NSG 3600
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice – Children’s Health Exam 3 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 3 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 3 Study Guide D | 2026/2027
Question 1
A 4-year-old child is admitted to the pediatric unit with suspected epiglottitis. Which nursing action is the absolute
priority?
A. Obtain a throat culture to identify the causative organism.
B. Inspect the throat using a tongue depressor to check for edema.
C. Administer a dose of oral antibiotics as soon as possible.
D. Keep the child in an upright position and avoid invasive procedures.
Answer: D
Rationale
In epiglottitis, physical examination of the throat is contraindicated as it can trigger a laryngospasm and complete airway
obstruction. The priority is maintaining a patent airway and keeping the child calm in an upright position.
Question 2
According to Erikson’s stages of psychosocial development, a school-age child (6-12 years) is primarily working through
which developmental task?
A. Industry vs. Inferiority
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
Answer: A
Rationale
School-age children are in the Industry vs. Inferiority stage, where they focus on mastering skills and competing with peers.
Success leads to competence, while failure results in feelings of inferiority.
Question 3
An infant with Tetralogy of Fallot experiences a hypercyanotic (‘Tet’) spell. Which immediate nursing intervention should
be performed?
A. Administer 100% oxygen via a non-rebreather mask.
B. Prepare for immediate administration of IV morphine.
C. Place the infant in a knee-chest position.
D. Perform chest physiotherapy to improve ventilation.
Answer: C
Rationale
The knee-chest position increases systemic vascular resistance, which reduces the right-to-left shunt and improves
oxygenation during a hypercyanotic 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.
Page 3
CHILDREN'S HEALTH / PEDIATRIC NURSING
NSG 3600 Nursing Practice – Children’s Health Exam 3 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 3 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 3 Study Guide D | 2026/2027
Question 1
A 4-year-old child is admitted to the pediatric unit with suspected epiglottitis. Which nursing action is the absolute
priority?
A. Obtain a throat culture to identify the causative organism.
B. Inspect the throat using a tongue depressor to check for edema.
C. Administer a dose of oral antibiotics as soon as possible.
D. Keep the child in an upright position and avoid invasive procedures.
Answer: D
Rationale
In epiglottitis, physical examination of the throat is contraindicated as it can trigger a laryngospasm and complete airway
obstruction. The priority is maintaining a patent airway and keeping the child calm in an upright position.
Question 2
According to Erikson’s stages of psychosocial development, a school-age child (6-12 years) is primarily working through
which developmental task?
A. Industry vs. Inferiority
B. Autonomy vs. Shame and Doubt
C. Initiative vs. Guilt
D. Identity vs. Role Confusion
Answer: A
Rationale
School-age children are in the Industry vs. Inferiority stage, where they focus on mastering skills and competing with peers.
Success leads to competence, while failure results in feelings of inferiority.
Question 3
An infant with Tetralogy of Fallot experiences a hypercyanotic (‘Tet’) spell. Which immediate nursing intervention should
be performed?
A. Administer 100% oxygen via a non-rebreather mask.
B. Prepare for immediate administration of IV morphine.
C. Place the infant in a knee-chest position.
D. Perform chest physiotherapy to improve ventilation.
Answer: C
Rationale
The knee-chest position increases systemic vascular resistance, which reduces the right-to-left shunt and improves
oxygenation during a hypercyanotic 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.
Page 3
