NUR 254 EXAM 3 – COMPLETE PRACTICE
EXAMINATION GALEN COLLEGE OF NURSING
200+ VERIFIED QUESTIONS WITH ANSWERS AND RATIONALES
SECTION 1: PEDIATRIC ASSESSMENT & COMMUNICATION (Questions 1-
25)
Question 1
What is family-centered care primarily focused on?
A) The nurse making all healthcare decisions for the family
B) Planning, delivery, and evaluation of care with the family as active participants
C) Separating the child from family to promote independence
D) Providing care only to the child, not the family
Answer: B
Rationale: Family-centered care focuses on planning, delivery, and evaluation of
care with the family as active participants. It emphasizes empowerment and
enabling the family to be involved in all aspects of care .
1
,Question 2
Which of the following is a key principle of atraumatic care?
A) Separating the child from parents to reduce anxiety
B) Performing all procedures immediately to save time
C) Preventing or minimizing separation from family
D) Using restraints to keep the child still during procedures
Answer: C
Rationale: Atraumatic care focuses on "doing no harm" by preventing or
minimizing
separation from family, promoting a sense of control, and preventing or
minimizing
bodily injury and pain .
Question 3
When assessing a pediatric patient, what is the recommended order of approach?
A) Start with invasive procedures first
B) Interact with the child first, then the parents
C) Interact with parents first, then the child
D) Perform all assessments without parent involvement
2
,Answer: C
Rationale: The recommended approach is to interact with parents first, have the
child sit on the parent's lap when possible, keep equipment out of sight initially,
and perform invasive procedures last (BP, temp, ear exam) .
Question 4
How should the ear be positioned when examining a 2-year-old child?
A) Pull pinna up and back
B) Pull pinna down and back
C) No manipulation needed
D) Pull pinna forward
Answer: B
Rationale: For children under 3 years of age, the pinna should be pulled down and
back to straighten the ear canal. For children over 3 years, pull up and back .
Question 5
Which pain scale is appropriate for a 6-month-old infant?
3
, A) Wong-Baker FACES scale
B) Numeric rating scale (0-10)
C) FLACC scale
D) NIPS scale
Answer: D
Rationale: NIPS (Neonatal Infant Pain Scale) is appropriate for infants under
2 months of age. FLACC is for 2 months to 7 years; Wong-Baker FACES is for
3-4 years and up; Numeric scale is for 8 years and older .
Question 6
Which pain scale is appropriate for a 4-year-old child?
A) NIPS
B) FLACC
C) Wong-Baker FACES
D) Numeric rating scale
Answer: C
Rationale: Wong-Baker FACES scale is appropriate for children 3-4 years and
older.
4
EXAMINATION GALEN COLLEGE OF NURSING
200+ VERIFIED QUESTIONS WITH ANSWERS AND RATIONALES
SECTION 1: PEDIATRIC ASSESSMENT & COMMUNICATION (Questions 1-
25)
Question 1
What is family-centered care primarily focused on?
A) The nurse making all healthcare decisions for the family
B) Planning, delivery, and evaluation of care with the family as active participants
C) Separating the child from family to promote independence
D) Providing care only to the child, not the family
Answer: B
Rationale: Family-centered care focuses on planning, delivery, and evaluation of
care with the family as active participants. It emphasizes empowerment and
enabling the family to be involved in all aspects of care .
1
,Question 2
Which of the following is a key principle of atraumatic care?
A) Separating the child from parents to reduce anxiety
B) Performing all procedures immediately to save time
C) Preventing or minimizing separation from family
D) Using restraints to keep the child still during procedures
Answer: C
Rationale: Atraumatic care focuses on "doing no harm" by preventing or
minimizing
separation from family, promoting a sense of control, and preventing or
minimizing
bodily injury and pain .
Question 3
When assessing a pediatric patient, what is the recommended order of approach?
A) Start with invasive procedures first
B) Interact with the child first, then the parents
C) Interact with parents first, then the child
D) Perform all assessments without parent involvement
2
,Answer: C
Rationale: The recommended approach is to interact with parents first, have the
child sit on the parent's lap when possible, keep equipment out of sight initially,
and perform invasive procedures last (BP, temp, ear exam) .
Question 4
How should the ear be positioned when examining a 2-year-old child?
A) Pull pinna up and back
B) Pull pinna down and back
C) No manipulation needed
D) Pull pinna forward
Answer: B
Rationale: For children under 3 years of age, the pinna should be pulled down and
back to straighten the ear canal. For children over 3 years, pull up and back .
Question 5
Which pain scale is appropriate for a 6-month-old infant?
3
, A) Wong-Baker FACES scale
B) Numeric rating scale (0-10)
C) FLACC scale
D) NIPS scale
Answer: D
Rationale: NIPS (Neonatal Infant Pain Scale) is appropriate for infants under
2 months of age. FLACC is for 2 months to 7 years; Wong-Baker FACES is for
3-4 years and up; Numeric scale is for 8 years and older .
Question 6
Which pain scale is appropriate for a 4-year-old child?
A) NIPS
B) FLACC
C) Wong-Baker FACES
D) Numeric rating scale
Answer: C
Rationale: Wong-Baker FACES scale is appropriate for children 3-4 years and
older.
4
