NSG 3600 Exam 2: Nursing Practice – Children’s Health 2… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 2: 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 2: Nursing Practice – Children’s Health 2… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is caring for a 4-year-old child with epiglottitis. Which of the following nursing
actions is the priority?
A. Examine the throat with a tongue depressor to assess for swelling.
B. Obtain a throat culture to identify the causative organism.
C. Encourage the child to lie flat to improve ventilation.
D. Prepare for immediate endotracheal intubation or tracheostomy.
Answer: D
Rationale: Epiglottitis is a medical emergency that can lead to sudden airway obstruction. Assessing the throat
with a tongue depressor is contraindicated as it can trigger a laryngospasm. Airway management is the top
priority. This is an important clinical concept because selecting the correct answer (D) requires understanding
both the pathophysiology and the practical nursing implications.
2. Which clinical manifestation is most characteristic of pyloric stenosis in a 4-week-old infant?
A. Currant jelly-like stools
B. Projectile vomiting after feeding
C. Biliary-stained vomitus
D. Abdominal distention and diarrhea
Answer: B
Rationale: Hypertrophic pyloric stenosis typically presents between 2-8 weeks of life with non-biliary projectile
vomiting immediately after feeding due to gastric outlet obstruction. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
3. A child with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic (‘Tet spell’). What
is the nurse’s first action?
A. Administer 100% oxygen via face mask.
B. Administer intravenous morphine sulfate.
C. Place the child in the knee-chest position.
D. Prepare for immediate surgical intervention.
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, which decreases the right-to-left
shunt across the VSD, improving pulmonary blood flow. 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 2: Nursing Practice – Children’s Health 2… 2026 Update • Verified Answers
4. When administering Pancrelipase (pancreatic enzymes) to a child with Cystic Fibrosis, when
should the nurse provide the medication?
A. With every meal and snack
B. Once daily in the morning
C. Only when the child has steatorrhea
D. Two hours after meals
Answer: A
Rationale: Pancreatic enzymes must be taken with all meals and snacks to assist in the digestion and
absorption of fats, proteins, and carbohydrates in patients with Cystic Fibrosis. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. A nurse is assessing a 10-month-old infant. According to Erikson, which developmental task
should the infant be achieving?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Trust vs. Mistrust
Answer: D
Rationale: According to Erikson, the developmental task for infants (birth to 1 year) is Trust vs. Mistrust, where
they learn to rely on caregivers for basic needs. 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.
6. A school-age child is admitted with a diagnosis of acute glomerulonephritis. The nurse
should expect to see which of the following in the urine?
A. Glucosuria and ketones
B. Hematuria and proteinuria
C. Bacteriuria and nitrites
D. Increased specific gravity and low volume
Answer: B
Rationale: Acute glomerulonephritis is characterized by hematuria (often described as tea-colored or smoky
urine) and mild-to-moderate proteinuria due to glomerular damage. This is an important clinical concept
because selecting the correct answer (B) requires understanding both the pathophysiology and the practical
nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
NSG 3600 Exam 2: 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 2: Nursing Practice – Children’s Health 2… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is caring for a 4-year-old child with epiglottitis. Which of the following nursing
actions is the priority?
A. Examine the throat with a tongue depressor to assess for swelling.
B. Obtain a throat culture to identify the causative organism.
C. Encourage the child to lie flat to improve ventilation.
D. Prepare for immediate endotracheal intubation or tracheostomy.
Answer: D
Rationale: Epiglottitis is a medical emergency that can lead to sudden airway obstruction. Assessing the throat
with a tongue depressor is contraindicated as it can trigger a laryngospasm. Airway management is the top
priority. This is an important clinical concept because selecting the correct answer (D) requires understanding
both the pathophysiology and the practical nursing implications.
2. Which clinical manifestation is most characteristic of pyloric stenosis in a 4-week-old infant?
A. Currant jelly-like stools
B. Projectile vomiting after feeding
C. Biliary-stained vomitus
D. Abdominal distention and diarrhea
Answer: B
Rationale: Hypertrophic pyloric stenosis typically presents between 2-8 weeks of life with non-biliary projectile
vomiting immediately after feeding due to gastric outlet obstruction. Applying this knowledge in clinical settings
supports safe, evidence-based practice and improves patient outcomes.
3. A child with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic (‘Tet spell’). What
is the nurse’s first action?
A. Administer 100% oxygen via face mask.
B. Administer intravenous morphine sulfate.
C. Place the child in the knee-chest position.
D. Prepare for immediate surgical intervention.
Answer: C
Rationale: The knee-chest position increases systemic vascular resistance, which decreases the right-to-left
shunt across the VSD, improving pulmonary blood flow. 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 2: Nursing Practice – Children’s Health 2… 2026 Update • Verified Answers
4. When administering Pancrelipase (pancreatic enzymes) to a child with Cystic Fibrosis, when
should the nurse provide the medication?
A. With every meal and snack
B. Once daily in the morning
C. Only when the child has steatorrhea
D. Two hours after meals
Answer: A
Rationale: Pancreatic enzymes must be taken with all meals and snacks to assist in the digestion and
absorption of fats, proteins, and carbohydrates in patients with Cystic Fibrosis. Applying this knowledge in
clinical settings supports safe, evidence-based practice and improves patient outcomes.
5. A nurse is assessing a 10-month-old infant. According to Erikson, which developmental task
should the infant be achieving?
A. Autonomy vs. Shame and Doubt
B. Initiative vs. Guilt
C. Industry vs. Inferiority
D. Trust vs. Mistrust
Answer: D
Rationale: According to Erikson, the developmental task for infants (birth to 1 year) is Trust vs. Mistrust, where
they learn to rely on caregivers for basic needs. 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.
6. A school-age child is admitted with a diagnosis of acute glomerulonephritis. The nurse
should expect to see which of the following in the urine?
A. Glucosuria and ketones
B. Hematuria and proteinuria
C. Bacteriuria and nitrites
D. Increased specific gravity and low volume
Answer: B
Rationale: Acute glomerulonephritis is characterized by hematuria (often described as tea-colored or smoky
urine) and mild-to-moderate proteinuria due to glomerular damage. This is an important clinical concept
because selecting the correct answer (B) requires understanding both the pathophysiology and the practical
nursing implications.
Exam (Elaborations) • Actual Questions & Rationales Page 3
