NUR 254 EXAM 4 | NURSING 254 MATERNAL EXAM 4 EXAM QUESTIONS &
ANSWERS, EXPLAINED SOLUTIONS| 2025
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? ANS : Administer prescribed influenza vaccination
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? ANS : "In the early stage, the symptoms of this
disease are usually attributed to normal growing pains.
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? ANS : Palpating the child's abdomen
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 ANS : 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? ANS : Administer
naloxone to reverse the effect of the morphine.
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 pre-
scribed for the child? ANS : Hydration and pain management
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
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, teach the parents? ANS : Apply an ice pack and compression dressings to the
knee.
7. The newly hired nurse is talking with the nurse preceptor about the pre-
vention of irondeficiency anemia in infants. Which of the following statements
by the newly hired nurse is correct regarding prevention of this condition?
ANS : - "Iron-fortified commercial formula should be given for the first 6 months of
life
8. The nurse is assessing a child who has severe iron deficiency anemia.
Which of the following assessment finds should the nurse expect to observe?-
ANS : Pallor
9. The nurse is caring for 4-year-old child who is 36 hours postoperative fol-
lowing a removal of a Wilm'stumor. Which of the following requires immediate
follow up by the nurse? ANS : Incision site is pink at the edges.
10. The nurse is providing discharge instructions to the parents of a child who
had surgical resection of a neuroblastoma 4 days ago. Which of the following
statements by the parents indicates teaching has been effective? ANS : We
will provide pain relief using pain medication and rest."
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ANSWERS, EXPLAINED SOLUTIONS| 2025
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? ANS : Administer prescribed influenza vaccination
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? ANS : "In the early stage, the symptoms of this
disease are usually attributed to normal growing pains.
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? ANS : Palpating the child's abdomen
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 ANS : 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? ANS : Administer
naloxone to reverse the effect of the morphine.
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 pre-
scribed for the child? ANS : Hydration and pain management
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
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, teach the parents? ANS : Apply an ice pack and compression dressings to the
knee.
7. The newly hired nurse is talking with the nurse preceptor about the pre-
vention of irondeficiency anemia in infants. Which of the following statements
by the newly hired nurse is correct regarding prevention of this condition?
ANS : - "Iron-fortified commercial formula should be given for the first 6 months of
life
8. The nurse is assessing a child who has severe iron deficiency anemia.
Which of the following assessment finds should the nurse expect to observe?-
ANS : Pallor
9. The nurse is caring for 4-year-old child who is 36 hours postoperative fol-
lowing a removal of a Wilm'stumor. Which of the following requires immediate
follow up by the nurse? ANS : Incision site is pink at the edges.
10. The nurse is providing discharge instructions to the parents of a child who
had surgical resection of a neuroblastoma 4 days ago. Which of the following
statements by the parents indicates teaching has been effective? ANS : We
will provide pain relief using pain medication and rest."
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