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Galen NSG 3600 Exam 4 – Child Health (2026) Actual Q&A PDF, Exams of Nursing

Galen Health Institute - San AntonioNursing

INSTANT PDF DOWNLOAD – Succeed on your Galen NSG 3600 Exam 4 with this 2026 child health nursing test bank. Featuring actual exam questions and answers, this study guide offers verified solutions for your pediatric nursing prep. Access downloadable PDF quiz questions and practice exams to ensure success on your child health certification questions. Get the most reliable revision guide for NSG 3600 today. Exam prep, Test bank, Study guide, Practice questions, Quiz answers, Pediatric nursing, Child health, Downloadable PDF, Galen NSG 3600, NSG 3600 exam, Child health quiz, NSG 3600 prep, Pediatrics test bank, NSG 3600 practice, NSG 3600 solved answers, Nursing school exam, NSG 3600 pdf, Galen nursing questions, NSG 3600 revision, Pediatric study notes, Nursing certification prep, NSG 3600 exam prep, Galen NSG 3600 quiz, Child care prep, NSG 3600 mock exam, Child health guide, NSG 3600 review, Pediatric nursing prep.

Typology: Exams

2025/2026

Available from 05/06/2026

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Galen NSG 3600 Exam 4 – Child
Health (2026) Actual Q&A PDF
ADHD S/S - Correct Answer ✔✔- Hyperactivity
-Impulsivity
-Interrupting
- Forgetful
-Inattention
ADHD Interventions - Correct Answer ✔✔- Smaller classes and stimulation
- Counseling fo family
-Medications, First signs program: 6 symptoms for 6 months
Down Syndrome - Correct Answer ✔✔- an extra copy of chromosome 21.
- Trisonmy 21
Down Syndrome S/S and DX - Correct Answer ✔✔- Low set ears
-Simian crease in the palm
- slanting eyes with thick epicanthal folds
- Protruding tongue
DX
- Chromosomal blood test
Down Syndrome Intervention - Correct Answer ✔✔- Consult with OT,PL,SLP
-Help parents cope with disorder
- Early interventions
Autism - Correct Answer ✔✔A developmental disorder marked by disabilities in
language, social interaction, and the ability to understand another person's state of
mind.
Autism S/S and Dx - Correct Answer ✔✔- Poor communication
- Lack of speech
- They don't like to be touched
-Hard flapping
DX
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Download Galen NSG 3600 Exam 4 – Child Health (2026) Actual Q&A PDF and more Exams Nursing in PDF only on Docsity!

Galen NSG 3600 Exam 4 – Child

Health (2026) Actual Q&A PDF

ADHD S/S - Correct Answer ✔✔- Hyperactivity -Impulsivity -Interrupting

  • Forgetful -Inattention ADHD Interventions - Correct Answer ✔✔- Smaller classes and stimulation
  • Counseling fo family -Medications, First signs program: 6 symptoms for 6 months Down Syndrome - Correct Answer ✔✔- an extra copy of chromosome 21.
  • Trisonmy 21 Down Syndrome S/S and DX - Correct Answer ✔✔- Low set ears -Simian crease in the palm
  • slanting eyes with thick epicanthal folds
  • Protruding tongue DX
  • Chromosomal blood test Down Syndrome Intervention - Correct Answer ✔✔- Consult with OT,PL,SLP -Help parents cope with disorder
  • Early interventions Autism - Correct Answer ✔✔A developmental disorder marked by disabilities in language, social interaction, and the ability to understand another person's state of mind. Autism S/S and Dx - Correct Answer ✔✔- Poor communication
  • Lack of speech
  • They don't like to be touched -Hard flapping DX
  • through signs and symptoms Autism Interventions - Correct Answer ✔✔- Routine is important
  • Be aware of physical boundaries
  • Early interventions ALARM MNEMONIC - Correct Answer ✔✔A- autism is prevalent L- listen to patient/ parents A- Act early R- Refer M- Monitor and access needs Maltreatment of children and S/S - Correct Answer ✔✔- abuse and neglect of child less than 18
  • Can be physical, mental, sexual S/S
  • beating -intimidation -shaming -punching -exposing children to adult sexually Maltreatment interventions - Correct Answer ✔✔- identify risk factors to maltreatment
  • TEACH PARENTS RIGHT WAY TO DISCIPLINE KIDS
  • Educate on use of alcohol and drugs during pregnancy
  • REPORT SUSPECTED ABUSE TO CPS Type 1 diabetes - Correct Answer ✔✔insulin dependent
  • NOT PREVENTABLE
  • Most at risk for DKA Type 1 diabetes S/S and DX - Correct Answer ✔✔- 5 P's: Polyuria, Polydipsia, polyphagia
  • weight loss DX
  • Blood glucose
  • Infection prevention Type 2 diabetes - Correct Answer ✔✔insulin resistance Type 2 diabetes S/S and DX - Correct Answer ✔✔- OBESITY
  • Fatigue
  • Frequent infections DX
  • Greater than 95th percentage for age, sex, height
  • 2 additional risk factors: family, race, insulin resistance, gestational diabetes
  • HISPANICS HAVE A HIGHER RISK
  • notify pcp if Bs is above 240, high ketones and vomits more than once. Phenylketonuria (PKU) - Correct Answer ✔✔- Autosomal recessive gene which causes an inherited error in metabolism
  • NO PREVENTION PKU S/S and DX - Correct Answer ✔✔- developmental delays
  • Seizures DX
  • Metabolic newborn screening PKU Intervention - Correct Answer ✔✔Eliminate proteins: chicken e.t.c Hypothyrodism - Correct Answer ✔✔decreased thyroid function Hypothyrodism S/S, Dx and TX - Correct Answer ✔✔- prolonged jaundice
  • hypotonia
  • brittle hair -mental retardation
  • decreased crying DX -Newborn screening
  • low T4 and high TSH levels TX -Levothyroxine: given to child by placing it on end of nipple tip when they're hungry so they take it.

Hypothyrodism Interventions - Correct Answer ✔✔- detailed treatment plan -follow up labs:every 4-6 months during the 1st year and then every 2-4 months after Precious Puberty - Correct Answer ✔✔the very early onset and rapid progression of puberty Precious Puberty S/S , Dx and Tx - Correct Answer ✔✔- puberty symptoms: facial hair, breast buds, deeper voice, ruggae. DX -Blood test -CT/MRI TX

  • Gonadotropin-releasing hormone Precious Puberty Interventions - Correct Answer ✔✔- NO PREVENTION
  • Avoid external estrogen/ testosterone -Growth charts, facilitating blood levels
  • Follow up with an endocrinologist TELL PARENTS TO FOLLOW CHRONOLOGICAL AGE NOT DEVELOPMENTAL Adverse Consequences of precious puberty - Correct Answer ✔✔- EARLIER SEXUAL ACTIVITY
  • Depression
  • Body image -Substance abuse
  • Delayed body without equal brain development Anemia - Correct Answer ✔✔a deficiency of red blood cells
  • decreased RBC's = decreased O Anemia S/S, Dx AND Tx - Correct Answer ✔✔- Increased HR
  • SOB, Fatigue
  • Dizziness( so safety concern) DX
  • CBC: Hgb is the most important and Hct. TX

Sickle Cell Anemia Interventions - Correct Answer ✔✔- HOP: Hydrate, oxygenate and pain meds( PCA)

  • Will be on Dilaudid so if respiratory distress: NARCAN.
  • Teach parents s/s of sickle cell crisis. Hemophilia - Correct Answer ✔✔- PROLONGED BLEEDING
  • more common in boys because it's X-linked factor. Hemophilia S/S, Dx and Tx - Correct Answer ✔✔- swelling -warmth -pain
  • loss of movement
  • can have blood in urine Dx
  • PT/PTT, direct assay of plasma Tx -Pressure, RICE and Factor admin 3x a week. Hemophilia Intervention - Correct Answer ✔✔- Superficial bleeding: apply pressure for 15mins and RICE.
  • lots of bleeding: transfuse for factor 8 replacement via IV.
  • NO CONTACT SPORTS, AND WEAR PROTECTIVE EQUIPMENTS Neutropenia - Correct Answer ✔✔- deficiency of neutrophils ( WBC's that fight bacterial infection).
  • <1000ul infants and >1500 in 1yr or more.
  • MOST COMMON IN CHEMO CHILDREN
  • Private isolation Neutropenia S/S, Dx and Tx - Correct Answer ✔✔- fever
  • lymphadenopathy -pallor Dx
  • H&P, CBC Tx -Antibiotics

-Bone marrow transplant Neutropenia Interventions - Correct Answer ✔✔- Teach family h;and washing -No Live viruses: MMR, Varicella and influenza.

  • Close door in private rooms
  • Petechiae monitoring
  • NO RECTAL TEMP/MEDS, NO FLOWERS, NO FRUITS -ORAL HYGIENE WITH SOFT TOOTHBRUSH Blood Transfusion Intervention - Correct Answer ✔✔- MUST HAVE CONSENT
  • Pre transfusion: call blood bank, hang within 30mins and can run for 4hrs
  • During: monitor for adverse reactions and if they do : STOP SOLUTION , vs, and call PCP
  • Blood has to have own line
  • After: save bag for an hr and complete paperwork. Chemo Interventions and phases - Correct Answer ✔✔- Give child plain food like soups, nothing with heavy odor.
  • Avoid dairy, no fried foods.
  • Can give meds for nausea: give antiemetic before starting chemo.
  • Child can get down because of plain food so make mealtime a good experience to keep them happy. Phases
  • Remission: reduce size of tumor
  • Consolidation: kill residual leukemic cells -Maintenance: control leukemia Leukemia - Correct Answer ✔✔overproduction of immature white blood cells so it overcrowds wbc, rbc and platelets. Comm on in Down syndrome kids Leukemia S/S, Dx - Correct Answer ✔✔-Fever, chills -Fatigue, weakness
  • BLUEBERRY MUFFIN LESIONS -Easy bruising or bleeding -Petechiae (small red spots under the skin)

Wilm's Tumor Interventions - Correct Answer ✔✔- Monitor wound for infection, give high protein and calorie meals

  • DO NOT PALPATE SIGN ON DOOR.
  • Monitor intake and out take to ensure remaining kidney is functioning Retinoblastoma - Correct Answer ✔✔tumor of the retina Retinoblastoma S/S - Correct Answer ✔✔- WHITISH GLOW IN THE PUPIL
  • Strabismus
  • Blindness if severe Retinoblastoma Intervention - Correct Answer ✔✔- Teach care of eye socket: irrigate and topical antibiotics.
  • Prosthetic eye after 3 weeks
  • offer support Osteosarcoma - Correct Answer ✔✔malignant tumor of the bone: ESPECIALLY LONG BONES Metaphysis of long bones: stops growth, biopsy confirms this cancer -FEMUR BONE, tibial, humerus Osteosarcoma s/s and Tx - Correct Answer ✔✔- aching dull pain for several months
  • limp swelling
  • mimics growing pains, if the patient has retinoblastoma it puts them at greater risk of developing this cancer. Tx
  • chemo and radiation
  • removal if severe Osteosarcoma Interventions - Correct Answer ✔✔- Body image concerns: teens
  • No weight-bearing activities and TREAT PAIN
  • monitor s/s of infection
  • promote function and mobility
  • Teach phantom pain if bone is removed Ewing's sarcoma - Correct Answer ✔✔malignant tumor of the middle bones and soft tissue:
  • pelvis, femur

-ribs, thigh -upper arm Ewing's sarcoma S/S - Correct Answer ✔✔- PAIN

  • swelling
  • fever -weight loss Ewing's sarcoma Interventions - Correct Answer ✔✔- monitor for s/s of infection
  • asses for unusal swelling, monitor drainage
  • quiet activities Hodgkin's disease - Correct Answer ✔✔cancer of the lymph. very curable in early stages
  • cervical and supraclavilar lymphadenopathy Hodgkin's disease S/S and Tx - Correct Answer ✔✔- Unexplainable fever
  • night sweats
  • weight loss
  • fever, REED STERNBERG CELLS Tx -Radiation -Chemo Hodgkin's disease Intervention - Correct Answer ✔✔- Manage pain so quiet activities
  • Monitor for fever, STRESS IMPORTANCE OF FOLLOW UP APPOINTMENTS
  • Comfort activities, AVOID CROWDED PLACES Non - Hodgkin's - Correct Answer ✔✔RAPID ONSET CANCER OF LYMPH TISSUE
  • IT HAS NO FOCAL REGION -ACUTE Non-Hodgkin's S/S and Tx - Correct Answer ✔✔- Pain
  • swelling Tx
  • NO RADIATION BECAUSE THERE'S NO FOCAL POINT -chemo

Acne Interventions and nursing care - Correct Answer ✔✔- Ask that they're using

  • no abrasive products, if on accutne: CAN'T GET PREGNANT -Gentle products Candida Interventions and nursing care - Correct Answer ✔✔- whitish stuff on tongue that doesn't move
  • Nystain is the tx
  • treat mim's breast, nipples, pacifier and everything that was used. Eczema Interventions and nursing care - Correct Answer ✔✔- Moisture child
  • Cool compression
  • they have dry, sandpaper like skin so keep them hydrated contact dermatitis Interventions and nursing care - Correct Answer ✔✔- YOU BETTER REMOVE THE ALLERGEN Tinea Pedis Interventions and nursing care - Correct Answer ✔✔- Athlete's foot
  • anti fugal cream
  • caused by soaked feet so keep feet dry and open to air. Dying patient S/S - Correct Answer ✔✔- CHEYNE STOKES RESPIRATION
  • Cool skin
  • downward blood pressure
  • can't think properly; slurred speech, confused
  • Decreased intake, sensation and circulation: increased cap refill. Dying Erikson's stages of Kids - Correct Answer ✔✔Toddler: Regression and keep them in schedule Preschooler: Magical thinking so don't tell them the dead person is sleeping, there might think it's their fault/punishment. School age: ask boundaries of what they might like to di Teens: Least likely to accept death