NUR 254 Exam 4 Questions and Correct Answers Latest Update 2025 (Already Passed)

NUR 254 Exam 4 Questions and Correct Answers Latest Update 2025 (Already Passed) 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? - Answers Administer prescribed influenza vaccination 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? - Answers "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? - Answers Palpating 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? - Answers Administer 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? - Answers Hydration and pain management The nurse working in the emergency department (ED) is caring for a child who has hemophilia and developed a swollen knee after falling off a bicycle. The nurse is teaching the child's parents about care when similar incidents occur at home in the future. Which of the following actions should the nurse teach the parents? - Answers Apply an ice pack and compression dressings to the knee. 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? - Answers "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? - Answers Pallor 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? - Answers Incision 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? - Answers We will provide pain relief using pain medication and rest." 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? - Answers Limit 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 - Answers Provide 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? - Answers Assessing neurological status every 2-4 hours. The nurse is screening infants for early warning signs of cerebral palsy. Which of the following should the nurse recognize as 1 of the early warning signs of cerebral palsy? - Answers Poor head control The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder. Which of the following manifestations should the nurse expect to observe in this child? - Answers Monotone speech . The nurse is developing a plan of care for a child diagnosed with attention-deficit hyperactivity disorder (ADHD). Which of the following information should the nurse include in the plan of care? - Answers Psychostimulant medications and behavior modification. The nurse preceptor is observing a newly hired nurse care for a child who has Down syndrome. Which of the following manifestations, if documented by the newly hired nurse, requires follow up by the nurse preceptor? - Answers Protruding tongue The nurse is caring for a child who had a ventricular shunt placement 24 hours ago. The child is sitting up in bed crying and has vomited a small amount on the bed linens. Which of the following actions should the nurse take first? - Answers Complete a neurological assessment. The nurse working in the emergency department (ED) is caring for a 2-month-old child who presents with intraocular bleeding, bradycardia, and bulging fontanels, but no trauma to the head, face, or neck. Health history and physical examination is incongruent, and abuse is suspected. Which of the following actions should the nurse perform? - Answers Notify child protective services (CPS) 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? - Answers Checking 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? - Answers Rigid 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? - Answers "Complications can still occur with your child." The nurse is caring for an infant who is having an active seizure. Which of the following actions should the nurse perform when caring for the infant during a seizure? - Answers Remove any items out of the crib that can harm the infant The nurse is caring for an infant with a myelomeningocele sac. Which of the following interventions demonstrates appropriate care for the infant? - Answers Use latex-free medical products The school nurse is instructing a school-age child who has diabetes mellitus (type 1). The child participates in soccer practice 3 afternoons a week. Which of the following statements by the child indicates a correct understanding of how to prevent hypoglycemia during practice? - Answers "I will eat a small box of raisins or a cup of juice before soccer practice." The nurse is preparing discharge instructionsfor a child who has precocious puberty. Which of