NUR 254 Exam 4 Questions and Answers
100% Correct-Galen College of Nursing
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?
Answer: Administer prescribed influenza vaccination
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?
Answer: "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?
Answer: 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
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, Answer: 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?
Answer: Administer naloxone to reverse the effect of the morphine.
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 pre-
scribed for the child?
Answer: Hydration and pain management
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?
Answer: Apply an ice pack and compression dressings to the knee.
7. The newly hired nurse is talking with the nurse preceptor about the pre-
vention of irondeficiency anemia in infants. Which of the following statements
by the newly hired nurse is correct regarding prevention of this condition?
Answer: - "Iron-fortified commercial formula should be given for the first 6 months of
2/
13
100% Correct-Galen College of Nursing
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?
Answer: Administer prescribed influenza vaccination
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?
Answer: "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?
Answer: 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
1/
13
, Answer: 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?
Answer: Administer naloxone to reverse the effect of the morphine.
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 pre-
scribed for the child?
Answer: Hydration and pain management
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?
Answer: Apply an ice pack and compression dressings to the knee.
7. The newly hired nurse is talking with the nurse preceptor about the pre-
vention of irondeficiency anemia in infants. Which of the following statements
by the newly hired nurse is correct regarding prevention of this condition?
Answer: - "Iron-fortified commercial formula should be given for the first 6 months of
2/
13
