NUR 254 — Child Caring
Families
Exam 3
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Pediatric Nursing — The Childbearing and Child Caring Families
Exam 3 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Pain Scales & Growth/Development 2
3. Cardiac Conditions 3
4. Respiratory Conditions 3
,5. Gastrointestinal Conditions 4
6. Renal & Infectious Conditions 4
NUR 254 · Galen College of Nursing Page 1
, NUR 254 — CHILD CARING — EXAM 3 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 Child Caring Exam 3.
Pain Scales & Growth/Development
1 A nurse is assessing pain in a 1-month-old infant. Which pain scale should the nurse
use?
A NIPS
B FLACC
C Wong-Baker FACES
D Numeric Scale
Why A is correct: NIPS (Neonatal Infant Pain Scale) is used for infants 2 months or younger.
FLACC is for >2 months to 7 years, Wong-Baker for 3-4 years, and Numeric for 8 years and
older.
B — FLACC is for children >2 months to 7 years.
C — Wong-Baker is for preschoolers (3-4 years).
D — Numeric scales are for 8 years and older.