NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Exam 4: Children’s Health Comprehensive Quiz
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 4 Children s Health Comprehensive Quiz 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 4 Children s Health Comprehensive Quiz D | 2026/2027
Question 1
A 10-year-old child with Type 1 Diabetes Mellitus presents with diaphoresis, shakiness, and a blood glucose of 55
mg/dL. What is the priority nursing action?
A. Administer 15 grams of simple carbohydrates like 4 oz of orange juice.
B. Administer a long-acting insulin dose immediately.
C. Provide a high-protein snack like peanut butter crackers.
D. Initiate an IV bolus of Normal Saline.
Answer: A
Rationale
The child is experiencing hypoglycemia. The ‘Rule of 15’ applies: provide 15g of simple carbs, wait 15 minutes, and recheck.
Complex carbs/protein are given only after glucose stabilizes. 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
When managing a child in Diabetic Ketoacidosis (DKA), which electrolyte must be closely monitored even if the initial
serum levels are normal?
A. Potassium
B. Sodium
C. Calcium
D. Chloride
Answer: A
Rationale
Insulin therapy causes potassium to shift into the cells, potentially leading to rapid hypokalemia. Potassium replacement is
usually started once urine output is confirmed. 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
A child is diagnosed with Growth Hormone (GH) deficiency. At what time of day should the nurse instruct the parents to
administer the GH injections?
A. At bedtime
B. Immediately before lunch
C. First thing in the morning
D. Every 12 hours
Answer: A
Rationale
GH is naturally released in the greatest amounts during sleep. Administering injections at bedtime mimics the body’s
physiological rhythm. 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 4: Children’s Health Comprehensive Quiz
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 4 Children s Health Comprehensive Quiz 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 4 Children s Health Comprehensive Quiz D | 2026/2027
Question 1
A 10-year-old child with Type 1 Diabetes Mellitus presents with diaphoresis, shakiness, and a blood glucose of 55
mg/dL. What is the priority nursing action?
A. Administer 15 grams of simple carbohydrates like 4 oz of orange juice.
B. Administer a long-acting insulin dose immediately.
C. Provide a high-protein snack like peanut butter crackers.
D. Initiate an IV bolus of Normal Saline.
Answer: A
Rationale
The child is experiencing hypoglycemia. The ‘Rule of 15’ applies: provide 15g of simple carbs, wait 15 minutes, and recheck.
Complex carbs/protein are given only after glucose stabilizes. 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
When managing a child in Diabetic Ketoacidosis (DKA), which electrolyte must be closely monitored even if the initial
serum levels are normal?
A. Potassium
B. Sodium
C. Calcium
D. Chloride
Answer: A
Rationale
Insulin therapy causes potassium to shift into the cells, potentially leading to rapid hypokalemia. Potassium replacement is
usually started once urine output is confirmed. 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
A child is diagnosed with Growth Hormone (GH) deficiency. At what time of day should the nurse instruct the parents to
administer the GH injections?
A. At bedtime
B. Immediately before lunch
C. First thing in the morning
D. Every 12 hours
Answer: A
Rationale
GH is naturally released in the greatest amounts during sleep. Administering injections at bedtime mimics the body’s
physiological rhythm. 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
