GALEN COLLEGE OF NURSING · COLLEGE OF NURSING
NUR 254
Maternal/Newborn
Nursing
Exam 2 Study Guide
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Concepts of Nursing — The Childbearing and Child Caring
Families
Exam 2 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Nursing Care Delivery & Leadership 2
3. Musculoskeletal Assessment & Fractures 3
4. Musculoskeletal Disorders 4
,5. Arthritis & Inflammatory Conditions 4
6. Bone & Joint Procedures 5
7. Burns 5
8. Legal & Ethical Considerations 6
NUR 254 · Galen College of Nursing Page 1
, NUR 254 MATERNAL/NEWBORN NURSING — EXAM 2 INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 Exam 2.
Nursing Care Delivery & Leadership
1 A nurse manager is organizing the unit's staffing for the day. The manager assigns
an RN to provide total patient care for a group of critically ill patients. Which nursing
care delivery system is being implemented?
A Total patient care
B Functional nursing
C Primary nursing
D Team nursing
Why A is correct: Total patient care involves one nurse providing care for a group of
patients without using support staff. This is most likely to occur in an ICU setting where
patients require highly skilled nursing care.
B — Functional nursing is task-oriented, with tasks divided based on staff skill level.
C — Primary nursing involves an RN assuming 24-hour responsibility for a patient over a
long period.
D — Team nursing involves collaborative care with RNs, LPNs, and PCTs working together.
NUR 254
Maternal/Newborn
Nursing
Exam 2 Study Guide
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Concepts of Nursing — The Childbearing and Child Caring
Families
Exam 2 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Nursing Care Delivery & Leadership 2
3. Musculoskeletal Assessment & Fractures 3
4. Musculoskeletal Disorders 4
,5. Arthritis & Inflammatory Conditions 4
6. Bone & Joint Procedures 5
7. Burns 5
8. Legal & Ethical Considerations 6
NUR 254 · Galen College of Nursing Page 1
, NUR 254 MATERNAL/NEWBORN NURSING — EXAM 2 INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 Exam 2.
Nursing Care Delivery & Leadership
1 A nurse manager is organizing the unit's staffing for the day. The manager assigns
an RN to provide total patient care for a group of critically ill patients. Which nursing
care delivery system is being implemented?
A Total patient care
B Functional nursing
C Primary nursing
D Team nursing
Why A is correct: Total patient care involves one nurse providing care for a group of
patients without using support staff. This is most likely to occur in an ICU setting where
patients require highly skilled nursing care.
B — Functional nursing is task-oriented, with tasks divided based on staff skill level.
C — Primary nursing involves an RN assuming 24-hour responsibility for a patient over a
long period.
D — Team nursing involves collaborative care with RNs, LPNs, and PCTs working together.
