NUR 254 Exam 3: Pediatric Nursing |
Complete Questions & Answers with
Rationales | 100% Correct- Galen
This NUR 254 Exam 3 (Maternal and Pediatrics at Galen College of
Nursing) focuses heavily on pediatric nursing, covering growth and
development milestones (Erikson/Piaget), pediatric assessment, pain
management, and chronic conditions. Key topics include cardiac
disorders (e.g., PDA), respiratory infections (e.g., RSV), nutrition,
immunizations, and family-centered care.
Key Topics and Content Areas:
Growth & Development: Physical and psychosocial stages from infancy
through adolescence, including developmental milestones.
Pediatric Assessment & Care: Pain management using tools like NIPS,
atraumatic care techniques, and communication strategies.
Common Pediatric Conditions:
Respiratory: Respiratory Syncytial Virus (RSV), Croup, Epiglottitis (nursing
interventions for medical emergencies).
Cardiac: Patent Ductus Arteriosus (PDA), Tetralogy of Fallot ("Tet"
spells).
General: Failure to thrive, obesity, and safety.
Nursing Interventions: Appropriate actions for pediatric patients, such as
positioning for cyanotic spells, oxygen administration, and managing
medications.
Hospitalization Impact: Reactions to illness, separation anxiety, and
developmental stage-appropriate care.
1
, Quiz_________________?
1. The nurse would call the primary care provider immediately
for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 × 103 /mL3
4. Platelets = 300 × 103 /mL3 -
Answer
Answer: 2. Rationale: Option 2 is very low and can lead to
death. The client's red blood cells participate in oxygenation.
Options 1, 3, and 4 are within normal range and should not be
reported to the primary care provider.
Quiz_________________?
2. A 78-year-old male client needs to complete a 24-hour urine
specimen. In planning his care, the nurse realizes that which
measure is most important? 1. Instruct the client to empty his
bladder and save this voiding to start the collection.
2. Instruct the client to use sterile individual containers to
collect the urine.
3. Post a sign stating "Save All Urine" in the bathroom.
4. Keep the urine specimen in the refrigerator. -
2
, Answer
Answer: 3. Rationale: Option 3 is the most important nursing
measure. This will inform the staff that the client is on a 24-
hour urine collection. Option 1 is not appropriate since the
first voided specimen is to be discarded. Option 2 is not an
appropriate nursing measure since the specimen container is
clean not sterile, and one container is needed—not individual
containers. Option 4 is inappropriate because some 24-hour
urine collections do not require refrigeration.
Quiz_________________?
3. The client has a urinary health problem. Which procedure is
performed using indirect visualization? 1. Intravenous
pyelography (IVP)
2. Kidneys, ureter, bladder (KUB)
3. Retrograde pyelography
4. Cystoscopy -
Answer
Answer: 2. Rationale: A KUB is an x-ray of the kidneys, ureters,
and bladder. This does not require direct visualization. Option
1 is an IVP, an intravenous pyelogram, which requires the
injection of a contrast media. Option 3 is a retrograde
pyelography, which requires the injection of a contrast media.
3
, Option 4 is a cystoscopy, which uses a lighted instrument
(cystoscope) inserted through the urethra, resulting in direct
visualization.
Quiz_________________?
4. Which noninvasive procedure provides information about
the physiology or function of an organ?
1. Angiography
2. Computerized tomography (CT)
3. Magnetic resonance imaging (MRI)
4. Positron emission tomography (PET) -
Answer
Answer: 4. Rationale: This type of nuclear scan demonstrates
the ability of tissues to absorb the chemical to indicate the
physiology and function of an organ. Option 1 is an invasive
procedure that focuses on blood flow through an organ.
Options 2 and 3 provide information about density of tissue to
help distinguish between normal and abnormal tissue of an
organ.
Quiz_________________?
4
Complete Questions & Answers with
Rationales | 100% Correct- Galen
This NUR 254 Exam 3 (Maternal and Pediatrics at Galen College of
Nursing) focuses heavily on pediatric nursing, covering growth and
development milestones (Erikson/Piaget), pediatric assessment, pain
management, and chronic conditions. Key topics include cardiac
disorders (e.g., PDA), respiratory infections (e.g., RSV), nutrition,
immunizations, and family-centered care.
Key Topics and Content Areas:
Growth & Development: Physical and psychosocial stages from infancy
through adolescence, including developmental milestones.
Pediatric Assessment & Care: Pain management using tools like NIPS,
atraumatic care techniques, and communication strategies.
Common Pediatric Conditions:
Respiratory: Respiratory Syncytial Virus (RSV), Croup, Epiglottitis (nursing
interventions for medical emergencies).
Cardiac: Patent Ductus Arteriosus (PDA), Tetralogy of Fallot ("Tet"
spells).
General: Failure to thrive, obesity, and safety.
Nursing Interventions: Appropriate actions for pediatric patients, such as
positioning for cyanotic spells, oxygen administration, and managing
medications.
Hospitalization Impact: Reactions to illness, separation anxiety, and
developmental stage-appropriate care.
1
, Quiz_________________?
1. The nurse would call the primary care provider immediately
for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 × 103 /mL3
4. Platelets = 300 × 103 /mL3 -
Answer
Answer: 2. Rationale: Option 2 is very low and can lead to
death. The client's red blood cells participate in oxygenation.
Options 1, 3, and 4 are within normal range and should not be
reported to the primary care provider.
Quiz_________________?
2. A 78-year-old male client needs to complete a 24-hour urine
specimen. In planning his care, the nurse realizes that which
measure is most important? 1. Instruct the client to empty his
bladder and save this voiding to start the collection.
2. Instruct the client to use sterile individual containers to
collect the urine.
3. Post a sign stating "Save All Urine" in the bathroom.
4. Keep the urine specimen in the refrigerator. -
2
, Answer
Answer: 3. Rationale: Option 3 is the most important nursing
measure. This will inform the staff that the client is on a 24-
hour urine collection. Option 1 is not appropriate since the
first voided specimen is to be discarded. Option 2 is not an
appropriate nursing measure since the specimen container is
clean not sterile, and one container is needed—not individual
containers. Option 4 is inappropriate because some 24-hour
urine collections do not require refrigeration.
Quiz_________________?
3. The client has a urinary health problem. Which procedure is
performed using indirect visualization? 1. Intravenous
pyelography (IVP)
2. Kidneys, ureter, bladder (KUB)
3. Retrograde pyelography
4. Cystoscopy -
Answer
Answer: 2. Rationale: A KUB is an x-ray of the kidneys, ureters,
and bladder. This does not require direct visualization. Option
1 is an IVP, an intravenous pyelogram, which requires the
injection of a contrast media. Option 3 is a retrograde
pyelography, which requires the injection of a contrast media.
3
, Option 4 is a cystoscopy, which uses a lighted instrument
(cystoscope) inserted through the urethra, resulting in direct
visualization.
Quiz_________________?
4. Which noninvasive procedure provides information about
the physiology or function of an organ?
1. Angiography
2. Computerized tomography (CT)
3. Magnetic resonance imaging (MRI)
4. Positron emission tomography (PET) -
Answer
Answer: 4. Rationale: This type of nuclear scan demonstrates
the ability of tissues to absorb the chemical to indicate the
physiology and function of an organ. Option 1 is an invasive
procedure that focuses on blood flow through an organ.
Options 2 and 3 provide information about density of tissue to
help distinguish between normal and abnormal tissue of an
organ.
Quiz_________________?
4
