NUR 254 TEST 3 STUDY GUIDE
2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS
|| 100% GUARANTEED PASS
<LATEST VERSION>
Galen College Of Nursing
1. Family Centered Care - ANSWER Aids in planning,delivery, & evaluation
Empowerment
Enabling
2. Atraumatic Care - ANSWER Do no Harm
1.Prevent or Minimize Separation
Promote Sense of Control
Prevent or Minimize bodily injury or pain
3. Role of pediatric Nurse - ANSWER Therapeutic relationship
Family advocacy & caring
Disease prevention & health promotion
Health Teaching
Injury Prevention
Support & Counseling
Coordination & Collaboration
Ethical Decision Making
4. Cephalocaudal - ANSWER head to tail; head grows before lower parts of
body
, Infant controls head before trunk & extremities
5. Proximodistal - ANSWER Near to far, midline to peripheral
Infants control shoulders before hands
6. Cystic Fibrosis - ANSWER Complication- failure to thrive
Increase Calories, Carbs, Protein
Lower Fat
Progressive/Genetic- no cure
Secretions abnormally thick
Avoid crowds
Handwashing
7. Postural Drainage - ANSWER use of body positioning to assist in removal
of secretions from specific lobes of the lung, bronchi, or lung cavities
CPT then hold down
8. Pediatric Assessment - ANSWER Interact with parents
Child sits on parents lap
Equipment out of sight
Invasive last (BP, temp, ear exam)
9. Ear Assessment - ANSWER <3- pinna down and back
>3- pinna up & back
10.Infant Milestones - ANSWER 1 month: grasp reflex
2 months: posterior fontanelle closes
3 months- hold objects
4 months: roll front to back, smiles, Moro gone
6 months: roll back to front, first sounds, teeth erupt, solid foods introduced
8 months: sits unsupported
, 9-12 months: starting to walk
11.Toddler Milestones - ANSWER 15 months- creeps upstairs
18 months- anterior fontanelle closes
24 months- parallel play, egocentric, runs well
30 months- jumps both feet, starts potty training
12.Screening for Lead Poisoning - ANSWER Universal screening done at 1 &
2 years old
13.Preschooler Developmental Milestones - ANSWER 3 years- rides tricycle,
walks upstairs with alternate feet, parallel & associative play
4 years- hops on 1 foot, uses scissors
5 years- associative play
14.Immunizations - ANSWER Minor illnesses (cold)- not contraindicated in
vaccines
For administration- consent signed & vaccine sheet provided to parent
Immunocompromised- no live vaccines
15.Otitis Media - ANSWER Priority- acute pain management
Teaching prevention- feed upright, breastfeed, avoid smoke exposure,
immunize, avoid people with respiratory infections
16.Tonsil & Adenoids - ANSWER Monitor for bleeding, frequent swallowing
Vomiting bright red= call surgeon/MD stat
17.Kawasaki disease - ANSWER Unknown cause
Strawberry tongue, peely skin
Monitor temperature frequently
, 18.Rheumatic fever & carditis - ANSWER No contact sports
19.Rheumatic fever - ANSWER After group a strep infection
Increased ASO titter
Antibiotics before dental work
20.pain scale= NIPS - ANSWER used for 2 months or less
21.Pain scale= Flacc - ANSWER used for more than 2 months old
22.Pain scale= Wong Baker - ANSWER used for 3-4 year olds ( preschooler)
23.Pain scale =Numeric - ANSWER used for 8 year old and up ( as young as 5
if the understand value of numbers)
24.School age (6-12) nursing considerations - ANSWER Ask why?; let them
contribute; they understand cause and effect; Don't need to be bribed
25.Adolescent nursing assessment finding (Erikson) - ANSWER expected=
they are finding themselves; friends are very important; Confidentiality and
privacy important
26.Erikson Adolescent - ANSWER Age 12-18
Identity vs role confusion
27.Nutritional assessment of Adolescent - ANSWER Ask Patient what they ate;
also assess weight
2026/2027 COMPLETE QUESTIONS
WITH CORRECT DETAILED ANSWERS
|| 100% GUARANTEED PASS
<LATEST VERSION>
Galen College Of Nursing
1. Family Centered Care - ANSWER Aids in planning,delivery, & evaluation
Empowerment
Enabling
2. Atraumatic Care - ANSWER Do no Harm
1.Prevent or Minimize Separation
Promote Sense of Control
Prevent or Minimize bodily injury or pain
3. Role of pediatric Nurse - ANSWER Therapeutic relationship
Family advocacy & caring
Disease prevention & health promotion
Health Teaching
Injury Prevention
Support & Counseling
Coordination & Collaboration
Ethical Decision Making
4. Cephalocaudal - ANSWER head to tail; head grows before lower parts of
body
, Infant controls head before trunk & extremities
5. Proximodistal - ANSWER Near to far, midline to peripheral
Infants control shoulders before hands
6. Cystic Fibrosis - ANSWER Complication- failure to thrive
Increase Calories, Carbs, Protein
Lower Fat
Progressive/Genetic- no cure
Secretions abnormally thick
Avoid crowds
Handwashing
7. Postural Drainage - ANSWER use of body positioning to assist in removal
of secretions from specific lobes of the lung, bronchi, or lung cavities
CPT then hold down
8. Pediatric Assessment - ANSWER Interact with parents
Child sits on parents lap
Equipment out of sight
Invasive last (BP, temp, ear exam)
9. Ear Assessment - ANSWER <3- pinna down and back
>3- pinna up & back
10.Infant Milestones - ANSWER 1 month: grasp reflex
2 months: posterior fontanelle closes
3 months- hold objects
4 months: roll front to back, smiles, Moro gone
6 months: roll back to front, first sounds, teeth erupt, solid foods introduced
8 months: sits unsupported
, 9-12 months: starting to walk
11.Toddler Milestones - ANSWER 15 months- creeps upstairs
18 months- anterior fontanelle closes
24 months- parallel play, egocentric, runs well
30 months- jumps both feet, starts potty training
12.Screening for Lead Poisoning - ANSWER Universal screening done at 1 &
2 years old
13.Preschooler Developmental Milestones - ANSWER 3 years- rides tricycle,
walks upstairs with alternate feet, parallel & associative play
4 years- hops on 1 foot, uses scissors
5 years- associative play
14.Immunizations - ANSWER Minor illnesses (cold)- not contraindicated in
vaccines
For administration- consent signed & vaccine sheet provided to parent
Immunocompromised- no live vaccines
15.Otitis Media - ANSWER Priority- acute pain management
Teaching prevention- feed upright, breastfeed, avoid smoke exposure,
immunize, avoid people with respiratory infections
16.Tonsil & Adenoids - ANSWER Monitor for bleeding, frequent swallowing
Vomiting bright red= call surgeon/MD stat
17.Kawasaki disease - ANSWER Unknown cause
Strawberry tongue, peely skin
Monitor temperature frequently
, 18.Rheumatic fever & carditis - ANSWER No contact sports
19.Rheumatic fever - ANSWER After group a strep infection
Increased ASO titter
Antibiotics before dental work
20.pain scale= NIPS - ANSWER used for 2 months or less
21.Pain scale= Flacc - ANSWER used for more than 2 months old
22.Pain scale= Wong Baker - ANSWER used for 3-4 year olds ( preschooler)
23.Pain scale =Numeric - ANSWER used for 8 year old and up ( as young as 5
if the understand value of numbers)
24.School age (6-12) nursing considerations - ANSWER Ask why?; let them
contribute; they understand cause and effect; Don't need to be bribed
25.Adolescent nursing assessment finding (Erikson) - ANSWER expected=
they are finding themselves; friends are very important; Confidentiality and
privacy important
26.Erikson Adolescent - ANSWER Age 12-18
Identity vs role confusion
27.Nutritional assessment of Adolescent - ANSWER Ask Patient what they ate;
also assess weight
