NUR231 Exam 4 V3 | NUR 231
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A nurse is caring for a 10-year-old child with Cystic Fibrosis. Which intervention is the
priority for the family to implement daily?
A. Performing chest physiotherapy and postural drainage.
B. Administering pancreatic enzymes after every meal.
C. Restricting fluid intake to prevent pulmonary edema.
D. Encouraging a low-calorie, low-protein diet.
Answer: A
Rationale: Chest physiotherapy is crucial for clearing thick secretions from the airways in
children with Cystic Fibrosis. It helps prevent respiratory infections and improves overall
lung function over time. Pancreatic enzymes should be given before or with meals, not
after, to ensure proper digestion.
2. When managing a child with Autism Spectrum Disorder (ASD), which nursing action is most
effective for reducing anxiety during a hospital stay?
A. Rotating nursing staff frequently to socialize the child.
B. Maintaining a highly structured and predictable routine.
C. Keeping the room lights bright to prevent sensory deprivation.
,D. Allowing multiple visitors to provide emotional support.
Answer: B
Rationale: Children with ASD rely heavily on routine and predictability to feel safe and
manage anxiety. Sudden changes in their environment or schedule can lead to significant
distress or behavioral outbursts. Nurses should strive to keep the environment calm and
maintain a consistent schedule whenever possible.
3. Which physical characteristic is commonly associated with a child diagnosed with Trisomy
21 (Down Syndrome)?
A. Long, narrow face and large ears.
B. Increased muscle tone and hyperreflexia.
C. A single palmar crease (Simian crease).
D. Microcephaly and fused digits.
Answer: C
Rationale: A single transverse palmar crease is a classic physical finding in children with
Down Syndrome. Other findings include hypotonia (low muscle tone) and an upward slant
to the eyes. These physical markers assist in clinical assessment but vary in prominence
among individuals.
4. A 7-year-old is hospitalized with Sickle Cell Anemia in a vaso-occlusive crisis. What is the
priority nursing intervention?
A. Applying cold compresses to painful joints.
, B. Administering prophylactic antibiotics immediately.
C. Initiating high-volume intravenous hydration.
D. Restricting the child’s movement to bed rest.
Answer: C
Rationale: Hydration is the priority during a vaso-occlusive crisis to reduce blood viscosity
and promote the flow of red blood cells through the vessels. Cold compresses should be
avoided as they cause vasoconstriction, which can worsen the crisis. Pain management and
oxygenation are also critical, but fluid resuscitation is a primary physiological need.
5. In the context of pediatric ethics, at what age should a nurse typically begin seeking
‘assent’ from a child for a research study?
A. 3 years old
B. 18 years old
C. 12 years old
D. 7 years old
Answer: D
Rationale: Assent is the child’s agreement to participate in a procedure or research,
usually beginning around age 7 when they can understand basic concepts. While legal
consent is provided by the parent or guardian, obtaining assent respects the child’s
autonomy. This practice aligns with ethical standards in pediatric nursing care.
Childbearing & Child Caring Family Exam
Q&A | Galen College of Nursing
1. A nurse is caring for a 10-year-old child with Cystic Fibrosis. Which intervention is the
priority for the family to implement daily?
A. Performing chest physiotherapy and postural drainage.
B. Administering pancreatic enzymes after every meal.
C. Restricting fluid intake to prevent pulmonary edema.
D. Encouraging a low-calorie, low-protein diet.
Answer: A
Rationale: Chest physiotherapy is crucial for clearing thick secretions from the airways in
children with Cystic Fibrosis. It helps prevent respiratory infections and improves overall
lung function over time. Pancreatic enzymes should be given before or with meals, not
after, to ensure proper digestion.
2. When managing a child with Autism Spectrum Disorder (ASD), which nursing action is most
effective for reducing anxiety during a hospital stay?
A. Rotating nursing staff frequently to socialize the child.
B. Maintaining a highly structured and predictable routine.
C. Keeping the room lights bright to prevent sensory deprivation.
,D. Allowing multiple visitors to provide emotional support.
Answer: B
Rationale: Children with ASD rely heavily on routine and predictability to feel safe and
manage anxiety. Sudden changes in their environment or schedule can lead to significant
distress or behavioral outbursts. Nurses should strive to keep the environment calm and
maintain a consistent schedule whenever possible.
3. Which physical characteristic is commonly associated with a child diagnosed with Trisomy
21 (Down Syndrome)?
A. Long, narrow face and large ears.
B. Increased muscle tone and hyperreflexia.
C. A single palmar crease (Simian crease).
D. Microcephaly and fused digits.
Answer: C
Rationale: A single transverse palmar crease is a classic physical finding in children with
Down Syndrome. Other findings include hypotonia (low muscle tone) and an upward slant
to the eyes. These physical markers assist in clinical assessment but vary in prominence
among individuals.
4. A 7-year-old is hospitalized with Sickle Cell Anemia in a vaso-occlusive crisis. What is the
priority nursing intervention?
A. Applying cold compresses to painful joints.
, B. Administering prophylactic antibiotics immediately.
C. Initiating high-volume intravenous hydration.
D. Restricting the child’s movement to bed rest.
Answer: C
Rationale: Hydration is the priority during a vaso-occlusive crisis to reduce blood viscosity
and promote the flow of red blood cells through the vessels. Cold compresses should be
avoided as they cause vasoconstriction, which can worsen the crisis. Pain management and
oxygenation are also critical, but fluid resuscitation is a primary physiological need.
5. In the context of pediatric ethics, at what age should a nurse typically begin seeking
‘assent’ from a child for a research study?
A. 3 years old
B. 18 years old
C. 12 years old
D. 7 years old
Answer: D
Rationale: Assent is the child’s agreement to participate in a procedure or research,
usually beginning around age 7 when they can understand basic concepts. While legal
consent is provided by the parent or guardian, obtaining assent respects the child’s
autonomy. This practice aligns with ethical standards in pediatric nursing care.
