NUR 257 Exam 2 Questions &
Answers 2026/2027 Latest Verified
Edition with Rationales
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS RATIONALES
55 Questions 9 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 55 verified questions with detailed rationales covering pediatric nursing and
respiratory health. Each item pairs a board-style question with the correct answer and a concise explanation of
the underlying principle, making it suitable for NCLEX preparation, course review, and rapid remediation.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Focuses on the care, nutritional needs, and diagnostic
Cystic Fibrosis Management procedures for cystic fibrosis. 6 Qs 10.9%
Respiratory Conditions in Covers various respiratory conditions, their symptoms, and
Pediatrics treatments in pediatric patients. 6 Qs 10.9%
Asthma Assessment and Examines asthma symptoms, risk factors, and management
Management strategies. 8 Qs 14.5%
Addresses common infectious diseases, their symptoms, and
Infectious Diseases in Children precautions. 5 Qs 9.1%
Explores conditions affecting the ears and eyes, including
Ear and Eye Conditions their signs and management. 6 Qs 10.9%
Discusses common pediatric skin conditions and their
Skin Conditions in Pediatrics treatment protocols. 5 Qs 9.1%
Focuses on the management and complications associated
Postoperative Care with postoperative care in children. 5 Qs 9.1%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 20
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Details various viral infections in children and their treatment
Viral Infections and Treatments approaches. 5 Qs 9.1%
Miscellaneous Pediatric Covers a range of other pediatric health issues and their
Conditions management. 9 Qs 16.4%
Total Exam Coverage 9 Integrated Topic Modules 55 Qs 100.0%
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 20
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
TOPIC 1: CYSTIC FIBROSIS MANAGEMENT
6 Questions • 10.9% of Exam • Focuses on the care, nutritional needs, and diagnostic procedures for cystic fibrosis.
QUESTION 1
What is a pancreatic enzyme used for?
Answer: Prevent pancreatic insufficiency in cystic fibrosis patients
- should be taken with each meal and snack given.
Rationale: Pancreatic enzyme replacement therapy is indicated to augment endogenous enzyme activity, thereby
improving nutrient absorption and preventing steatorrhea and maldigestion, especially in conditions like cystic fibrosis.
These supplements are administered with meals and snacks to coincide with food intake for optimal digestive efficacy.
QUESTION 2
CPT for cystic fibrosis
Answer: Chest physiotherapy
- includes percussion, vibrations, cough, forceful expiration, and breathing exercises
- used to help loosen and remove thick secretions.
Rationale: Chest physiotherapy, encompassing percussion, vibrations, coughing, and breathing exercises, is a cornerstone
treatment for cystic fibrosis to mobilize and clear tenacious airway secretions. This therapeutic approach directly addresses
the pathophysiology of CF by improving ventilationperfusion matching and reducing the risk of pulmonary infections.
QUESTION 3
Nutritional needs for CF
Answer: High protein, high calorie, high fat, high fluid, high Na+.
Rationale: Cystic fibrosis patients require increased caloric and protein intake due to malabsorption and increased
metabolic demands, with fat, fluid, and sodium supplementation compensating for gastrointestinal losses and respiratory
fluid requirements. This strategy addresses the underlying pathophysiology of pancreatic insufficiency and mucus
hypersecretion characteristic of the disease.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 20