NUR 230 EXAM 4 OB PEDS LATEST REVIEWED
QUESTIONS WITH CORRECT AND VERIFIED ANSWERS
GRADED A+ 2026
1. The nurse is caring for a child who has leukemia with a white blood cell
count less than 1,000/mm³. Which intervention should the nurse include
in the child’s plan of care?
A. Allow the child to play with other children who do not have a fever
B. Assign the child to a room with other children
C. Use sterile technique for procedures
D. Administer a live influenza vaccination
Correct Answer:
C. Use sterile technique for procedures
Detailed Rationale:
A white blood cell count below 1,000/mm³ indicates severe
immunosuppression and places the child at a very high risk for infection.
The nurse should implement strict infection-control measures, including the
use of sterile technique for appropriate procedures. The child should also
be protected from unnecessary exposure to other children because even
minor infections can become serious in an immunocompromised child. Live
vaccines, such as live influenza vaccine, should generally be avoided in
severely immunocompromised clients.
2. The nurse is providing teaching to healthcare staff about osteosarcoma.
Which statement by an attendee indicates a need for additional teaching?
A. “Children typically experience pain at the primary tumor site.”
B. “The sternum is the most common site of this sarcoma.”
C. “A common manifestation is limping if a weight-bearing limb is affected.”
D. “Early symptoms may be mistaken for normal growing pains.”
Correct Answer:
,B. “The sternum is the most common site of this sarcoma.”
Detailed Rationale:
Osteosarcoma most commonly develops in the long bones, particularly
around the knee, such as the distal femur and proximal tibia. Children may
experience localized pain, swelling, and limping when a weight-bearing
extremity is involved. Early symptoms may resemble normal growing pains,
which can delay recognition and diagnosis. Therefore, stating that the
sternum is the most common site demonstrates a need for additional
teaching.
3. The nurse is caring for a child suspected of having Wilms tumor. Which
action by the nurse indicates a need for additional training?
A. Preventing the child from playing tag in the playroom
B. Palpating the child’s abdomen
C. Instructing the parents that the child may need activity restrictions
D. Requesting a bland, soft diet if prescribed
Correct Answer:
B. Palpating the child’s abdomen
Detailed Rationale:
The abdomen of a child suspected of having a Wilms tumor should not be
palpated. Manipulation of the abdomen can rupture the tumor capsule and
potentially cause malignant cells to spread. The nurse should protect the
child's abdomen from trauma and avoid unnecessary abdominal
examination. Activity restrictions may also be necessary to reduce the risk
of tumor rupture.
, 4. The nurse is caring for a 5-year-old child with sickle cell disease who is
receiving IV fluids and continuous IV morphine. The child has respirations
of 10/min and is unarousable. Which action should the nurse take first?
A. Elevate the head of the bed
B. Increase the IV fluid rate
C. Obtain a complete metabolic panel
D. Administer naloxone
Correct Answer:
D. Administer naloxone
Detailed Rationale:
The child has respiratory depression and decreased level of
consciousness while receiving continuous morphine, indicating possible
opioid toxicity. Respirations of 10/min are concerning for opioid-induced
respiratory depression. Naloxone is an opioid antagonist that reverses the
effects of morphine and can restore respiratory function. Airway and
breathing remain the immediate priorities.
5. The nurse is admitting a child with vaso-occlusive sickle cell crisis.
Which interventions should the nurse anticipate?
A. Hydration and pain management
B. Factor VIII replacement and globulins
C. Heparin therapy and electrolyte replacement
D. Correction of alkalosis and activity restriction only
Correct Answer:
QUESTIONS WITH CORRECT AND VERIFIED ANSWERS
GRADED A+ 2026
1. The nurse is caring for a child who has leukemia with a white blood cell
count less than 1,000/mm³. Which intervention should the nurse include
in the child’s plan of care?
A. Allow the child to play with other children who do not have a fever
B. Assign the child to a room with other children
C. Use sterile technique for procedures
D. Administer a live influenza vaccination
Correct Answer:
C. Use sterile technique for procedures
Detailed Rationale:
A white blood cell count below 1,000/mm³ indicates severe
immunosuppression and places the child at a very high risk for infection.
The nurse should implement strict infection-control measures, including the
use of sterile technique for appropriate procedures. The child should also
be protected from unnecessary exposure to other children because even
minor infections can become serious in an immunocompromised child. Live
vaccines, such as live influenza vaccine, should generally be avoided in
severely immunocompromised clients.
2. The nurse is providing teaching to healthcare staff about osteosarcoma.
Which statement by an attendee indicates a need for additional teaching?
A. “Children typically experience pain at the primary tumor site.”
B. “The sternum is the most common site of this sarcoma.”
C. “A common manifestation is limping if a weight-bearing limb is affected.”
D. “Early symptoms may be mistaken for normal growing pains.”
Correct Answer:
,B. “The sternum is the most common site of this sarcoma.”
Detailed Rationale:
Osteosarcoma most commonly develops in the long bones, particularly
around the knee, such as the distal femur and proximal tibia. Children may
experience localized pain, swelling, and limping when a weight-bearing
extremity is involved. Early symptoms may resemble normal growing pains,
which can delay recognition and diagnosis. Therefore, stating that the
sternum is the most common site demonstrates a need for additional
teaching.
3. The nurse is caring for a child suspected of having Wilms tumor. Which
action by the nurse indicates a need for additional training?
A. Preventing the child from playing tag in the playroom
B. Palpating the child’s abdomen
C. Instructing the parents that the child may need activity restrictions
D. Requesting a bland, soft diet if prescribed
Correct Answer:
B. Palpating the child’s abdomen
Detailed Rationale:
The abdomen of a child suspected of having a Wilms tumor should not be
palpated. Manipulation of the abdomen can rupture the tumor capsule and
potentially cause malignant cells to spread. The nurse should protect the
child's abdomen from trauma and avoid unnecessary abdominal
examination. Activity restrictions may also be necessary to reduce the risk
of tumor rupture.
, 4. The nurse is caring for a 5-year-old child with sickle cell disease who is
receiving IV fluids and continuous IV morphine. The child has respirations
of 10/min and is unarousable. Which action should the nurse take first?
A. Elevate the head of the bed
B. Increase the IV fluid rate
C. Obtain a complete metabolic panel
D. Administer naloxone
Correct Answer:
D. Administer naloxone
Detailed Rationale:
The child has respiratory depression and decreased level of
consciousness while receiving continuous morphine, indicating possible
opioid toxicity. Respirations of 10/min are concerning for opioid-induced
respiratory depression. Naloxone is an opioid antagonist that reverses the
effects of morphine and can restore respiratory function. Airway and
breathing remain the immediate priorities.
5. The nurse is admitting a child with vaso-occlusive sickle cell crisis.
Which interventions should the nurse anticipate?
A. Hydration and pain management
B. Factor VIII replacement and globulins
C. Heparin therapy and electrolyte replacement
D. Correction of alkalosis and activity restriction only
Correct Answer:
