NUR 254 Child Caring Exam 3
2026/2027 Questions With Answers
1. Pain scale= nips - answer-used for 2 months or less
2. Pain scale= flacc - answer-used for more than 2 months old
3. Pain scale= Wong baker - answer-used for 3-4 year olds ( preschooler)
4. Pain scale =numeric - answer-used for 8 year old and up ( as young as 5 if the understand
value of numbers)
5. School age (6-12) nursing considerations - answer-ask why?; let them contribute; they
understand cause and effect; don't need to be bribed
6. Adolescent nursing assessment finding (Erikson) - answer-expected= they are finding
themselves; friends are very important; confidentiality and privacy important
7. Erikson adolescent - answer-age 12-18
Identity vs role confusion
8. Nutritional assessment of adolescent - answer-ask patient what they ate; also assess
weight
(body issues are common)
9. Erikson preschooler - answer-age 3-6
Initiate vs guilt
10. Parallel play - answer-play side by side not with each other. (toddlers 1-3)
11. Associative play - answer-no group goal ( preschooler 3-6) ; example kicking ball around
12. Cooperative play - answer-sports; common goal ( school age 6-12)
13. Preparing school age patient for procedure - answer-age 6-12; answer why questions,
allow them to contribute ; explain cause and effect
14. Appropriate skill set based on age= 6 months - answer-should sit up unsupported; tripod
position
15. Appropriate skill set based on age = 3 years old - answer-should walk upstairs with
alternating feet
, 16. Appropriate primitive reflex should disappear at= 3-4 months - answer-rooting, sucking;
palmar; tonic neck reflexes
17. Appropriate primative reflex should disappear at = 1 month - answer-stepping reflex
18. Appropriate primative reflex should disappear at= 6 months - answer-moro reflex
19. Appropriate primative reflex should disappear at= 8 months - answer-plantar reflex
20. Appropriate primative reflex should disappear at= 1 year - answer-Babinski
21. Natural immunity - answer-breast feeding / contact with virus
22. Acquired immunity - answer-vaccines
23. Assessment finding = child with tet spell (cyanosis) - answer-1. Knee to chest
2. Administer o2
3. Morphine
4. Iv fluids
24. Assessment finding to tell hcp - answer-abnormal finding tachycardia at rest
25. Assessment : child with dx of asthma hearing no wheezing - answer-tell hcp; status
asthmaticus; medical emergency
26. Assessment: child dx with croup; epiglottis - answer-tell hcp prepare trach and intubation
; medical emergency
27. Intervention needed when observing: patient with epiglottis = student nurse is taking oral
temperature - answer-nothing in mouth ; no oral temp, no tong blade; do not visualize
28. Pda patent ductus arterioles s/s - answer-machine like murmur
Bounding pulse
Poor weight gain
Tired after feeding
29. Rsv respiratory syntactical virus s/s - answer-rhinorrhea ( runny nose)
Drainage from eyes & ears
Wheezing
Fever
Coughing
Sneezing
30. Left sided heart failure s/s - answer-frothy pink sputum
Crackles
Dry; hacking cough
2026/2027 Questions With Answers
1. Pain scale= nips - answer-used for 2 months or less
2. Pain scale= flacc - answer-used for more than 2 months old
3. Pain scale= Wong baker - answer-used for 3-4 year olds ( preschooler)
4. Pain scale =numeric - answer-used for 8 year old and up ( as young as 5 if the understand
value of numbers)
5. School age (6-12) nursing considerations - answer-ask why?; let them contribute; they
understand cause and effect; don't need to be bribed
6. Adolescent nursing assessment finding (Erikson) - answer-expected= they are finding
themselves; friends are very important; confidentiality and privacy important
7. Erikson adolescent - answer-age 12-18
Identity vs role confusion
8. Nutritional assessment of adolescent - answer-ask patient what they ate; also assess
weight
(body issues are common)
9. Erikson preschooler - answer-age 3-6
Initiate vs guilt
10. Parallel play - answer-play side by side not with each other. (toddlers 1-3)
11. Associative play - answer-no group goal ( preschooler 3-6) ; example kicking ball around
12. Cooperative play - answer-sports; common goal ( school age 6-12)
13. Preparing school age patient for procedure - answer-age 6-12; answer why questions,
allow them to contribute ; explain cause and effect
14. Appropriate skill set based on age= 6 months - answer-should sit up unsupported; tripod
position
15. Appropriate skill set based on age = 3 years old - answer-should walk upstairs with
alternating feet
, 16. Appropriate primitive reflex should disappear at= 3-4 months - answer-rooting, sucking;
palmar; tonic neck reflexes
17. Appropriate primative reflex should disappear at = 1 month - answer-stepping reflex
18. Appropriate primative reflex should disappear at= 6 months - answer-moro reflex
19. Appropriate primative reflex should disappear at= 8 months - answer-plantar reflex
20. Appropriate primative reflex should disappear at= 1 year - answer-Babinski
21. Natural immunity - answer-breast feeding / contact with virus
22. Acquired immunity - answer-vaccines
23. Assessment finding = child with tet spell (cyanosis) - answer-1. Knee to chest
2. Administer o2
3. Morphine
4. Iv fluids
24. Assessment finding to tell hcp - answer-abnormal finding tachycardia at rest
25. Assessment : child with dx of asthma hearing no wheezing - answer-tell hcp; status
asthmaticus; medical emergency
26. Assessment: child dx with croup; epiglottis - answer-tell hcp prepare trach and intubation
; medical emergency
27. Intervention needed when observing: patient with epiglottis = student nurse is taking oral
temperature - answer-nothing in mouth ; no oral temp, no tong blade; do not visualize
28. Pda patent ductus arterioles s/s - answer-machine like murmur
Bounding pulse
Poor weight gain
Tired after feeding
29. Rsv respiratory syntactical virus s/s - answer-rhinorrhea ( runny nose)
Drainage from eyes & ears
Wheezing
Fever
Coughing
Sneezing
30. Left sided heart failure s/s - answer-frothy pink sputum
Crackles
Dry; hacking cough
