NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice: Children’s Health - Comprehensive
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 s Health - Comprehensive Exam | 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 s Health - Comprehensive Exam | 2026/2027
Question 1
A 4-year-old child is admitted to the pediatric unit. According to Erikson’s theory of psychosocial development, which
developmental task should the nurse expect this child to be working on?
A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: A
Rationale
Preschoolers (ages 3-6) are in the stage of Initiative vs. Guilt, where they begin to assert power and control over the world
through directing play and other social interaction. 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
Which pain assessment tool is most appropriate for a 2-month-old infant following a surgical procedure?
A. Wong-Baker FACES Scale
B. Numeric Rating Scale
C. Visual Analog Scale
D. FLACC Scale
Answer: D
Rationale
The FLACC (Face, Legs, Activity, Cry, Consolability) scale is a behavioral tool used for infants and nonverbal children to
assess pain intensity. 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 child is brought to the emergency department with a suspected diagnosis of Epiglottitis. Which nursing action is the
highest priority?
A. Prepare for emergency intubation or tracheostomy.
B. Visualize the airway using a tongue depressor.
C. Obtain a throat culture immediately.
D. Place the child in a supine position to rest.
Answer: A
Rationale
Epiglottitis is a medical emergency. The nurse must be prepared for sudden airway obstruction. Throat cultures and tongue
depressors are contraindicated as they can trigger laryngospasm. 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’s Health - Comprehensive
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 s Health - Comprehensive Exam | 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 s Health - Comprehensive Exam | 2026/2027
Question 1
A 4-year-old child is admitted to the pediatric unit. According to Erikson’s theory of psychosocial development, which
developmental task should the nurse expect this child to be working on?
A. Initiative vs. Guilt
B. Autonomy vs. Shame and Doubt
C. Trust vs. Mistrust
D. Industry vs. Inferiority
Answer: A
Rationale
Preschoolers (ages 3-6) are in the stage of Initiative vs. Guilt, where they begin to assert power and control over the world
through directing play and other social interaction. 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
Which pain assessment tool is most appropriate for a 2-month-old infant following a surgical procedure?
A. Wong-Baker FACES Scale
B. Numeric Rating Scale
C. Visual Analog Scale
D. FLACC Scale
Answer: D
Rationale
The FLACC (Face, Legs, Activity, Cry, Consolability) scale is a behavioral tool used for infants and nonverbal children to
assess pain intensity. 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 child is brought to the emergency department with a suspected diagnosis of Epiglottitis. Which nursing action is the
highest priority?
A. Prepare for emergency intubation or tracheostomy.
B. Visualize the airway using a tongue depressor.
C. Obtain a throat culture immediately.
D. Place the child in a supine position to rest.
Answer: A
Rationale
Epiglottitis is a medical emergency. The nurse must be prepared for sudden airway obstruction. Throat cultures and tongue
depressors are contraindicated as they can trigger laryngospasm. 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
