,NSG 3600 EXAM 2 - Original Practice Study Guide
NSG 3600 Exam 2 Children's Health Galen College 100%
Correct 2026
1. During pediatric clinical prioritization, which finding is most concerning in a child with respiratory
distress?
A) Occasional cough
B) Mild nasal congestion
C) Increasing lethargy with diminished breath sounds
D) Slightly elevated temperature
Correct Answer: Increasing lethargy with diminished breath sounds
Rationale: Lethargy and diminishing breath sounds can indicate respiratory fatigue and impending failure. The nurse
should prioritize airway and breathing, recognize early deterioration, and reassess after intervention.
2. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which finding is
most concerning in a child with respiratory distress?
A) Increasing lethargy with diminished breath sounds
B) Mild nasal congestion
C) Occasional cough
D) Slightly elevated temperature
Correct Answer: Increasing lethargy with diminished breath sounds
Rationale: Lethargy and diminishing breath sounds can indicate respiratory fatigue and impending failure. Clinical
judgment should also account for the child's developmental level, family involvement, oxygenation trend, hydration
status, and rapid pediatric deterioration risk.
3. During pediatric clinical prioritization, which sign commonly appears early in pediatric respiratory
distress?
A) Bradycardia
B) Tachypnea
C) Absent breath sounds bilaterally
D) Severe cyanosis
Correct Answer: Tachypnea
Rationale: Children often compensate initially with tachypnea and increased work of breathing. The nurse should
prioritize airway and breathing, recognize early deterioration, and reassess after intervention.
4. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which sign
commonly appears early in pediatric respiratory distress?
A) Absent breath sounds bilaterally
B) Bradycardia
C) Tachypnea
D) Severe cyanosis
Page 2
, NSG 3600 EXAM 2 - Original Practice Study Guide
Correct Answer: Tachypnea
Rationale: Children often compensate initially with tachypnea and increased work of breathing. Clinical judgment
should also account for the child's developmental level, family involvement, oxygenation trend, hydration status, and
rapid pediatric deterioration risk.
5. During pediatric clinical prioritization, which finding indicates increased work of breathing in an infant?
A) Slow regular breathing
B) Intercostal retractions
C) Warm dry skin
D) Increased appetite
Correct Answer: Intercostal retractions
Rationale: Retractions reflect use of accessory muscles and increased respiratory effort. The nurse should prioritize
airway and breathing, recognize early deterioration, and reassess after intervention.
6. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which finding
indicates increased work of breathing in an infant?
A) Intercostal retractions
B) Slow regular breathing
C) Warm dry skin
D) Increased appetite
Correct Answer: Intercostal retractions
Rationale: Retractions reflect use of accessory muscles and increased respiratory effort. Clinical judgment should
also account for the child's developmental level, family involvement, oxygenation trend, hydration status, and rapid
pediatric deterioration risk.
7. During pediatric clinical prioritization, which assessment finding suggests upper-airway obstruction?
A) Fine bibasilar crackles
B) Expiratory wheeze only
C) Inspiratory stridor
D) Diminished peripheral pulses
Correct Answer: Inspiratory stridor
Rationale: Stridor is a harsh inspiratory sound caused by upper-airway narrowing. The nurse should prioritize airway
and breathing, recognize early deterioration, and reassess after intervention.
8. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which assessment
finding suggests upper-airway obstruction?
A) Diminished peripheral pulses
B) Expiratory wheeze only
C) Fine bibasilar crackles
D) Inspiratory stridor
Correct Answer: Inspiratory stridor
Rationale: Stridor is a harsh inspiratory sound caused by upper-airway narrowing. Clinical judgment should also
account for the child's developmental level, family involvement, oxygenation trend, hydration status, and rapid
pediatric deterioration risk.
Page 3
NSG 3600 Exam 2 Children's Health Galen College 100%
Correct 2026
1. During pediatric clinical prioritization, which finding is most concerning in a child with respiratory
distress?
A) Occasional cough
B) Mild nasal congestion
C) Increasing lethargy with diminished breath sounds
D) Slightly elevated temperature
Correct Answer: Increasing lethargy with diminished breath sounds
Rationale: Lethargy and diminishing breath sounds can indicate respiratory fatigue and impending failure. The nurse
should prioritize airway and breathing, recognize early deterioration, and reassess after intervention.
2. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which finding is
most concerning in a child with respiratory distress?
A) Increasing lethargy with diminished breath sounds
B) Mild nasal congestion
C) Occasional cough
D) Slightly elevated temperature
Correct Answer: Increasing lethargy with diminished breath sounds
Rationale: Lethargy and diminishing breath sounds can indicate respiratory fatigue and impending failure. Clinical
judgment should also account for the child's developmental level, family involvement, oxygenation trend, hydration
status, and rapid pediatric deterioration risk.
3. During pediatric clinical prioritization, which sign commonly appears early in pediatric respiratory
distress?
A) Bradycardia
B) Tachypnea
C) Absent breath sounds bilaterally
D) Severe cyanosis
Correct Answer: Tachypnea
Rationale: Children often compensate initially with tachypnea and increased work of breathing. The nurse should
prioritize airway and breathing, recognize early deterioration, and reassess after intervention.
4. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which sign
commonly appears early in pediatric respiratory distress?
A) Absent breath sounds bilaterally
B) Bradycardia
C) Tachypnea
D) Severe cyanosis
Page 2
, NSG 3600 EXAM 2 - Original Practice Study Guide
Correct Answer: Tachypnea
Rationale: Children often compensate initially with tachypnea and increased work of breathing. Clinical judgment
should also account for the child's developmental level, family involvement, oxygenation trend, hydration status, and
rapid pediatric deterioration risk.
5. During pediatric clinical prioritization, which finding indicates increased work of breathing in an infant?
A) Slow regular breathing
B) Intercostal retractions
C) Warm dry skin
D) Increased appetite
Correct Answer: Intercostal retractions
Rationale: Retractions reflect use of accessory muscles and increased respiratory effort. The nurse should prioritize
airway and breathing, recognize early deterioration, and reassess after intervention.
6. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which finding
indicates increased work of breathing in an infant?
A) Intercostal retractions
B) Slow regular breathing
C) Warm dry skin
D) Increased appetite
Correct Answer: Intercostal retractions
Rationale: Retractions reflect use of accessory muscles and increased respiratory effort. Clinical judgment should
also account for the child's developmental level, family involvement, oxygenation trend, hydration status, and rapid
pediatric deterioration risk.
7. During pediatric clinical prioritization, which assessment finding suggests upper-airway obstruction?
A) Fine bibasilar crackles
B) Expiratory wheeze only
C) Inspiratory stridor
D) Diminished peripheral pulses
Correct Answer: Inspiratory stridor
Rationale: Stridor is a harsh inspiratory sound caused by upper-airway narrowing. The nurse should prioritize airway
and breathing, recognize early deterioration, and reassess after intervention.
8. A pediatric nurse is applying this concept in an NSG 3600 Exam 2 clinical scenario. which assessment
finding suggests upper-airway obstruction?
A) Diminished peripheral pulses
B) Expiratory wheeze only
C) Fine bibasilar crackles
D) Inspiratory stridor
Correct Answer: Inspiratory stridor
Rationale: Stridor is a harsh inspiratory sound caused by upper-airway narrowing. Clinical judgment should also
account for the child's developmental level, family involvement, oxygenation trend, hydration status, and rapid
pediatric deterioration risk.
Page 3
