NUR 254 CHILD CARING EXAM 3 AND EXAM 4 COMBINED QUESTIONS AND CORRECT ANSWERS LATEST UPDATE 2026/2027 GRADED A+ .

1. pain scale= NIPS CORRECT ANSWER used for 2 months or less 2. Pain scale= Flacc CORRECT ANSWER used for more than 2 months old 3. Pain scale= Wong Baker CORRECT ANSWER used for 3-4 year olds( preschooler) 4. Pain scale =Numeric CORRECT ANSWER used for 8 year old and up ( as young as 5 if the understand value of numbers) 5. School age (6-12) nursing considerations CORRECT ANSWER Ask why?; let them contribute; they understand cause and ettect; Don't need to be bribed 6. Adolescent nursing assessment finding (Erikson) CORRECT ANSWER expected= theyare findingthemselves; friends are very important; Confidentiality and privacy important 7. Erikson Adolescent CORRECT ANSWER Age 12-18 Identity vsrole confusion 8. Nutritional assessment of Adolescent CORRECT ANSWER Ask Patient what they ate; also assess weight (body issues are common) 9. Erikson Preschooler CORRECT ANSWER Age 3-6 Initiate vs guilt 10. Parallel play CORRECT ANSWER Play side by side NOT with each other. (Toddlers 1-3) 11. Associative play CORRECT ANSWER NO group goal ( preschooler 3-6) ; example kicking ball around 12. Cooperative play CORRECT ANSWER Sports; common goal ( School age 6-12) 13. Preparing School age patient for procedure CORRECT ANSWER Age 6-12; Answerwhy questions, allowthem to contribute ; explain cause and ettect 14. Appropriate skill set based on age= 6 months CORRECT ANSWER shouldsitupunsupported;tripod position 15. Appropriate skill set based on age = 3 years old CORRECT ANSWER should walk up stairs with alternating feet 16. Appropriate primative reflex should disappear at= 3-4 MONTHS CORRECT ANSWER Rooting,suck-ing; Palmar; Tonic neck reflexes 17. Appropriate primative reflex should disappear at = 1 month CORRECT ANSWER Stepping reflex 18. Appropiate primative reflex should disappear at= 6 MONTHS CORRECT ANSWER Mororeflex 19. Appropriate primative reflex should disappearat= 8 MONTHS CORRECT ANSWER Plantar reflex 20. Appropriate primative reflex should disappear at= 1 year CORRECT ANSWER Babinski 21. Natural immunity CORRECT ANSWER breastfeeding / contact with virus 22. acquired immunity CORRECT ANSWER vaccines 23. Assessment finding = Child with tet spell (Cyanosis) CORRECT ANSWER 1.Knee to chest 2. administer o2 3. Morphine 4. IV fluids 24. Assessment finding to tell HCP CORRECT ANSWER Abnormal finding Tachycardia at rest 25. Assessment CORRECT ANSWER child with dx of asthma hearing NO wheezing CORRECT ANSWER Tell HCP; Status asthmaticus; MEDICAL EMERGENCY 26. Assessment CORRECT ANSWER Child dx with croup; Epiglottis CORRECT ANSWER Tell HCP prepare trach and intubation ; MEDICAL EMERGENCY 27. Intervention needed when observing CORRECT ANSWER Patient with epiglottis = student nurse is taking oral temperature CORRECT ANSWER Nothing in Mouth ; NO oral temp, no tong blade; do not visualize 28. PDA Patent Ductus arterioles S/S CORRECT ANSWER Machine likemurmur bounding pulse poor weight gain tired after feeding 29. RSV Respiratory Syntactical Virus S/S CORRECT ANSWER Rhinorrhea ( runny nose) drainage from eyes & ears Wheezing fever coughing sneezing 30. Left sided heart failure S/S CORRECT ANSWER frothy pink sputum crackles dry; hacking cough Paroxysmal nocturnal