NUR 254 EXAM 4 QUESTIONS & ANSWERS 2026-2027 | LATEST E… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 254 Exam 4
Questions & Answers
2026-2027 | Latest
Exam Questions
(Rationales)
Verified Answers Exam Ready With Rationales
44 QUESTIONS
DOCUMENT OVERVIEW
This document contains 44 verified exam questions with correct answers and detailed
rationales focusing on pediatric nursing and related topics. Each question is designed to
enhance understanding and retention of critical nursing concepts, making it suitable for
exam preparation, course review, and certification readiness. Students can leverage this
resource to reinforce their knowledge and effectively prepare for nursing assessments.
CONTENTS
Oncology Nursing Q1–Q9
Hematology and Blood Disorders Q10–Q18
Neurological Disorders Q19–Q27
Page 1
, Developmental and Behavioral Disorders Q28–Q36
Musculoskeletal Disorders Q37–Q44
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 44
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?
CORRECT ANSWER
Administer prescribed influenza vaccination
RATIONALE
Administering the influenza vaccination is essential to protect the immunocompromised child
from respiratory infections, as leukopenia significantly increases susceptibility to pathogens.
Vaccination strategies are critical in managing the health of patients with leukemia to minimize the
risk of complications from infections.
Q2 QUESTION 2 OF 44
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?
CORRECT ANSWER
"In the early stage, the symptoms of this disease are usually attributed to normal growing pains.
RATIONALE
Attributing early symptoms of osteosarcoma to normal growing pains demonstrates a
misunderstanding of the disease's clinical presentation, as osteosarcoma typically manifests with
localized pain, swelling, or tenderness rather than benign growth-related discomfort. Recognizing
the distinct characteristics of osteosarcoma is critical for timely diagnosis and intervention.
Page 2
, Q3 QUESTION 3 OF 44
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?
CORRECT ANSWER
Palpating the child's abdomen
RATIONALE
Palpating the abdomen in a child suspected of having a Wilm's tumor risks rupturing the tumor,
which can lead to hemorrhage and metastasis. This emphasizes the principle of protecting
vulnerable tissues during assessment in pediatric oncology.
Q4 QUESTION 4 OF 44
The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of
a Wilm'stumor. Which of the following requires immediate follow up by the nurse?
CORRECT ANSWER
Incision site is pink at the edges.
RATIONALE
Pinkness at the incision site may indicate an inflammatory response or potential infection, which
requires prompt assessment to prevent complications. Early identification and intervention are
critical in the postoperative care of a child to ensure optimal healing and recovery.
Q5 QUESTION 5 OF 44
The nurse is providing discharge instructions to the parents of a child who had surgical
resection of a neuroblastoma 4 days ago. Which of the following statements by the parents
indicates teaching has been effective?
CORRECT ANSWER
We will provide pain relief using pain medication and rest."
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 254 Exam 4
Questions & Answers
2026-2027 | Latest
Exam Questions
(Rationales)
Verified Answers Exam Ready With Rationales
44 QUESTIONS
DOCUMENT OVERVIEW
This document contains 44 verified exam questions with correct answers and detailed
rationales focusing on pediatric nursing and related topics. Each question is designed to
enhance understanding and retention of critical nursing concepts, making it suitable for
exam preparation, course review, and certification readiness. Students can leverage this
resource to reinforce their knowledge and effectively prepare for nursing assessments.
CONTENTS
Oncology Nursing Q1–Q9
Hematology and Blood Disorders Q10–Q18
Neurological Disorders Q19–Q27
Page 1
, Developmental and Behavioral Disorders Q28–Q36
Musculoskeletal Disorders Q37–Q44
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 44
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?
CORRECT ANSWER
Administer prescribed influenza vaccination
RATIONALE
Administering the influenza vaccination is essential to protect the immunocompromised child
from respiratory infections, as leukopenia significantly increases susceptibility to pathogens.
Vaccination strategies are critical in managing the health of patients with leukemia to minimize the
risk of complications from infections.
Q2 QUESTION 2 OF 44
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?
CORRECT ANSWER
"In the early stage, the symptoms of this disease are usually attributed to normal growing pains.
RATIONALE
Attributing early symptoms of osteosarcoma to normal growing pains demonstrates a
misunderstanding of the disease's clinical presentation, as osteosarcoma typically manifests with
localized pain, swelling, or tenderness rather than benign growth-related discomfort. Recognizing
the distinct characteristics of osteosarcoma is critical for timely diagnosis and intervention.
Page 2
, Q3 QUESTION 3 OF 44
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?
CORRECT ANSWER
Palpating the child's abdomen
RATIONALE
Palpating the abdomen in a child suspected of having a Wilm's tumor risks rupturing the tumor,
which can lead to hemorrhage and metastasis. This emphasizes the principle of protecting
vulnerable tissues during assessment in pediatric oncology.
Q4 QUESTION 4 OF 44
The nurse is caring for 4-year-old child who is 36 hours postoperative following a removal of
a Wilm'stumor. Which of the following requires immediate follow up by the nurse?
CORRECT ANSWER
Incision site is pink at the edges.
RATIONALE
Pinkness at the incision site may indicate an inflammatory response or potential infection, which
requires prompt assessment to prevent complications. Early identification and intervention are
critical in the postoperative care of a child to ensure optimal healing and recovery.
Q5 QUESTION 5 OF 44
The nurse is providing discharge instructions to the parents of a child who had surgical
resection of a neuroblastoma 4 days ago. Which of the following statements by the parents
indicates teaching has been effective?
CORRECT ANSWER
We will provide pain relief using pain medication and rest."
Page 3
