NSG 434 Final GALA RN Pt. 1 | Latest Update 2026–2027 |
Complete Exam Prep | Verified Questions & Answers |
Graded A+
1. When should palliative care be initiated?
It should begin when curative treatments are no longer appropriate.
It should be included along the continuum of care.
When the child's prognosis is uncertain.
When curative care is not feasible.
2. If a child with clubfoot is not responding to casting, what would be the next
appropriate step in their treatment plan?
Physical therapy only
Surgical intervention
Increased casting duration
Observation without treatment
3. A pediatric nurse is assessing a child with suspected atopic dermatitis. If the
child presents with lesions on the face and neck but not on the palms or
soles, what conclusion can the nurse draw?
The child is likely dehydrated.
The lesions indicate an allergic reaction.
The lesions are consistent with atopic dermatitis.
The child may have a different skin condition.
4. If a pediatric nurse is caring for a child with a chronic illness, what approach
should they take to incorporate palliative care principles?
, Limit communication with the family about the child's condition.
Prioritize aggressive treatment options.
Focus on symptom management and support for the family.
Only address physical symptoms without considering emotional
needs.
5. Choose the right statement about rhabdomyosarcoma:
It is a malignant mesenchymal tumor, which exclusively involves the
skeletal muscles of the limbs
It is a malignant mesenchymal tumor showing smooth muscle
differentiation
It is a malignant mesenchymal tumor which is less common, than its
benign counterpart called rhabdomyoma
It is a malignant mesenchymal tumor with high predominant
incidence in children
6. Which of the following information should the nurse include when teaching
the parents of a 9-month old infant about administering liquid iron
supplements?
Iron supplements may turn stools black or tarry green.
Iron supplements may cause transient diarrhea.
Administer the liquid iron supplement with whole cow's milk.
Give with meals.
7. Which of the following drugs is important in symptom management and the
prevention of complications in Kawasaki's disease?
corticosteroids
, penicillin
aspirin
acetaminophen
8. What is the most common presenting symptom of nephrotic syndrome?
Edema
Proteinuria
Hypertension
Hematuria
9. A child diagnosed with rheumatic fever is experiencing chest pain and
shortness of breath. What should be the immediate nursing intervention?
Assess the child's heart sounds and monitor vital signs.
Administer a dose of antibiotics immediately.
Provide reassurance and wait for symptoms to resolve.
Encourage the child to engage in physical activity.
10. What is a common activity that should be avoided in children with cerebral
palsy?
High-impact sports
Yoga
Walking
Swimming
, 11. Describe the importance of having suction equipment available for a patient
with esophageal atresia.
Suction equipment is essential to prevent aspiration and manage
secretions in patients with esophageal atresia.
Suction equipment helps in feeding the patient directly.
Suction equipment is used to administer medications to the patient.
Suction equipment is necessary for monitoring vital signs.
12. Which of the following would take priority when teaching the family how to
care for an infant with osteogenesis imperfecta?
Teaching the family how to care for an infant in a cast
Teaching the family how to care for an infant postop spinal surgery
Teaching the family that the trunk and extremities should always be
supported when moving this infant
Teaching the family how to care for an infant in traction
13. What education should be taught to parents about the pavlik harness?
"Place a diaper over the harness"
"Put clothing over the harness for maximum effectiveness of the
device."
"Check at least 2 or 3 times a day for red areas under the straps."
"Apply lotion or powder to minimize skin irritation."
14. In a scenario where a child with esophageal atresia is admitted, what nursing
intervention should be prioritized to ensure patient safety?
Start oral feeding as soon as possible.
Complete Exam Prep | Verified Questions & Answers |
Graded A+
1. When should palliative care be initiated?
It should begin when curative treatments are no longer appropriate.
It should be included along the continuum of care.
When the child's prognosis is uncertain.
When curative care is not feasible.
2. If a child with clubfoot is not responding to casting, what would be the next
appropriate step in their treatment plan?
Physical therapy only
Surgical intervention
Increased casting duration
Observation without treatment
3. A pediatric nurse is assessing a child with suspected atopic dermatitis. If the
child presents with lesions on the face and neck but not on the palms or
soles, what conclusion can the nurse draw?
The child is likely dehydrated.
The lesions indicate an allergic reaction.
The lesions are consistent with atopic dermatitis.
The child may have a different skin condition.
4. If a pediatric nurse is caring for a child with a chronic illness, what approach
should they take to incorporate palliative care principles?
, Limit communication with the family about the child's condition.
Prioritize aggressive treatment options.
Focus on symptom management and support for the family.
Only address physical symptoms without considering emotional
needs.
5. Choose the right statement about rhabdomyosarcoma:
It is a malignant mesenchymal tumor, which exclusively involves the
skeletal muscles of the limbs
It is a malignant mesenchymal tumor showing smooth muscle
differentiation
It is a malignant mesenchymal tumor which is less common, than its
benign counterpart called rhabdomyoma
It is a malignant mesenchymal tumor with high predominant
incidence in children
6. Which of the following information should the nurse include when teaching
the parents of a 9-month old infant about administering liquid iron
supplements?
Iron supplements may turn stools black or tarry green.
Iron supplements may cause transient diarrhea.
Administer the liquid iron supplement with whole cow's milk.
Give with meals.
7. Which of the following drugs is important in symptom management and the
prevention of complications in Kawasaki's disease?
corticosteroids
, penicillin
aspirin
acetaminophen
8. What is the most common presenting symptom of nephrotic syndrome?
Edema
Proteinuria
Hypertension
Hematuria
9. A child diagnosed with rheumatic fever is experiencing chest pain and
shortness of breath. What should be the immediate nursing intervention?
Assess the child's heart sounds and monitor vital signs.
Administer a dose of antibiotics immediately.
Provide reassurance and wait for symptoms to resolve.
Encourage the child to engage in physical activity.
10. What is a common activity that should be avoided in children with cerebral
palsy?
High-impact sports
Yoga
Walking
Swimming
, 11. Describe the importance of having suction equipment available for a patient
with esophageal atresia.
Suction equipment is essential to prevent aspiration and manage
secretions in patients with esophageal atresia.
Suction equipment helps in feeding the patient directly.
Suction equipment is used to administer medications to the patient.
Suction equipment is necessary for monitoring vital signs.
12. Which of the following would take priority when teaching the family how to
care for an infant with osteogenesis imperfecta?
Teaching the family how to care for an infant in a cast
Teaching the family how to care for an infant postop spinal surgery
Teaching the family that the trunk and extremities should always be
supported when moving this infant
Teaching the family how to care for an infant in traction
13. What education should be taught to parents about the pavlik harness?
"Place a diaper over the harness"
"Put clothing over the harness for maximum effectiveness of the
device."
"Check at least 2 or 3 times a day for red areas under the straps."
"Apply lotion or powder to minimize skin irritation."
14. In a scenario where a child with esophageal atresia is admitted, what nursing
intervention should be prioritized to ensure patient safety?
Start oral feeding as soon as possible.
