NUR 230
EXAM 4
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for a child who has leukemia with a white blood cell count
less than 1,000/mm³. Which intervention should the nurse include in the child’s
plan of care?
A. Allow the child to play with other children who do not have a fever
B. Assign the child to a room with other children
C. Use sterile technique for procedures
D. Administer a live influenza vaccination
Correct Answer:
C. Use sterile technique for procedures
Expert Rationale:
A WBC count less than 1,000/mm³ indicates severe immunosuppression and high
infection risk. The nurse should use strict infection-control measures, including
sterile technique when appropriate. The child should not be placed with other
children or exposed to group play because even mild infections can be dangerous.
2. The nurse is providing teaching to healthcare staff about osteosarcoma.
Which statement by an attendee indicates a need for additional teaching?
A. “Children typically experience pain at the primary tumor site.”
B. “The sternum is the most common site of this sarcoma.”
C. “A common manifestation is limping if a weight-bearing limb is affected.”
D. “Early symptoms may be mistaken for normal growing pains.”
Correct Answer:
B. “The sternum is the most common site of this sarcoma.”
Expert Rationale:
Osteosarcoma most commonly occurs in the long bones, especially around the
knee, such as the distal femur and proximal tibia. Pain, swelling, and limping may
occur. Early symptoms can be mistaken for growing pains, delaying diagnosis.
,3. The nurse is caring for a child suspected of having Wilms tumor. Which action
by the nurse indicates a need for additional training?
A. Preventing the child from playing tag in the playroom
B. Palpating the child’s abdomen
C. Instructing the parents that the child may need activity restrictions
D. Requesting a bland, soft diet if prescribed
Correct Answer:
B. Palpating the child’s abdomen
Expert Rationale:
The abdomen should not be palpated in a child suspected of having Wilms tumor
because manipulation can rupture the tumor capsule and spread malignant cells.
Safety precautions include protecting the abdomen from trauma.
4. The nurse is caring for a 5-year-old child with sickle cell disease who is
receiving IV fluids and continuous IV morphine. The child has respirations of
10/min and is unarousable. Which action should the nurse take first?
A. Elevate the head of the bed
B. Increase the IV fluid rate
C. Obtain a complete metabolic panel
D. Administer naloxone
Correct Answer:
D. Administer naloxone
Expert Rationale:
Respiratory depression and unresponsiveness in a child receiving morphine
indicate possible opioid toxicity. The priority is airway and breathing. Naloxone
reverses opioid-induced respiratory depression.
,5. The nurse is admitting a child with vaso-occlusive sickle cell crisis. Which
interventions should the nurse anticipate?
A. Hydration and pain management
B. Factor VIII replacement and globulins
C. Heparin therapy and electrolyte replacement
D. Correction of alkalosis and activity restriction only
Correct Answer:
A. Hydration and pain management
Expert Rationale:
Vaso-occlusive crisis is treated with hydration, pain control, oxygen if needed, and
management of triggering factors. Hydration decreases blood viscosity, and
analgesics help manage severe ischemic pain.
6. The nurse is teaching the parents of a child with hemophilia who developed a
swollen knee after falling from a bicycle. Which home-care action should the
nurse teach?
A. Apply an ice pack and compression dressing
B. Keep the affected knee below heart level
C. Administer aspirin for pain
D. Encourage walking to maintain joint mobility
Correct Answer:
A. Apply an ice pack and compression dressing
Expert Rationale:
Initial care for joint bleeding includes rest, ice, compression, elevation, and factor
replacement if prescribed. Aspirin is contraindicated because it increases bleeding
risk. The extremity should be elevated, not kept below the heart.
, 7. The newly hired nurse is discussing prevention of iron-deficiency anemia in
infants. Which statement is correct?
A. “Iron-fortified cereal should be delayed until 10 months.”
B. “Whole cow’s milk should not be given until 1 year of age and should be limited
after that.”
C. “Ferrous sulfate drops are contraindicated in infants younger than 6 months.”
D. “Iron-fortified formula should be stopped after the first month.”
Correct Answer:
B. “Whole cow’s milk should not be given until 1 year of age and should be
limited after that.”
Expert Rationale:
Cow’s milk is low in iron and can contribute to occult gastrointestinal blood loss in
infants younger than 12 months. After 1 year, intake should be limited to avoid
displacing iron-rich foods.
8. The nurse is assessing a child with severe iron-deficiency anemia. Which
finding should the nurse expect?
A. Visual disturbances
B. Painful swelling of the hands
C. Pallor
D. Enlarged abdomen as the primary finding
Correct Answer:
C. Pallor
Expert Rationale:
Pallor is a common manifestation of anemia due to decreased hemoglobin and
reduced oxygen-carrying capacity. Fatigue, irritability, tachycardia, and poor
feeding may also occur.
EXAM 4
OB/Peds
50 Actual Questions w/Correct Answers
Galen College of Nursing
What you Will Get:
• 50 verified questions
• Correct answers with Rationales.
• Ideal for exam preparation and concept
reinforcement.
,1. The nurse is caring for a child who has leukemia with a white blood cell count
less than 1,000/mm³. Which intervention should the nurse include in the child’s
plan of care?
A. Allow the child to play with other children who do not have a fever
B. Assign the child to a room with other children
C. Use sterile technique for procedures
D. Administer a live influenza vaccination
Correct Answer:
C. Use sterile technique for procedures
Expert Rationale:
A WBC count less than 1,000/mm³ indicates severe immunosuppression and high
infection risk. The nurse should use strict infection-control measures, including
sterile technique when appropriate. The child should not be placed with other
children or exposed to group play because even mild infections can be dangerous.
2. The nurse is providing teaching to healthcare staff about osteosarcoma.
Which statement by an attendee indicates a need for additional teaching?
A. “Children typically experience pain at the primary tumor site.”
B. “The sternum is the most common site of this sarcoma.”
C. “A common manifestation is limping if a weight-bearing limb is affected.”
D. “Early symptoms may be mistaken for normal growing pains.”
Correct Answer:
B. “The sternum is the most common site of this sarcoma.”
Expert Rationale:
Osteosarcoma most commonly occurs in the long bones, especially around the
knee, such as the distal femur and proximal tibia. Pain, swelling, and limping may
occur. Early symptoms can be mistaken for growing pains, delaying diagnosis.
,3. The nurse is caring for a child suspected of having Wilms tumor. Which action
by the nurse indicates a need for additional training?
A. Preventing the child from playing tag in the playroom
B. Palpating the child’s abdomen
C. Instructing the parents that the child may need activity restrictions
D. Requesting a bland, soft diet if prescribed
Correct Answer:
B. Palpating the child’s abdomen
Expert Rationale:
The abdomen should not be palpated in a child suspected of having Wilms tumor
because manipulation can rupture the tumor capsule and spread malignant cells.
Safety precautions include protecting the abdomen from trauma.
4. The nurse is caring for a 5-year-old child with sickle cell disease who is
receiving IV fluids and continuous IV morphine. The child has respirations of
10/min and is unarousable. Which action should the nurse take first?
A. Elevate the head of the bed
B. Increase the IV fluid rate
C. Obtain a complete metabolic panel
D. Administer naloxone
Correct Answer:
D. Administer naloxone
Expert Rationale:
Respiratory depression and unresponsiveness in a child receiving morphine
indicate possible opioid toxicity. The priority is airway and breathing. Naloxone
reverses opioid-induced respiratory depression.
,5. The nurse is admitting a child with vaso-occlusive sickle cell crisis. Which
interventions should the nurse anticipate?
A. Hydration and pain management
B. Factor VIII replacement and globulins
C. Heparin therapy and electrolyte replacement
D. Correction of alkalosis and activity restriction only
Correct Answer:
A. Hydration and pain management
Expert Rationale:
Vaso-occlusive crisis is treated with hydration, pain control, oxygen if needed, and
management of triggering factors. Hydration decreases blood viscosity, and
analgesics help manage severe ischemic pain.
6. The nurse is teaching the parents of a child with hemophilia who developed a
swollen knee after falling from a bicycle. Which home-care action should the
nurse teach?
A. Apply an ice pack and compression dressing
B. Keep the affected knee below heart level
C. Administer aspirin for pain
D. Encourage walking to maintain joint mobility
Correct Answer:
A. Apply an ice pack and compression dressing
Expert Rationale:
Initial care for joint bleeding includes rest, ice, compression, elevation, and factor
replacement if prescribed. Aspirin is contraindicated because it increases bleeding
risk. The extremity should be elevated, not kept below the heart.
, 7. The newly hired nurse is discussing prevention of iron-deficiency anemia in
infants. Which statement is correct?
A. “Iron-fortified cereal should be delayed until 10 months.”
B. “Whole cow’s milk should not be given until 1 year of age and should be limited
after that.”
C. “Ferrous sulfate drops are contraindicated in infants younger than 6 months.”
D. “Iron-fortified formula should be stopped after the first month.”
Correct Answer:
B. “Whole cow’s milk should not be given until 1 year of age and should be
limited after that.”
Expert Rationale:
Cow’s milk is low in iron and can contribute to occult gastrointestinal blood loss in
infants younger than 12 months. After 1 year, intake should be limited to avoid
displacing iron-rich foods.
8. The nurse is assessing a child with severe iron-deficiency anemia. Which
finding should the nurse expect?
A. Visual disturbances
B. Painful swelling of the hands
C. Pallor
D. Enlarged abdomen as the primary finding
Correct Answer:
C. Pallor
Expert Rationale:
Pallor is a common manifestation of anemia due to decreased hemoglobin and
reduced oxygen-carrying capacity. Fatigue, irritability, tachycardia, and poor
feeding may also occur.
