GALEN COLLEGE OF NURSING · COLLEGE OF NURSING
NUR 254 — Exam 3
Pediatric Nursing
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Concepts of Nursing — The Childbearing and Child Caring
Families
Exam 3 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Family Centered Care & Growth/Development 2
3. Pediatric Assessment & Communication 3
4. Cardiac Conditions 4
,5. Respiratory Conditions 5
6. Renal & Gastrointestinal Conditions 5
7. Infectious & Inflammatory Conditions 6
NUR 254 · Galen College of Nursing Page 1
, NUR 254 — EXAM 3 — PEDIATRIC NURSING INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 Exam 3 — Pediatric Nursing.
Family Centered Care & Growth/Development
1 A nurse is implementing atraumatic care principles for a pediatric client. Which
action best demonstrates atraumatic care?
A Performing all procedures in the child's bed
B Preventing or minimizing separation from parents
C Keeping all equipment visible to reduce fear
D Administering all medications via injection
Why B is correct: Atraumatic care principles include preventing or minimizing separation
from parents, promoting a sense of control, and preventing or minimizing bodily injury or
pain.
A — Procedures should be done in a treatment room, not the bed.
C — Equipment should be kept out of sight to reduce fear.
D — Minimizing invasive procedures is part of atraumatic care.
NUR 254 — Exam 3
Pediatric Nursing
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Concepts of Nursing — The Childbearing and Child Caring
Families
Exam 3 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Family Centered Care & Growth/Development 2
3. Pediatric Assessment & Communication 3
4. Cardiac Conditions 4
,5. Respiratory Conditions 5
6. Renal & Gastrointestinal Conditions 5
7. Infectious & Inflammatory Conditions 6
NUR 254 · Galen College of Nursing Page 1
, NUR 254 — EXAM 3 — PEDIATRIC NURSING INSTRUCTIONS & QUESTIONS
How to Use This Study Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains comprehensive NCLEX-style questions covering all concepts
for NUR 254 Exam 3 — Pediatric Nursing.
Family Centered Care & Growth/Development
1 A nurse is implementing atraumatic care principles for a pediatric client. Which
action best demonstrates atraumatic care?
A Performing all procedures in the child's bed
B Preventing or minimizing separation from parents
C Keeping all equipment visible to reduce fear
D Administering all medications via injection
Why B is correct: Atraumatic care principles include preventing or minimizing separation
from parents, promoting a sense of control, and preventing or minimizing bodily injury or
pain.
A — Procedures should be done in a treatment room, not the bed.
C — Equipment should be kept out of sight to reduce fear.
D — Minimizing invasive procedures is part of atraumatic care.
