NSG 320 EXAM 3 QUESTIONS
AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
• Gastrointestinal and Nutrition Support
• Hepatic, Pancreatic, and Biliary Disorders
• Renal and Urologic Disorders
• Pediatric and Communicable Diseases
• Neurologic and Developmental Disorders
• Fluid, Electrolyte, and Acid-Base Balance
• Pharmacology and Medication Safety
• Patient Education and Clinical Judgment
Introduction
The NSG 320 Exam 3 assesses nursing knowledge and clinical
judgment across gastrointestinal, hepatic, renal, and related
systems. The examination evaluates understanding of enteral and
parenteral nutrition, acid-base imbalances, communicable
diseases, and genitourinary conditions. Questions incorporate
multiple-choice and scenario-based formats emphasizing real-
,world application, prioritization, and patient safety. Candidates
must demonstrate competency in pathophysiology, medication
administration, fluid management, and family-centered
education. The assessment underscores critical thinking,
evidence-based nursing interventions, and ethical decision-
making in adult health nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A child presents to the emergency department with
burns on the lower arm from hot water. The burns appear
white with red blisters, do not blanch, and the child can
feel pressure but not pain. How should the nurse
document these burns?
A. Superficial burns
B. Deep partial-thickness burns
C. Full-thickness burns
D. Superficial partial-thickness burns
B. Deep partial-thickness burns
RATIONALE: Deep partial-thickness burns appear dry and
white or red with blisters when caused by scalding, and the client
can feel pressure when applied. Superficial burns are red and
painful without blistering. Full-thickness burns show no blanching,
no pain, and a white or charred appearance .
2. A child is being admitted for a minor electrical burn.
Which order should the nurse anticipate as the priority?
A. Continuous cardiac monitoring
B. Arterial blood gas every 4 hours
C. Foley catheter for output monitoring
D. Central venous access for fluid replacement
, A. Continuous cardiac monitoring
RATIONALE: ECG and cardiac monitoring are indicated for
electrical burns due to the risk of cardiac arrhythmias. Airway,
breathing, and circulation take priority, and cardiac monitoring is
essential to detect dysrhythmias .
3. The nurse is assessing a child with a rash on the scalp.
The nurse notes the infant does not seem to scratch her
head. What is the significance of this finding?
A. Itching can differentiate atopic dermatitis from seborrheic
dermatitis
B. The nurse wants to be thorough in assessment
C. It will determine whether the head can be washed
D. It will determine if the infant has pediculosis
A. Itching can differentiate atopic dermatitis from seborrheic
dermatitis
RATIONALE: Seborrheic dermatitis is non-pruritic, which helps
distinguish it from atopic dermatitis, which is typically pruritic.
The absence of scratching suggests seborrheic dermatitis .
4. A nurse is caring for a severely dehydrated child who
has had nausea and vomiting for three days. The provider
orders a 20 mL/kg bolus of isotonic crystalloid. Which IV
fluid is the best choice?
A. Sodium Chloride 0.9% (normal saline)
B. Dextrose 10% and water
C. Dextrose 5% and 0.45% normal saline
D. Dextrose 5% and 0.9% normal saline
A. Sodium Chloride 0.9% (normal saline)
, RATIONALE: Normal saline (0.9% NaCl) is an isotonic
crystalloid and is the preferred fluid for initial volume
resuscitation in dehydrated pediatric patients. Dextrose-
containing solutions are not appropriate for bolus resuscitation .
5. The nurse observes a newborn become cyanotic when
feeding. What procedure should the nurse perform as
prescribed to assess for tracheoesophageal fistula (TEF)?
A. Feed the newborn with smaller, frequent feedings
B. Attempt to pass a nasogastric tube (NG tube)
C. Check for simian creases on the palms
D. Administer a saline lavage
B. Attempt to pass a nasogastric tube (NG tube)
RATIONALE: This is a simple test to see if the infant turns blue
or if resistance is met with insertion of the tube. If the tube coils
in the esophagus, it is highly indicative of a TEF .
6. The mother of a newborn diagnosed with
tracheoesophageal fistula (TEF) asks the nurse about the
condition. Which statement is correct in educating this
mother?
A. "This was caused because you did not take enough folic acid."
B. "Your child will most likely be prone to frequent fractures."
C. "Your child will need antibiotics before invasive procedures."
D. "Your baby should be able to start tube feedings in 2–3 days
after surgical repair."
D. "Your baby should be able to start tube feedings in 2–3
days after surgical repair."
RATIONALE: A baby can typically begin feeding via NG tube 2–
3 days after surgical repair of TEF, once healing has begun and
bowel function is confirmed .
AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
• Gastrointestinal and Nutrition Support
• Hepatic, Pancreatic, and Biliary Disorders
• Renal and Urologic Disorders
• Pediatric and Communicable Diseases
• Neurologic and Developmental Disorders
• Fluid, Electrolyte, and Acid-Base Balance
• Pharmacology and Medication Safety
• Patient Education and Clinical Judgment
Introduction
The NSG 320 Exam 3 assesses nursing knowledge and clinical
judgment across gastrointestinal, hepatic, renal, and related
systems. The examination evaluates understanding of enteral and
parenteral nutrition, acid-base imbalances, communicable
diseases, and genitourinary conditions. Questions incorporate
multiple-choice and scenario-based formats emphasizing real-
,world application, prioritization, and patient safety. Candidates
must demonstrate competency in pathophysiology, medication
administration, fluid management, and family-centered
education. The assessment underscores critical thinking,
evidence-based nursing interventions, and ethical decision-
making in adult health nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A child presents to the emergency department with
burns on the lower arm from hot water. The burns appear
white with red blisters, do not blanch, and the child can
feel pressure but not pain. How should the nurse
document these burns?
A. Superficial burns
B. Deep partial-thickness burns
C. Full-thickness burns
D. Superficial partial-thickness burns
B. Deep partial-thickness burns
RATIONALE: Deep partial-thickness burns appear dry and
white or red with blisters when caused by scalding, and the client
can feel pressure when applied. Superficial burns are red and
painful without blistering. Full-thickness burns show no blanching,
no pain, and a white or charred appearance .
2. A child is being admitted for a minor electrical burn.
Which order should the nurse anticipate as the priority?
A. Continuous cardiac monitoring
B. Arterial blood gas every 4 hours
C. Foley catheter for output monitoring
D. Central venous access for fluid replacement
, A. Continuous cardiac monitoring
RATIONALE: ECG and cardiac monitoring are indicated for
electrical burns due to the risk of cardiac arrhythmias. Airway,
breathing, and circulation take priority, and cardiac monitoring is
essential to detect dysrhythmias .
3. The nurse is assessing a child with a rash on the scalp.
The nurse notes the infant does not seem to scratch her
head. What is the significance of this finding?
A. Itching can differentiate atopic dermatitis from seborrheic
dermatitis
B. The nurse wants to be thorough in assessment
C. It will determine whether the head can be washed
D. It will determine if the infant has pediculosis
A. Itching can differentiate atopic dermatitis from seborrheic
dermatitis
RATIONALE: Seborrheic dermatitis is non-pruritic, which helps
distinguish it from atopic dermatitis, which is typically pruritic.
The absence of scratching suggests seborrheic dermatitis .
4. A nurse is caring for a severely dehydrated child who
has had nausea and vomiting for three days. The provider
orders a 20 mL/kg bolus of isotonic crystalloid. Which IV
fluid is the best choice?
A. Sodium Chloride 0.9% (normal saline)
B. Dextrose 10% and water
C. Dextrose 5% and 0.45% normal saline
D. Dextrose 5% and 0.9% normal saline
A. Sodium Chloride 0.9% (normal saline)
, RATIONALE: Normal saline (0.9% NaCl) is an isotonic
crystalloid and is the preferred fluid for initial volume
resuscitation in dehydrated pediatric patients. Dextrose-
containing solutions are not appropriate for bolus resuscitation .
5. The nurse observes a newborn become cyanotic when
feeding. What procedure should the nurse perform as
prescribed to assess for tracheoesophageal fistula (TEF)?
A. Feed the newborn with smaller, frequent feedings
B. Attempt to pass a nasogastric tube (NG tube)
C. Check for simian creases on the palms
D. Administer a saline lavage
B. Attempt to pass a nasogastric tube (NG tube)
RATIONALE: This is a simple test to see if the infant turns blue
or if resistance is met with insertion of the tube. If the tube coils
in the esophagus, it is highly indicative of a TEF .
6. The mother of a newborn diagnosed with
tracheoesophageal fistula (TEF) asks the nurse about the
condition. Which statement is correct in educating this
mother?
A. "This was caused because you did not take enough folic acid."
B. "Your child will most likely be prone to frequent fractures."
C. "Your child will need antibiotics before invasive procedures."
D. "Your baby should be able to start tube feedings in 2–3 days
after surgical repair."
D. "Your baby should be able to start tube feedings in 2–3
days after surgical repair."
RATIONALE: A baby can typically begin feeding via NG tube 2–
3 days after surgical repair of TEF, once healing has begun and
bowel function is confirmed .
