Nur 254 Exam 3 - 2026/2027 Edition – Actual
Questions with 100% Verified Correct Answers -
Galen
Maternal Exam 3 - Study Guide
50 Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
INTRODUCTION :
This Nur 254 CHILDBEARING/ CHILD CARING FAMILY Exam 3 is a comprehensive review focusing
on pediatric growth, development, and common childhood health disorders. This guide
synthesizes key concepts in immunization, nutrition, cardiac, respiratory, gastrointestinal, renal
systems, and family-centered care to enhance clinical reasoning, promote safe nursing
interventions, and prepare students for exam success and evidence-based pediatric practice in
diverse clinical settings
Answers are in bold Green, with rationales after.
1. The nurse has administered a prescribed analgesic to a preschool child. Which
action should the nurse take to assess the effectiveness of this medication?
A. Ask the mother if she thinks the analgesic is working
B. Use the Wong-Baker pain scale
C. Assess for changes in the child's V/S
D. Ask the child to point to a numeric pain scale
Rationale: Preschoolers (3-5 yrs) can self-report pain using faces scales. Wong-Baker
FACES is validated for ages 3+ and measures pain intensity reliably. Vital signs are not
reliable pain indicators and numeric scales are too abstract for preschoolers. pg 796
,2. The nurse is caring for a child in middle school who is hospitalized. When
developing a plan of care, the nurse should consider that children in this age group
A. Are increasingly aware of disappointments in life
B. Are unable to see things from any perspective other than their own
C. Are anxious about missing interactions with friends
D. Think in abstract terms & can deal with uncertainty
Rationale: School-age / middle childhood (6-12 yrs) values peer groups and fears
separation from friends/ school. Inability to see other perspectives is preoperational
(toddler), abstract thinking is adolescent formal operations. Peer interaction anxiety is
key concern during hospitalization.
3. The nurse is caring for a group of toddlers & is developing a plan for age-
appropriate play activities during hospitalization. Which play activity should the nurse
include?
A. Allowing the toddlers to complete a puzzle together
B. Let the toddlers race toy cars against each other
C. Offering each toddler a ball to roll around
D. Giving the toddlers dress-up clothes for a play
Rationale: Toddlers (1-3 yrs) engage in parallel play - they play alongside, not
cooperatively. Offering each toddler their own ball to roll is parallel play. Puzzle
together and racing cars are associative/cooperative, dress-up is preschool associative.
pg 869
4. The nurse is working in an emergency triage area where a parent brings in a child &
states, "I think she got into my mother's medicine." After determining the medication
the child ingested, which action should the nurse perform next?
A. Notify authorities of child neglect
B. Determine medication allergies
C. Contact poison control
D. Induce vomiting
Rationale: For suspected accidental ingestion, after identifying substance, next step is
contacting Poison Control Center (1-800-222-1222) for specific antidote/treatment
, guidance. Do not induce vomiting routinely - contraindicated for many substances.
Assess allergies but poison control is priority. pg 895
5. The nurse is performing an assessment on an adolescent client. Which behavior
suggests appropriate psychosocial development in this client?
A. Gets along well with others in authority
B. Thinks about peers' opinions of them
C. Navigates away from peers & enjoy spending time with family members
D. Validation for socially acceptable behavior from older adults
Rationale: Adolescence (12-20 yrs) - identity vs role confusion - peer group is primary
influence; being concerned with peer opinion and acceptance is normal. Preferring
family over peers and seeking validation from authority suggests regression.
6. The nurse is performing a nutritional assessment on an adolescent client. Which
client statement best indicates that the client's diet is healthy?
A. We use cheese in some of our meals
B. My parents make sure I drink 8 glasses of water daily
C. I make sure to drink 8 ounces of milk per day
D. I make sure to eat 2 meals daily
Rationale: Healthy adolescent diet requires adequate hydration, varied nutrients. 8
glasses water indicates good hydration and balanced intake. Cheese alone is high fat, 8
oz milk is insufficient calcium (need 3 servings), 2 meals daily indicates skipped meals.
7. The nurse is educating new parents about immunizations & immunity. It indicates
the need for additional teaching if a parent states
A. Through active immunity, my child will develop long-term protection against
organisms
B. Active immunity is what my child gets from me & is short-term protection
C. My child will develop active immunity by producing antibodies to specific
organisms
D. My child will be protected for life from many diseases with active immunity
Questions with 100% Verified Correct Answers -
Galen
Maternal Exam 3 - Study Guide
50 Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
INTRODUCTION :
This Nur 254 CHILDBEARING/ CHILD CARING FAMILY Exam 3 is a comprehensive review focusing
on pediatric growth, development, and common childhood health disorders. This guide
synthesizes key concepts in immunization, nutrition, cardiac, respiratory, gastrointestinal, renal
systems, and family-centered care to enhance clinical reasoning, promote safe nursing
interventions, and prepare students for exam success and evidence-based pediatric practice in
diverse clinical settings
Answers are in bold Green, with rationales after.
1. The nurse has administered a prescribed analgesic to a preschool child. Which
action should the nurse take to assess the effectiveness of this medication?
A. Ask the mother if she thinks the analgesic is working
B. Use the Wong-Baker pain scale
C. Assess for changes in the child's V/S
D. Ask the child to point to a numeric pain scale
Rationale: Preschoolers (3-5 yrs) can self-report pain using faces scales. Wong-Baker
FACES is validated for ages 3+ and measures pain intensity reliably. Vital signs are not
reliable pain indicators and numeric scales are too abstract for preschoolers. pg 796
,2. The nurse is caring for a child in middle school who is hospitalized. When
developing a plan of care, the nurse should consider that children in this age group
A. Are increasingly aware of disappointments in life
B. Are unable to see things from any perspective other than their own
C. Are anxious about missing interactions with friends
D. Think in abstract terms & can deal with uncertainty
Rationale: School-age / middle childhood (6-12 yrs) values peer groups and fears
separation from friends/ school. Inability to see other perspectives is preoperational
(toddler), abstract thinking is adolescent formal operations. Peer interaction anxiety is
key concern during hospitalization.
3. The nurse is caring for a group of toddlers & is developing a plan for age-
appropriate play activities during hospitalization. Which play activity should the nurse
include?
A. Allowing the toddlers to complete a puzzle together
B. Let the toddlers race toy cars against each other
C. Offering each toddler a ball to roll around
D. Giving the toddlers dress-up clothes for a play
Rationale: Toddlers (1-3 yrs) engage in parallel play - they play alongside, not
cooperatively. Offering each toddler their own ball to roll is parallel play. Puzzle
together and racing cars are associative/cooperative, dress-up is preschool associative.
pg 869
4. The nurse is working in an emergency triage area where a parent brings in a child &
states, "I think she got into my mother's medicine." After determining the medication
the child ingested, which action should the nurse perform next?
A. Notify authorities of child neglect
B. Determine medication allergies
C. Contact poison control
D. Induce vomiting
Rationale: For suspected accidental ingestion, after identifying substance, next step is
contacting Poison Control Center (1-800-222-1222) for specific antidote/treatment
, guidance. Do not induce vomiting routinely - contraindicated for many substances.
Assess allergies but poison control is priority. pg 895
5. The nurse is performing an assessment on an adolescent client. Which behavior
suggests appropriate psychosocial development in this client?
A. Gets along well with others in authority
B. Thinks about peers' opinions of them
C. Navigates away from peers & enjoy spending time with family members
D. Validation for socially acceptable behavior from older adults
Rationale: Adolescence (12-20 yrs) - identity vs role confusion - peer group is primary
influence; being concerned with peer opinion and acceptance is normal. Preferring
family over peers and seeking validation from authority suggests regression.
6. The nurse is performing a nutritional assessment on an adolescent client. Which
client statement best indicates that the client's diet is healthy?
A. We use cheese in some of our meals
B. My parents make sure I drink 8 glasses of water daily
C. I make sure to drink 8 ounces of milk per day
D. I make sure to eat 2 meals daily
Rationale: Healthy adolescent diet requires adequate hydration, varied nutrients. 8
glasses water indicates good hydration and balanced intake. Cheese alone is high fat, 8
oz milk is insufficient calcium (need 3 servings), 2 meals daily indicates skipped meals.
7. The nurse is educating new parents about immunizations & immunity. It indicates
the need for additional teaching if a parent states
A. Through active immunity, my child will develop long-term protection against
organisms
B. Active immunity is what my child gets from me & is short-term protection
C. My child will develop active immunity by producing antibodies to specific
organisms
D. My child will be protected for life from many diseases with active immunity
