NUR 254 EXAM 4 (2025/2026): LATEST VERSION WITH
VERIFIED QUESTIONS AND ACCURATE, DETAILED
ANSWERS FROM TRUSTED SOURCES.
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? - ANSWER 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? - ANSWER "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? - ANSWER 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: 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? - ANSWER 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
prescribed for the child? - ANSWER 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
teach the parents? - ANSWER Apply an ice pack and compression dressings
to the knee.
7. 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? - ANSWER "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? -
ANSWER Pallor
9. 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? - ANSWER 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? -
ANSWER We will provide pain relief using pain medication and rest."
11.The nurse is caring for a child who has increased intracranial pressure (ICP)
and is in stable condition. Which of the following interventionsshould the
, nurse implement to decrease ICP in the child? - ANSWER Limit number of
visitors inside the child's room.
12.The nurse is caring for a child who has Reye's syndrome. Which of the
following should the nurse include in the child's plan of care - ANSWER
Provide the child a quiet atmosphere with dimmed lighting
13.The nurse is caring for a child who is suspected of having bacterial
meningitis. The results of the lumbar puncture are still pending. Which of
the following actions by the nurse is the priority? - ANSWER Assessing
neurological status every 2-4 hours.
14.The nurse is screening infants for early warning signs of cerebral palsy.
Which of the following should the nurse recognize as 1 of the early warning
signs of cerebral palsy? - ANSWER Poor head control
The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder.
Which of the following manifestations should the nurse expect to observe in this
child? - ANSWER Monotone speech
. The nurse is developing a plan of care for a child diagnosed with attention-deficit
hyperactivity disorder (ADHD). Which of the following information should the
nurse include in the plan of care? - ANSWER Psychostimulant medications and
behavior modification.
The nurse preceptor is observing a newly hired nurse care for a child who has
Down syndrome. Which of the following manifestations, if documented by the
newly hired nurse, requires follow up by the nurse preceptor? - ANSWER
Protruding tongue
VERIFIED QUESTIONS AND ACCURATE, DETAILED
ANSWERS FROM TRUSTED SOURCES.
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? - ANSWER 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? - ANSWER "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? - ANSWER 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: 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? - ANSWER 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
prescribed for the child? - ANSWER 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
teach the parents? - ANSWER Apply an ice pack and compression dressings
to the knee.
7. 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? - ANSWER "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? -
ANSWER Pallor
9. 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? - ANSWER 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? -
ANSWER We will provide pain relief using pain medication and rest."
11.The nurse is caring for a child who has increased intracranial pressure (ICP)
and is in stable condition. Which of the following interventionsshould the
, nurse implement to decrease ICP in the child? - ANSWER Limit number of
visitors inside the child's room.
12.The nurse is caring for a child who has Reye's syndrome. Which of the
following should the nurse include in the child's plan of care - ANSWER
Provide the child a quiet atmosphere with dimmed lighting
13.The nurse is caring for a child who is suspected of having bacterial
meningitis. The results of the lumbar puncture are still pending. Which of
the following actions by the nurse is the priority? - ANSWER Assessing
neurological status every 2-4 hours.
14.The nurse is screening infants for early warning signs of cerebral palsy.
Which of the following should the nurse recognize as 1 of the early warning
signs of cerebral palsy? - ANSWER Poor head control
The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder.
Which of the following manifestations should the nurse expect to observe in this
child? - ANSWER Monotone speech
. The nurse is developing a plan of care for a child diagnosed with attention-deficit
hyperactivity disorder (ADHD). Which of the following information should the
nurse include in the plan of care? - ANSWER Psychostimulant medications and
behavior modification.
The nurse preceptor is observing a newly hired nurse care for a child who has
Down syndrome. Which of the following manifestations, if documented by the
newly hired nurse, requires follow up by the nurse preceptor? - ANSWER
Protruding tongue
