NUR 254 Exam 4 | Nursing 254 Maternal
Exam 4 Exam Questions & Answers,
Explained Solutions| 2025-2026 A+
Graded.
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? -
ANS-Administer prescribed influenza vaccination
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? -
ANS-"In the early stage, the symptoms of this disease are usually attributed to normal growing
pains.
The nurse is caring for a child who is suspected of having a Wilms tumor. Which of the following
actions by the nurse indicates the need for additional training? - ANS-Palpating the child's
abdomen
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? - ANS-Administer
naloxone to reverse the effect of the morphine.
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? - ANS-Hydration and
pain management
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? - ANS-Apply an ice pack and compression
dressings to the knee.
The newly hired nurse is talking with the nurse preceptor about the prevention of irondeficiency
anemia in infants. Which of the following statements by the newly hired nurse is correct
, regarding prevention of this condition? - ANS-"Iron-fortified commercial formula should be
given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following
assessment finds should the nurse expect to observe? - ANS-Pallor
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? - ANS-Incision
site is pink at the edges.
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? - ANS-We will provide pain relief using pain medication
and rest."
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable
condition. Which of the following interventionsshould the nurse implement to decrease ICP in
the child? - ANS-Limit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the
nurse include in the child's plan of care - ANS-Provide the child a quiet atmosphere with
dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of the
lumbar puncture are still pending. Which of the following actions by the nurse is the priority? -
ANS-Assessing neurological status every 2-4 hours.
The nurse is screening infants for early warning signs of cerebral palsy. Which of the following
should the nurse recognize as 1 of the early warning signs of cerebral palsy? - ANS-Poor
head control
The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder. Which of
the following manifestations should the nurse expect to observe in this child? - ANS-Monotone
speech
. The nurse is developing a plan of care for a child diagnosed with attention-deficit hyperactivity
disorder (ADHD). Which of the following information should the nurse include in the plan of
care? - ANS-Psychostimulant medications and behavior modification.
The nurse preceptor is observing a newly hired nurse care for a child who has Down syndrome.
Which of the following manifestations, if documented by the newly hired nurse, requires follow
up by the nurse preceptor? - ANS-Protruding tongue
Exam 4 Exam Questions & Answers,
Explained Solutions| 2025-2026 A+
Graded.
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? -
ANS-Administer prescribed influenza vaccination
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? -
ANS-"In the early stage, the symptoms of this disease are usually attributed to normal growing
pains.
The nurse is caring for a child who is suspected of having a Wilms tumor. Which of the following
actions by the nurse indicates the need for additional training? - ANS-Palpating the child's
abdomen
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? - ANS-Administer
naloxone to reverse the effect of the morphine.
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? - ANS-Hydration and
pain management
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? - ANS-Apply an ice pack and compression
dressings to the knee.
The newly hired nurse is talking with the nurse preceptor about the prevention of irondeficiency
anemia in infants. Which of the following statements by the newly hired nurse is correct
, regarding prevention of this condition? - ANS-"Iron-fortified commercial formula should be
given for the first 6 months of life
The nurse is assessing a child who has severe iron deficiency anemia. Which of the following
assessment finds should the nurse expect to observe? - ANS-Pallor
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? - ANS-Incision
site is pink at the edges.
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? - ANS-We will provide pain relief using pain medication
and rest."
The nurse is caring for a child who has increased intracranial pressure (ICP) and is in stable
condition. Which of the following interventionsshould the nurse implement to decrease ICP in
the child? - ANS-Limit number of visitors inside the child's room.
The nurse is caring for a child who has Reye's syndrome. Which of the following should the
nurse include in the child's plan of care - ANS-Provide the child a quiet atmosphere with
dimmed lighting
The nurse is caring for a child who is suspected of having bacterial meningitis. The results of the
lumbar puncture are still pending. Which of the following actions by the nurse is the priority? -
ANS-Assessing neurological status every 2-4 hours.
The nurse is screening infants for early warning signs of cerebral palsy. Which of the following
should the nurse recognize as 1 of the early warning signs of cerebral palsy? - ANS-Poor
head control
The nurse is assessing a 6-year-old for manifestations of autism spectrum disorder. Which of
the following manifestations should the nurse expect to observe in this child? - ANS-Monotone
speech
. The nurse is developing a plan of care for a child diagnosed with attention-deficit hyperactivity
disorder (ADHD). Which of the following information should the nurse include in the plan of
care? - ANS-Psychostimulant medications and behavior modification.
The nurse preceptor is observing a newly hired nurse care for a child who has Down syndrome.
Which of the following manifestations, if documented by the newly hired nurse, requires follow
up by the nurse preceptor? - ANS-Protruding tongue
