NURSING
NURSING NUR 254 EXAM 4 -WITH 100%
ACCURATE SOLUTIONS-2024-2025
Maternal
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? a. Administer prescribed influenza vaccination
b.Assign the child to a room with other children
c. Allow the child to play with other children who do not have a fever
d.Use sterile techniques for any procedures
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? a. “A common clinical manifestation is limping if a weight-
bearing limb is affected.”
b.“The sternum is the most common site of this sarcoma.”
c. “Children typically experience pain at the primary tumor site.”
d.“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? a.
Instructing the parents that the child needs to remain in bed.
b.Preventing a child from playing tag in the playroom.
c. Requesting a bland soft diet for the child.
d.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? a. Increase the IV fluids to decrease vaso-occlusion.
b.Obtain a complete metabolic laboratory blood sample.
c. Elevate the head of the bed (HOB) to increase oxygen saturation.
d.Administer naloxone to reverse the effect of the morphine.
NURSING NUR 254 EXAM 4 -WITH 100% ACCURATE SOLUTIONS-2024-2025
, NURSING
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?
a. Correction of alkalosis and reduction of energy expenditure.
b.Globulins and factor VIII replacement.
c. Hydration and pain management.
d.Electrolyte replacement and administration of heparin.
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? a. Take the
child to the nearest emergency department (ED).
b.Keep the child’s affected knee below the level of the heart.
c. Apply an ice pack and compression dressings to the knee.
d.Administer recommended dose of aspirin.
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? a. “Whole cow’s milk
should not be given until 1 year of age with limited daily intake.”
b.“Ferrous sulfate drops are contraindicated in infants less than 6 months of age.”
c. “Iron-fortified commercial formula should be given for the first 6 months of life.”
d.“Iron-fortified infant cereal should be introduced to infants at 10 months.”
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? a. Pallor.
b.Painful swelling of the hands.
c. An enlarged abdomen.
d.Visual disturbances.
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? a. White blood cell (WBC) count of 15.0 mm³.
NURSING NUR 254 EXAM 4 -WITH 100% ACCURATE SOLUTIONS-2024-2025
NURSING NUR 254 EXAM 4 -WITH 100%
ACCURATE SOLUTIONS-2024-2025
Maternal
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? a. Administer prescribed influenza vaccination
b.Assign the child to a room with other children
c. Allow the child to play with other children who do not have a fever
d.Use sterile techniques for any procedures
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? a. “A common clinical manifestation is limping if a weight-
bearing limb is affected.”
b.“The sternum is the most common site of this sarcoma.”
c. “Children typically experience pain at the primary tumor site.”
d.“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? a.
Instructing the parents that the child needs to remain in bed.
b.Preventing a child from playing tag in the playroom.
c. Requesting a bland soft diet for the child.
d.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? a. Increase the IV fluids to decrease vaso-occlusion.
b.Obtain a complete metabolic laboratory blood sample.
c. Elevate the head of the bed (HOB) to increase oxygen saturation.
d.Administer naloxone to reverse the effect of the morphine.
NURSING NUR 254 EXAM 4 -WITH 100% ACCURATE SOLUTIONS-2024-2025
, NURSING
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?
a. Correction of alkalosis and reduction of energy expenditure.
b.Globulins and factor VIII replacement.
c. Hydration and pain management.
d.Electrolyte replacement and administration of heparin.
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? a. Take the
child to the nearest emergency department (ED).
b.Keep the child’s affected knee below the level of the heart.
c. Apply an ice pack and compression dressings to the knee.
d.Administer recommended dose of aspirin.
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? a. “Whole cow’s milk
should not be given until 1 year of age with limited daily intake.”
b.“Ferrous sulfate drops are contraindicated in infants less than 6 months of age.”
c. “Iron-fortified commercial formula should be given for the first 6 months of life.”
d.“Iron-fortified infant cereal should be introduced to infants at 10 months.”
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? a. Pallor.
b.Painful swelling of the hands.
c. An enlarged abdomen.
d.Visual disturbances.
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? a. White blood cell (WBC) count of 15.0 mm³.
NURSING NUR 254 EXAM 4 -WITH 100% ACCURATE SOLUTIONS-2024-2025
