NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice Children Health - Exam 4
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing & Pharmacology Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NSG 3600 Nursing Practice Children Health - Exam 4 | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NSG 3600 Nursing Practice Children Health - Exam 4 | 2026/2027
Question 1
A nurse is caring for a child with Cystic Fibrosis. Which intervention is the most critical to maintain the child’s nutritional
status?
A. Restricting fat intake to prevent steatorrhea
B. Administering pancreatic enzymes with all meals and snacks
C. Increasing fluid intake to 3 liters per day
D. Providing a low-protein, high-carbohydrate diet
Answer: B
Rationale
Children with cystic fibrosis have pancreatic insufficiency; pancreatic enzymes must be taken with every meal and snack to
facilitate the absorption of fats, proteins, and carbohydrates. Understanding this concept is essential for safe clinical
decision-making. Incorrect choices often reflect common misconceptions. Always link assessment findings to the primary
process and anticipated complications.
Question 2
An infant with Tetralogy of Fallot experiences a hypercyanotic spell (Tet spell). Which nursing action should be
performed first?
A. Administer 100% oxygen via face mask
B. Prepare for immediate administration of morphine
C. Place the infant in a knee-chest position
D. Obtain an arterial blood gas sample
Answer: C
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt and improves
pulmonary blood flow during a hypercyanotic spell. Understanding this concept is essential for safe clinical decision-making.
Incorrect choices often reflect common misconceptions. Always link assessment findings to the primary process and
anticipated complications.
Question 3
A 4-year-old is suspected of having acute epiglottitis. Which action by the nurse is contraindicated?
A. Using a tongue blade to visualize the posterior pharynx
B. Allowing the child to remain in a tripod position
C. Assessing the child’s oxygen saturation via pulse oximetry
D. Preparing the child for a lateral neck X-ray
Answer: A
Rationale
Using a tongue blade or performing a throat culture can trigger a laryngospasm in a child with epiglottitis, leading to sudden
and complete airway obstruction. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice Children Health - Exam 4
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing & Pharmacology Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NSG 3600 Nursing Practice Children Health - Exam 4 | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NSG 3600 Nursing Practice Children Health - Exam 4 | 2026/2027
Question 1
A nurse is caring for a child with Cystic Fibrosis. Which intervention is the most critical to maintain the child’s nutritional
status?
A. Restricting fat intake to prevent steatorrhea
B. Administering pancreatic enzymes with all meals and snacks
C. Increasing fluid intake to 3 liters per day
D. Providing a low-protein, high-carbohydrate diet
Answer: B
Rationale
Children with cystic fibrosis have pancreatic insufficiency; pancreatic enzymes must be taken with every meal and snack to
facilitate the absorption of fats, proteins, and carbohydrates. Understanding this concept is essential for safe clinical
decision-making. Incorrect choices often reflect common misconceptions. Always link assessment findings to the primary
process and anticipated complications.
Question 2
An infant with Tetralogy of Fallot experiences a hypercyanotic spell (Tet spell). Which nursing action should be
performed first?
A. Administer 100% oxygen via face mask
B. Prepare for immediate administration of morphine
C. Place the infant in a knee-chest position
D. Obtain an arterial blood gas sample
Answer: C
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt and improves
pulmonary blood flow during a hypercyanotic spell. Understanding this concept is essential for safe clinical decision-making.
Incorrect choices often reflect common misconceptions. Always link assessment findings to the primary process and
anticipated complications.
Question 3
A 4-year-old is suspected of having acute epiglottitis. Which action by the nurse is contraindicated?
A. Using a tongue blade to visualize the posterior pharynx
B. Allowing the child to remain in a tripod position
C. Assessing the child’s oxygen saturation via pulse oximetry
D. Preparing the child for a lateral neck X-ray
Answer: A
Rationale
Using a tongue blade or performing a throat culture can trigger a laryngospasm in a child with epiglottitis, leading to sudden
and complete airway obstruction. Understanding this concept is essential for safe clinical decision-making. Incorrect choices
often reflect common misconceptions. Always link assessment findings to the primary process and anticipated complications.
Page 3
