NUR 254 EXAM 4 SCRIPT 2026 SOLVED
QUESTIONS WITH FULL REVIEW
◉ Creative Communication. Answer: Nurse will have to be creative
when communicating with children
◉ Pain Scales. Answer: NIP < 2months
FLACC > 2 months to 7 years old
Wong Baker- Faces- 3 to 4 years old
Numeric Scales (0 to 10)- 8 years old to older
◉ Red Flags call HCP. Answer: Posterior fontanelle open after 2
months
Anterior fontanelle open after 18 months
Weight Gain < 2x @ 6 months
Weight gain <4x @ 12 months
Should babble @ 9 months
Fontanelle bulging or sunken in
◉ Pediatric Assessment. Answer: Interact with parents
Child sits on parents lap
Equipment out of sight
, Invasive last (BP, temp, ear exam)
◉ Ear Assessment. Answer: <3- pinna down and back
>3- pinna up & back
◉ 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
◉ 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
◉ Screening for Lead Poisoning. Answer: Universal screening done
at 1 & 2 years old
QUESTIONS WITH FULL REVIEW
◉ Creative Communication. Answer: Nurse will have to be creative
when communicating with children
◉ Pain Scales. Answer: NIP < 2months
FLACC > 2 months to 7 years old
Wong Baker- Faces- 3 to 4 years old
Numeric Scales (0 to 10)- 8 years old to older
◉ Red Flags call HCP. Answer: Posterior fontanelle open after 2
months
Anterior fontanelle open after 18 months
Weight Gain < 2x @ 6 months
Weight gain <4x @ 12 months
Should babble @ 9 months
Fontanelle bulging or sunken in
◉ Pediatric Assessment. Answer: Interact with parents
Child sits on parents lap
Equipment out of sight
, Invasive last (BP, temp, ear exam)
◉ Ear Assessment. Answer: <3- pinna down and back
>3- pinna up & back
◉ 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
◉ 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
◉ Screening for Lead Poisoning. Answer: Universal screening done
at 1 & 2 years old
