NURSING NUR 254 Exam 4 Study Material
(GRADED A) Questions and Answers
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
iron deficiency 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
, NURSING NUR 254 Exam 4 Study Material
(GRADED A) Questions and Answers
9. The nurse is caring for 4-year-old child who is 36 hours postoperative following a
removal of a Wilm’s tumor. 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 interventions should 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
15. 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
16. . 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.
17. 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
(GRADED A) Questions and Answers
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
iron deficiency 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
, NURSING NUR 254 Exam 4 Study Material
(GRADED A) Questions and Answers
9. The nurse is caring for 4-year-old child who is 36 hours postoperative following a
removal of a Wilm’s tumor. 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 interventions should 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
15. 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
16. . 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.
17. 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
