NUR 254 EXAM 4 | NURSING 254
MATERNAL EXAM 4
40+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
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📋 DOCUMENT OVERVIEW 41 Qs
This document covers pediatric nursing topics, including leukemia, chronic pain, Wilms tumor, sickle cell
disease, hemophilia, congenital spinal anomalies, and orthopedic injuries such as myelomeningocele and
femur fractures. The document provides 41 questions with correct answers and detailed explanations,
offering a comprehensive review of these concepts for exam preparation. Students can use this
document to study, review, and understand key nursing principles and practices related to these topics,
facilitating their exam preparation and nursing expertise.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a child newly diagnosed with leukemia and has a current white blood cell count
of less than 1000 cells/mm³. Which of the following should be included in the child's plan of care?
A) Administer prescribed antibiotics immediately
B) Provide routine flu precautions only
C) Administer the prescribed influenza vaccination
D) Delay flu vaccination due to low WBC count
CORRECT ANSWER
C) Administer the prescribed influenza vaccination
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, RATIONALE: The child's low white blood cell count increases the risk for infection. Administering the prescribed
influenza vaccination will help protect the child from influenza-related complications. Administering antibiotics (A) is not
indicated at this time. Routine flu precautions (B) are insufficient to prevent infection. Delaying flu vaccination (D) would
put the child at increased risk for influenza.
QUESTION 2
A client arrives at the emergency department with complaints of chronic pain in the lower extremities,
which have been attributed to growing pains. The nurse is teaching staff members about the client's
condition. Which of the following responses from a staff member indicates a need for additional
teaching?
A) "I understand that osteosarcoma usually presents with a visible mass in the affected limb."
B) "Growing pains are often caused by nutritional deficiencies, so I recommend a diet rich in calcium
and vitamins."
C) "In the early stages, the symptoms of osteosarcoma, such as pain, are often mistaken for normal
growing pains."
D) "Osteosarcoma typically affects older adults, so I'll make sure to document the client's age
correctly."
CORRECT ANSWER
C) "In the early stages, the symptoms of osteosarcoma, such as pain, are often mistaken for normal
growing pains."
RATIONALE: The staff member's response indicates a misunderstanding about the early symptoms of osteosarcoma,
which are often attributed to normal growing pains. This requires additional teaching to clarify the correct information.
Options A, B, and D are incorrect because they do not indicate a need for additional teaching.
QUESTION 3
The nurse is assessing a patient who is suspected of having a Wilms tumor, requiring careful
consideration of the physical exam.
A) Asking the patient to describe the site of abdominal discomfort.
B) Palpating the patient's abdomen to assess masses or tenderness.
C) Checking the patient's vital signs to evaluate for any signs of distress.
D) Reviewing the patient's laboratory results to diagnose the tumor.
CORRECT ANSWER
B) Palpating the patient's abdomen to assess masses or tenderness.
RATIONALE: Palpating the patient's abdomen indicates the need for additional training, as it requires a thorough
understanding of the abdominal anatomy and the ability to identify masses or tenderness, which is beyond the nurse's
scope of practice in this scenario.
QUESTION 4
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, A patient has a prescription for continuous IV morphine sulfate for pain management due to sickle cell
disease (SCD) and is currently unresponsive with a respiratory rate of 10. Which action should the
nurse take first?
A) Administer oxygen via non-rebreather mask
B) Check the patient's blood glucose level
C) Administer naloxone to reverse opioid effect
D) Increase the IV fluid rate
CORRECT ANSWER
C) Administer naloxone to reverse opioid effect
RATIONALE: The patient's unresponsiveness and decreased respiratory rate may indicate opioid overdose.
Administering naloxone, a specific opioid receptor antagonist, is the most appropriate action to reverse the opioid effect
and improve the patient's respiratory status. Checking blood glucose or increasing IV fluid rate may be helpful but are
not the priority action in this situation.
QUESTION 5
The nurse receives report on four clients, including a 10-year-old boy with a diagnosis of sickle cell
disease. He reports experiencing severe abdominal pain. Which intervention should the nurse
anticipate for his pain management?
A) Administering a benzodiazepine
B) Providing hydration with oral fluids only
C) Administering acetaminophen and ibuprofen as needed
D) Applying heat packs to the abdomen
CORRECT ANSWER
C) Administering acetaminophen and ibuprofen as needed
RATIONALE: The nurse anticipates pain management for the child with sickle cell disease using medications such as
acetaminophen and ibuprofen as needed. This is a standard approach for managing pain associated with vaso-occlusive
crises. Administering benzodiazepines is not typically recommended for pain management, and oral fluids alone may not
be sufficient for hydration needs. Applying heat packs may not be effective in managing severe abdominal pain.
QUESTION 6
A client reports a family history of hemophilia and seeks guidance on how to manage potential future
injuries. The nurse provides information on the following actions to take during an injury, EXCEPT:
A) Applying an ice pack to the affected area
B) Elevating the injured area above the level of the heart
C) Using a tourniquet to restrict blood flow
D) Applying compression dressings to the injured area
CORRECT ANSWER
C) Using a tourniquet to restrict blood flow
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MATERNAL EXAM 4
40+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 41 Qs
This document covers pediatric nursing topics, including leukemia, chronic pain, Wilms tumor, sickle cell
disease, hemophilia, congenital spinal anomalies, and orthopedic injuries such as myelomeningocele and
femur fractures. The document provides 41 questions with correct answers and detailed explanations,
offering a comprehensive review of these concepts for exam preparation. Students can use this
document to study, review, and understand key nursing principles and practices related to these topics,
facilitating their exam preparation and nursing expertise.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A nurse is caring for a child newly diagnosed with leukemia and has a current white blood cell count
of less than 1000 cells/mm³. Which of the following should be included in the child's plan of care?
A) Administer prescribed antibiotics immediately
B) Provide routine flu precautions only
C) Administer the prescribed influenza vaccination
D) Delay flu vaccination due to low WBC count
CORRECT ANSWER
C) Administer the prescribed influenza vaccination
Trusted by thousands of students and professionals worldwide Page 1 of 17
, RATIONALE: The child's low white blood cell count increases the risk for infection. Administering the prescribed
influenza vaccination will help protect the child from influenza-related complications. Administering antibiotics (A) is not
indicated at this time. Routine flu precautions (B) are insufficient to prevent infection. Delaying flu vaccination (D) would
put the child at increased risk for influenza.
QUESTION 2
A client arrives at the emergency department with complaints of chronic pain in the lower extremities,
which have been attributed to growing pains. The nurse is teaching staff members about the client's
condition. Which of the following responses from a staff member indicates a need for additional
teaching?
A) "I understand that osteosarcoma usually presents with a visible mass in the affected limb."
B) "Growing pains are often caused by nutritional deficiencies, so I recommend a diet rich in calcium
and vitamins."
C) "In the early stages, the symptoms of osteosarcoma, such as pain, are often mistaken for normal
growing pains."
D) "Osteosarcoma typically affects older adults, so I'll make sure to document the client's age
correctly."
CORRECT ANSWER
C) "In the early stages, the symptoms of osteosarcoma, such as pain, are often mistaken for normal
growing pains."
RATIONALE: The staff member's response indicates a misunderstanding about the early symptoms of osteosarcoma,
which are often attributed to normal growing pains. This requires additional teaching to clarify the correct information.
Options A, B, and D are incorrect because they do not indicate a need for additional teaching.
QUESTION 3
The nurse is assessing a patient who is suspected of having a Wilms tumor, requiring careful
consideration of the physical exam.
A) Asking the patient to describe the site of abdominal discomfort.
B) Palpating the patient's abdomen to assess masses or tenderness.
C) Checking the patient's vital signs to evaluate for any signs of distress.
D) Reviewing the patient's laboratory results to diagnose the tumor.
CORRECT ANSWER
B) Palpating the patient's abdomen to assess masses or tenderness.
RATIONALE: Palpating the patient's abdomen indicates the need for additional training, as it requires a thorough
understanding of the abdominal anatomy and the ability to identify masses or tenderness, which is beyond the nurse's
scope of practice in this scenario.
QUESTION 4
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, A patient has a prescription for continuous IV morphine sulfate for pain management due to sickle cell
disease (SCD) and is currently unresponsive with a respiratory rate of 10. Which action should the
nurse take first?
A) Administer oxygen via non-rebreather mask
B) Check the patient's blood glucose level
C) Administer naloxone to reverse opioid effect
D) Increase the IV fluid rate
CORRECT ANSWER
C) Administer naloxone to reverse opioid effect
RATIONALE: The patient's unresponsiveness and decreased respiratory rate may indicate opioid overdose.
Administering naloxone, a specific opioid receptor antagonist, is the most appropriate action to reverse the opioid effect
and improve the patient's respiratory status. Checking blood glucose or increasing IV fluid rate may be helpful but are
not the priority action in this situation.
QUESTION 5
The nurse receives report on four clients, including a 10-year-old boy with a diagnosis of sickle cell
disease. He reports experiencing severe abdominal pain. Which intervention should the nurse
anticipate for his pain management?
A) Administering a benzodiazepine
B) Providing hydration with oral fluids only
C) Administering acetaminophen and ibuprofen as needed
D) Applying heat packs to the abdomen
CORRECT ANSWER
C) Administering acetaminophen and ibuprofen as needed
RATIONALE: The nurse anticipates pain management for the child with sickle cell disease using medications such as
acetaminophen and ibuprofen as needed. This is a standard approach for managing pain associated with vaso-occlusive
crises. Administering benzodiazepines is not typically recommended for pain management, and oral fluids alone may not
be sufficient for hydration needs. Applying heat packs may not be effective in managing severe abdominal pain.
QUESTION 6
A client reports a family history of hemophilia and seeks guidance on how to manage potential future
injuries. The nurse provides information on the following actions to take during an injury, EXCEPT:
A) Applying an ice pack to the affected area
B) Elevating the injured area above the level of the heart
C) Using a tourniquet to restrict blood flow
D) Applying compression dressings to the injured area
CORRECT ANSWER
C) Using a tourniquet to restrict blood flow
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