NSG 434 Final Exam | Latest Update 2026–2027 | Comprehensive
Review | Verified Q&A | Graded A+
1. Describe the purpose of leuprolide treatment in children with precocious
puberty.
Leuprolide is used to slow down the early onset of puberty in
children.
Leuprolide is used to manage anemia in children.
Leuprolide is used to enhance growth in children.
Leuprolide is used to treat diabetes in children.
2. If a child diagnosed with hypopituitarism is not receiving appropriate
hormone therapy, what potential outcome should caregivers be aware of?
Continued growth failure and developmental delays
Improved cognitive abilities
Rapid weight gain and obesity
Increased height and muscle mass
3. What term describes the emotional response experienced by parents after
the loss of a child?
Anxiety
Grief
Depression
Relief
,4. If a child with sickle cell disease experiences a vaso-occlusive crisis, what
immediate care should be prioritized?
Immediate blood transfusion
Pain management and hydration
Increased physical activity
Administration of insulin
5. .The most significant concern of the parents of a dying child is the child's:
privacy.
safety.
pain.
hydration.
6. Discuss the role of palliative care in managing terminal illnesses in children.
Palliative care involves aggressive treatments to fight the disease.
Palliative care aims to cure the illness and prolong life at all costs.
Palliative care focuses on providing comfort and support to
children with terminal illnesses and their families.
Palliative care is only for adults and not applicable to children.
7. Describe the role of insulin therapy in the management of Type 1 Diabetes
Mellitus.
Insulin therapy is a temporary solution for Type 1 Diabetes Mellitus.
Insulin therapy is not necessary if dietary changes are made.
, Insulin therapy is only used in emergencies for Type 1 Diabetes
Mellitus.
Insulin therapy is essential for managing Type 1 Diabetes Mellitus as
it replaces the insulin that the body cannot produce.
8. To prevent complications of sickle cell disease during the ages three months
to five years, daily doses of which medication should be prescribed
prophylactically?
Baby aspirin
Diphenhydramine
Penicillin
Acetaminophen
9. Which is the leading causes of death in children between the ages of 1-4 and
5-9, as discussed in the chapter?
Unintentional injuries
Septicemia
Congenital malformations
Influenza and pneumonia
10. If a child presents with dactylitis, what would be an appropriate initial step in
their management?
Conduct a thorough assessment to identify any underlying
conditions.
Ignore the symptoms as they are not serious.
Immediately prescribe antibiotics.
Refer the child to a psychologist.
, 11. Describe how anemia can affect a child's physical activity levels.
Anemia can lead to decreased oxygen delivery to tissues, causing
fatigue and limiting physical activity.
Anemia has no effect on physical activity levels.
Anemia increases energy levels, allowing for more physical activity.
Anemia only affects mental health, not physical activity.
12. Pain control is often a concern of dying children and their parents. Which of
the following strategies should the nurse use to help them deal with this
fear?
Give pain medications intravenously only when the child is near
death.
Use heavy sedation to help the child cope with this phase.
Educate the parents that their child's pain will be assessed
frequently and medications adjusted as necessary to achieve a
level of comfort.
Assure the parents that the pain will be completely relieved.
13. If a child diagnosed with aplastic anemia is showing signs of infection, what
immediate action should be taken?
Increase the child's physical activity to boost immunity.
Seek medical attention to address the infection and adjust
treatment as necessary.
Delay treatment until the next scheduled appointment.
Administer over-the-counter medication to reduce fever.
Review | Verified Q&A | Graded A+
1. Describe the purpose of leuprolide treatment in children with precocious
puberty.
Leuprolide is used to slow down the early onset of puberty in
children.
Leuprolide is used to manage anemia in children.
Leuprolide is used to enhance growth in children.
Leuprolide is used to treat diabetes in children.
2. If a child diagnosed with hypopituitarism is not receiving appropriate
hormone therapy, what potential outcome should caregivers be aware of?
Continued growth failure and developmental delays
Improved cognitive abilities
Rapid weight gain and obesity
Increased height and muscle mass
3. What term describes the emotional response experienced by parents after
the loss of a child?
Anxiety
Grief
Depression
Relief
,4. If a child with sickle cell disease experiences a vaso-occlusive crisis, what
immediate care should be prioritized?
Immediate blood transfusion
Pain management and hydration
Increased physical activity
Administration of insulin
5. .The most significant concern of the parents of a dying child is the child's:
privacy.
safety.
pain.
hydration.
6. Discuss the role of palliative care in managing terminal illnesses in children.
Palliative care involves aggressive treatments to fight the disease.
Palliative care aims to cure the illness and prolong life at all costs.
Palliative care focuses on providing comfort and support to
children with terminal illnesses and their families.
Palliative care is only for adults and not applicable to children.
7. Describe the role of insulin therapy in the management of Type 1 Diabetes
Mellitus.
Insulin therapy is a temporary solution for Type 1 Diabetes Mellitus.
Insulin therapy is not necessary if dietary changes are made.
, Insulin therapy is only used in emergencies for Type 1 Diabetes
Mellitus.
Insulin therapy is essential for managing Type 1 Diabetes Mellitus as
it replaces the insulin that the body cannot produce.
8. To prevent complications of sickle cell disease during the ages three months
to five years, daily doses of which medication should be prescribed
prophylactically?
Baby aspirin
Diphenhydramine
Penicillin
Acetaminophen
9. Which is the leading causes of death in children between the ages of 1-4 and
5-9, as discussed in the chapter?
Unintentional injuries
Septicemia
Congenital malformations
Influenza and pneumonia
10. If a child presents with dactylitis, what would be an appropriate initial step in
their management?
Conduct a thorough assessment to identify any underlying
conditions.
Ignore the symptoms as they are not serious.
Immediately prescribe antibiotics.
Refer the child to a psychologist.
, 11. Describe how anemia can affect a child's physical activity levels.
Anemia can lead to decreased oxygen delivery to tissues, causing
fatigue and limiting physical activity.
Anemia has no effect on physical activity levels.
Anemia increases energy levels, allowing for more physical activity.
Anemia only affects mental health, not physical activity.
12. Pain control is often a concern of dying children and their parents. Which of
the following strategies should the nurse use to help them deal with this
fear?
Give pain medications intravenously only when the child is near
death.
Use heavy sedation to help the child cope with this phase.
Educate the parents that their child's pain will be assessed
frequently and medications adjusted as necessary to achieve a
level of comfort.
Assure the parents that the pain will be completely relieved.
13. If a child diagnosed with aplastic anemia is showing signs of infection, what
immediate action should be taken?
Increase the child's physical activity to boost immunity.
Seek medical attention to address the infection and adjust
treatment as necessary.
Delay treatment until the next scheduled appointment.
Administer over-the-counter medication to reduce fever.
