NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice – Children’s Health Exam 2 Study G
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 Nursing Practice Children s Health Exam 2 Study Guide 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 Nursing Practice Children s Health Exam 2 Study Guide D | 2026/2027
Question 1
A 4-year-old child is admitted to the emergency department with suspected epiglottitis. Which of the following nursing
actions is the highest priority?
A. Prepare for immediate endotracheal intubation or tracheostomy.
B. Obtain a rectal temperature to assess for high fever.
C. Inspect the throat with a tongue depressor to confirm the diagnosis.
D. Encourage the child to lie flat to facilitate breathing.
Answer: A
Rationale
Epiglottitis is a medical emergency that can lead to sudden airway obstruction. Assessing the throat with a tongue depressor is
strictly contraindicated as it can trigger laryngospasm. Airway management is the priority.
Question 2
A child with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse perform first?
A. Administer 100% oxygen via non-rebreather mask.
B. Call the rapid response team.
C. Prepare to administer intravenous morphine sulfate.
D. Place the child in a knee-chest position.
Answer: D
Rationale
The knee-chest position increases systemic vascular resistance, which reduces the right-to-left shunt and improves
oxygenation 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
According to Piaget, which cognitive characteristic is most typical of a child in the preoperational stage (2-7 years)?
A. Ability to understand conservation of volume.
B. Egocentrism, believing everyone sees the world as they do.
C. Use of abstract logic to solve complex problems.
D. Understanding that objects continue to exist when hidden.
Answer: B
Rationale
Egocentrism is a hallmark of the preoperational stage. Conservation occurs in the concrete operational stage, and object
permanence occurs in the sensorimotor stage. 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 Nursing Practice – Children’s Health Exam 2 Study G
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 Nursing Practice Children s Health Exam 2 Study Guide 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 Nursing Practice Children s Health Exam 2 Study Guide D | 2026/2027
Question 1
A 4-year-old child is admitted to the emergency department with suspected epiglottitis. Which of the following nursing
actions is the highest priority?
A. Prepare for immediate endotracheal intubation or tracheostomy.
B. Obtain a rectal temperature to assess for high fever.
C. Inspect the throat with a tongue depressor to confirm the diagnosis.
D. Encourage the child to lie flat to facilitate breathing.
Answer: A
Rationale
Epiglottitis is a medical emergency that can lead to sudden airway obstruction. Assessing the throat with a tongue depressor is
strictly contraindicated as it can trigger laryngospasm. Airway management is the priority.
Question 2
A child with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse perform first?
A. Administer 100% oxygen via non-rebreather mask.
B. Call the rapid response team.
C. Prepare to administer intravenous morphine sulfate.
D. Place the child in a knee-chest position.
Answer: D
Rationale
The knee-chest position increases systemic vascular resistance, which reduces the right-to-left shunt and improves
oxygenation 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
According to Piaget, which cognitive characteristic is most typical of a child in the preoperational stage (2-7 years)?
A. Ability to understand conservation of volume.
B. Egocentrism, believing everyone sees the world as they do.
C. Use of abstract logic to solve complex problems.
D. Understanding that objects continue to exist when hidden.
Answer: B
Rationale
Egocentrism is a hallmark of the preoperational stage. Conservation occurs in the concrete operational stage, and object
permanence occurs in the sensorimotor stage. 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
