers
4. A 6-week-old infant is brought to the clinic for projectile vomiting after feedings. The nurse
notes an olive-shaped mass in the right upper quadrant. Which condition is likely?
A. Intussusception
B. Pyloric Stenosis
C. Hirschsprung Disease
D. Gastroesophageal Reflux
Answer: B
Rationale: Pyloric stenosis is characterized by projectile vomiting and a palpable olive- shaped mass in the
epigastrium. This is an important clinical concept because selecting the correct answer (B) 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. When teaching the parents of a child with cystic fibrosis about pancreatic enzyme
replacement, the nurse should include which instruction?
A. Give enzymes with every meal and snack
B. Administer enzymes once daily in the morning
C. Skip enzymes if the child is not hungry
D. Dissolve enzymes in hot water before administration
Answer: A
Rationale: Pancreatic enzymes must be taken with all meals and snacks to ensure proper digestion and
absorption of nutrients in cystic fibrosis patients. This is an important clinical concept because selecting the
correct answer (A) 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.
6. Which clinical manifestation is a hallmark sign of Tetralogy of Fallot?
A. Machinery-like murmur
B. Hypercyanotic ‘Tet’ spells
C. Bounding peripheral pulses
D. Higher blood pressure in the arms than legs
Answer: B
Rationale: Tetralogy of Fallot involves cyanosis and ‘Tet’ spells, which occur during crying or feeding due to
increased right-to-left shunting. 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
