NUR 254 Exam 4 Questions & Correct Answers |
Latest Updated 2025-2026 | Graded A+.
The nurse is providing a teaching session to the health care staff regarding osteosarcoma. Which of the
following statements by an attendee indicates a need for additional teaching? - answer"In the early stage,
the symptoms of this disease are usually attributed to normal growing pains.
The nurse is caring for a child who is suspected of having a Wilm's tumor. Which of the following actions
by the nurse indicates the need for additional training? - answerPalpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment of the child
includes the following: respirations 10 and unarousable. The child is currently on intravenous (IV) fluids
and continuous IV morphine sulfate Based on the assessment information, which of the following actions
should the nurse take first? - answerAdminister naloxone to reverse the effect of the morphine.
The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the following
interventions should the nurse anticipate to be prescribed for the child? - answerHydration and pain
management
The newly hired nurse is talking with the nurse preceptor about the prevention of irondeficiency anemia in
infants. Which of the following statements by the newly hired nurse is correct regarding prevention of this
condition? - answer"Iron-fortified commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following assessment
finds should the nurse expect to observe? - answerPallor
The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of a
Wilm'stumor. Which of the following requires immediate follow up by the nurse? - answerIncision site is
pink at the edges.
, The nurse is providing discharge instructions to the parents of a child who had surgical resection of a
neuroblastoma 4 days ago. Which of the following statements by the parents indicates teaching has been
effective? - answerWe will provide pain relief using pain medication and rest."
The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of < 1000 mm.
Which of the following should the nurse include in the child's plan of care? - answerAdminister
prescribed influenza vaccination
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable condition.
Which of the following interventionsshould the nurse implement to decrease ICP in the child? -
answerLimit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the nurse include
in the child's plan of care - answerProvide the child a quiet atmosphere with dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of the lumbar
puncture are still pending. Which of the following actions by the nurse is the priority? - answerAssessing
neurological status every 2-4 hours.
The nurse is caring for a child who is hospitalized for 24-hour observation following a head injury. Which
of the following actions by the nurse is the priority? - answerChecking pupil reaction every 4 hours
The nurse is assessing a child in a coma and notes that the child has decorticate posturing. Which of the
following findings should the nurse expect the child to demonstrate? - answerRigid flexion with elbows,
wrists and fingers flexed, and legs extended and rotated inward
The nurse is admitting a toddler who is being hospitalized following a near-drowning
accident/submersion injury. The child's motherstates to the nurse, "Thisis unnecessary. My child seems
perfectly fine." What is an appropriate response for the nurse to provide to the mother? -
answer"Complications can still occur with your child."
Latest Updated 2025-2026 | Graded A+.
The nurse is providing a teaching session to the health care staff regarding osteosarcoma. Which of the
following statements by an attendee indicates a need for additional teaching? - answer"In the early stage,
the symptoms of this disease are usually attributed to normal growing pains.
The nurse is caring for a child who is suspected of having a Wilm's tumor. Which of the following actions
by the nurse indicates the need for additional training? - answerPalpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An assessment of the child
includes the following: respirations 10 and unarousable. The child is currently on intravenous (IV) fluids
and continuous IV morphine sulfate Based on the assessment information, which of the following actions
should the nurse take first? - answerAdminister naloxone to reverse the effect of the morphine.
The nurse is admitting a child who has a vaso-occlusive sickle cell crisis. Which of the following
interventions should the nurse anticipate to be prescribed for the child? - answerHydration and pain
management
The newly hired nurse is talking with the nurse preceptor about the prevention of irondeficiency anemia in
infants. Which of the following statements by the newly hired nurse is correct regarding prevention of this
condition? - answer"Iron-fortified commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following assessment
finds should the nurse expect to observe? - answerPallor
The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of a
Wilm'stumor. Which of the following requires immediate follow up by the nurse? - answerIncision site is
pink at the edges.
, The nurse is providing discharge instructions to the parents of a child who had surgical resection of a
neuroblastoma 4 days ago. Which of the following statements by the parents indicates teaching has been
effective? - answerWe will provide pain relief using pain medication and rest."
The nurse is caring for a child who has leukemia with a white blood cell (WBC) count of < 1000 mm.
Which of the following should the nurse include in the child's plan of care? - answerAdminister
prescribed influenza vaccination
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable condition.
Which of the following interventionsshould the nurse implement to decrease ICP in the child? -
answerLimit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the nurse include
in the child's plan of care - answerProvide the child a quiet atmosphere with dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of the lumbar
puncture are still pending. Which of the following actions by the nurse is the priority? - answerAssessing
neurological status every 2-4 hours.
The nurse is caring for a child who is hospitalized for 24-hour observation following a head injury. Which
of the following actions by the nurse is the priority? - answerChecking pupil reaction every 4 hours
The nurse is assessing a child in a coma and notes that the child has decorticate posturing. Which of the
following findings should the nurse expect the child to demonstrate? - answerRigid flexion with elbows,
wrists and fingers flexed, and legs extended and rotated inward
The nurse is admitting a toddler who is being hospitalized following a near-drowning
accident/submersion injury. The child's motherstates to the nurse, "Thisis unnecessary. My child seems
perfectly fine." What is an appropriate response for the nurse to provide to the mother? -
answer"Complications can still occur with your child."
