NSG 3600 Pediatrics Exam 3 Newest Practice Test
Bank with 250 Correctly Answered Practice
Questions/ Galen NSG 3600 Exam 3 Nursing Practice
in Children's Health Latest Practice Test (2026-2027)
The nurse is caring for a 9-month-old with diarrhea secondary to rotavirus. The
child has not vomited and is mildly dehydrated. Which is likely to be included in
the discharge teaching?
1. Administer loperamide (Imodium) as needed.
2. Administer bismuth subsalicylate (Kaopectate) as needed.
3. Continue breastfeeding per routine.
4. The infant may return to day care 24 hours after antibiotics have been started.
1. Loperamide (Imodium) slows intestinal motility and allows overgrowth of
organisms and should therefore be avoided.
2. Bismuth subsalicylate (Kaopectate) slows intestinal motility and allows
overgrowth of organisms and should therefore be avoided.
3. Breastfeeding is usually well tolerated and helps prevent death of intestinal
villi and malabsorption.
4. Antibiotics are not effective in viruses. Children should not return to day care
while they are still having diarrhea.
TEST-TAKING HINT: The test taker can eliminate answer 4 because
antibiotics are not effective with viruses such as rotavirus. Answers 1 and 2
can be eliminated because antidiarrheal agents are not recommended in the
pediatric population.
Which child can be discharged without further evaluation?
1. A 2-year-old who has had 24 hours of watery diarrhea that has changed to
bloody diarrhea in the past 12 hours.
2. A 3-year-old who had a relapse of one diarrhea episode after restarting a normal
diet.
3. A 6-year-old who has been having vomiting and diarrhea for 2 days and has
1
,decreased urine output.
4. A 10-year-old who has just returned from a Scout camping trip and has had
several episodes of diarrhea.
1. Diarrhea containing blood needs further evaluation to determine the source of
the blood, and the child’s blood counts and electrolyte balance need to be tested.
2. It is common for children to have a relapse of diarrhea after resuming a
regular diet.
3. Children who have had vomiting and diarrhea for more than 2 days require
evaluation to determine whether IV rehydration and hospital admission are
necessary.
4. Diarrhea following a camping trip needs further evaluation because it may be
caused by bacteria or parasites.
TEST-TAKING HINT: The test taker should eliminate answers 1 and 3
because they describe children who may have altered electrolytes and blood
counts due to prolonged diarrhea.
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 10-hour
period, the nurse notes the urine output to be 150 mL. What action does the nurse
take?
1. Notifies the health-care provider because this urine output is too low.
2. Encourages the child to increase oral intake to increase urine output.
3. Records the child's urine output in the chart.
4. Administers isotonic fluid intravenously to help with rehydration.
1. The child weighs 15 kg, and the expected urine output is 0.5–1
mL/kg/hr.0.5 × 15 kg = 7.5 mL; 1 mL × 15 kg =15 mL. 7.5–15 mL/hour × 10
hours = 75–150 mL of urine for the 10-hour period. Therefore, the output is not too
low.
2. The child weighs 15 kg, and the expected urine output is 0.5–1
mL/kg/hr.0.5 × 15 kg = 7.5 mL; 1 mL × 15 kg =15 mL. 7.5–15 mL/hour × 10
hours = 75–150 mL of urine for the 10-hour period. The urine output is not too
low, so the nurse does not need to encourage more fluids.
3. Recording the child’s urine output in the chart is the appropriate action
because the urine output is within the expected range of 0.5–1 mL/kg/hr, or
75–150 mL for the 10-hour period.
2
,4. The child weighs 15 kg and the expected urine output is 0.5–1
mL/kg/hr.0.5 × 15 kg = 7.5 mL; 1 mL × 15 kg =15 mL. 7.5–15 mL/hour × 10
hours = 75–150 mL of urine for the 10-hour period. Therefore, it is not too low.
The child is hydrated.
TEST-TAKING HINT: The test taker can eliminate answers 1, 2, and 4
because they address strategies for caring for a dehydrated child.
A child had a urinary tract infection (UTI) 3 months ago and was treated with an
oral antibiotic. A follow-up urinalysis revealed normal results. The child has had
no other problems until this visit when the child was diagnosed with another UTI.
Which is the most appropriate plan?
1. Obtain urinalysis and urine culture.
2. Evaluate for renal failure.
3. Admit to the pediatric unit.
4. Send home on an antibiotic.
5. Schedule a VCUG.
1. Urinalysis and urine culture are routinely used to diagnose UTIs. VCUG is
used to determine the extent of urinary tract involvement when a renal
ultrasound shows scaring or possible reflux. If the child has a UTI related to
bubble baths, constipation, or wiping back to front, a VCUG would not be
ordered.
2. There are no data to suggest that renal failure should be evaluated.
3. A UTI is usually treated with oral antibiotics at home and does not routinely
require admission to the hospital.
4. A second UTI requires more extensive evaluation and diagnostic testing.
5. If the child has a UTI related to bubble baths, constipation, or wiping back to
front, a VCUG would not be ordered.
TEST-TAKING HINT: The test taker can eliminate answer 2 because it is the
only answer that does not address the UTI. Answer 1 is the best choice
because it will provide more data about the cause of the child’s recurrent
UTIs.
Which should the nurse teach a group of girls and parents about the importance of
preventing urinary tract infections (UTIs)?
1. Avoiding constipation has no effect on the occurrence of UTIs.
3
, 2. After urinating, always wipe from back to front to prevent fecal contamination.
3. Hygiene is an important preventive measure and can be accomplished with
frequent tub baths.
4. Increasing fluids will help prevent and treat UTIs.
1. The increased pressure associated with evacuating hardened stool can result in
the backflow of urine into the bladder, leading to infection.
2. To prevent infection, a female child should wipe from front to back.
3. Tub baths are not recommended because they may cause irritation of the urethra,
leading to infection.
4. Increasing fluids will help flush the bladder of any organisms, encourage
urination, and prevent stasis of urine.
TEST-TAKING HINT: The test taker can eliminate answers 1, 2, and 3
because they do not provide accurate information.
The nurse receives a call from the parent of a 10-month-old who has vomited three
times in the past 8 hours. The parent describes the baby as playful and wantingto
drink. The parent asks the nurse what to give the child. Select the nurse's best
response.
1. "Replace the next feeding with regular water, and see if that is better tolerated."
2. "Do not allow your baby to eat any solids; give half the normal formula feeding,
and see if that is better tolerated."
3. "Do not let your baby eat or drink anything for 24 hours to give the stomach a
chance to rest."
4. "Give your child 1⁄2 ounce of Pedialyte every 10 minutes. If vomiting continues,
wait an hour, and then repeat what you previously gave."
1. Free water should not be given because it does not contain any electrolytes and
can lead to critical electrolyte imbalances.
2. Formula should be avoided, and clear liquids such as Pedialyte should be
offered.
3. Twenty-four hours is too long for the infant to remain NPO. The infant needs to
drink a rehydration solution such as Pedialyte in order to avoid severe dehydration.
4. Offering small amounts of clear liquids is usually well tolerated. If the child
vomits, make NPO for an hour to allow the stomach to rest and then restart
4
Bank with 250 Correctly Answered Practice
Questions/ Galen NSG 3600 Exam 3 Nursing Practice
in Children's Health Latest Practice Test (2026-2027)
The nurse is caring for a 9-month-old with diarrhea secondary to rotavirus. The
child has not vomited and is mildly dehydrated. Which is likely to be included in
the discharge teaching?
1. Administer loperamide (Imodium) as needed.
2. Administer bismuth subsalicylate (Kaopectate) as needed.
3. Continue breastfeeding per routine.
4. The infant may return to day care 24 hours after antibiotics have been started.
1. Loperamide (Imodium) slows intestinal motility and allows overgrowth of
organisms and should therefore be avoided.
2. Bismuth subsalicylate (Kaopectate) slows intestinal motility and allows
overgrowth of organisms and should therefore be avoided.
3. Breastfeeding is usually well tolerated and helps prevent death of intestinal
villi and malabsorption.
4. Antibiotics are not effective in viruses. Children should not return to day care
while they are still having diarrhea.
TEST-TAKING HINT: The test taker can eliminate answer 4 because
antibiotics are not effective with viruses such as rotavirus. Answers 1 and 2
can be eliminated because antidiarrheal agents are not recommended in the
pediatric population.
Which child can be discharged without further evaluation?
1. A 2-year-old who has had 24 hours of watery diarrhea that has changed to
bloody diarrhea in the past 12 hours.
2. A 3-year-old who had a relapse of one diarrhea episode after restarting a normal
diet.
3. A 6-year-old who has been having vomiting and diarrhea for 2 days and has
1
,decreased urine output.
4. A 10-year-old who has just returned from a Scout camping trip and has had
several episodes of diarrhea.
1. Diarrhea containing blood needs further evaluation to determine the source of
the blood, and the child’s blood counts and electrolyte balance need to be tested.
2. It is common for children to have a relapse of diarrhea after resuming a
regular diet.
3. Children who have had vomiting and diarrhea for more than 2 days require
evaluation to determine whether IV rehydration and hospital admission are
necessary.
4. Diarrhea following a camping trip needs further evaluation because it may be
caused by bacteria or parasites.
TEST-TAKING HINT: The test taker should eliminate answers 1 and 3
because they describe children who may have altered electrolytes and blood
counts due to prolonged diarrhea.
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 10-hour
period, the nurse notes the urine output to be 150 mL. What action does the nurse
take?
1. Notifies the health-care provider because this urine output is too low.
2. Encourages the child to increase oral intake to increase urine output.
3. Records the child's urine output in the chart.
4. Administers isotonic fluid intravenously to help with rehydration.
1. The child weighs 15 kg, and the expected urine output is 0.5–1
mL/kg/hr.0.5 × 15 kg = 7.5 mL; 1 mL × 15 kg =15 mL. 7.5–15 mL/hour × 10
hours = 75–150 mL of urine for the 10-hour period. Therefore, the output is not too
low.
2. The child weighs 15 kg, and the expected urine output is 0.5–1
mL/kg/hr.0.5 × 15 kg = 7.5 mL; 1 mL × 15 kg =15 mL. 7.5–15 mL/hour × 10
hours = 75–150 mL of urine for the 10-hour period. The urine output is not too
low, so the nurse does not need to encourage more fluids.
3. Recording the child’s urine output in the chart is the appropriate action
because the urine output is within the expected range of 0.5–1 mL/kg/hr, or
75–150 mL for the 10-hour period.
2
,4. The child weighs 15 kg and the expected urine output is 0.5–1
mL/kg/hr.0.5 × 15 kg = 7.5 mL; 1 mL × 15 kg =15 mL. 7.5–15 mL/hour × 10
hours = 75–150 mL of urine for the 10-hour period. Therefore, it is not too low.
The child is hydrated.
TEST-TAKING HINT: The test taker can eliminate answers 1, 2, and 4
because they address strategies for caring for a dehydrated child.
A child had a urinary tract infection (UTI) 3 months ago and was treated with an
oral antibiotic. A follow-up urinalysis revealed normal results. The child has had
no other problems until this visit when the child was diagnosed with another UTI.
Which is the most appropriate plan?
1. Obtain urinalysis and urine culture.
2. Evaluate for renal failure.
3. Admit to the pediatric unit.
4. Send home on an antibiotic.
5. Schedule a VCUG.
1. Urinalysis and urine culture are routinely used to diagnose UTIs. VCUG is
used to determine the extent of urinary tract involvement when a renal
ultrasound shows scaring or possible reflux. If the child has a UTI related to
bubble baths, constipation, or wiping back to front, a VCUG would not be
ordered.
2. There are no data to suggest that renal failure should be evaluated.
3. A UTI is usually treated with oral antibiotics at home and does not routinely
require admission to the hospital.
4. A second UTI requires more extensive evaluation and diagnostic testing.
5. If the child has a UTI related to bubble baths, constipation, or wiping back to
front, a VCUG would not be ordered.
TEST-TAKING HINT: The test taker can eliminate answer 2 because it is the
only answer that does not address the UTI. Answer 1 is the best choice
because it will provide more data about the cause of the child’s recurrent
UTIs.
Which should the nurse teach a group of girls and parents about the importance of
preventing urinary tract infections (UTIs)?
1. Avoiding constipation has no effect on the occurrence of UTIs.
3
, 2. After urinating, always wipe from back to front to prevent fecal contamination.
3. Hygiene is an important preventive measure and can be accomplished with
frequent tub baths.
4. Increasing fluids will help prevent and treat UTIs.
1. The increased pressure associated with evacuating hardened stool can result in
the backflow of urine into the bladder, leading to infection.
2. To prevent infection, a female child should wipe from front to back.
3. Tub baths are not recommended because they may cause irritation of the urethra,
leading to infection.
4. Increasing fluids will help flush the bladder of any organisms, encourage
urination, and prevent stasis of urine.
TEST-TAKING HINT: The test taker can eliminate answers 1, 2, and 3
because they do not provide accurate information.
The nurse receives a call from the parent of a 10-month-old who has vomited three
times in the past 8 hours. The parent describes the baby as playful and wantingto
drink. The parent asks the nurse what to give the child. Select the nurse's best
response.
1. "Replace the next feeding with regular water, and see if that is better tolerated."
2. "Do not allow your baby to eat any solids; give half the normal formula feeding,
and see if that is better tolerated."
3. "Do not let your baby eat or drink anything for 24 hours to give the stomach a
chance to rest."
4. "Give your child 1⁄2 ounce of Pedialyte every 10 minutes. If vomiting continues,
wait an hour, and then repeat what you previously gave."
1. Free water should not be given because it does not contain any electrolytes and
can lead to critical electrolyte imbalances.
2. Formula should be avoided, and clear liquids such as Pedialyte should be
offered.
3. Twenty-four hours is too long for the infant to remain NPO. The infant needs to
drink a rehydration solution such as Pedialyte in order to avoid severe dehydration.
4. Offering small amounts of clear liquids is usually well tolerated. If the child
vomits, make NPO for an hour to allow the stomach to rest and then restart
4
