GALEN COLLEGE OF NURSING · COLLEGE OF NURSING
NUR 254 — Child Caring
Families
Exam 4
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Pediatric Nursing — Comprehensive Review
Exam 4 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Hematologic Disorders 2
3. Pediatric Oncology 3
4. Grief, Loss & Child Abuse 3
,5. Neurologic Disorders 4
6. Developmental & Endocrine Disorders 5
7. Musculoskeletal & Integumentary Conditions 5
NUR 254 · Galen College of Nursing Page 1
, NUR 254 — CHILD CARING — EXAM 4 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 Child Caring Exam 4.
Hematologic Disorders
1 The nurse is teaching parents about iron deficiency anemia in children. Which
instruction should the nurse include?
A "Give iron supplements with milk to improve absorption."
B "Cow's milk can be introduced at 6 months of age."
C "Liquid iron supplements will not stain the teeth."
D "Keep iron supplements out of reach of children and never keep more than a
month's supply at home."
Why D is correct: Iron supplements are toxic in overdose. They should be kept out of reach
of children, and no more than a month's supply should be kept at home. Iron should be
given on an empty stomach with vitamin C for absorption, not with milk.
A — Iron should be given on an empty stomach, not with milk.
B — Cow's milk should not be introduced until 1 year of age.
C — Liquid iron supplements can stain teeth; use a straw.
NUR 254 — Child Caring
Families
Exam 4
NCLEX-Style Practice Questions with Detailed Rationales
Topic Focus: Pediatric Nursing — Comprehensive Review
Exam 4 Edition · September 2026
Table of Contents
1. Instructions for Use 2
2. Hematologic Disorders 2
3. Pediatric Oncology 3
4. Grief, Loss & Child Abuse 3
,5. Neurologic Disorders 4
6. Developmental & Endocrine Disorders 5
7. Musculoskeletal & Integumentary Conditions 5
NUR 254 · Galen College of Nursing Page 1
, NUR 254 — CHILD CARING — EXAM 4 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 Child Caring Exam 4.
Hematologic Disorders
1 The nurse is teaching parents about iron deficiency anemia in children. Which
instruction should the nurse include?
A "Give iron supplements with milk to improve absorption."
B "Cow's milk can be introduced at 6 months of age."
C "Liquid iron supplements will not stain the teeth."
D "Keep iron supplements out of reach of children and never keep more than a
month's supply at home."
Why D is correct: Iron supplements are toxic in overdose. They should be kept out of reach
of children, and no more than a month's supply should be kept at home. Iron should be
given on an empty stomach with vitamin C for absorption, not with milk.
A — Iron should be given on an empty stomach, not with milk.
B — Cow's milk should not be introduced until 1 year of age.
C — Liquid iron supplements can stain teeth; use a straw.
