NUR 254 Exam 3- 2026/2027 Edition – Actual
Questions with 100% Verified Correct
Answers -Galen
50 Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
INTRODUCTION :
This Nur 254 Exam 3 pediatric nursing review covers essential concepts for child health,
including GI, cardiac, respiratory, GU, and developmental milestones. This formatted
guide presents 50 original questions with ABCD options, highlights correct answers in
bold Green, and provides blue rationales to enhance understanding, critical thinking,
and exam readiness for nursing students preparing for clinical success and confidence
effectively today
1. The nurse is teaching the mother of a child who has celiac disease about
appropriate food choices. Which foods from the box below identified by the
mother indicate a need for further teaching?
1. Chicken breast 2. Oatmeal 3. Instant soup 4. Bananas 5. Apple slices 6.
Spaghetti 7. Sugar-free cherry pie
a. 2, 6, 7 ✓ Correct
b. 2, 4, 6, 7
c. 3, 4, 6, 7
d. 1, 2, 6, 7
Rationale: Celiac requires lifelong gluten-free diet (avoid wheat, barley, rye).
Oatmeal is often contaminated, spaghetti is wheat-based, pie crust contains wheat.
Chicken, bananas, apple slices are gluten-free. Selecting gluten-containing foods
indicates need for further teaching.
2. The nurse is caring for a child with probable intussusception. Which of the
following is the most appropriate nursing action when the child has a normal,
brown stool?
a. Notify the primary health care provider (PHCP). ✓ Correct
, b. Auscultate for bowel sounds.
c. Take vital signs, including blood pressure (BP).
d. Measure the child's abdominal girth.
Rationale: Classic stool is currant-jelly (bloody, mucoid). Passage of normal brown
stool suggests intussusception has reduced and patency returned. Significant
change that must be reported to PHCP for re-evaluation.
3. The nurse is assessing a child who is suspected of having celiac disease.
Which of the following findings should the nurse expect the parents to report?
a. Black and tarry stools.
b. Excessive hunger.
c. Chronic constipation.
d. Steatorrhea. ✓ Correct
Rationale: Celiac causes malabsorption from gluten-induced villous atrophy.
Unabsorbed fat leads to steatorrhea - bulky, pale, foul-smelling, fatty stools. Also
diarrhea, weight loss, distention.
4. The nurse has attended a continuing education conference on enuresis.
Which of the following statements by the nurse indicates a correct
understanding of the conference?
a. "One intervention for nocturnal enuresis is using the restroom before
going to bed." ✓ Correct
b. "Children who have phenylketonuria (PKU) typically demonstrate enuresis by
age 3 years."
c. "Children who suffer from enuresis have inappropriate defecation at least
twice a week for at least 3 months."
d. "The medication most frequently prescribed to treat enuresis is haloperidol."
Rationale: Behavioral interventions include voiding before bedtime, limiting fluids
in evening, enuresis alarm, positive reinforcement. Desmopressin or imipramine
may be used, not haloperidol. Option C is encopresis.
5. The nurse is assessing a child who is suspected of having acute
glomerulonephritis. Which of the following is an expected finding?
a. Hypokalemia.
b. Periorbital edema and dark, brown urine. ✓ Correct
c. Hypotension.
d. Enuresis.
, Rationale: Acute post-streptococcal glomerulonephritis presents with periorbital
edema (morning), hypertension, oliguria, and hematuria giving cola/dark brown
urine from decreased GFR.
6. The nurse is caring for a child who was admitted to the pediatric unit with
nephrotic syndrome. Which of the following laboratory results should the
nurse expect to see?
a. Low albumin. ✓ Correct
b. Low specific gravity.
c. Gross hematuria.
d. Thrombocytopenia.
Rationale: Nephrotic triad: massive proteinuria -> hypoalbuminemia (<2.5 g/dL),
hyperlipidemia, edema. Hematuria is more glomerulonephritis.
7. The nurse has provided medication instructions to the parents of an infant
who has gastroesophageal reflux disease (GERD) and has been prescribed
lansoprazole. Which statement made by the parent indicates the need for
additional teaching?
a. "We will mix rice cereal with formula to help thicken feedings."
b. "We will administer the medication when our baby has an empty stomach."
c. "Our baby will need to take this medication for a lifetime." ✓ Correct
d. "This medication will help decrease the acid in our baby's stomach."
Rationale: Lansoprazole is PPI that decreases acid, give on empty stomach 30 min
before feeding. GERD in infants often improves by 12-18 months; NOT lifelong
therapy.
8. The nurse preceptor is teaching a newly hired nurse about
tracheoesophageal fistula. Which of the following should the newly hired
nurse identify as a common manifestation?
a. Excessive fatigue and edema.
b. Excessive salivation and diarrhea.
c. Excessive coughing and cyanosis. ✓ Correct
d. Excessive lethargy and constipation.
Rationale: TEF + esophageal atresia classic 3 C's: Coughing, Choking, Cyanosis
with feeding; excessive frothy salivation, inability to pass NG tube.
Questions with 100% Verified Correct
Answers -Galen
50 Questions with Step-by-Step Answers | 100% Verified | A+ Graded Review
INTRODUCTION :
This Nur 254 Exam 3 pediatric nursing review covers essential concepts for child health,
including GI, cardiac, respiratory, GU, and developmental milestones. This formatted
guide presents 50 original questions with ABCD options, highlights correct answers in
bold Green, and provides blue rationales to enhance understanding, critical thinking,
and exam readiness for nursing students preparing for clinical success and confidence
effectively today
1. The nurse is teaching the mother of a child who has celiac disease about
appropriate food choices. Which foods from the box below identified by the
mother indicate a need for further teaching?
1. Chicken breast 2. Oatmeal 3. Instant soup 4. Bananas 5. Apple slices 6.
Spaghetti 7. Sugar-free cherry pie
a. 2, 6, 7 ✓ Correct
b. 2, 4, 6, 7
c. 3, 4, 6, 7
d. 1, 2, 6, 7
Rationale: Celiac requires lifelong gluten-free diet (avoid wheat, barley, rye).
Oatmeal is often contaminated, spaghetti is wheat-based, pie crust contains wheat.
Chicken, bananas, apple slices are gluten-free. Selecting gluten-containing foods
indicates need for further teaching.
2. The nurse is caring for a child with probable intussusception. Which of the
following is the most appropriate nursing action when the child has a normal,
brown stool?
a. Notify the primary health care provider (PHCP). ✓ Correct
, b. Auscultate for bowel sounds.
c. Take vital signs, including blood pressure (BP).
d. Measure the child's abdominal girth.
Rationale: Classic stool is currant-jelly (bloody, mucoid). Passage of normal brown
stool suggests intussusception has reduced and patency returned. Significant
change that must be reported to PHCP for re-evaluation.
3. The nurse is assessing a child who is suspected of having celiac disease.
Which of the following findings should the nurse expect the parents to report?
a. Black and tarry stools.
b. Excessive hunger.
c. Chronic constipation.
d. Steatorrhea. ✓ Correct
Rationale: Celiac causes malabsorption from gluten-induced villous atrophy.
Unabsorbed fat leads to steatorrhea - bulky, pale, foul-smelling, fatty stools. Also
diarrhea, weight loss, distention.
4. The nurse has attended a continuing education conference on enuresis.
Which of the following statements by the nurse indicates a correct
understanding of the conference?
a. "One intervention for nocturnal enuresis is using the restroom before
going to bed." ✓ Correct
b. "Children who have phenylketonuria (PKU) typically demonstrate enuresis by
age 3 years."
c. "Children who suffer from enuresis have inappropriate defecation at least
twice a week for at least 3 months."
d. "The medication most frequently prescribed to treat enuresis is haloperidol."
Rationale: Behavioral interventions include voiding before bedtime, limiting fluids
in evening, enuresis alarm, positive reinforcement. Desmopressin or imipramine
may be used, not haloperidol. Option C is encopresis.
5. The nurse is assessing a child who is suspected of having acute
glomerulonephritis. Which of the following is an expected finding?
a. Hypokalemia.
b. Periorbital edema and dark, brown urine. ✓ Correct
c. Hypotension.
d. Enuresis.
, Rationale: Acute post-streptococcal glomerulonephritis presents with periorbital
edema (morning), hypertension, oliguria, and hematuria giving cola/dark brown
urine from decreased GFR.
6. The nurse is caring for a child who was admitted to the pediatric unit with
nephrotic syndrome. Which of the following laboratory results should the
nurse expect to see?
a. Low albumin. ✓ Correct
b. Low specific gravity.
c. Gross hematuria.
d. Thrombocytopenia.
Rationale: Nephrotic triad: massive proteinuria -> hypoalbuminemia (<2.5 g/dL),
hyperlipidemia, edema. Hematuria is more glomerulonephritis.
7. The nurse has provided medication instructions to the parents of an infant
who has gastroesophageal reflux disease (GERD) and has been prescribed
lansoprazole. Which statement made by the parent indicates the need for
additional teaching?
a. "We will mix rice cereal with formula to help thicken feedings."
b. "We will administer the medication when our baby has an empty stomach."
c. "Our baby will need to take this medication for a lifetime." ✓ Correct
d. "This medication will help decrease the acid in our baby's stomach."
Rationale: Lansoprazole is PPI that decreases acid, give on empty stomach 30 min
before feeding. GERD in infants often improves by 12-18 months; NOT lifelong
therapy.
8. The nurse preceptor is teaching a newly hired nurse about
tracheoesophageal fistula. Which of the following should the newly hired
nurse identify as a common manifestation?
a. Excessive fatigue and edema.
b. Excessive salivation and diarrhea.
c. Excessive coughing and cyanosis. ✓ Correct
d. Excessive lethargy and constipation.
Rationale: TEF + esophageal atresia classic 3 C's: Coughing, Choking, Cyanosis
with feeding; excessive frothy salivation, inability to pass NG tube.
