NUR 254 Exam 3 Practice Questions with Correct
Answers and Explanations in Italics Maternal &
Pediatric Nursing – Galen College of Nursing
The nurse is teaching the mother of a child who has celiac disease about appropriate
dietary methods. Which foods from the box below identified by the mother indicate a
need for further teaching?
Chicken breast
Oatmeal
Instant soup
Bananas
Apple slices
Spaghetti
Sugar-free cherry pie
A) 2, 3, 6, 7
B) 2, 4, 6, 7
C) 3, 4, 6, 7
D) 1, 2, 3, 7
Correct Answer: A
Rationale: Oatmeal, instant soup, spaghetti, and sugar-free cherry pie contain gluten.
Celiac disease requires a lifelong gluten-free diet. Foods containing wheat, barley, rye, and
oats must be avoided .
The nurse is caring for a child with probable intussusception. Which of the following is
the most appropriate nursing action when the child has a normal, brown stool?
A) Notify the primary health care provider (PHCP)
B) Auscultate for bowel sounds
,C) Take vital signs, including blood pressure (BP)
D) Measure the child's abdominal girth
Correct Answer: A
Rationale: Normal brown stool may indicate reduction of intussusception or bowel
perforation. The healthcare provider must be notified immediately for further evaluation .
The nurse is assessing a child who is suspected of having celiac disease. Which of the
following findings should the nurse expect the parents to report?
A) Black and tarry stools
B) Excessive hunger
C) Chronic constipation
D) Steatorrhea
Correct Answer: D
Rationale: Steatorrhea (fatty, foul-smelling stools) is characteristic of malabsorption in
celiac disease. The stools may be frothy and float due to high fat content .
The nurse has attended a continuing education conference on enuresis. Which
statement by the nurse indicates a correct understanding of the conference?
A) "One intervention for nocturnal enuresis is using the bathroom before going to bed."
B) "Children who have phenylketonuria (PKU) typically demonstrate enuresis by age 3
years."
C) "Children who suffer from enuresis have inappropriate defecation at least twice a
week for at least 3 months."
D) "The medication most frequently prescribed to treat enuresis is haloperidol."
Correct Answer: A
Rationale: Voiding before bedtime is a standard behavioral intervention for nocturnal
enuresis. Enuresis is more common in boys .
, The nurse is assessing a child who is suspected of having acute glomerulonephritis.
Which of the following is an expected finding?
A) Hypokalemia
B) Periorbital edema
C) Hypotension
D) Enuresis
Correct Answer: B
Rationale: Periorbital edema (swelling around the eyes) is a classic finding in acute
glomerulonephritis due to fluid retention from decreased glomerular filtration rate .
The nurse is providing discharge teaching for a child with nephrotic syndrome. Which
statement by the parents indicates a need for further teaching?
A) "I will check my child's urine for protein every day."
B) "I will weigh my child at the same time each day."
C) "I will restrict my child's fluids to prevent edema."
D) "I will report any signs of infection immediately."
Correct Answer: C
Rationale: Fluid restriction is not typically recommended for nephrotic syndrome unless
severe hyponatremia is present. Daily weights and urine protein monitoring are
appropriate .
The nurse is caring for a child with suspected hypertrophic pyloric stenosis (HPS). Which
assessment finding would the nurse expect?
A) Constipation since birth
B) Projectile vomiting after feedings
C) Steatorrhea
D) Bloody diarrhea
Answers and Explanations in Italics Maternal &
Pediatric Nursing – Galen College of Nursing
The nurse is teaching the mother of a child who has celiac disease about appropriate
dietary methods. Which foods from the box below identified by the mother indicate a
need for further teaching?
Chicken breast
Oatmeal
Instant soup
Bananas
Apple slices
Spaghetti
Sugar-free cherry pie
A) 2, 3, 6, 7
B) 2, 4, 6, 7
C) 3, 4, 6, 7
D) 1, 2, 3, 7
Correct Answer: A
Rationale: Oatmeal, instant soup, spaghetti, and sugar-free cherry pie contain gluten.
Celiac disease requires a lifelong gluten-free diet. Foods containing wheat, barley, rye, and
oats must be avoided .
The nurse is caring for a child with probable intussusception. Which of the following is
the most appropriate nursing action when the child has a normal, brown stool?
A) Notify the primary health care provider (PHCP)
B) Auscultate for bowel sounds
,C) Take vital signs, including blood pressure (BP)
D) Measure the child's abdominal girth
Correct Answer: A
Rationale: Normal brown stool may indicate reduction of intussusception or bowel
perforation. The healthcare provider must be notified immediately for further evaluation .
The nurse is assessing a child who is suspected of having celiac disease. Which of the
following findings should the nurse expect the parents to report?
A) Black and tarry stools
B) Excessive hunger
C) Chronic constipation
D) Steatorrhea
Correct Answer: D
Rationale: Steatorrhea (fatty, foul-smelling stools) is characteristic of malabsorption in
celiac disease. The stools may be frothy and float due to high fat content .
The nurse has attended a continuing education conference on enuresis. Which
statement by the nurse indicates a correct understanding of the conference?
A) "One intervention for nocturnal enuresis is using the bathroom before going to bed."
B) "Children who have phenylketonuria (PKU) typically demonstrate enuresis by age 3
years."
C) "Children who suffer from enuresis have inappropriate defecation at least twice a
week for at least 3 months."
D) "The medication most frequently prescribed to treat enuresis is haloperidol."
Correct Answer: A
Rationale: Voiding before bedtime is a standard behavioral intervention for nocturnal
enuresis. Enuresis is more common in boys .
, The nurse is assessing a child who is suspected of having acute glomerulonephritis.
Which of the following is an expected finding?
A) Hypokalemia
B) Periorbital edema
C) Hypotension
D) Enuresis
Correct Answer: B
Rationale: Periorbital edema (swelling around the eyes) is a classic finding in acute
glomerulonephritis due to fluid retention from decreased glomerular filtration rate .
The nurse is providing discharge teaching for a child with nephrotic syndrome. Which
statement by the parents indicates a need for further teaching?
A) "I will check my child's urine for protein every day."
B) "I will weigh my child at the same time each day."
C) "I will restrict my child's fluids to prevent edema."
D) "I will report any signs of infection immediately."
Correct Answer: C
Rationale: Fluid restriction is not typically recommended for nephrotic syndrome unless
severe hyponatremia is present. Daily weights and urine protein monitoring are
appropriate .
The nurse is caring for a child with suspected hypertrophic pyloric stenosis (HPS). Which
assessment finding would the nurse expect?
A) Constipation since birth
B) Projectile vomiting after feedings
C) Steatorrhea
D) Bloody diarrhea
