NUR 254 Exam 4 | Nursing 254 Maternal
Exam 4 Exam Questions & Answers,
Explained Solutions| 2025-2026
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? - answerAdminister
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? - answer"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? - answerPalpating 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? - answerAdminister 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? - answerHydration 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? - answerApply 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? - answer"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? - answerPallor
, 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? - answerIncision 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? - answerWe 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? -
answerLimit 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 - answerProvide 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? - answerAssessing
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? - answerPoor 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? - answerMonotone 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? -
answerPsychostimulant 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? - answerProtruding tongue
Exam 4 Exam Questions & Answers,
Explained Solutions| 2025-2026
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? - answerAdminister
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? - answer"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? - answerPalpating 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? - answerAdminister 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? - answerHydration 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? - answerApply 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? - answer"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? - answerPallor
, 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? - answerIncision 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? - answerWe 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? -
answerLimit 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 - answerProvide 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? - answerAssessing
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? - answerPoor 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? - answerMonotone 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? -
answerPsychostimulant 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? - answerProtruding tongue
