NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice: Children’s Health Comprehensive E
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 2-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. Obtain a throat culture to identify the causative organism.
B. Perform a visual inspection of the throat using a tongue blade.
C. Place the child in a supine position to facilitate easier breathing.
D. Maintain the child in a calm environment and prepare for emergency airway
Answer: D
Rationale
These symptoms indicate epiglottitis, a medical emergency. The priority is to maintain airway patency and avoid any
stimulation (like throat exams) that could cause 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.
Question 2
A child with Tetralogy of Fallot becomes suddenly cyanotic and dyspneic while crying. Which position should the nurse
place the child in to increase systemic vascular resistance?
A. High-Fowler’s position
B. Knee-chest position
C. Trendelenburg position
D. Prone position
Answer: B
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt and improves
oxygenation during a ‘Tet 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
When caring for a 4-year-old child with Nephrotic Syndrome, the nurse should anticipate which primary clinical
manifestation?
A. Massive proteinuria and generalized edema
B. Gross hematuria and hypertension
C. Polyuria and dehydration
D. Low serum cholesterol levels
Answer: A
Rationale
Nephrotic syndrome is characterized by increased glomerular permeability to protein, leading to massive proteinuria,
hypoalbuminemia, and subsequent generalized edema. 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 E
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 2-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. Obtain a throat culture to identify the causative organism.
B. Perform a visual inspection of the throat using a tongue blade.
C. Place the child in a supine position to facilitate easier breathing.
D. Maintain the child in a calm environment and prepare for emergency airway
Answer: D
Rationale
These symptoms indicate epiglottitis, a medical emergency. The priority is to maintain airway patency and avoid any
stimulation (like throat exams) that could cause 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.
Question 2
A child with Tetralogy of Fallot becomes suddenly cyanotic and dyspneic while crying. Which position should the nurse
place the child in to increase systemic vascular resistance?
A. High-Fowler’s position
B. Knee-chest position
C. Trendelenburg position
D. Prone position
Answer: B
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt and improves
oxygenation during a ‘Tet 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
When caring for a 4-year-old child with Nephrotic Syndrome, the nurse should anticipate which primary clinical
manifestation?
A. Massive proteinuria and generalized edema
B. Gross hematuria and hypertension
C. Polyuria and dehydration
D. Low serum cholesterol levels
Answer: A
Rationale
Nephrotic syndrome is characterized by increased glomerular permeability to protein, leading to massive proteinuria,
hypoalbuminemia, and subsequent generalized edema. 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
