NSG 3600 Exam 3 (Latest Update 2026 /
2027) Questions & Answers {Grade A}
100% Correct
A child is diagnosed with chronic constipation that has been unresponsive to dietary
and activity changes. Which pharmacological measure is most appropriate?
1. Natural supplements and herbs.
2. Stimulant laxative.
3. Osmotic agent.
4. Pharmacological measures are not used in pediatric constipation. - correct answer
1. Natural supplements and herbs are not recommended because the safety and
efficacy are not standardized.
2. A stimulant laxative is not the drug of choice because it may increase abdominal
discomfort and may lead to dependency.
3. A stool softener (osmotic agent) is the drug of choice because it will lead to easier
evacuation.
4. Although diet and activity modification are tried first, medications are sometimes
needed.
,TEST-TAKING HINT: The test taker should eliminate answer 4 because it impliesthat
medications are never given to the constipated child. In health care, there are very few
cases of "never" and "always."
Which instructions for a child diagnosed with encopresis should the nurse question?
Select all that apply.
1. Limit the intake of milk.
2. Offer a diet high in protein.
3. Obtain a complete dietary log.
4. Follow up with a child psychologist.
5. After dinner, have the child sit on the toilet for 10 minutes. - correct answer 2, 4.
1. Dairy products are limited because they can
lead to constipation.
2. A diet high in protein will cause more constipation.
3. A complete dietary log should be kept to correlate the foods that lead to
constipation.
4. The child and family would not be encouraged initially to seek counseling unless a
psychological component to the encopresis had been identified.
,5. Children with constipation/encopresis are advised to sit on the toilet for 10 minutes
after dinner to take advantage of the gastrocolic reflex.
TEST-TAKING HINT: Recall foods and behaviors that cause constipation in children and
successful approaches to meet their needs.
The nurse is caring for an infant diagnosed with Hirschsprung disease. The mother
states she is pregnant with a boy and wants to know if her new baby will likely have
the disorder. Which is the nurse's best response?
1. "Genetics play a small role in Hirschsprung disease, so there is a chance the baby
will develop it as well."
2. "There is no evidence to support a genetic link, so it is very unlikely the baby will
also have it."
3. "It is rarely seen in boys, so it is not likely your new baby will have Hirschsprung
disease."
4. "Hirschsprung disease is seen only in girls, so your new baby will not be at risk." -
correct answer 1. There is a genetic component to Hirschsprung disease, so any future
siblings are also at risk.
2. There is a genetic component to Hirschsprung disease.
, 3. Hirschsprung disease is seen more commonly in males than females.
4. Hirschsprung disease is seen in both males and females, but is more common in
males.
TEST-TAKING HINT: The test taker can eliminate answers 3 and 4 because they are
similar and therefore would not likely be the correct answer.
The nurse is caring for an infant newly diagnosed with Hirschsprung disease. What
does the nurse understand about this infant's condition? Select all that apply.
1. There is a lack of peristalsis in the large intestine and an accumulation of bowel
contents, leading to abdominal distention.
2. There is excessive peristalsis throughout the intestine, resulting in abdominal
distention.
3. There is a small-bowel obstruction, leading to ribbon-like stools.
4. There is inflammation throughout the large intestine, leading to accumulation of
intestinal contents and abdominal distention.
5. There is an accumulation of bowel contents, leading to non-passage of stools. -
correct answer 1, 5.
1. In Hirschsprung disease, a portion of
2027) Questions & Answers {Grade A}
100% Correct
A child is diagnosed with chronic constipation that has been unresponsive to dietary
and activity changes. Which pharmacological measure is most appropriate?
1. Natural supplements and herbs.
2. Stimulant laxative.
3. Osmotic agent.
4. Pharmacological measures are not used in pediatric constipation. - correct answer
1. Natural supplements and herbs are not recommended because the safety and
efficacy are not standardized.
2. A stimulant laxative is not the drug of choice because it may increase abdominal
discomfort and may lead to dependency.
3. A stool softener (osmotic agent) is the drug of choice because it will lead to easier
evacuation.
4. Although diet and activity modification are tried first, medications are sometimes
needed.
,TEST-TAKING HINT: The test taker should eliminate answer 4 because it impliesthat
medications are never given to the constipated child. In health care, there are very few
cases of "never" and "always."
Which instructions for a child diagnosed with encopresis should the nurse question?
Select all that apply.
1. Limit the intake of milk.
2. Offer a diet high in protein.
3. Obtain a complete dietary log.
4. Follow up with a child psychologist.
5. After dinner, have the child sit on the toilet for 10 minutes. - correct answer 2, 4.
1. Dairy products are limited because they can
lead to constipation.
2. A diet high in protein will cause more constipation.
3. A complete dietary log should be kept to correlate the foods that lead to
constipation.
4. The child and family would not be encouraged initially to seek counseling unless a
psychological component to the encopresis had been identified.
,5. Children with constipation/encopresis are advised to sit on the toilet for 10 minutes
after dinner to take advantage of the gastrocolic reflex.
TEST-TAKING HINT: Recall foods and behaviors that cause constipation in children and
successful approaches to meet their needs.
The nurse is caring for an infant diagnosed with Hirschsprung disease. The mother
states she is pregnant with a boy and wants to know if her new baby will likely have
the disorder. Which is the nurse's best response?
1. "Genetics play a small role in Hirschsprung disease, so there is a chance the baby
will develop it as well."
2. "There is no evidence to support a genetic link, so it is very unlikely the baby will
also have it."
3. "It is rarely seen in boys, so it is not likely your new baby will have Hirschsprung
disease."
4. "Hirschsprung disease is seen only in girls, so your new baby will not be at risk." -
correct answer 1. There is a genetic component to Hirschsprung disease, so any future
siblings are also at risk.
2. There is a genetic component to Hirschsprung disease.
, 3. Hirschsprung disease is seen more commonly in males than females.
4. Hirschsprung disease is seen in both males and females, but is more common in
males.
TEST-TAKING HINT: The test taker can eliminate answers 3 and 4 because they are
similar and therefore would not likely be the correct answer.
The nurse is caring for an infant newly diagnosed with Hirschsprung disease. What
does the nurse understand about this infant's condition? Select all that apply.
1. There is a lack of peristalsis in the large intestine and an accumulation of bowel
contents, leading to abdominal distention.
2. There is excessive peristalsis throughout the intestine, resulting in abdominal
distention.
3. There is a small-bowel obstruction, leading to ribbon-like stools.
4. There is inflammation throughout the large intestine, leading to accumulation of
intestinal contents and abdominal distention.
5. There is an accumulation of bowel contents, leading to non-passage of stools. -
correct answer 1, 5.
1. In Hirschsprung disease, a portion of
