NUR 231
EXAM 4
Maternal Nursing
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. 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?
A. Administer prescribed influenza vaccination.
B. Assign the child to a room with other children.
C. Allow the child to play with other children who do not have a fever.
D. Use sterile techniques for any procedures.
Correct Answer: D
Expert Rationale:
A WBC count of < 1,000/mm³ indicates severe neutropenia, placing the child at
high risk for infection. Implementing sterile techniques for all procedures is crucial
to minimize the risk of introducing pathogens. Live immunizations such as
influenza should be avoided until immune function is improved. The child should
have limited contact with others, especially groups or children with any possible
illness. This is in alignment with the recommendations for immunocompromised
pediatric patients.
2. 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?
A. “A common clinical manifestation is limping if a weight-bearing limb is
affected.”
B. “The sternum is the most common site of this sarcoma.”
C. “Children typically experience pain at the primary tumor site.”
D. “In the early stage, the symptoms of this disease are usually attributed to
normal growing pains.”
Correct Answer: B
Expert Rationale:
Osteosarcoma primarily affects the long bones, particularly around the knee
,(distal femur, proximal tibia, and proximal humerus), not the sternum. Limping,
pain at the tumor site, and attribution of early symptoms to growing pains are all
accurate. Misconceptions regarding location can delay appropriate diagnosis and
treatment.
3. 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?
A. Instructing the parents that the child needs to remain in bed.
B. Preventing a child from playing tag in the playroom.
C. Requesting a bland soft diet for the child.
D. Palpating the child’s abdomen.
Correct Answer: D
Expert Rationale:
Palpation of the abdomen in a child suspected of having Wilm’s tumor is strictly
contraindicated due to the risk of rupturing the encapsulated tumor, which can
disseminate cancerous cells. This is a well-established safety precaution in
pediatric oncology.
4. 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?
A. Increase the IV fluids to decrease vaso-occlusion.
B. Obtain a complete metabolic laboratory blood sample.
C. Elevate the head of the bed (HOB) to increase oxygen saturation.
D. Administer naloxone to reverse the effect of the morphine.
Correct Answer: D
,Expert Rationale:
A respiratory rate of 10/min and unarousability are signs of opioid overdose, likely
due to morphine. The priority is to reverse opioid-induced respiratory depression
with naloxone, as airway and breathing take precedence over other interventions
(ABC rule).
5. 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?
A. Correction of alkalosis and reduction of energy expenditure.
B. Globulins and factor VIII replacement.
C. Hydration and pain management.
D. Electrolyte replacement and administration of heparin.
Correct Answer: C
Expert Rationale:
The primary treatments for vaso-occlusive episodes in sickle cell disease are
aggressive intravenous hydration (to decrease blood viscosity and facilitate
movement of sickled cells) and pain control, typically with opioids. Factor VIII and
globulin replacement are indicated in different hematologic conditions.
6. 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?
A. Take the child to the nearest emergency department (ED).
B. Keep the child’s affected knee below the level of the heart.
C. Apply an ice pack and compression dressings to the knee.
D. Administer recommended dose of aspirin.
, Correct Answer: C
Expert Rationale:
R.I.C.E. (Rest, Ice, Compression, Elevation) is the initial treatment for joint bleeds
in hemophilia. Ice and compression reduce bleeding and swelling. Aspirin is
contraindicated due to its anticoagulant effects. The child does not need to
present to ED unless the bleeding is uncontrolled or the hemarthrosis is severe.
7. The newly hired nurse is talking with the nurse preceptor about the
prevention of iron-deficiency anemia in infants. Which of the following
statements by the newly hired nurse is correct regarding prevention of this
condition?
A. “Whole cow’s milk should not be given until 1 year of age with limited daily
intake.”
B. “Ferrous sulfate drops are contraindicated in infants less than 6 months of age.”
C. “Iron-fortified commercial formula should be given for the first 6 months of
life.”
D. “Iron-fortified infant cereal should be introduced to infants at 10 months.”
Correct Answer: A
Expert Rationale:
The American Academy of Pediatrics recommends that cow’s milk be avoided in
infants under 12 months because it is low in iron and can cause occult GI bleeding,
increasing the risk of iron-deficiency anemia. After 1 year, intake should be limited
to no more than 24 oz/day.
8. The nurse is assessing a child who has severe iron deficiency anemia. Which of
the following assessment findings should the nurse expect to observe?
A. Pallor.
B. Painful swelling of the hands.
EXAM 4
Maternal Nursing
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. 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?
A. Administer prescribed influenza vaccination.
B. Assign the child to a room with other children.
C. Allow the child to play with other children who do not have a fever.
D. Use sterile techniques for any procedures.
Correct Answer: D
Expert Rationale:
A WBC count of < 1,000/mm³ indicates severe neutropenia, placing the child at
high risk for infection. Implementing sterile techniques for all procedures is crucial
to minimize the risk of introducing pathogens. Live immunizations such as
influenza should be avoided until immune function is improved. The child should
have limited contact with others, especially groups or children with any possible
illness. This is in alignment with the recommendations for immunocompromised
pediatric patients.
2. 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?
A. “A common clinical manifestation is limping if a weight-bearing limb is
affected.”
B. “The sternum is the most common site of this sarcoma.”
C. “Children typically experience pain at the primary tumor site.”
D. “In the early stage, the symptoms of this disease are usually attributed to
normal growing pains.”
Correct Answer: B
Expert Rationale:
Osteosarcoma primarily affects the long bones, particularly around the knee
,(distal femur, proximal tibia, and proximal humerus), not the sternum. Limping,
pain at the tumor site, and attribution of early symptoms to growing pains are all
accurate. Misconceptions regarding location can delay appropriate diagnosis and
treatment.
3. 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?
A. Instructing the parents that the child needs to remain in bed.
B. Preventing a child from playing tag in the playroom.
C. Requesting a bland soft diet for the child.
D. Palpating the child’s abdomen.
Correct Answer: D
Expert Rationale:
Palpation of the abdomen in a child suspected of having Wilm’s tumor is strictly
contraindicated due to the risk of rupturing the encapsulated tumor, which can
disseminate cancerous cells. This is a well-established safety precaution in
pediatric oncology.
4. 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?
A. Increase the IV fluids to decrease vaso-occlusion.
B. Obtain a complete metabolic laboratory blood sample.
C. Elevate the head of the bed (HOB) to increase oxygen saturation.
D. Administer naloxone to reverse the effect of the morphine.
Correct Answer: D
,Expert Rationale:
A respiratory rate of 10/min and unarousability are signs of opioid overdose, likely
due to morphine. The priority is to reverse opioid-induced respiratory depression
with naloxone, as airway and breathing take precedence over other interventions
(ABC rule).
5. 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?
A. Correction of alkalosis and reduction of energy expenditure.
B. Globulins and factor VIII replacement.
C. Hydration and pain management.
D. Electrolyte replacement and administration of heparin.
Correct Answer: C
Expert Rationale:
The primary treatments for vaso-occlusive episodes in sickle cell disease are
aggressive intravenous hydration (to decrease blood viscosity and facilitate
movement of sickled cells) and pain control, typically with opioids. Factor VIII and
globulin replacement are indicated in different hematologic conditions.
6. 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?
A. Take the child to the nearest emergency department (ED).
B. Keep the child’s affected knee below the level of the heart.
C. Apply an ice pack and compression dressings to the knee.
D. Administer recommended dose of aspirin.
, Correct Answer: C
Expert Rationale:
R.I.C.E. (Rest, Ice, Compression, Elevation) is the initial treatment for joint bleeds
in hemophilia. Ice and compression reduce bleeding and swelling. Aspirin is
contraindicated due to its anticoagulant effects. The child does not need to
present to ED unless the bleeding is uncontrolled or the hemarthrosis is severe.
7. The newly hired nurse is talking with the nurse preceptor about the
prevention of iron-deficiency anemia in infants. Which of the following
statements by the newly hired nurse is correct regarding prevention of this
condition?
A. “Whole cow’s milk should not be given until 1 year of age with limited daily
intake.”
B. “Ferrous sulfate drops are contraindicated in infants less than 6 months of age.”
C. “Iron-fortified commercial formula should be given for the first 6 months of
life.”
D. “Iron-fortified infant cereal should be introduced to infants at 10 months.”
Correct Answer: A
Expert Rationale:
The American Academy of Pediatrics recommends that cow’s milk be avoided in
infants under 12 months because it is low in iron and can cause occult GI bleeding,
increasing the risk of iron-deficiency anemia. After 1 year, intake should be limited
to no more than 24 oz/day.
8. The nurse is assessing a child who has severe iron deficiency anemia. Which of
the following assessment findings should the nurse expect to observe?
A. Pallor.
B. Painful swelling of the hands.
