NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Exam 2: Nursing Practice – Children’s Health
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing & Pharmacology Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NSG 3600 Exam 2 Nursing Practice Children s Health D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NSG 3600 Exam 2 Nursing Practice Children s Health D | 2026/2027
Question 1
A 10-month-old infant is brought to the clinic. Which developmental milestone should the nurse expect the infant to have
achieved?
A. Sitting alone without support
B. Using a spoon to feed themselves
C. Walking without assistance
D. Saying at least 10 words
Answer: A
Rationale
Most infants can sit alone without support by 8 months. Walking alone, using a spoon effectively, and having a 10-word
vocabulary occur later (12-18 months). Understanding this concept is essential for safe clinical decision-making. Incorrect
choices often reflect common misconceptions. Always link assessment findings to the primary process and anticipated
complications.
Question 2
A child with Tetralogy of Fallot experiences a hypercyanotic (‘tet’) spell. Which action should the nurse take first?
A. Place the child in a knee-chest position
B. Administer 100% oxygen via face mask
C. Prepare for immediate administration of morphine
D. Start an intravenous line for fluid resuscitation
Answer: A
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt and improves
pulmonary blood flow during a tet spell. Understanding this concept is essential for safe clinical decision-making. Incorrect
choices often reflect common misconceptions. Always link assessment findings to the primary process and anticipated
complications.
Question 3
When assessing a 4-week-old infant with suspected pyloric stenosis, which finding is the nurse most likely to
document?
A. Currant jelly-like stools
B. An olive-shaped mass in the epigastrium
C. Ribbon-like stools
D. Bile-stained emesis after feeding
Answer: B
Rationale
A hallmark sign of hypertrophic pyloric stenosis is a palpable olive-shaped mass in the right upper quadrant or epigastrium,
along with non-bilious projectile vomiting. Understanding this concept is essential for safe clinical decision-making. Incorrect
choices often reflect common misconceptions. Always link assessment findings to the primary process and anticipated
complications.
Page 3
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Exam 2: Nursing Practice – Children’s Health
UPDATE
50 Multiple-Choice Questions
Complete Answers with Detailed Rationales
Aligned with Nursing & Pharmacology Standards
Galen College of Nursing
For academic study and exam review • Verify with current course materials
,NSG 3600 Exam 2 Nursing Practice Children s Health D | 2026/2027
How to Use This Review
This comprehensive exam review contains high-yield multiple-choice questions. Each item includes the correct answer
and an expanded rationale explaining the underlying principle, why the correct option is preferred, and why distractors are
incorrect. Study tip: Attempt each question before reading the answer, then carefully review the rationale.
Page 2
, NSG 3600 Exam 2 Nursing Practice Children s Health D | 2026/2027
Question 1
A 10-month-old infant is brought to the clinic. Which developmental milestone should the nurse expect the infant to have
achieved?
A. Sitting alone without support
B. Using a spoon to feed themselves
C. Walking without assistance
D. Saying at least 10 words
Answer: A
Rationale
Most infants can sit alone without support by 8 months. Walking alone, using a spoon effectively, and having a 10-word
vocabulary occur later (12-18 months). Understanding this concept is essential for safe clinical decision-making. Incorrect
choices often reflect common misconceptions. Always link assessment findings to the primary process and anticipated
complications.
Question 2
A child with Tetralogy of Fallot experiences a hypercyanotic (‘tet’) spell. Which action should the nurse take first?
A. Place the child in a knee-chest position
B. Administer 100% oxygen via face mask
C. Prepare for immediate administration of morphine
D. Start an intravenous line for fluid resuscitation
Answer: A
Rationale
The knee-chest position increases systemic vascular resistance, which helps reduce the right-to-left shunt and improves
pulmonary blood flow during a tet spell. Understanding this concept is essential for safe clinical decision-making. Incorrect
choices often reflect common misconceptions. Always link assessment findings to the primary process and anticipated
complications.
Question 3
When assessing a 4-week-old infant with suspected pyloric stenosis, which finding is the nurse most likely to
document?
A. Currant jelly-like stools
B. An olive-shaped mass in the epigastrium
C. Ribbon-like stools
D. Bile-stained emesis after feeding
Answer: B
Rationale
A hallmark sign of hypertrophic pyloric stenosis is a palpable olive-shaped mass in the right upper quadrant or epigastrium,
along with non-bilious projectile vomiting. Understanding this concept is essential for safe clinical decision-making. Incorrect
choices often reflect common misconceptions. Always link assessment findings to the primary process and anticipated
complications.
Page 3
