NUR 254 Exam 4|Questions and Answers
| 2026 Update | 100% Correct-Galen
College of Nursing
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? -
CORRECTANSWER Administer prescribed influenza vaccination
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? -CORRECTANSWER "In the early stage, the symptoms of this
disease are usually attributed to normal growing pains.
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? -
CORRECTANSWER Palpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An
assessment of the child includes the following: 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? -
CORRECTANSWER Administer naloxone to reverse the effect of the morphine.
, 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 prescribed for the child? -
CORRECTANSWER Hydration and pain management
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 teach the parents? -
CORRECTANSWER Apply an ice pack and compression dressings to the knee.
The newly hired nurse is talking with the nurse preceptor about the prevention of
irondeficiency anemia in infants. Which of the following statements by the newly hired
nurse is correct regarding prevention of this condition? -CORRECTANSWER "Iron-
fortified commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the
following assessment finds should the nurse expect to observe? -CORRECTANSWER
Pallor
The nurse is caring for 4-year-old child who is 36 hours postoperative following a
removal of a Wilm'stumor. Which of the following requires immediate follow up by the
nurse? -CORRECTANSWER Incision site is pink at the edges.
| 2026 Update | 100% Correct-Galen
College of Nursing
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? -
CORRECTANSWER Administer prescribed influenza vaccination
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? -CORRECTANSWER "In the early stage, the symptoms of this
disease are usually attributed to normal growing pains.
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? -
CORRECTANSWER Palpating the child's abdomen
The nurse is caring for a 5-year-old child who has sickle cell disease (SCD). An
assessment of the child includes the following: 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? -
CORRECTANSWER Administer naloxone to reverse the effect of the morphine.
, 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 prescribed for the child? -
CORRECTANSWER Hydration and pain management
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 teach the parents? -
CORRECTANSWER Apply an ice pack and compression dressings to the knee.
The newly hired nurse is talking with the nurse preceptor about the prevention of
irondeficiency anemia in infants. Which of the following statements by the newly hired
nurse is correct regarding prevention of this condition? -CORRECTANSWER "Iron-
fortified commercial formula should be given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the
following assessment finds should the nurse expect to observe? -CORRECTANSWER
Pallor
The nurse is caring for 4-year-old child who is 36 hours postoperative following a
removal of a Wilm'stumor. Which of the following requires immediate follow up by the
nurse? -CORRECTANSWER Incision site is pink at the edges.