NUR 254 Exams 3 | Galen College |
Complete Maternal & Pediatric
Nursing Exam
Questions and Ansẉers with
rationales
2026\2027 update
101. A nurse is assessing a 4-year-old child. Which developmental
milestone should the nurse expect the child to have achieved?
A) Tying shoelaces independently
B) Hoping on one foot
C) Drawing a stick figure with 6 parts
D) Reading simple sentences
AnswerB
Rationale: A 4-year-old child can typically hop on one foot, skip on
alternate feet, and climb well. Tying shoelaces is expected around
age 5-6, drawing a person with 6 parts is a 5-year-old milestone,
and reading simple sentences begins around age 6.
102. The parents of a 6-month-old infant ask the nurse when they
should introduce solid foods. The nurse should respond that solid
foods are typically introduced at:
A) 2 months
B) 4 to 6 months
,C) 8 to 10 months
D) 12 months
AnswerB
Rationale: Solid foods are generally introduced between 4 and 6
months of age when the infant loses the extrusion (tongue-thrust)
reflex and can sit with support. Rice cereal is traditionally
introduced first, followed by pureed vegetables and fruits.
103. Which immunization is contraindicated for a child who is
severely immunocompromised or receiving chemotherapy?
A) Inactivated polio vaccine (IPV)
B) Measles, mumps, rubella (MMR)
C) Diphtheria, tetanus, acellular pertussis (DTaP)
D) Inactivated influenza vaccine (IIV)
AnswerB
Rationale: The MMR and Varicella vaccines are live-attenuated
vaccines. They are strictly contraindicated in severely
immunocompromised individuals due to the risk of severe infection.
IPV, DTaP, and IIV are inactivated and safe.
104. A 3-year-old child is admitted with acute epiglottitis. The nurse
should prioritize which of the following interventions?
A) Placing the child in a supine position
B) Examining the throat with a tongue depressor
C) Keeping the child in a sitting position and allowing the parent to
hold them
D) Administering a bronchodilator
AnswerC
, Rationale: Epiglottitis is a life-threatening airway obstruction. The
child should be kept sitting upright to ease breathing. Examining
the throat with a tongue depressor can trigger a complete airway
obstruction (laryngospasm) and should NEVER be done.
105. A nurse is caring for a child with respiratory syncytial virus
(RSV) bronchiolitis. Which intervention is most effective in
preventing the spread of the infection?
A) Wearing a gown and gloves
B) Administering palivizumab
C) Hand hygiene and contact isolation
D) Placing the child in a negative pressure room
AnswerC
Rationale: RSV is highly contagious and spread via direct contact
and fomites. Strict hand hygiene and contact isolation (gown,
gloves) are essential. Palivizumab is for prophylaxis, not treatment.
Droplet/negative pressure is for airborne diseases like TB or
measles.
106. A 2-month-old infant is brought to the clinic for a well-child
visit. The parents ask about measures to prevent sudden infant
death syndrome (SIDS). What is the most appropriate
recommendation?
A) Place the infant on their stomach to sleep
B) Use soft bedding and pillows in the crib
C) Place the infant on their back to sleep on a firm mattress
D) Keep the infant swaddled tightly all night
AnswerC
Complete Maternal & Pediatric
Nursing Exam
Questions and Ansẉers with
rationales
2026\2027 update
101. A nurse is assessing a 4-year-old child. Which developmental
milestone should the nurse expect the child to have achieved?
A) Tying shoelaces independently
B) Hoping on one foot
C) Drawing a stick figure with 6 parts
D) Reading simple sentences
AnswerB
Rationale: A 4-year-old child can typically hop on one foot, skip on
alternate feet, and climb well. Tying shoelaces is expected around
age 5-6, drawing a person with 6 parts is a 5-year-old milestone,
and reading simple sentences begins around age 6.
102. The parents of a 6-month-old infant ask the nurse when they
should introduce solid foods. The nurse should respond that solid
foods are typically introduced at:
A) 2 months
B) 4 to 6 months
,C) 8 to 10 months
D) 12 months
AnswerB
Rationale: Solid foods are generally introduced between 4 and 6
months of age when the infant loses the extrusion (tongue-thrust)
reflex and can sit with support. Rice cereal is traditionally
introduced first, followed by pureed vegetables and fruits.
103. Which immunization is contraindicated for a child who is
severely immunocompromised or receiving chemotherapy?
A) Inactivated polio vaccine (IPV)
B) Measles, mumps, rubella (MMR)
C) Diphtheria, tetanus, acellular pertussis (DTaP)
D) Inactivated influenza vaccine (IIV)
AnswerB
Rationale: The MMR and Varicella vaccines are live-attenuated
vaccines. They are strictly contraindicated in severely
immunocompromised individuals due to the risk of severe infection.
IPV, DTaP, and IIV are inactivated and safe.
104. A 3-year-old child is admitted with acute epiglottitis. The nurse
should prioritize which of the following interventions?
A) Placing the child in a supine position
B) Examining the throat with a tongue depressor
C) Keeping the child in a sitting position and allowing the parent to
hold them
D) Administering a bronchodilator
AnswerC
, Rationale: Epiglottitis is a life-threatening airway obstruction. The
child should be kept sitting upright to ease breathing. Examining
the throat with a tongue depressor can trigger a complete airway
obstruction (laryngospasm) and should NEVER be done.
105. A nurse is caring for a child with respiratory syncytial virus
(RSV) bronchiolitis. Which intervention is most effective in
preventing the spread of the infection?
A) Wearing a gown and gloves
B) Administering palivizumab
C) Hand hygiene and contact isolation
D) Placing the child in a negative pressure room
AnswerC
Rationale: RSV is highly contagious and spread via direct contact
and fomites. Strict hand hygiene and contact isolation (gown,
gloves) are essential. Palivizumab is for prophylaxis, not treatment.
Droplet/negative pressure is for airborne diseases like TB or
measles.
106. A 2-month-old infant is brought to the clinic for a well-child
visit. The parents ask about measures to prevent sudden infant
death syndrome (SIDS). What is the most appropriate
recommendation?
A) Place the infant on their stomach to sleep
B) Use soft bedding and pillows in the crib
C) Place the infant on their back to sleep on a firm mattress
D) Keep the infant swaddled tightly all night
AnswerC
