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NUR 254 Final Exam – Comprehensive Study Guide, Notes & Practice Questions (2026 Updated)

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NUR 254 Final Exam – Comprehensive Study Guide, Notes & Practice Questions (2026 Updated)

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NUR 254 Final Exam – Comprehensive Study Guide, Notes & Practice Questions
(2026 Updated)


THE NURSE IS CARING FOR A CHILD WHO HAD EWINGS SARCOMA AND IS UNDERGOING TX.
THE NURSE IS EDUCATING THE CLIENTS PARENTS ABOUT APPROPRIATE CARE OF THE AFFECTED
SKIN AREA. Which of the following statements by the parents requires follow-up by the nurse? -
correct answer ✔✔We should keep our child from using the extremity with the affected area



The nurse is admitting a child who has vaso -occlusive sickle cell crisis..which of the following
interventions should the nurse anticipate being prescribed for the child? - correct answer
✔✔Pain meds and IV fluids



The nurse is speaking with the parents of a school aged child. The parent asks the nurse what
reaction is expected from their child regarding the impending death of a loved one. The nurse
should state that children in this age group - correct answer ✔✔May ask what happens to the
body after death



The nurse is caring for a 4 year old child who is 36 hours post op following removal of wills
tumor. Which of the following findings requires immediate follow up by the nurse? - correct
answer ✔✔Absent bowel sounds in all 4 quadrants



The nurse is caring for a child who is suspected of having wills tumors. Which of the following
actions by the nurse indicates the need for additional training? - correct answer ✔✔Palpating
the child's abdomen



The nurse preceptor is discussing the prevention of iron deficiency anemia in preterm infants
with a newly hired nurse. Which of the following statements by the newly hired nurse indicates
a correct understanding of this condition - correct answer ✔✔Iron supplementation should be
introduced at 2 months of age

, The nurse has attended a continuing education conference on preschool age children's reaction
to death. It indicates a correct understanding of the conference if the nurse states that
preschool-age children may - correct answer ✔✔Imagine the deceased person is sleeping



The nurse is providing a teaching session to health care staff regarding osteosarcoma. Which of
the following statements by a staff member indicates a need for additional teaching? - correct
answer ✔✔The sternum is the most common site of this sarcoma



The nurse is caring for a child who has retinoblastoma and is returning from an enuclestion
procedure. The parents are concerned about their child's appearance after the procedure.
Which of the following statements by the nurse is appropriate? - correct answer ✔✔Your child's
face may be edematous and ecchymosis



The nurse is speaking with the mother of a child who passed away 1 month ago. The mother
states, " I feel like Iam going crazy. I hear my child's voice all of the time. Which of the following
is an appropriate response to the grieving mother? - correct answer ✔✔This is normal and
signifies you are working through the acute phase of grief.



The nurse is caring for a child who has leukemia with an absolute neutrophil count ( ANC) lower
than 500mm* (normal range is greater than 1,000 mm*). Which of the following is best for the
nurse to include in the child's plan of care? - correct answer ✔✔Require the child to wash their
hands when they go in and out of the room.



The nurse is assessing a 3 year old child who has sickle cell anemia during a routine visit with
the pediatrician. The nurse knows it is a priority to evaluate the child's - correct answer
✔✔Vaccination history



The nurse is discussing the administration of iron with the caregivers of an adolescent who has
iron deficiency anemia. Which of the following information should the nurse give to the
caregivers? - correct answer ✔✔Citrus juice increases absorption iron (OJ).

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